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by | Feb 16, 2024

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Entry TypeAssessment
Client/GroupVCU - 3 North
Entry CategoryCase Study
Select your mentorBrahmi Romero
Intake
Assessment
Proposed number of sessions3
Location of sessionsVCU - 3 North Inptient Medical Mental Health
Planned time per session45
Presenting ProblemDepression following or concurrent with admission
Physical

Many clients are recovering from a serious injury or illness, having been inpatient at the hospital for several weeks prior to transfer to the mental health unit. (Some will be discharged to rehab facilities, some returned to the other inpatient units, some discharged home.) There are physical limitations and movement restrictions with all clients, so a chair practice - whether seated the entire time or supported by the chair, is necessary.

Client/Group goalsImprove symptoms of depression, find more energy, connect with hope, meaning and purpose in life
Energetic

Clients present tamasic, with low to very low energy. Breathing is shallow, with some reverse breathing.

Emotional

Clients tend to feel "stuck" in the manomaya kosha, unable to shift their thoughts and emotions from at times a tamasic shutdown to a more sattvic state. Generating any rajas is challenging.

Intellectual / Sense of self

Clients often have a distorted or unclear understanding of self, at times a disconnect from the vijnanamaya kosha - and overattachment to circumstances of life. Much avidya of true self, and for some a distortion of abhinivesha - with some attempts at taking their lives.

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