Entry TypeAssessment
Client/GroupAndy
Entry CategoryIntended Case Study
Select your mentorSarala Evans
Intake
Assessment
Proposed number of sessions5
Location of sessionsZoom
Planned time per session75
Presenting ProblemAnxiety, Depression, Nausea, PTSD, Chronic Fatigue, Firbomyalgia/Parkinsons
Physical

Client is 56 y/o male with has R shoulder pain, bil. hip pain, and nausea from morning until afternoon resulting in fasting until then.

Client/Group goalsIncrease Energy
Energetic

Client has no energy, chronic fatigue, and poor sleep habits (still sleepy after 10 hours in bed/8 hours of sleep, bed giving him reds for getting up, and yellows for restlessness).

Emotional

Client has anxiety and PTSD diagnosis with a recent hospitalization and medication change.

Spiritual orientation and needs

Attends church weekly.

Intellectual / Sense of self

No direct issues in this layer, sense of self is deteriorated from the multitude of imbalances in the more subtle layers.

Yoga philosophy/wisdom research reference(s)

I will discuss the concept of Atman that the true self is inside and there all along, and we can work on the outer layers to find clarity and "let it out." Sutra 1.10 reminds us that with proper sleep, we can improve the mind and body. And yogic sleep could provide much needed rest. Sutra 1.38 gives guidance on how to handle dreams or recalling thoughts following sleep.

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

Mental health origins are shown to have improvement with asanas, pranayama, and yoga nidra; while musculoskeletal origins will require modifications as needed to prevent agitation of chronic pain issues.

Turmel D, Carlier S, Bruyneel AV, Bruyneel M. Tailored individual Yoga practice improves sleep quality, fatigue, anxiety, and depression in chronic insomnia disorder. BMC Psychiatry. 2022 Apr 14.
Notes: Small subject pool, no control, compared to CBT, non-yogis, no change in PSG, but improvement on arousals and and all self-assessments, Viniyoga tailored to each patient/further questionability of data, utilized multiple limbs.

Bankar MA, Chaudhari SK, Chaudhari KD. Impact of long term Yoga practice on sleep quality and quality of life in the elderly. J Ayurveda Integr Med. 2013 Jan.
Notes: Sizable group, used control, seniors, PSQI (Pittsburgh Sleep) more than doubled and QOL with yoga improved over control.

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

This is a complex case, so any thoughts on areas I might be missing or need to focus on more?

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