• Check in, centering, balanced hatha yoga set considering contraindications, relaxation (with imagery as appropriate),
• Balanced pranayama considering contraindications, meditation/centering.
• Include at least one suggestion from Karma, Bhakti, Raja, or Jnana Yoga tailored for this client.

Find a quiet, peaceful place to practice, perhaps outdoors.

Begin by centering the body, mind, then the breath.

Practice Nadi Suddhi, your alternate nostril breathing. With regular practice, alternate-nostril breathing can bring better balance to your nervous system and less stress response and activity over time. It lowers blood pressure. Deep breathing and alternate-nostril breathing slow your heartbeat and lower your blood pressure.

Consider using breath to lead into meditation.

"Meditation for Anxiety": https://www.youtube.com/watch?v=O-6f5wQXSu8

Centering
C
omfortable body alignment hat alleviates symptoms instead of being overly focused on the traditional form of the
pose
Now the mind - notice the thoughts and realize that you don’t have to respond to them. You can choose to interact
with the monkey thoughts or you can just let them swing by. Commit to staying in the present moment.
Notice how you're breathing. Then begin to take deep inhalations, I breathe in, pause, then long exhalations, I breathe out, pause.
Affirmation
Chanting

Check-in

Seated Chair
Joint releasing
Chair push-ups

Ended here. Client became physically nauseous so we immediately ended the session.

Client noted that she'd be taking a new medication soon. Talked about Sutra 1.13. PAM said, "Nothing here is hard if you do it every day." She was "feeling regretful" about her situation. She said, "Had I moved every day, would I be in this position (sic health wise)?"

She continues to journal daily. Her pain level today was a 7 on a scale from 1-10.

I listened to her as she stated that she was 'feeling regretful'. I asked if she would like to share what’s coming up for her. She said she was questioning whether she could have prevented the hip spurs. I stated that it was completely human to feel regret about that but it may have been out of her control. She didn't seem to want to explore this regret so I affirmed her insight, affirming that it takes courage to acknowledge feelings of regret and that she was practicing self-awareness by noticing and naming it. I asked if it would it be helpful to take a few breaths together and check in with how her body was holding this feeling right now. She seemed to want to sit with it for now.

I felt like all I could do was acknowledge that this was really painful for her right now, and that I was there with her. The physical pain she's been experiencing for years, and now the emotional pain and regrets was taking its toll on her. She became nauseous, and we ended the session.

Check-in on her. If up to it, offer supine pre-surgery strength building movements. (Re-)Introduce Thich Nhat Hanh's meditation on mindfulness.