Working in the amazing field of
yoga therapy, we come across not only miraculous recovery stories but also
witness profound transformation of the human spirit. A gift and a privilege to
stand at the threshold of somebody’s healing experience, to feel their joy and
gratitude, once again affirming, “Yes, yoga works!”
Krishnamacharya said, “if you can breathe, you can do
yoga” and that is the scope of yoga therapy. A field that is emerging and
gaining prominence around the world as more and more people begin to see how
yoga can impact our health and life in such powerful ways and provide
sustainable solutions to the problems of mankind.
This article summarises the basic principles and process
of yoga therapy for maintaining a healthy body and mind, preventing illness and
imbalance and supporting healing when illness takes over.
The Yogi and healer
The healing science of yoga must be as old as yoga itself.
All great yogis were themselves healers. In an ancient prayer to Patanjali (the
author of Yoga Sutra, the earliest and most authoritative text on yoga), he is
venerated for three important contributions to mankind: yoga for the mind,
grammar for speech and vaidya sastra (Ayurveda) for the body.
While yoga is very popular around the world, there is a lot
of confusion around the various application modalities of yoga. In ancient
times, all these practices were well streamlined with a clear purpose, specific
tools and means of application. Children were taught active, dynamic practices
(Srsti krama) taking into account their needs and potentials, progressing to
young, healthy adulthood where practices were designed to be very intense and
challenging (Siksana krama). When the person becomes a householder with less
time and more commitments, practices were designed to protect and sustain what
they have already achieved earlier (Raksana krama) and slowly one progresses
towards higher spiritual pursuits (Adhyatmika krama).
According to Patanjali, vyadhi (illness) is considered an
obstacle for spiritual progress and hence one of the main goals of yoga
practice is to remove these obstacles that impede spiritual growth. Yoga
therapy (Cikitsa krama) is therefore an important application of yoga where
specific therapeutic needs are addressed so that one can overcome obstacles to
spiritual progress. It is hence a very highly evolved system of healing with a
very strong spiritual component that cannot be separated from it.
Personalised
Yoga Therapy
Since each individual is special and unique, his/her
therapeutic needs are also specific and unique. Yoga therapy addresses these
unique and changing needs of each individual at all levels – physical,
physiological, mental, emotional and the deeper spiritual. The complex canvas
of a person’s life begins to unfold only when we learn to step beyond the
conventional scientific paradigm that is disease-centric. Yoga therapy offers a
360-degree perspective of the person, inside-out – figuratively and literally.
Being a complimentary system of health, it works very well
in tandem with main-stream medical system or any alternative healing
modality. Unlike conventional medicine, it provides the person an
opportunity to take responsibility and participate actively in their healing
and recovery. The main focus in yoga therapy is to influence the mind – even
the smallest shift in the state of mind of an individual opens up immense
possibilities for healing and inner growth.
The Therapeutic Process
How does a yoga therapist work
with a student ?
- An initial consultation will help the
therapist to understand the individual at all levels – physical, physiological,
mental, emotional, their personality and life circumstances and also the impact
of the illness at all these levels.
- In consultation with the student, set
clear goals to be achieved in the process – both short term and long term.
- Select appropriate tools and
techniques and suitably adapt them to address the individual’s abilities, requirements
and circumstances.
- Design effective practices for the
person that can be integrated into their daily routine
- Suggest appropriate lifestyle and
dietary changes to support healing
- Check progression, making appropriate
changes over time to address higher goals
- Guide the person to a state of better
health and well-being
- Empower the individual to take
responsibility for their own health
- Instill
confidence and strength to deal with road-blocks and obstacles of any nature
that might stall or delay the healing process.
A minimum of 3 to 4 sessions per month spread over a period
of 6 months can take care of setting off the person on the healing journey.
Following this period, a periodical review (once a months) and progression with
practice is of course essential to incorporate changing needs and movement
towards higher goals. Depending on the condition, how severe or chronic it is,
frequency of sessions may vary. It is important to understand that the steps
can vary from person to person, condition to condition and life circumstances.
When somebody comes with, let us say, back pain:
- the first goal is to relax the person
physically and mentally and reduce pain
- next step will be to improve mobility
and flexibility,
- then to strengthen the back and
associated structures,
- then
maintain that strength and flexibility
This might progress from a few weeks to months. Once the
person has achieved so much, then regular practice can help him maintain what
he has achieved. Ideally, the student becomes less and less dependent on the
therapist. With regular practice, they develop better awareness and
understanding of their system, their strengths and challenges and are able to
use their strengths to overcome potential challenges with a little guidance
from the therapist.
The role of the Therapist
The role of the therapist in healing is very important.
While a yoga teacher works with individuals or groups teaching suitable
practices for health & wellbeing or spiritual progress, a yoga therapist
uses yoga as a tool to aid in recovery from ill health. When somebody comes to
a therapist, they are not coming to learn yoga; they are coming for relief from
pain and suffering. The technique or tool is not important here, the individual
is. The therapist should hence be equipped with a sound knowledge base in
therapeutic application, be able to assess and understand the individual and
also know how to apply the tools of yoga and guide the person through the path
of recovery. A strong desire to help some one in pain is of course, the basic
prerequisite.
But know that the therapist is not the healer. He/she is
only a guide, a catalyst in the healing process, and a very privileged witness
to the transformation. His/her strength does not lie in knowledge of postures
and techniques alone. That is like giving a layperson a set of surgical tools
and asking her to perform a complicated surgery. The skill of the surgeon
(here, the therapist), lies in how intelligently he/she uses the tools.
Krishnamacharya called Yoga Cikitsa “Asastra sastra cikitsa” meaning
“surgery without instruments”. More important than the tools is the ability of
the therapist to understand and utilize the unique strengths hidden within each
individual for the healing process. The therapist also holds a safe and loving
space for the healing to happen. A non-judgmental attitude, patience, humility
and an immense faith in the strength of the student to heal herself is the
skill-set of the therapist.
Becoming a Yoga Therapist
Training to become a yoga therapist is a very
intensive process involving:
- basic training in the fundamentals of yoga philosophy and practice
- study of human anatomy & physiology
- study of principles of Ayurveda, Ayurvedic understanding of the
human system, diagnosis and approach for maintenance of good health and therapy
- learn how to observe and understand an individual at physical,
physiological, mental, emotional and the deeper spiritual levels,
- study pathology of all common illnesses and how they impact at
different levels
- how to modify/adapt the tools and techniques of yoga to address
the needs of a specific individual with a particular combination of problems.
- how to design effective practices and teach them
- how
to guide the student progressively through the process of recovery.
Healing is never complete if it does not pervade and impact
the entire human structure – that includes physical, physiological,
intellectual, emotional, behavioral and spiritual dimensions. At every level,
you see the challenges and also discover the hidden strengths - valuable inner
resources that can be deployed appropriately to heal. Illness is hence both an
obstacle and an opportunity to transform our lives. Healing itself is the
process of transformation, where you not only learn to reduce the symptoms, and
deal with the cause but also discover a whole range of
thought/emotional/belief/behavioral patterns that have been holding the illness
and its many ramifications in place. You then learn to systematically
disentangle yourself from these binding forces.
The process of healing in yoga is therefore not just
rewarding in the sense of getting rid of a problem, it is an interesting and
most exciting exploration of your life, so that you can slowly peel off those
unwholesome, unhealthy layers that have hidden your inner light from yourself.
Just like a skilled surgeon or master craftsman, a yoga
therapist can bring alive the most simple tools and techniques with such
ingenuity and care that inner healing and transformation happens almost
effortlessly.