Entry TypeIndividual Yoga Therapy Session
Client/GroupVirginia N
Entry CategoryCase Study
Select your mentorBrahmi Romero
Intake
Assessment
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)
Session Date08/03/2024
Session Number2
Total Session Minutes120
Homework assignment to client/group

Practice: sutra 2.46 - "effort and ease, steadiness and sweetness" with pranayama as well as asana

Practice: gentle kapalabati in moments where she is feeling physical, mental and/or emotional fatigue. Notice how she is feeling before and after the practice.

Practice: Dr. Fishman's asana recommendations. She will have access to a wall, high backed chair and yoga blocks during her trip

Activities

Check In

Centering, Breath Awareness

Pranayama: Gentle Kapalabati

Raja: continued discussion of "effort and ease," bringing awareness to her experience of both in each asana explored

Asana: Dr. Fishman's 12 poses for osteoporosis/osteopenia

Shavasana

Client/Group progress summary

Client had contacted me during the week to let me know we wouldn't be able to meet as scheduled on 5 August - she and her husband were flying out to support her brother in law and his wife for a week (he is receiving an LVAD and is in poor health.) We rescheduled to meet prior to her departure.

Client presented rajasic in mental energy, anxious about the outcome of the procedure for her brother in law, as well as the ongoing agitation from being in pain. Begin with centering and breath awareness and dirga swasam.

We continued the discussion on Sutra 2.46, "effort and ease...steadiness and sweetness," encouraging her to tune into the sensations in her body, find the appropriate level of challenge in muscular effort - along with finding the good, easeful space within her pranayama and asana practices.

Introduced gentle kapalabati, only 10 expulsions to start, 3 rounds, generous rest and reflection between each round. Encouraged client that this is a great practice to move energy in the body even on days where she might be in more pain and a physical practice - or other physical exertion - might be too much. Client enjoyed this practice.

As she will have both time and space to continue asana practice while out of town, decided to go through the remaining poses from Dr. Fishman's recommended postures. I found a great resource with pictures and notes, and added additional notes for modification with more support at the wall with a block as well as chair - making sure the client found all notes and cues clear and helpful. Talked with the client about erring on the side of being gentle with herself. She did not need to practice all of the asana on one day - she could choose some standing and some supine postures, for example. The most important thing being not how long or how many asana, but in whatever she practiced, can she be mindful of the balance of effort and ease?

Reflection and self-evaluation

With the client presenting more rajasic, I considered not introducing kapalabati, but instead thought it could provide more opportunity for her to explore embodying sutra 2.46. During centering and breath awareness, I felt I saw enough calming during her practice of dirga swasam that she could explore kapalabati gently and slowly without aggravating her rajasic state further. I actually think energizing her body a bit more helped her find much more of the balance of effort and ease as we went through each asana one at a time - first reviewing the ones she had practiced for homework, and then going through the remaining offerings.

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.
Plan for next session

Check In

Awareness Practice

Raja: continued discussion of sutra 2.46

Pranayama: brahmari breath

Japa: So Hum meditation - want to offer an accessible meditation practice for her to try as a way to begin to calm her mind when she's frustrated with the anamaya kosha.

Asana: review of Dr. Fishman's recommendations

Researching additional movements beyond joint freeing for the feet. The client describes "not feeling" her big toe, and so far in my research on bunion lapiplasty I haven't found much on this? I have some great resources from Katy Bowman/Nutritious Movement I want to explore more before our next session on 12 August.

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