Client is a 26-year-old caucasian cisgender female.

Diagnosed with endometriosis, ovarian cysts and fibroids early 2024, suffered miscarriage February 2024. Areas of tension in her body include neck, upper traps, mid and low back - primarily right side, hamstrings, and the soles of her feet. She gets cramps in her right glute (glute medius?) and sometimes has numbness around her right hip when sleeping/lying on her right side. Her chiropractor mentioned her right hip might be lower? I asked if she had been diagnosed with scoliosis - she replied yes, but is uncertain of the degree. She will bring that information to our next session.

Client was diagnosed with anxiety, depression, mood disorders and ADHD in 2017, narcolepsy in 2018. Client stated she had been on several prescriptions to treat these conditions which were making her ill. She stopped all medications on her own and began regular marijuana use instead, and has been happy with the results. She has not seen any of her medical providers since. She does receive chiropractic care once/month, as well as massage therapy once/month. She describes her massage therapist as her mentor. She is also pursuing studies to read akashic records with a teacher she met a year ago.

She is satisfied overall with her diet. A typical day of her meals might be yogurt and a banana for breakfast, a sandwich or burger for lunch, and chicken with veggies or pasta for dinner. She states she has an issue with sugar, using it more in the evening for energy (Reese's cups, chocolate chip cookies).

During physical assessment noticed forward head position, and mild thoracic flexion.

She currently works as a bartender, but would like to change careers in order to help others. She usually sleeps 7-8 hours, needing about an hour after waking before she feels alert. She eats her first meal 2-3 hours after waking, and usually feels a drop in her energy around 12-1:00p. She does struggle with fragmented/disrupted sleep, which she attributes to the challenges of her boyfriend's father living with them. She struggles with staying awake during the day, feeling drained after a few hours - and also stated she "doesn't dream as much" as she did when pregnant.

Her breathwork practices include box breathing, some Wim Hof breathing, and a practice where she incorporates an inhale for 3, hold for 4, exhale for 6, hold for 4. She feels that overall she breathes "well," but feels out of breath quickly when running.

During breathing assessment breathing appeared shallow.

She usually takes 2-3 yoga classes a week at her gym, and finds yoga, exercise and meditation helpful in reducing her stress. She feels her current work environment is her main source of stress, caused by "giving yourself - all of you" to listening to and supporting others, but wants to offer healthier support than alcohol. She feels she will find purpose in "helping people find peace from within versus outside sources." She describes herself as an ambivert, enjoying social interaction while recharging more privately through meditation, reading and sleep. Her 2-year-old pit mix, Mella, is an important connection in her life.

She enjoys working on older cars performing bodywork - it was in pursuing this hobby that she met her boyfriend, Jeff, with whom she lives.

Guided the client through an Awareness practice, after which she reported feeling relaxed and calm, with a feeling of heaviness in her right hand and sinus region.

Introduced the client to the Extended Exhalation practice, supine, encouraging her to place her hands on her belly and chest for increased interoception. Observed more movement of the abdomen and increased expansion of the ribcage.

Practiced a supported version of Matsyasana, with a block placed vertically between the scapula in the thoracic region of the spine, and a second block supporting the head. Client reported feeling more open/spacious across the chest and less tension in the neck.

Looking ahead to our next session, practices I would like to explore with her:

Asana: restorative yoga with yoga nidra

Pranayama: continued exploration of extended exhalation and dirga swasam

Has struggled recently with her meditation practice. It was very consistent - almost daily. Recently has been once or twice/week. She uses recorded guided meditations, and reports seeing colors.

Raja yoga: the client is so open to learning - not sure where to start with sharing the sutras. Could the locks and keys (Sutra 1.33) be helpful to her in her relationship with herself? Would it be better to start with Sutra 1.1?

Bhakti yoga: I would love to explore creating an altar with her to find space to honor her lost child, but not sure if she is ready to process/experience/confront those emotions?

https://rad.washington.edu/about-us/academic-sections/musculoskeletal-radiology/teaching-materials/online-musculoskeletal-radiology-book/scoliosis/#:~:text=On%20the%20concave%20side%20of,side%2C%20they%20are%20widely%20separated.

Pasted in notes from Old Practicum site

• 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.