Guide XIII-033

Nyasa

India
Client cardCompare
[source: …] where a claim comes from[uncertain] not confirmed in a primary source[synthesis] the writer's reconstruction

1. Introduction

Version followed: nyāsa as practised in contemporary Śākta Tantra, especially Śrīvidyā, as described in ethnography of present-day Śrīvidyā practitioners in India (Hirmer 2022) and on the Shiva Shakti Mandalam site of Tantric translations (Mike Magee); the short six-limb (ṣaḍaṅga / hṛdaya) form taught in modern yoga settings (Kabel 2021, Sequence Wiz); and the Bihar School of Yoga's statement that its yoga nidra draws on nyāsa. Classical Tantric manuals (for example the Kulārṇava Tantra and the Mahānirvāṇa Tantra) prescribe nyāsa in detail, but their step-by-step text is not reproduced or summarised here [uncertain: not verified].

What it is. Nyāsa (Sanskrit, "placing" or "setting down") is a ritual in which the practitioner touches, or rests attention on, parts of the body while reciting a mantra and visualising a deity or seed-syllable, so that the divine is placed in the body [source: Shiva Shakti Mandalam, "Nyasa: divinity in the body"]. Hirmer describes it among Śrīvidyā practitioners as the purification and positioning of the deity in the practitioner's body by uttering mantras and touching the matching body parts [source: Hirmer 2022]. It is usually not a stand-alone practice: it is one stage inside a larger worship sequence (pūjā), for example placed after offerings to the deities of the yantra and alongside breath practice and further invocations in Śrīvidyā yantra worship [source: Hirmer 2022].

How change happens, in the tradition's own terms. The tradition holds that nyāsa "divinises" the worshipper's body, so that worship proceeds from a body that has become the deity's dwelling or the deity itself; one Śrīvidyā teacher quoted by Hirmer says that with nyāsa "you are putting the power of that letter into your body" [source: Hirmer 2022; Shiva Shakti Mandalam]. The Pāñcarātra Ahirbudhnya Saṃhitā is reported to frame nyāsa as a devotional act of taking refuge [uncertain: secondary, unverified — Wikipedia citing Schrader 1916]. These are religious claims, attributed to the tradition and neither asserted nor dismissed here.

For the psychotherapist. Nyāsa is a religious discipline, not a psychotherapy. The therapist's role is to support a client who already practises it (or who is learning it from a teacher) in integrating it into therapy on the client's own terms; to know the published secular derivative (yoga nidra's body rotation, which the Bihar School says draws on nyāsa); to refer for religious instruction; and to recognise and respond to adverse experiences. Mantra-bearing forms are received from a teacher; the therapist never supplies mantras, seed-syllables or initiatory content [source: Shiva Shakti Mandalam notes that many Tantric texts warn against taking mantras from books] [synthesis for the therapist's role].

2. Framework

Nyāsa has no clinical phases and no session count in the sources. Two frameworks matter: where nyāsa sits in the practitioner's ritual, and how a therapist structures work with it.

A. Place in the practice (as the tradition describes it)

  • Prerequisite: instruction and, for mantra-specific forms, initiation (dīkṣā) by a teacher. Each mantra has its own associated nyāsa [source: Wikipedia, uncertain: secondary, unverified], and the mantra is received from a teacher rather than from books [source: Shiva Shakti Mandalam]. Whether a given form requires initiation varies by lineage [uncertain].
  • Within a worship sequence: preparatory purification, then nyāsa forms that range from short (six-limb, hands) to extensive (the whole Sanskrit alphabet on the body, or, in some deity-worship traditions, planets, constellations and sacred places mapped onto the body), then meditation on the deity (dhyāna) and worship [source: Shiva Shakti Mandalam; Hirmer 2022]. The exact order differs by text and lineage [uncertain].
  • In modern yoga classes: the short six-limb form is offered at the start of practice to set intention, or after postures and breath practice and before meditation [source: Kabel 2021].
  • Secular derivative: yoga nidra (Bihar School), described by the school as drawing on "the ancient tantric system of nyasa" [source: Bihar School of Yoga, Practice page].

B. The therapist's working framework [synthesis]

  1. Assessment and consent. Learn what the client practises, in which lineage, under which teacher, how often, and what it means to them; screen for adverse experiences and for current risk (psychosis, mania, severe dissociation, trauma). Obtain explicit consent before bringing any religious practice into sessions. Move on when the client's practice and goals are clear and consent is documented.
  2. Integration. Use the client's own practice as a resource (meaning, embodiment, self-worth, protection imagery), in the client's language, without the therapist teaching the ritual. Move on (or stay) according to whether integration helps the therapeutic goals and the client wants it.
  3. Adaptation or substitution where needed. If body-focused attention destabilises the client, reduce dose, ground, or use a secular body-awareness alternative (Domain II, IV). Return to fuller practice only when the client stays within their window of tolerance.
  4. Collaboration and referral. With consent, coordinate with the client's teacher or priest on ritual questions; refer to medical or psychiatric care for illness.
  5. Review. Regularly check benefits and adverse effects; end integration if harms outweigh benefits for the client.

Session format: individual therapy as usual; no source gives a number of sessions for this work.

3. Guiding principles

  • Attribute, do not assert. Deities, divinisation and protective power are described as the tradition holds them. Practical meaning: say "in your tradition, nyāsa places the goddess in the body", not "this places the goddess in your body" [synthesis].
  • Client-led, in the client's tradition. Practical meaning: bring nyāsa in only if the client raises it or agrees, and use their terms (Sanskrit or vernacular) [synthesis].
  • The therapist is not the teacher. Practical meaning: do not teach, correct or give mantras, nyāsa sequences or initiatory content; refer ritual questions to the client's teacher or priest [source: Shiva Shakti Mandalam on mantras from books; synthesis].
  • Respect restricted content. Practical meaning: if a client tells you their mantra, do not record it in notes or repeat it back unless they ask; never encourage bypassing a legitimate teacher [synthesis].
  • Body touch is the client's own. Nyāsa involves self-touch. Practical meaning: the therapist never touches the client to perform or correct it [synthesis].
  • Trauma-sensitivity first. Body-focused attention can trigger dysregulation in some trauma survivors. Practical meaning: offer choice, eyes open, grounding, and permission to skip body regions [source: BACP summary of Treleaven's trauma-sensitive mindfulness].
  • Monitor adverse effects. Meditation-type practices produce adverse events in a minority, including people without prior mental illness [source: Farias et al. 2020]. Practical meaning: ask about unusual or distressing experiences routinely, not only when the client raises them.
  • Neither pathologise nor miss illness. Practical meaning: treat unusual somatic, energetic or visionary experiences as possibly meaningful within the tradition while screening for psychosis, mania, dissociation and depression [source: Cheetah House VCE study page on differential diagnosis; synthesis].
  • No health claims. Practical meaning: do not present nyāsa as treating any physical disease; any healing or protective claims are the tradition's, and are not established by clinical evidence [synthesis].
  • Competence and ethics. Practical meaning: work within spiritual and religious competencies as professional sources describe them (Vieten et al. 2013 [uncertain: not verified]) and within your professional ethics code [synthesis]; avoid dual roles such as being the client's fellow initiate or teacher.
  • Own commitments declared, not imposed. Practical meaning: decide in supervision whether and how to disclose your own religious stance; never steer the client towards or away from practice [synthesis].

4. Intervention inventory

The first group (4.1–4.5) describes the forms of nyāsa as published sources describe them, so that the therapist understands what the client does; the therapist does not teach them. The second group (4.6–4.14) is the therapist's own work alongside the practice. No mantra, seed-syllable or initiatory wording is given anywhere in this guide.

4.1 Six-limb (aṅga / hṛdaya) nyāsa: the short form taught openly

  • Purpose and when used: In modern yoga teaching, to connect with a chosen deity, set aside daily concerns, and (in the tradition's terms) open to divine energy and gain protection; done at the start of practice, or after postures and breath practice and before meditation [source: Kabel 2021]. In Śākta worship, a six-limb form assigns seed-syllables linked to Sanskrit long vowels to parts of the body [source: Shiva Shakti Mandalam].
  • Steps (as Kabel 2021 publishes them; the accompanying words are omitted): (1) with all fingers of one hand together, touch the chest at the heart, recognising the divine there; (2) rest the middle of the palm on the top of the head; (3) with the thumb extended and other fingers folded, touch the crown (śikhā, the tuft point), inviting the deity to descend; (4) cross the arms and touch the opposite shoulders with the base of the little fingers, as an "armour" (kavaca); (5) touch the eyes and the point between the eyebrows with three fingers, for "divine vision"; (6) make finger snaps around the head as the "weapon" (astra), to drive away disturbance. Each touch is paired with a short mantra word, or with the name of the chosen deity. Kabel notes that other traditions use different hand gestures [source: Kabel 2021].
  • Example language (illustrative): "You mentioned you begin your practice with the six touches. What happens for you, in your body and in your mood, as you go through them?"
  • Watch for: the client using the "armour" and "weapon" stages as rigid protection rituals against intrusive thoughts (see 4.12); distress at touching a particular body region (see 4.8). Signs of benefit, in the client's own report: feeling settled, held, or more able to begin practice or the day [synthesis].

4.2 Kara nyāsa (hand placement)

  • Purpose and when used: Named, with aṅga nyāsa, as one of the two most important forms; it involves the hands, and usually precedes the limb placements [source: Shiva Shakti Mandalam; Wikipedia, uncertain: secondary, unverified]. Detailed finger-by-finger steps are given in lineage manuals and by teachers [uncertain: not verified].
  • Steps: Not reproduced: the client follows the form received from their teacher. In outline, parts of the mantra are placed on the fingers and palms by touch while reciting [uncertain: not verified].
  • Example language (illustrative): "Would it help to bring your hand practice into the first minute of our session, the way you do it at home? You lead; I'll just be here."
  • Watch for: checking or repeating the sequence because it "wasn't right" (scrupulosity, 4.12).

4.3 Ṛṣi (ṛṣyādi) nyāsa

  • Purpose and when used: Honours the seer (ṛṣi) who first revealed a mantra; performed before the mantra is used [source: Shiva Shakti Mandalam].
  • Steps: Lineage-specific; the client follows their teacher. Not given here [uncertain: not verified].
  • Example language (illustrative): "When you honour the seer of the mantra, what does that connection to a lineage mean to you right now?"
  • Watch for: lineage belonging as a resource (continuity, identity) or as a source of pressure and fear of breaking rules (see 4.13).

4.4 Mātṛkā nyāsa (placing the alphabet)

  • Purpose and when used: Practised by Śrīvidyā followers [source: Wikipedia, uncertain: secondary, unverified]; places the letters of the Sanskrit alphabet on the body, each framed by sacred syllables, with hand gestures (mudrā) [source: Shiva Shakti Mandalam]. In the worship of the goddess Śyāmā, her body is covered with the alphabet and practitioners visualise the letters on their own bodies [source: Hirmer 2022].
  • Steps: Restricted to teacher instruction; not given. The publicly described outline is a systematic placement of letters across the body by touch and visualisation [source: Shiva Shakti Mandalam; Hirmer 2022].
  • Example language (illustrative): "You don't need to tell me the letters or how you place them. I'm interested in what the practice is like for you, and whether it has felt different lately."
  • Watch for: long, effortful sessions; unusual sensations, light or sound experiences, or changes in sense of self after extended practice (see 4.9, 4.10).

4.5 Extended and deity-specific nyāsas

  • Purpose and when used: Some goddess-worship traditions use extensive placements: for example Mahāṣoḍhā nyāsa maps planets, constellations and sacred sites onto the body; Bālā worship includes "nine yoni" and "arrow" nyāsas; Jṿālāmukhī worship links an extended nyāsa to breath counts and the cakras; Kālī worship is said to have hundreds of nyāsas [source: Shiva Shakti Mandalam]. In Śrīvidyā yantra worship, nyāsa sits beside breath work and invocations of the Eight Mothers (Aṣṭamātṛkā) and the directional guardians [source: Hirmer 2022].
  • Steps: Not given; these are taught by teachers within the lineage. No breath-count or breath-retention elements are described here.
  • Example language (illustrative): "That sounds like a demanding practice. How much time does it take now, and how does that fit with your sleep, work and family?"
  • Watch for: escalating practice load, sleep loss, or breath practice that leaves the client dizzy or anxious; route physical symptoms to the client's doctor and practice questions to the teacher [synthesis].

4.6 Practice-mapping assessment

  • Purpose and when to use: At intake or when the client first mentions nyāsa: to understand the practice, its meaning, lineage, teacher, load and effects, before any integration [synthesis].
  • Steps [synthesis]: (1) Ask permission to talk about the practice. (2) Ask which tradition and teacher, whether it was received through initiation, and what forms the client does (short six-limb, hand, alphabet, extended). (3) Ask frequency, duration, and whether it sits inside a larger worship. (4) Ask what it means: protection, devotion, identity, healing hopes. (5) Ask about difficult experiences: anxiety, unusual sensations, energy-like experiences, perceptual changes, changes in sense of self, sleep change [source for experience types: Cheetah House VCE page]. (6) Ask what the teacher has said about any difficulties. (7) Ask whether the client wants the practice to be part of therapy at all. (8) Record the practice in notes without mantras or restricted details.
  • Example language (illustrative): "Many people find their spiritual practice matters for their wellbeing. Would you like to tell me about yours? You can keep anything private that is meant to stay private."
  • Watch for: reluctance to disclose (respect it); hints of distress or teacher pressure; whether the practice is a resource or a burden. Working: the client feels respected and can say what they do and do not want from therapy.

4.7 Client-led integration in spiritually integrated psychotherapy

  • Purpose and when to use: When a consenting client wants their practice to support therapy goals (for example shame about the body, low self-worth, fear, or wanting a stable start to sessions). Cross-refer Domain VII (spiritually integrated psychotherapy) [synthesis].
  • Steps [synthesis]: (1) Agree a goal and how the practice might serve it. (2) Invite the client to describe or, if they wish, briefly perform their own short form at the start of a session, eyes open if preferred; the therapist observes silently and does not instruct. (3) Afterwards, explore experience and meaning in the client's language: for example the tradition's view of the body as the dwelling of the deity, set against shame-based beliefs about the body. (4) Link insights to between-session goals the client chooses. (5) Review benefits and any distress.
  • Example language (illustrative): "In your practice the body is where the goddess is placed. When the old voice says your body is disgusting, how does that sit next to what your practice says?"
  • Watch for: the therapist drifting into teaching or endorsing the theology; the client feeling evaluated on how well they practise. Working: greater self-acceptance and use of the practice as a calming, meaningful resource, in the client's report.

4.8 Trauma-sensitive adaptation

  • Purpose and when to use: Nyāsa directs touch and attention to specific body parts; for trauma survivors this can trigger hyper- or hypo-arousal. Use whenever trauma history or dysregulation is present [source: BACP summary of Treleaven; synthesis for application to nyāsa].
  • Steps: (1) Assume trauma may be present. (2) Watch for hyperarousal (agitation, scanning) and hypoarousal (stillness, flat expression, collapse). (3) If dysregulation appears, help the client back into their window of tolerance with grounding: movement for agitation, more sensory input (feet pressing the floor, orienting to the room) for freeze. (4) Offer choices: eyes open, posture, skipping a body region, shorter practice. (5) Shift attention between a difficult area and a steadier one (pendulation). (6) Know when to pause the practice and refer to trauma-focused care [source: BACP summary of Treleaven]. (7) Encourage the client to discuss modifications with their teacher, if they wish, rather than altering a ritual on the therapist's authority [synthesis]. Cross-refer Domain IV (trauma-sensitive yoga).
  • Example language (illustrative): "It's fine to leave out any place on your body that doesn't feel safe to touch today, and to keep your eyes open. Is that something your teacher would be comfortable with?"
  • Watch for: shutdown, dissociation, flashbacks linked to particular body regions; working when the client can do some of the practice while staying present and in control.

4.9 Screening and monitoring for adverse effects

  • Purpose and when to use: Before a client begins intensive or extended practice or retreat, and routinely during therapy. A systematic review of 83 studies found at least one adverse event reported in 55; the most common were anxiety, depression and cognitive anomalies, and events occurred in people with no prior mental health history [source: Farias et al. 2020; Coventry University 2020]. The Varieties of Contemplative Experience study documented meditation-related challenges including light experiences, somatic and energy-like experiences, changes in sense of self, and fear and arousal, and found that worldview shapes how challenges begin and develop [source: Cheetah House VCE page; Lindahl et al. 2017].
  • Steps: (1) Before intensive practice, screen for current psychosis, mania, severe depression, active trauma symptoms, recent bereavement and suicidality [source: BACP summary of Treleaven, adapted; synthesis]. (2) Tell the client, as part of consent, that difficult experiences occur in a minority of practitioners [source: Coventry University 2020, on the duty to inform]. (3) At reviews ask specifically about anxiety, low mood, sleep, unusual body or energy sensations, perceptual changes and sense of self. (4) If adverse effects appear, use dose reduction and grounding (4.10). (5) Document and review.
  • Example language (illustrative): "Most people find their practice helpful, but some have unsettling experiences, like strong body sensations, feeling unreal, or anxiety. If anything like that happens, it's useful to tell me; it doesn't mean you're doing it wrong."
  • Watch for: reluctance to report because experiences are framed as spiritual progress or failure; working when the client reports early and adverse effects settle.

4.10 Dose reduction and grounding

  • Purpose and when to use: When nyāsa or the wider practice is followed by agitation, insomnia, dissociation, intrusive energy-like sensations or distress [synthesis, informed by BACP summary of Treleaven and the VCE study].
  • Steps [synthesis]: (1) Normalise without dismissing. (2) Suggest, for the client to discuss with their teacher, shortening the practice (for example only the short form), keeping eyes open, practising earlier in the day, and stopping extended or breath-linked forms for now. (3) Add grounding: physical activity, regular meals and sleep, time in nature, social contact, orienting to surroundings. (4) Reassess within days if symptoms are marked. (5) If symptoms persist despite reduction, arrange medical or psychiatric assessment.
  • Example language (illustrative): "While things feel this intense, would you be willing to ask your teacher whether a shorter version is acceptable, and add something very ordinary and physical each day, like a walk?"
  • Watch for: the client feeling they have failed spiritually; the teacher urging intensification despite distress (see 4.13). Working: sleep and arousal normalise and distress reduces.

4.11 Differential assessment: spiritual experience or mental illness

  • Purpose and when to use: When a client reports energy rising, divine presence in the body, visions, voices, loss of self, or exaltation after practice [synthesis]. The VCE programme has published on differential diagnosis and criteria for intervention [source: Cheetah House VCE page].
  • Steps [synthesis]: (1) Hear the experience in the client's framework first. (2) Assess functioning, sleep, insight, risk, and whether experiences are confined to practice or intrude into daily life. (3) Screen for psychotic, manic, depressive and dissociative features and substance use. (4) Ask how the client's teacher and community understand it. (5) Where illness is likely, refer for psychiatric assessment while honouring the meaning the client gives. (6) Where criteria for a disorder are not met but distress centres on spiritual experience, the DSM-5-TR category for a religious or spiritual problem may be used (Z65.8) [source: ICD-10-CM Z65.8]. (7) With consent, coordinate with the teacher.
  • Example language (illustrative): "In your tradition, what would your teacher say is happening? And separately, I'd like to check how you're sleeping and whether these experiences come only during practice or at other times too."
  • Watch for: pathologising normative devotional experience, or missing early psychosis or mania because it is framed spiritually.

4.12 Scrupulosity around precise ritual

  • Purpose and when to use: Nyāsa requires precise touches and recitation in a set order; some clients with religious OCD repeat placements, recheck pronunciation, or fear divine harm from errors [synthesis; no clinical source specific to nyāsa was verified].
  • Steps [synthesis; IOCDF guidance on scrupulosity, uncertain: not verified]: (1) Distinguish devotional care from compulsive checking: is it driven by fear and doubt, does it take excessive time, does reassurance only help briefly? (2) Assess as OCD. (3) With consent, consult the client's teacher or priest about what the tradition actually requires (for example whether a mistake invalidates the rite), so exposure targets stay within religious law. (4) Build ERP: perform the practice once, at the standard pace, without repeating or seeking reassurance, tolerating doubt. (5) Do not ask the client to commit acts the tradition forbids.
  • Example language (illustrative): "Your teacher told you that one round, done with devotion, is complete. The urge to redo it is the OCD. Can we practise letting the first round count?"
  • Watch for: reassurance-seeking moving onto the therapist; working when practice time shortens and distress falls while devotion is preserved.

4.13 The teacher relationship and coercive control

  • Purpose and when to use: Nyāsa forms are received from a teacher, often through initiation, and the guru relationship carries considerable power [synthesis]. Use when the client describes pressure, secrecy, financial or sexual demands, isolation from family, or punishment for doubt.
  • Steps [synthesis]: (1) Explore the relationship non-judgementally. (2) Look for coercive-control signs: control of time, money, relationships or information; fear of leaving; threats of spiritual harm; sexual approaches by a teacher. (3) Support the client's own judgement and freedom to seek another teacher or leave, without labelling the group. (4) Address safeguarding and reporting duties where a crime or a child is involved. (5) For clients who have left, treat religious trauma, grief and loss of community. Some Tantric lineages also include sexual rites; these are not described here, and any sexual demand by a teacher raises issues of consent and power [synthesis].
  • Example language (illustrative): "You can value your practice and still question how your teacher treats you. What would you want if you didn't have to worry about their reaction?"
  • Watch for: fear of spiritual consequences for disclosure; the therapist becoming a rival authority. No teacher misconduct specific to nyāsa is documented in this guide's sources.

4.14 Referral and collaboration

  • Purpose and when to use: For ritual questions (correct form, whether practice may be shortened, meaning of experiences), when the client wishes to learn nyāsa, or when the therapist's competence ends [synthesis].
  • Steps [synthesis]: (1) Ask whether the client has a teacher, priest or temple. (2) With written consent, contact them, limit disclosure to what the client agrees, and ask focused questions (for example permission for a shorter form). (3) For clients wanting a secular alternative, refer or cross-refer to yoga nidra as a body-focused relaxation practice the Bihar School says draws on nyāsa [source: Bihar School of Yoga], to body-scan practice in MBSR/MBCT (Domain II) or to trauma-sensitive yoga (Domain IV). (4) Refer physical symptoms to the doctor and psychiatric symptoms to psychiatric care. (5) Avoid dual roles: do not attend the client's rituals as a co-practitioner or receive initiation from the same teacher.
  • Example language (illustrative): "Your teacher knows your practice; I know therapy. Would it help if we all three were clear on what's best for you right now?"
  • Watch for: the client feeling pushed to involve clergy; boundaries with the client's community.

5. Handling problems

All guidance in this section is [synthesis] unless a source is given; the sources do not address therapy problems specific to nyāsa.

  • Client asks the therapist to teach nyāsa or give a mantra. Decline warmly; explain that these are given by a teacher in the tradition, and help the client think about how to find one. Offer a secular body-awareness practice if their aim is relaxation (4.14). Many Tantric texts warn against mantras taken from books [source: Shiva Shakti Mandalam].
  • Client asks whether the deity is "really" in their body. Do not adjudicate. Reflect the tradition's teaching and the client's experience, and suggest the question for their teacher if it troubles them.
  • Stuck client: practice has become mechanical or empty. Explore meaning rather than technique; ask what the practice was like when it felt alive, and what has changed in their life. Questions of technique or a change of practice go to the teacher.
  • Resistance to discussing the practice in therapy. Respect privacy; much of the practice may be meant to stay private. Keep the door open and work on other goals.
  • Overwhelm or dysregulation during or after practice. Ground first (4.8, 4.10), then assess (4.11). Pause in-session practice. If symptoms are severe (sleeplessness for days, agitation, disorganisation, risk), arrange urgent medical or psychiatric review.
  • Energy-like or unusual experiences that frighten the client. Normalise that such experiences are reported by meditators [source: Cheetah House VCE page], reduce dose, ground, and assess differentially; encourage contact with the teacher if the client trusts them.
  • Non-adherence to agreed changes (for example continuing long practice despite distress). Explore what the practice protects against or promises; look at fear of spiritual failure or of the teacher's disapproval. Avoid power struggles; keep safety the shared priority.
  • Ruptures over religion. If the client feels the therapist disrespected or medicalised their practice, acknowledge it directly, ask what felt wrong, and repair. Review your own reactions and commitments in supervision.
  • Health claims or stopping medical treatment. If the client believes nyāsa will protect them from or cure a physical illness and is stopping treatment, explore this with respect and route health decisions to their doctor; nyāsa has no established evidence as a treatment for physical disease.
  • Scrupulosity escalates (endless repetition). Move to the ERP plan in 4.12 with the religious authority's input.
  • Teacher pressure or abuse. Follow 4.13, including safeguarding and reporting duties where they apply.
  • Body-image or body-shame conflicts. Body-touch practice may stir shame about particular body regions or a disability that prevents certain gestures; invite the client to ask their teacher about permitted variations, and work on shame directly.
  • Children in the family's practice. If a child is pressured into long or harsh practices, or shows distress, assess wellbeing and follow local safeguarding procedures; consent from parents and assent from the child matter.
  • Therapist out of competence. Seek consultation with clinicians experienced in Hindu traditions or spiritually integrated therapy, or refer.

Sources

Web sources:

Books and papers cited:

  • Lindahl, J. R., Fisher, N. E., Cooper, D. J., Rosen, R. K., & Britton, W. B. (2017). The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists. PLOS ONE 12(5), e0176239 (citation as listed by Cheetah House).
  • Treleaven, D. (2018). Trauma-Sensitive Mindfulness: Practices for Safe and Transformative Healing. W. W. Norton [uncertain: not verified].
  • Brooks, D. R. (1992). Auspicious Wisdom: The Texts and Traditions of Śrīvidyā Śākta Tantrism in South India. SUNY Press (as cited by Wikipedia) [uncertain: not verified].
  • Schrader, F. O. (1916). Introduction to the Pāñcarātra and the Ahirbudhnya Saṃhitā. Adyar Library (as cited by Wikipedia) [uncertain: not verified].
  • Flood, G. (2006). The Tantric Body: The Secret Tradition of Hindu Religion. I.B. Tauris (as cited by Hirmer 2022).
  • Vieten, C. et al. (2013). Spiritual and religious competencies for psychologists [uncertain: not verified].
  • ICD-10-CM Z65.8, Other specified problems related to psychosocial circumstances (includes 'Religious or spiritual problem'), https://www.unboundmedicine.com/icd/view/ICD-10-CM/945432/all/Z65_8___Other_specified_problems_related_to_psychosocial_circumstances