The practice of yoga is therapeutic. Anyone who has practiced yoga will agree with this statement, but the idea of “yoga therapy” is contentious. In January 2016, the Yoga Alliance requested that any yoga school remove the terms “yoga therapy” and “yoga therapist” from their title. This instruction was a precaution against misleading the public that yoga teachers are diagnosticians. The point was not that yoga isn’t therapeutic, but rather that yoga is not a strategy for diagnosing or curing ailments. The therapeutic potential of yoga comes from its consistent practice. Yoga is a complete system for maintaining health and wellbeing, but it is not a prescriptive solution to specific ailments.
As a yoga teacher, you will receive a lot of inquiries about how to “cure” a variety of ailments, or “treat” a specific population. Some examples include depression/anxiety, back pain, pregnancy, injuries, asthma, arthritis, insomnia and obesity. Your role as a yoga professional is to guide students to treat themselves for whatever they are suffering from. Yoga is not a replacement for other medical care, but it is a useful tool in healthcare. Consistent yoga practice offers students autonomy and awareness in their own healthcare journey.
The difference between yoga and other types of healthcare is that yoga does not apply a reductionist style of therapy. It requires commitment from the student and it is not a quick solution. For example, consider the following statements:
“If I meditate, then I’ll be calmer.”
“If I don’t smoke, then I’ll be able to run faster.”
“If I eat less, then I’ll be thinner.”
These statements are true, but they fail to capture health as a complete psychological and physiological system. Yoga affords a point of view that goes beyond the reductionist if/then approach to health. For example, the primary series of Ashtanga yoga is called yoga chikitsa. Translated, this means yoga therapy. The therapeutic application of Ashtanga is its systematic approach towards wellness rather than a prescription to cure/treat an ailment.
The therapeutic quality of the yoga is its attention to discipline, devotion and patience. Yoga chikitsa is intended to be practiced daily. Practitioners are to do each pose in sequence and follow the other suggestions for a well-rounded lifestyle.
First, you have to practice for a long period of time; second, your practice must not be interrupted—you must do it regularly; and third, you must do your practice with love and respect.
-Yoga Sutra 1.14
It is these qualities of the practice – discipline, devotion and patience – that students can apply to other therapeutic requirements.
How to teach therapeutic yoga
First, you must provide a nurturing and welcoming environment for every student that comes to your classes or even who asks you a question. Yoga is therapeutic in its consistent application. But suggesting this to a student who has recently been diagnosed with arthritis or asthma or depression and who is looking for a prescriptive “fix” may be counterproductive. Students who have recently been diagnosed with an ailment, particularly if they are new to yoga, will not initially be receptive to your suggestion that yoga must be practiced regularly and consistently. Incorporating a yoga practice into a healthcare regime is fundamentally different than taking a pill or getting surgery. Informing students that they must practice “forever” will be overwhelming. Furthermore, with insidious problems that require therapy such as obesity or back pain, students might be reluctant to embrace the lifestyle changes that are necessary to change their circumstances. So, it’s important to be compassionate and welcoming to each student, regardless of their previous yoga experience and regardless of their current expectations of the practice.
Next, be patient and creative in your approach. Encourage students as they develop a regular practice. Although it might be obvious to you how yoga is therapeutic for many ailments, the yogic approach of a mind-body connection might be foreign to new students. Assess each student by asking questions about their experience, their perception of yoga and what aspects of yoga make them feel better. Elaborate on this by making yoga appealing. For example, an injured athlete with a lot of energy may not stick with a seated meditation practice. She might find it boring and annoying. Propose to her instead that she try walking meditation. Instruct her to set a mantra before she walks and then to repeat the mantra during the walk. Just as yoga is an overarching solution for almost any ailment, there are infinite ways to incorporate yoga into a lifestyle.
Finally, even though yoga therapy is not a replacement for medical intervention, it is a valuable companion to medicine. As a yoga teacher, you have the time to discuss with students what is ailing them and together, you can evaluate lifestyle changes, such as work environment, leisure activities and emotional circumstances. Together, you and your student can determine an effective and useful application of yoga. Furthermore, by consulting with your student, and putting them in charge of their own health via yoga, you are giving them the autonomy to take charge of their personal wellbeing.
Yoga may not be a prescriptive tool to cure ailments, but it does provide a therapeutic elixir of which students have control over the dosage.