Mary, sorry to hear the clients problems are getting worse - I hope you find some stress relief in being able to offer what help can be offered, and nothing like a heart pounding cardio session to change stress!
Today I worked with a trainer - this is one of the young uns - he's in college training in excercise physiology - and I felt very much like a project - I'm sure I'll show up in a paper (49 YO woman, working for weight loss, muscle tone and lifetime fitness...). We worked on a new routine with some challenging lifts, and real focus on form - I find it difficult to go slow enough while lifting weights.
Planning some hiking tomorrow, hope its cool enough.
Have a great weekend!