Client is a 58-year-old cis Caucasian female, married and retired. She was diagnosed with follicular lymphoma in 2022, and describes her current treatment as "watch and wait," as her doctors have advised her she can live with this for decades. Her goal since diagnosis has been to make lifestyle changes that optimize her physical, mental and emotional health. She has high cholesterol and is pre-diabetic, but currently on no medications. She continues to reduce cholesterol through dietary changes, and despite a family history of heart disease, her cardiologist has no present concerns.
In 1979 she was hit by a car, resulting in a broken pelvis and left shin. She believes the accident could contribute to the low back pain she has managed since 1987, going to physical therapy and occasionally taking muscle relaxers when the pain is extreme. She was in a car accident in 2010 that resulted in a C5/C6 fusion, as well as the diagnosis of a snapping scapula on the left side, after her left shoulder impacted the door.
She has a regular exercise routine consisting of a daily mile walk in the morning at a brisk pace, followed by exercises she learned during physical therapy that target her arms, core and glute complex. She has some experience with yoga, but is intimidated by forward bending for fear of causing additional low back pain. Breath assessment revealed no restrictions, and initial physical assessment showed no significant restrictions in joint ranges of motion or instability.

Client presented with moderate energy - states energy fluctuates day to day, and she has become better at paying attention to it and adjusting her activity accordingly. During breath assessment no major restrictions or signs of reverse breathing. Could obtain deeper diaphragmatic breath.

Since her 2022 diagnosis she has begun a meditation practice, which she uses to help manage her stress, which tends to peak before oncology appointments. Client seems to

Attends church regularly but has spiritual connection outside of church. Believes God "provides us with all the tools to take care of ourselves if we pursue seeking out these tools." Finds purpose and meaning in relationships with husband and daughter. Volunteering has been important, but currently with limited energy using this season to focus on self-care and healing.

Client presented sattvic - despite feeling less energetic physically.

Sutras 2.33-2.34: Pratipaksha Bhavana - tool for managing her anxiety

YCAT: Yoga for Cancer and Chronic Illness - Level 1 Manual

The Breathing Book - Donna Farhi

Integrative Anatomy for Yogis - course designed and facilitated by Gil Hedley and Rachel Scott

https://www.spineclinic.com/pdfs/Trunk_Stabilization.pdf

Roffe L, Schmidt K, Ernst E. A systematic review of guided imagery as an adjuvant cancer therapy. Psychooncology. 2005 Aug;14(8):607-17. doi: 10.1002/pon.889. PMID: 15651053.

Kapogiannis A, Tsoli S, Chrousos G. Investigating the Effects of the Progressive Muscle Relaxation-Guided Imagery Combination on Patients with Cancer Receiving Chemotherapy Treatment: A Systematic Review of Randomized Controlled Trials. Explore (NY). 2018 Mar-Apr;14(2):137-143. doi: 10.1016/j.explore.2017.10.008. Epub 2017 Dec 21. PMID: 29506956.

• 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.