Entry TypeAssessment
Client/GroupRA
Entry CategoryIntended Case Study
Select your mentorSarala Evans
Intake
Assessment
Proposed number of sessions10
Location of sessionsZoom
Planned time per session75
Presenting ProblemClient is dealing with ongoing depression and anxiety due to a imminent breakup with partner. She's also challenged with chronic pain in hands, TMJ and right Lumbar spine due to "arthritis" and past injuries.
Physical

Client's posture and facial expressions convey her depression. Body seems to be tense / contracted most likely due to her Tamasic state and chronic pain. She presents a sense of apathy and withholding.
Client has tried Prozac and Lexapro with minimual benefit. She's working with her therapist to find a new psychiatrist.

Client/Group goalsTo overcome her depression and anxiety and manage her chronic pain better.
Energetic

Client's energy is clearly Tamasic - somber and flat. She sighs a lot - appears to be worn down, frustrated and lost.

Emotional

Client is emotionally flat and defeated. She describes her feelings at length in a detached manner. She's very aware of her pain due to the uncertainty of her current primary relationship, yet no tears.

Spiritual orientation and needs

Client has spiritual practices that she'd like to deepen, including meditation and breathing. Qi Gong is her primary practice and she's a certified teacher.

Intellectual / Sense of self

Client has low self-esteem and low self-confidence. Blames herself for the state of her primary relationship. While she mentioned her partner's personal challenges, she seems to be taking it all on.

Yoga philosophy/wisdom research reference(s)

Sutra 1.2 - Yoga is the resolution of the agitations of the mind.
We'll discuss the multi-dimensional nature of her being and consciousness and how various yoga practices, including Asana, pranayama, and meditation can support her to find a calming presence, a basecamp, for whatever she is facing.
Sutra 1.3 - Then the seer abides in it own nature.

I will offer the client for her consideration these teachings to help her see that she is not her depression. She is not her pain, nor her failed relationship. Through the practices of yoga, she can remove the veils of pain, loss and disappointment to experience her true identity, the Witness or True Nature, which is peace.
We'll also discuss the nature of impermanence relative to her depression and current state trusting that these feelings and challenges will pass. The key is to take action with Sankalpa, or intention, to support herself as she moves through this challenging phase.

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

INDIVIDUALIZED YOGA FOR REDUCING DEPRESSION AND ANXIETY, AND IMPROVING WELL-BEING: A RANDOMIZED CONTROLLED TRIAL - Sept 2016
https://pubmed.ncbi.nlm.nih.gov/27030303/
This controlled trial of 108 individuals with depression symptoms participated in a 6-week program of yoga in addition to talk therapy and medication. Upon completion results using the Depression Anxiety Stress Scale (DASS-21), Kessler Psychological Distress Scale (K10) showed measurable reduction in participants depression levels.
I found this research trial to confirm the obvious. That is, yoga is an effective form of complementary therapy for clients experiencing depression. Through a steady and continuous practice, clients can find relief and support as they connect with their bodies, breath and Purusha.
Given the clients history of injuries and arthritis, I'll perform a JAPA series to determine what postures are available and most beneficial to her.

HOW MIGHT YOGA HELP DEPRESSION? A NEUROBIOLOGICAL PERSPECTIVE
https://pmc.ncbi.nlm.nih.gov/articles/PMC3293477/ - Explore - March 2012
I appreciate this article because it explains the limited offerings of allopathic medicine. Yoga is an obvious alternative therapy to help clients experiencing depression take action regarding their own care and healing. Through fMRIs and PET Scans demonstrates various areas of the brain are affected by depression and how yoga can directly address / support the brain with symptomatic relief.

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

Any further resources for Raja teachings relative to the client's current circumstances?

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