The practice of yogic breathing, pranayama has positive effects to reduce stress and decrease states of anxiety and negative affect.
The Study has showed that pranayama significantly decreased states of anxiety and negative affect.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253694/

The goal is to help my client to learn how to reduce stress and anxiety level by practicing pranayama. In the session, Bhastrika and Nadi Suddhi will be used. This 25 minutes weekly session runs 4 weeks, stress/anxiety evaluation sheet is used to monitor the progress every week.

Thomas is a 51-year-old male, single, he is currently unemployed. He lost his job last year due to pandemic and he has been experiencing depression, panic attack over 10 years. To communicate with someone, he uses email, texting, video call and phone. His panic attack occurs only phone conversion, sometime his comments do not make sense also he does not remember after conversion. And the depression last for several days. He would like to reduce anxiety level and learn to manage panic attack.

I envisioned working with this client on a weekly basis for about 25 mins. Each session started with asking him any questions, concerns, and if he had any event that elevated his anxiety level. Then I lead the Guided Breath Awareness, followed by Bhastrika and Nadi Suddhi led to silent meditation. We began silent mediation for 3 mins and planned to increase the time up to 15 mins.

The branch of Yoga I used is Hatha Yoga for the practice of pranayama and mediation.
The combination of Breath Awareness, Bhastrika, and Meditation helped to connect the mind and the body. Breath awareness enables us to be at a present moment, body awareness is activated when we pay attention to our breath. Bhastrika can boost energy level, increase endurance and concentration by oxygenates the blood. Nadi Suddhi helps to calm the mind and reduce stress and anxiety.

I've known this client for several years, he lives now in Honolulu and is a friend of my friend who used to live in New York.
He talked about his conditions and concerns when I visited Honolulu last time. Recently he said, "I really want to find a way to maintain a stable mind so that I will be able to spend my time happier and work harder".
I think he got a lot out of these sessions, and he mentioned that he would like to practice yoga asanas as well.

I would advise my client to continue a daily morning practice, also he can practice when he feels elevated stress and anxiety level. In addition, I would suggest a nature walk, bird watching, earthing/grounding. All those activities will help to generate greater well-being. Especially, earthing has many benefits include reduces pain, stress, improve blood flow, energy, and sleep.
And based on his comments, I suggested to him repeat silently "I am calm and I listen" 3 times before picking up the phone.

My intended plan was applied, and the goals were met specifically to reduce stress and anxiety levels by practicing pranayama. I believe the client benefitted from the sessions. Now he knows how to breathe, how to calm the mind. He said recently he felt less anxiety when he was on the phone, he is benefitted from the affirmation.

Originally, I planned silent meditation for 10 mins. But I learned that he had no experience of the mediation prior to our 1st session.
I added Nadi Suddhi before silent meditation, his slow/deep breathing helped him to naturally begin the meditation.

Lesson Learned: I learned that I need additional consideration for those who had no experience of meditation. It is not easy for the beginner to sit silently for even a minute.

I will approach in the same manner if I face the same situation. It is important that the client can practice easily to calm the mind, reduce stress. The program I offered was easy to start with, he can practice anytime anywhere.
I would like to add visualization to the program because visualization can replace a negative feeling with a positive one so that the client can practice visualization before