Entry TypeAssessment
Client/GroupJB
Entry CategoryIntended Case Study
Select your mentorSteffany Moonaz
Intake
Assessment
Proposed number of sessions6
Location of sessionsin person/virtual
Planned time per session90
Presenting ProblemStress and anxiety related to caring for a loved one and uncertainty of the future
Physical

Muscle tightness (from holding stress and tension) and occasional insomnia.

Client/Group goalsFind pathways for balance during the time of great stress and anxiety
Energetic

Fatigue and lethargy

Emotional

Worry and anxious thoughts.

Spiritual orientation and needs

The client is agnostic but feels connected with nature.

Intellectual / Sense of self

Sense of responsibility and care, control of the outcomes and protection of the loved one.

Yoga philosophy/wisdom research reference(s)

1. Inside the Yoga Sutras by Reverend Jaganath Carrera
• Sutra 1.33: By cultivating attitudes of friendliness toward the happy, compassion for the unhappy, delight in the virtuous and equanimity toward the non-virtuous, the mind-stuff retains it undisturbed calmness.
• Sutra 2.16 Pain that has not yet come is avoidable
• Sutra 2.26: Uninterrupted discriminative discernment is the method for its (pain) removal. The practice of Viveka includes recollecting the Truth behind appearance searching for that which is changeless in that which changes. It changes the way we perceive life.
• Sutra 2.28 By practice of the limbs of Yoga, the impurities dwindle away and there dawns the light of wisdom leading to discriminative discernment.
2. The living Gita by Swami Satchidananda – Karma yoga
• 3.25: the unenlightened do things with attachment. An enlightened person does things with the same zeal, Arjuna, without attachment, thus guides others on the path of selfless action.
• Dedicate all your actions to me. [Then] your mind will rest in the Self (atman), free of the wishing and selfishness fever and you can engage in battle.

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

1. Lozano Montes L, Balakrishnan V, Gopalakrishnan S. Effects of Integrated Amrita Meditation Technique on Anxiety, Depression, and Plasma Neurotransmitters on a Healthy Population: A Randomized Controlled Trial Followed by a Case-Control Study. J Altern Complement Med. 2021 Aug;27(8):641-648. doi: 10.1089/acm.2020.0238. Epub 2021 May 25. PMID: 34037436.
2. Scott TM, Gerbarg PL, Silveri MM, Nielsen GH, Owen L, Nyer M, Brown RP, Streeter CC. Psychological Function, Iyengar Yoga, and Coherent Breathing: A Randomized Controlled Dosing Study. J Psychiatr Pract. 2019 Nov;25(6):437-450. doi: 10.1097/PRA.0000000000000435. PMID: 31821220.
3. Danucalov MA, Kozasa EH, Afonso RF, Galduroz JC, Leite JR. Yoga and compassion meditation program improve quality of life and self-compassion in family caregivers of Alzheimer's disease patients: A randomized controlled trial. Geriatr Gerontol Int. 2017 Jan;17(1):85-91. doi: 10.1111/ggi.12675. Epub 2015 Dec 21. PMID: 26685923.

All references demonstrate the benefits of yoga (asana, pranayama and meditation) on psychological function (reduced anxiety). The study by Lozano showed daily yoga practice for one week (short-term) decreased anxiety and depression, although there was no change in physiological parameters (heart rate, blood pressure). Danucalov et al used mindfulness meditation that focuses on compassion to all beings (Metta meditation) and maintaining sensations, perceptions and thoughts without judgment. Based on these references, the care plan will include low intensity asana that incorporates movement with breath, grounding pranayama and meditation. Home practice will include daily pranayama and meditation and asana practice twice a week.

Approval Notice
Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions.
Questions for Mentor

Do you have advice on the method to track mood? I saw several mood scales (no references) during my research, but not really sure if one is better than the other. I would like to client to track her mood daily, but do not want it to be a big burden for her. The assessments that were used in the references are either not accessible (Brunel Mood Scale) or too long (Profile of mood state).

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