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by | Feb 16, 2024

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Entry TypeAssessment
Client/GroupAZ
Entry CategoryCase Study
Select your mentorSarala Evans
Intake
Assessment
Proposed number of sessions20
Location of sessionsOnline
Planned time per session75 minutes
Presenting ProblemAZ is a 20 yr old female with PTSD and depression; she has suffered from nightmares, flashbacks, low mood, sadness and loneliness, hypervigilance.
Physical

AZ has full range of motion of her major joints. She has some tightness in her neck and shoulder regions/upper back as well. Posture is slightly stooped. Long black hair; makes good eye contact. Smiles readily. Sweat on brow and fine tremor of bilateral hands noted.

Client/Group goalsIncrease sense of calm, improve groundedness, improve feeling of being a whole being, improve sense of well being, improve sleep
Energetic

Her energy level is low. Shallow breathing.

Emotional

Client was anxious at our assessment and she also had feelings of sadness and loneliness.

Spiritual orientation and needs

AZ comes from Catholic origins; does not attend church or have regular spiritual practices

Intellectual / Sense of self

AZ has a sense of self that seems fragmented. Her thoughts are full of fear; fear of being harmed and thoughts that she is not in control of her life.

Yoga philosophy/wisdom research reference(s)

Patanjali’s Words: Pratipaksha Bhavana

Pratipaksha Bhavana

When working with the AZ, will help client identify negative thoughts and to replace them with opposite positive thoughts.
Currently she has many negative thoughts about herself, others, and the future.

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

Plan:
1. teach breath practices, 3 part breathing, alternate nostril breathing.
2. teach JAPA practice which increases feelings of freeness in shoulder/upper back/neck areas.
3. teach yoga nidra
4. teach a guide visualization that client constructs on her own (and records in her own voice) to help her feel calm.

Pence PG, Katz LS, Huffman C, Cojucar G. Delivering Integrative Restoration-Yoga Nidra Meditation (iRest®) to Women with Sexual Trauma at a Veteran's Medical Center: A Pilot Study. Int J Yoga Therap. 2014;24:53-62. PMID: 25858651.

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

I have presented my questions in our session. Do you have any recommendations as to how to engage this client? Thank you!

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?Do not notify Mentor (choose if you wish to continue working on this entry later)