32 Steps To Building A Solid & Effective Yoga Therapy Practice

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Ironically my journey into Yoga Therapy begins with case number ONE filed under: Myself.  I have Lyme disease.

And since I am in it, I am studying it just as I feel it, just as I lose all energy and need to lay in bed and only write or think when I get ‘windows’ of energy.

Not only that, I am using yoga or not using it when it is impossible to use.  I know my case will not be valuable information for everyone, but I also know that some of it will be.  Nothing is clear-cut, black or white, such is life.

May Ganesh remove obstacles so we can bededicated, grounded, true professionals, and channel the Divine

This disease, what I am going through, is how I believe, we, organically, and in a real way, become yogis that venture into the field of therapy. Perhaps just by being thrown directly into it by sickness, or maybe by feeling a strong call to the vocation.

I am also very clear that we will never be doctors, chiropractors, accupuncturists, psychologists, MSW, internists, oncologists, etc… Keeping it real and knowing our limitations, i.e.: where our knowledge ends, is critical.

Following my initial thoughts on yoga therapy, I  have a new proposition on how to look at it that, yes, of course includes continuing education, just like with yoga, and preferably one that comes from the highest sources, from those that studied yoga with Krishnamacharya himself, but also patience, research, keeping journals, networking, full dedication and building a team.

Sutra 3.36 is my mantra as I thread this new territory. Discriminating what is real from what is not and understanding our own limitations is the very foundation of being a yoga teacher of integrity. And that includes noticing when and if my own arrogance is taking the best out of me.

The title of Yoga Therapist needs to be EARNED, not paid for.

Paying is cheap, anyone can pay after saving for some time. There is nothing inherently wrong with taking courses and paying for them, but even after, just with a degree or certification, it means nothing in the field of healing.

Healing is a gift and as such it must be earned.

I have nothing against standards, and some organizations are working towards them, I feel that can be helpful, provided it does not turn into another mega industry with paid entry bars or worst, results in academic degrees of enormous costs.

This is a 32 Step path I propose as an alternative to regulation that results in expensive module classes leading to certifications, or worst, institutionalized college degrees that follow government regulations and drain prospective talented students of all moneys they may have saved to actually start practicing by using their talents.

The path I propose follows lineage (of experiened individuals in the field), and involves slow-building, practice over a long time, solid work, cooperation, and much reflection throughout years and years of dedicated practice.

1.- Vision and Foundation

Recognize that the field of Yoga Therapy requires a healthy, balanced, centered yoga teacher with a strong personal daily practice and deep understanding of yoga principles.  Embarking on such a new venture without a solid foundation is not advisable and frankly un-realistic.

On the vision front, having one is mandatory, not optional.  Given that Yoga Therapy is a new and exciting field, being clear as of where we want to be is not only necessary, is vital for the success of our endeavours. And yes, by vision I do mean vision boards, charts, papers that outline where we see ourselves in a year, two, five, twenty-five.

Knowing where we want to go (what kind of practice we want, where to practice, the type of cases we would like to attract, what type of work with would like to use Yoga Therapy on, what kind of monetary reward we would like to obtain, what kind of professional community we would like to create, etc) has the power of giving us  direction as we take each step along the way.

I highly recommend reading this book: Building Your Ideal Private Practice which includes not just tips for therapists but for anyone who is seriously and committed to serve in the world through a private practice.

In this case that would be through yoga, be it just by teaching or by extending into therapy.

2.-Having an Integral Vision of each Student

Have a willingness to treat students as individuals with whole lives. Get involved, get in there, learn about them, know what they need.

Yes, this goes beyond a regular yoga teaching requirement, but then again, not everyone will have the call to the vocation of Yoga Therapy. If you do, then getting involved, softly and in a respectful manner is important.

3.-Have strong and clear professional boundaries. 

You can go through the exercises outlined in the wonderful book “Teaching Yoga” just to test yourself and see how close to center you are or how off when it comes to dealing with difficult situations among teachers and students or teaches and patients (or would they be called clients?, I mean, in Yoga Therapy?)
In a recent post in which I reviewed the book (which I coined: “The book that every student and teacher of yoga MUST read”) you can get a taste for the difficult situations that can present themselves with clear and solid suggestions as of how to deal with them as well as cases that leave you reflecting and thinking.  Cases that pose a difficult position yet give no answers.  Wonderful exercises!
I find these to be exercises that cannot be hidden under a carpet, they need to be processed, discussed in groups, explored, analyzed.


Be prepared to be patient and know that a practice of yoga therapy, just as the one of yoga is for a life time

5.-Build a wide network of professionals 

that you, the yoga teacher/therapists, knows personally, has regular meetings with, and can refer students to. This can be accomplished by following these suggested steps:

  • Get a notebook and fill the top of each page with the title of all professions that can help in the treatment of a yoga student (psychologist, psychiatrist, general medicine practitioner, internist, OBGYN, specialists in every area of medicine, counselors, etc, and then also alternative forms i.e.: massage therapy (different styles), acupuncture, reiki, aromatherapy, other yoga styles, and so on.
  • Network in the community of your residence, for example creating a monthly meeting of professionals to discuss and share notes and referrals.
  • No names of students or patients/clients are ever named, the privacy of their identity is always respected, but the lessons learned can be shared.
  • Maintain professional relationships with every different person you know in each of their fields, keep updated, make an effort to stay in touch
  • Become a cool person, don’t speak badly behind anyone’s backs, make integrity and peace your center.  This will allow you to have better and more interactions, to learn more, everyone will benefit,
  • Make the meetings interesting, bring in cases, either situations you are dealing with at the moment or something you read. Propose questions, engage conversation.
  • Place in the notebook, under each category, only the professionals that you know in your heart to be the best in the field
  • Recommend them
  • This will create a community where all professionals benefit, recommend each other for good services and thrive while having happy, healed and satisfied students/patients/clients.
Patiently build a network

6.-Reaching Further

Extend this local network into a national network and eventually an international one. In time, of course.

7.-Continue your own education.

Own your committment to further learning. Do so with the best teachers in the field, the closest to Krishnamacharya (the father of all yoga we see these days and a Yoga Therapist himself) the better.
But also researching who are the professionals in the frontier of Yoga Therapy today, as we move away from the generation of Krishnamacharya and his teachers which, luckily for us, is not to happen for a while, but there will be new great Therapists emerging, keep them in mind, learn from them, meet them, network, share your cases, keep them in high esteem. Develop relationships.

8.-Reading, Studying, Going to Conferences

Keep informed of developments in the field, attend conferences, discuss cases, situations. Who healed? how? why?

At the moment there are several organizations that publish and are interested in Yoga Therapy cases, and on the effects of yoga in healing. They are a good place to start and follow:

9.-Sharing Leanings

Write about your findings, keep a journal for private notes and share important findings with colleagues, in journals, wide-reaching blogs, newspapers, field magazines, or personal blogs. As with everything in a new emerging field there will be controversy, discussion, talks, even mistakes.  Let them enrich you, learn from what is happening, keep your ear in tune.


Maintain a flawless records of all interactions, recommendations, details, progress, and a description of what happened. Having a history to refer back will help you widen your awareness when similar cases present themselves.


Take time for taking inventory. What was done correctly? What could be improved in the future? Taking inventory, just like teaching, forces us to articulate what happened, and including the devi of speech in our re-telling of the story leads to new insights, helps us learn and hopefully be better prepared for the future.

12.-Keeping the Yogi Healthy and the personal practice thriving

Ensure that your own yoga practice is well-tended to, as well as your spirit, and emotional being.  A yoga therapist must be using yoga on a daily basis, just like a doctor uses medicine and a massage therapist his or her hands.  Being immersed in the medium and developing a very subtle and refined sensibility to how yoga affects our own body is vital, non-negotiable. Must happen.
We need to make sure  we are practicing what we preach. and we need to be grounded in our own daily committment to the practice. We must ensure that we are coming from a position of presence, power, peace, discrimination.

13.-Volunteering to Both Build the Practice and Learn

In the beginning it might help to volunteer in hospitals, hospices, prisons, and learn about a wider audience and what their needs might be, understand how yoga is perceived, how it can heal and how it cannot. Get the “street-smarts”, the “difficult situations”, the things we usually do not see unless we are already working in an institution of such nature.

14.-Listen, listen and listen again.

When talking to students and eventually clients (patients?) make sure that we are understanding exactly what it is that is being said.  Neve fear looking foolish for clarifying.  Listening is the art that a yoga teacher needs the most.

Yoga begins with listening”  Richard Freeman

15.-Keen observation while teaching classes

A dedication to the best standards of quality and professionalism. Noticing things in students yet not interfering unless approached.  Not feeling like we are the ones knowing it all, because we are not. Yet becoming more and more aware of each student we teach to, paying attention. Creating the space for non-verbal communication to happen.  What do I mean by that? If we really allow and create space for people to try, to solidly get into poses, to go their edges and we are there, present, we might gain trust, which may lead to conversations.
In many instances students are open and talk to teachers about ailments all the time, but some won’t. Establishing trust with students is a very first step, it requires a keen sense of discernment and a fully professional approach.

16.-Dressing the Part

Ensuring we use proper and adequate dress and presentation in every class and professional interaction, and eventually yoga therapy sessions. Adequate, elegant (not necessarily expensive) dressing and grooming sends a message of professionalism, invites trust.

17.-Remember it is a Practice

Keeping in mind that it is a practice, a journey. That cases as well as relationships will build up, more people will be met and the knowledge / experience will grow. Never take anything for granted. Always assume a humble attitude.


When I say prayer some people, even in yoga circles, dislike the world. I relate. Prayers need to be real, I will share with you what I am praying these days:
Dear God,
Please let the antibiotics work and clean me from the lyme disease
Please let my energy return so I can get on the mat
I miss the practice, I want you to know that
I thank you for all the blessings this quiet time has brought
Thank you for re-directing me to working on dreams
Thank you showing me what happens when someone undergoes this common infection
I surrender, thy will be done, I trust you are guiding me
Thanks for your light
There. That is REAL. I am not b/s-ing or using the old prayer of this or the old prayer of that, this is something that means something to me right now. That is what I mean.

19.- Real Presence in Honoring the Relationship to the Student/Client

Honoring the student teacher relationship, making safety and respect a priority. Being present for what is happening.

This reminds me of a story told in the book “A New Earth“,  in which Eckhart Tolle was in his apartment and suddenly one night a neighbour knocked loudly at his door at 11 PM.

Tolle opened the door and She, the neighbour,  stormed in  and spread papers on the floor, bills, court summons etc. She was in a state of panic, repeating frantically that she would not be able to cope with it, that it was her end, that she would have to sell everything, go bankrupt.

Tolle looked at her with full attention, not judging, not offering opinions, not adding to the fire.  He just gave her space to have her moment, to feel her feelings.

After a few minutes she stopped, looked at him and said: this is not important at all isn’t it? He nodded ‘no’.  She picked her papers up, went back to her place and confessed the next morning to have had the best night sleep ever.

That is the power of giving someone the space to feel what they are feeling.

20.- Stay Grounded

For example having a friend or college by whom we can “check in” or “run a reality check” by.  Being aware of ego.  When we are not sure if it is Divine Power or our ego talking, then, stopping and running things by another professional. Always.

21.-Embracing Life, Embracing Death

Accepting that not all cases have cures even with the best referrals, with the best doctors, even with the best of everything. Life is a cycle. Death is another. God bless them both. Let us honor them.

22.-Exploring our own Emotional Body

Exploring our own concept of death, getting clear on how we see it and talking with other professionals teachers, friends to clarify our own feelings before we can be a beacon of support for those who may be dying, for example in the case of terminal diseases.

23.- Rain Making and Clear Guidelines

If the practice has a good foundation the cases/clients will appear.  By then it is important to have detailed written guidelines as of how the therapy operates, what does it mean, how does it happen, what are the boundaries, how are the sessions conducted, what are the costs, who are the professionals in the network.  Aiming for full transparency and clarity. This gives safety to all involved.

24.- Connecting with the underworld.  

In her wonderful book, Carried by a Promise, Swami Radhananada, the successor of Radha and current president at the Yasodhara Ashram in British Columbia, talks about her work with dreams.  One of them, which she describes, includes her meeting someone named: Lady Able, she says:

Lady Able tells me she comes from the greenness of the trees, the bushes, grass, moss and has a pleasant peaceful living growing with positive ideas… she is always growing and doing things but her energy is directed and powerful

I can see in her connection with nature in the dream how she draws on her own intuition to continue on.  I believe Yoga Therapy bridges the scientific male-dominated field of medicine with the intuitive feminine.For us yogis, being in touch with the unconscious and paying attention to the direction of our dreams as well as of life as symbolism is a gift. Even though running reality checks always stands as an important step, trusting our own intuition must be an important part of our practice.

25.- Being able to let go

If you are a woman then I am sure this happened to you at least once: You say something in a meeting and then another person (often a man) says the same thing.  He gets recognition, you do not. Note this is NOT a rant, just an example. Stay with me here.

We must be able to trust that these situations are as they are.  To clarify: we may think, for example, that we KNOW that not drinking coffee is THE thing that will help someone heal, but if the receiver is not ready to hear such message we must give up the results, trust that there is a divine healing plan for each person, and perhaps refer them to somebody else.

We must trust their own healing process and allow them the opportunity to listen when they are ready.  Of course this has nothing to do with male or female, but it is the case that people sometimes only want to hear certain things from certain people.

The Divine always has a way to let whoever is ready to listen hear a message.  She will send different messengers until one hits the listening spot.  Trusting the forces of Divine Intervention IS YOGA and how I envisions THERAPY working.

There is another side to this too, the side where intervention might be imminent.  For example, in the HBO show “In Treatment”, Paul, the psychiatrist, finds himself in front of a young woman with cancer who refuses to tell anyone that she is sick.  The show leads us to believe that for her, at that time, chemotherapy is the only option at the late stage she is on.

Given these circumstances, Paul does everything in his power and even gets in the patients’ face. Furthermore he even goes as far as breaking some rules by taking her to chemotherapy himself on her first session.  Of course he does that after running a reality check by his own therapist.

I am not advocating breaking rules, but I am advocating discrimination, being grounded and putting the student/client/patient first, and our egos aside. I am advocating helping while grounded on reality.

26.- Keeping in check the attitude of ‘Holier than thou’:

I have seen examples in the blog sphere where people are abrasive, casting shadows on other’s work, dismissing it negatively, making it all look very bad. This happens maybe via Facebook or Twitter or in boards.

We need to understand that the only way for communication to happen is to feel this anger inside of us and work it  before we make these remarks, connect with our Divine inspiration and ask for answers, trace the anger, notice where it may be coming from, let it breath, pay attention.

Always check your intentions before criticizing another, learn to find your blind spots, where you go unconscious, where you say you want to work on yourself but you lash out at another just for the sake of shaking off some anger. It never works.  The only way to work it is to explore it, see the symbolism of it, get to the bottom of why so angry?, transcend it.

27.- The Imminent Necessity to go Beyond our Desires and Wishes

When it comes to people wanting to heal, our wishes and desires need to be set aside.  A strong grounding and an ability to remain open to what is actually happening must take precedent. Always. Yes, we can pray, but when it comes to gathering intelligence, and using every capacity we have to see what the best recommendation or referral would be, being clear is the only path.

We are not Gods, we have no power to heal, we can only get out of our own ways, and pray to be channels of lights. Let us be clear on that, the sooner the better.

28.-Our own practice as metaphor

Every time I get into the back bends I realize that I go further into the pose and understand it more, or learn new things about it just by doing it.  It is in the doing that the learning happens.  Same for working with yoga, either teaching or in therapy, no difference.

29.- Being Firm, Having the Guts

In order to say to someone something that they may not want to hear, there is a need for tremendous clarification, support from others on how to phrase and present things, thinking, reflection, putting it in the light, asking Divine Mother for help.  Then, when in conversation, strength compassion, and clarity are necessary.  Say what has to be said, ensure you prepared beforehand.

30.-Don’t enter the psychic of another when uninvited

Right before her death, Radha advised her own group of trusted teachers:

Don’t enter the psychic of another with your insight. Keep it to yourself. Just ask questions and observe what comes back

The advise was given over teaching, but I think it permeates a lot more than that.  If we are not helping a person find her own way, if we are imposing our own, how can healing or understanding ever happen?

31.- What Pattabhi Jois so succinctly said about practice applies here too: “Do your practice and all is coming”

32.- Never Rush!

Put quality ahead of quantity and speed.  If there is one area that needs patience, space, and quality that is the area of  healing.


Yoga Therapy starts with the yogi, or with the yoga teacher, and with listening.

It involves a deep soul-searching and a clarifying of what is the intention behind wanting to heal: Is it pride? Is it show-off? or is it sincere? Nothing wrong if it is any of those, it is just important to notice it. To be clear, and to not incur into the field until we know in our hearts that the truth is we want to serve with no strings attached.

We must take responsibility in determining whether our timing is right.  If the purpose is ego gratifying, there is danger ahead.

When the foundation is clear, then the practice will blossom. Learning will happen, healing will happen.

May we all come from center, power, discrimination and peace.


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anonymous Jun 11, 2014 3:44am

What a comprehensive post..thank you so much for this well researched and thought out article.

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anonymous Sep 10, 2011 10:53am

Thank you Tanya

anonymous Sep 10, 2011 8:04am

Just posted to "Popular Lately" on the Elephant Yoga homepage.

anonymous Sep 10, 2011 6:45am

Thanks for the thoughtful article Claudia. Having just returned from IAYT's 4th Symposium on Yoga Therapy and Research http://www.sytar.org . I'm happy to report about 400 attendees reinforced your many points above. I particularly like # 5 re: build a network and #8 about such conferences for building community and skills. As was said many times over the weekend, Yoga is strong medicine…and Yoga is slow medicine. Take our time, come back to our practice and consciousness unfolds. Great lessons you share!
matt http://www.drofyoga.com

    anonymous Sep 10, 2011 10:53am

    Matt, it is very nice to meet you and I am happy to connect with you. I hope soon the blogsphere will provide more bits , like what you mentioned, about what happened at the conference. I am eager to learn more, share, practice. 🙂

anonymous Sep 10, 2011 4:17am

Chiara. Thanks for your comment, and yes! I am all for taking all the antibiotics 🙂

As per your points:

1) You are right, it is not new, I am sure yogis have been using yoga as an aid to healing for ages, come to think of it, Patttabhi Jois used to get doctors refer people to him and the picture in the article is Krishnmacharya. I meant, as you rightly observed, for us here in the west.

2) The KHYF site, yes, of course, an oversight, it should be on that list. I have not had the chance to meet them or visit them yet, but good catch!.

3) When you say I am not in favor of long training, that is actually maybe a misunderstanding I AM IN FAVOR OF LONG TRAINING, if you read my original article you will see that I believe it is important, I think continuing education is part of it, what I do not think is so good is the part where it all becomes a) extremely expensive b) maybe even a college degree (it has happened to the wonderful branching fields of Jungian Therapy and Depth Psychology where taking those courses is beyond anyone means without getting into huge debt) and c) ultimately something that cannot be monitored.

I do think we need standards, I also think it is a complicated decision.

So yes, continuing, further education is critical, so is the realization that unless we go to medical school and psychiatric school we will never be all of those things and we need to get real on our limitations.

In the end, the point for me is that it is a long time process, a practice

Thanks for commenting!

    anonymous Sep 10, 2011 6:37am

    Hi Claudia

    thanks for clarifying n. 3! As yes, it was a misunderstanding on my part… and I had not gone to your original article yet…

anonymous Sep 10, 2011 2:26am

Hi Claudia

hope that you get better soon. Make sure that you take the full course of the antibiotics which have been prescribed!
As for the subject of Yoga Therapy, I have a couple of points to make to otherwise very sound and condivisible advice. Why do you state that this field is new? My understanding is that this is in fact one of the oldest application of (at least modern in the sense of Krishnamacharya modern) Yoga.
It is perhaps new in the west, and it certainly runs the risk of becoming fashionable and being pursued in less than professional ways.

I was also puzzled by the fact that you do not mention the KHYF site, which is I believe one of the most important resources/starting point for those who want to become Yoga Therapists? I know you seem to be not so in favour of long training and they certainly are extremely strict in accepting people and the curriculum you must build but if we think we are learning to become healers we need to accept that the path is long and hard. I would not want to cure myself with tips from a google search or a blog without having also discussed matters with experts, I have seen too many incorrect statements which are only apparent if you already have good background knowledge in the field which is being discusse
Thanks for the essay, it was very important to state the points you make and always keep them in mind!

anonymous Sep 9, 2011 1:55pm

Hi Claudia! I loved this! Thank you! I'm a yoga instructor working regularly in a clinical setting with cardiac patients and I'm hoping to branch out more to bring in more privates. I just finished my 500hr cert but still am insecure with dealing with the large range of issues included in "yoga therapy" and looking forward to doing more training in the therapeutic areas. This helped me a lot, and helped focus me a bit. 🙂

    anonymous Sep 9, 2011 2:52pm

    Thanks Kristie, I am fascinated by the topic too, it is vast, a lifetime practice, and very deep. Wish you blogged!

anonymous Sep 9, 2011 9:16am

Great list.

Maybe I can help with 16. -Dressing the Part. 😛

anonymous Sep 9, 2011 9:11am

Posting to Elephant Yoga on Facebook and Twitter.

Tanya Lee Markul, Yoga Editor
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anonymous Sep 9, 2011 8:52am

Just posted to "Featured Today" on the Elephant Yoga homepage.

anonymous Sep 9, 2011 8:52am

Hi Claudia, thank you so much for this! I wish you the very best with what you are going through! I don't know much about Lyme disease, but is it something that you can completely rid yourself of? I really love what you have written about Yoga Therapy – so timely indeed. What do you feel about getting an official yoga therapy certification? Do you think this is completely necessary?

    anonymous Sep 9, 2011 9:18am

    Hi, well the Lyme since I caught it earlier will probably heal, I hope so.

    When it comes to the certification I feel the same way as with the Certification for teaching yoga, it has to mean something. The Yoga Alliance does not certify anyone, they "REGISTER" people, but they are not held accountable, and they are growing, they will probably be better.

    Dont know about you, but I would have never thought of teaching a yoga class JUST after taking a one month yoga teacher training. I only dare teach something I know, and I think to know a little of something you need a long time of dedication and a daily practice… no way around it…

    Same with Yoga Therapy. I have no problem with further studying anatomy, with learning about ayurveda, it is all good and well, but having certifications that cost 9000 (in three installments) in some cases, plus travel accomodation, cost of lost time from work etc. for just a title… I don't know. I dont remember that much from my yoga teacher training, how would this be different?

    Yes they have "practicums" or whatever, they make you work with a student, 800 hours, or 600, or 300, in the end, I think a Yoga Therapy title is EARNED

    Especially in this time of the internet and word of mouth runnng so fast you can learn quickly who is good and who is not, besides a yoga therapist would mostly be referring people for most thing and curing with yoga only those things that can be cured with yoga, it takes a network, a lot LOT of discernment, a very grounded person, someone who KNOWS HERSELF, someone who is willing to put the time and listen.

    No certification will EVER provide those standards

    The part that scares me the most is that in the board of the yoga Therapy alliance or confluence or group, whatever they are called, you get mostly PhDs, MDs, and people with high college degrees want to see others get high college degrees.

    If you see my previous article you will see exactly how I feel about it, it is here: http://earthyogi.blogspot.com/2011/08/want-to-be-

anonymous Sep 9, 2011 2:57am

Hm, no comments yet… Too soon? Is this field of Yoga Therapy too new? I would love to hear what you guys are thinking. Pennies for your thoughts:-)

    anonymous Sep 9, 2011 6:35am

    31.- What Pattabhi Jois so succinctly said about practice applies here too: “Do your practice and all is coming”
    32.- Never Rush!

anonymous Sep 9, 2011 2:50pm

Yogini, i respect you think differently and I guess each case is special in it's own case, maybe a person with just 1 month training can tech well, especially if they are keeping a grounded attitude as you suggest.

I don't know what you mean about teachers stop pretending to be gurus, don't see where that fits here, but I would agree that pretending to be a guru is non-realistic.

Finally, yes, the theraphy part does connote work outside the mat, with people, with networks, with prayer, with expertise, with further training and all i mentioned, perhaps more. etc.

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Claudia Azula Altucher

Claudia Azula Altucher has studied yoga for a long time. Her only focus these past eight years has been on Ashtanga through which she studied at the Ashtanga Yoga Research Institute in Mysore, India (three study visits so far), and at Centered Yoga in Thailand (focus on practice, philosophy and pranayama).

Currently she studies at Pure Yoga in NYC. She has taught yoga classes in both Spanish and English.
She is also the Author of: 21 Things To Know Before Starting an Ashtanga Yoga Practice (you can get a free PDF at her blog). She writes daily at ClaudiaYoga.com And you can follow her on Twitter: www.twitter.com/ClaudiaYoga