Entry TypeAssessment
Client/GroupKaren N
Entry CategoryCase Study
Select your mentorBrahmi Romero
Intake
Assessment
Proposed number of sessions3
Location of sessionsScherm
Planned time per session90
Presenting ProblemPanic Disorder
Physical

Client presented during assessment fairly sattvic (assessment took place right after she attended my weekly restorative yoga class, which is how we met last year). No movement impingements or restrictions, but some tightness through the upper chest. Aside from tension areas indicated on intake, client did share she experiences painful intercourse and is aware of pelvic floor tightness (hypertonic?), which she treats with CBD suppositories.

Client manages acid reflux with nutrition - noticed many benefits going gluten free.

Client/Group goalsImprove management of panic disorder and anxiety
Energetic

Client showed no signs of reverse breathing, and observed good abdominal movement in taking deep breaths. As client indicated she used to have challenges in breathing, inquired as to what changed: breathing improved when client stopped smoking. Client experiences drop in energy around 3p, the time which she ends her work day. She describes it as a physical fatigue - "heaviness, dragging." At time of assessment energy was balanced, again following restorative yoga. Would like to break her "addiction" to sugar, which she usually intakes at 3p in coffee or a candy/snack.

Emotional

Client shared that during teenager years she battled suicidal depression. States the "meditations" she experiences in yoga class have helped her manage anxiety.

Spiritual orientation and needs

Client practices kaballah and finds meaningful connections with her boyfriend, sisters, dog, close friends and nature.

Intellectual / Sense of self

Client seems to have a good awareness of her vijnanamaya kosha, and seeks to explore the wisdom teachings of yoga to further cultivate discernment.

Yoga philosophy/wisdom research reference(s)

Sutra 2.33-34: pratipaksha bhavana

Scientific research reference(s), why chosen, how you plan to incorporate 1-3

Netra vyayamam -

Exercises for TMJ (thinking these can be blended/added with joint freeing): https://www.healthline.com/health/tmj-exercises#other-treatments

Kapalabati and Agni Sara: Can Yoga Be Used to Treat Gastroesophageal Reflux Disease?: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3734640/

https://www.medicalnewstoday.com/articles/yoga-for-acid-reflux#benefits

Reducing the Symptomatology of Panic Disorder: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4259001/ - Hatha interventions of asana, pranayama, meditation and relaxation

Approval Notice
Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions.
Care PlanOutline should be a practice adapted to the needs of that client/group, including:
  • Check in, centering, balanced hatha yoga set considering contraindications, relaxation (with imagery as appropriate),
  • balanced pranayama considering contraindications, meditation/centering.
  • Please include at least one suggestion from Karma, Bhakti, Raja, or Jnana Yoga tailored for this client/group.
  • Over time, we want to see something from each branch, selected, adapted and re-framed appropriately. Tools from each module should be used (not on each client/group – but overall)
The outline should show the sequence of practices as you plan to offer them.
Your care plan proposal should be approved by the mentor before session 2 if possible, or 3 if approval is delayed by mentor.
Session
Session Instructions (Not Mentoring)Your session outline should be a practice adapted to the needs of that client, including:
  • Check in, centering, balanced hatha yoga set considering contraindications, relaxation (with imagery as appropriate),
  • Balanced pranayama considering contraindications, meditation/centering.
  • Include at least one suggestion from Karma, Bhakti, Raja, or Jnana Yoga tailored for this client.
Over time, we want to see something from each branch, selected, adapted and re-framed appropriately.
Tools from each module should be used (not on each client – but overall)
Final Client/Group ReportAfter seeing your client/group (for at least 4 sessions including interactive intake)
Please remember practicum is a learning experience. You’ll learn more from sharing what’s accurate than from what might “look good”. Things you did well, not so well, problems and questions are all valid and useful tools to teach you. We can’t serve you to become the best clinician you can be if you don’t share your challenges and mistakes. Success is anything from which you learn. You can continue to add Session entries after submitting this Final Client/Group Report.
Report briefly on each Kosha belowProgress toward wellness or worsening reported by the client/group or that you observed in the following areas
Additional Information
Personal reflection from doing client/group.
Notify Mentor?Notify Mentor of Updates/Completion