58yo female psychologist in good health, she is struggling with weight gain as she is getting older and is careful about her diet.She does not have any major medical problems, however in a recent workup a non clinical hypothyroidism was diagnosed but according to her PCP it does not require medication supplementation.She likes to ride her bike and walks in nature.She has a little experience with yoga and is interested in exploring it more.

She states that she used to have good energy and was able to get a lot of things done.Now she is experiencing low of energy to the point at after dinner she is feeling so tired that she would want to go to bed.In general her energy level is more on the rajasic side.She likes to plan things and is a bit worried about the future and has a tendency to anger if things don't work out the way she has planned them.She has a tendency to perfectionism.

She describes her predominant emotions a anger, grief, anticipation, sadness and inspiration.She feels connected o her community , work , her immediate family, her son and her husband.But she feels distant to her family of origin , her mother and her brother.She does feel that she has a support network .She states that sometimes she feels that she wants to sing out loudly what she has to say.She would like to experience more joy in life and feel more satisfied.
She sometimes eats to reduce tension.

She is Protestant but not practicing in church.She is open to discussing spiritual themes but she does not go out of her way to experience spirituality .We will discuss the four locks and keys as she is describing distance from her family, I believe this is a good starting point to discuss her relationship with her family of origin , her boss and colleagues as well as her patients.

She is well educated as a PHD psychologist but still has sometimes a sense of inferiority.She is working ,part time because she is the main caregiver for her son.Her husband is working full time and has a strong ego.She feel that she is in a transition phase in life and sometimes goes between having power and feeling powerless.She struggles at work because she does not think that her new boss appreciates her work.Work is important to her.

Patanjalis " chitta vritti nirodaha to still the fluctuations of the mind seems very applicable in this case.The client describes 2 episodes of transient global amnesia in March.She describes this the episodes as complete inability to process new information.The first episode happened when she was gardening and she realized that she does not remember anything that she did before that day.She states that she was merely an observer and she did not have any emotions associated with this.She went into the house and was telling her husband what she was experiencing.He later told her that she repeated the same thing four times, but she did not realize this.The episode ended with her going to bed and the next morning when she woke up her cognition was normal again.In the following few days she was feeling more sensitive and emotional ,but this resolved again.The next episode happened to her at work when she was in a team meeting and this time she recognized immediately what was happening but she did not want to tell the team, so she just pretended, but she did not remember any thing that was said during the meeting.This episode again was time limited.
She went to her PCP and had a complete work up, including an MRI, labwork and EEG .This turned out to be normal with the expiation of subclinical hypothyroidism.
Transient global amnesia is higher in people over age 50.It occurs in 5 to 10 people per 100,000 people per year.It is time limited and lasts from 6 to 24 hours, for most people it happens only once ,but can happen twice .The cause is unknown, the underlying cause might be a transited ischemic attack of the temporal lobe.There is not treatment recommendation since it is limited , but for the person experiencing this state it is frightening, so one of the recommendation is psychotherapy.Sometimes that underlying cause are temporal lobe seizures or history of migraines.Both were not the case for this client.
yogic teaching to explore the four locks and keys .

Netra Vyayamam eye movements to improve concentration and focus.
It seems that with her inability to take in new information she is in a sate of vata (air).to rebalance the dosha I would recommend to look at her eating habitats eat less raw food such as salad and raw vegetables, less sugar, less stimulating food and drinks. Also to get regular and good sleep.
Vata projects the past information into the future and has a tendency to anxiety and worry.Since the vata mind lacks focus and she has rapid thought and forgetfulness, it is important to slow things down.A regular pranayama practice like alternate nostril breathing would be beneficial.
She has elements of Rajas and Tamas with cognitive impairment for example trouble accessing recent memory , and low energy and mood she would benefit from a balancing yoga practice like hatha yoga and slow vinyasa yoga.Also helpful for the tamasic imbalance would be mindfulness , I can suggest to incorporate this in her walks in nature and she is very familiar with mindfulness practice as as a psychologist.As a contraindication I would see a very rajasic yoga practice.

Examining the Acute Effects of Hatha Yoga and Mindfulness Meditation on Executive Function and Mood
ORIGINAL PAPER
Published: 26 December 2016
https://link.springer.com/article/10.1007/s12671-016-0661-2

Alternate nostril breathing to enhance cognitive function, to reduce stress and overall cognitive performance

In general I would use a slower pace for the yoga postures with adjusting the difficulty and complexity of the postures to a more simpiflied version with. ore receptions to ensure prosessing of information and to decrease rajasic tendencies.

Breathing Your Way To Better Brain Function: The Role Of Respiration In Cognitive Performance
Authors
Prof. Venkateswar Pujari , Dr S. Parvathisamhttps

://pnrjournal.com/index.php/home/article/view/10459

Since there very limited research available both for yoga and traditional medicine, some guidance for additional resources would be helpful.

• 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.