Entry TypeFinal Client Report
Client/GroupDHH
Entry CategoryCase Study
Select your mentorBrahmi Romero
Intake
Assessment
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.
Number of sessions completed6
Date you started seeing client/group09/26/2024
Total hours of all Yoga Therapy sessions with this client/group to date9
Adjustments and adaptations you made to your care plan,

Most of the adjustments made to this client's care plan were in the delivery of the yoga therapy services moreso than explicit adjustments made on any kind of formal document. For example, when he requested certain movements i.e. side lying leg lifts and other hip mobility work in the side lying position, I was happy to adjust. I also accepted his feedback regarding certain meditation practices that didn't resonate as much with him (certain yoga nidra practices) and adapted accordingly. There wasn't a major adjustment made to the care plan, itself, though perhaps we could have made one.

In the later half of our sessions, he started to get more and more into the philosophical aspect, and I am confident we could have added more to his care plan in explicit yogic language - for example, more raja yoga and jnana yoga tools and teachings.

Client/Group Goals

Client has been progressing towards his goals; he feels that the yoga has been the missing link for him. He feels that he is getting a better idea of what small actions he can take to help him build meaning and purpose in his life, and he has a new perspective on the idea of mastering the mind in a way that is basically the opposite of competition. I feel that it is clear he has been progressing in his empathy, introspection, and depression. As he been becoming more and more energized by the practices, we have gotten into more of the yoga sutras. I have felt like his goals have slowly been shifting towards more bonafide yogic goals, and perhaps could have been more explicit about adding/modifying existing goals.

Report briefly on each Kosha belowProgress toward wellness or worsening reported by the client/group or that you observed in the following areas
Physical level

Client claims that he feels better, overall, in his body, though he still does deal with hamstring and heel pain. He feels that certain yogic movements that were introduced through this process have been "missing" from his movement repertoire. He feels that his balance and flexibility have improved. He also has mentioned several times that he feels more in tune with his body and breathing in general.

Energetic level

Client claims that his energy has improved, though not as much as he had hoped. He is getting a lot of value from the breathing exercises, and now feels that he wasn't really breathing at all before. He says it helps him sleep, helps him wake up, helps him calm down - all of the goals that we have discussed in regards to the potential of the breathing exercises, he feels he is progressing towards. He clearly favors the Nadi Shodhana and Kapalabhati breathing techniques, and feels that they both help with his energy levels and "low energy" moods that may or may not qualify him for a current diagnosis of depression.

Emotional

Client has experienced a notable improvement on the emotional level; he feels that he is much more well equipped to handle stress these days. He has mentioned that his thoughts and feelings are both more positive, and he feels "lighter". He does still feel a heaviness come over him, but he no longer feels the "deeper darkness" that perhaps would characterize a slide into despair (conjecture). The philosophical teachings have been helpful for his mood, specifically pratipaksha bhavana. He talks about how cultivating the opposite thought is often so shockingly different that it helps him snap out of the negative emotional loop.

Intellectual / Sense of self

When we first started working together, it became clear that DHH had never really practiced detachment from his thoughts. He had never really given any credence to witnessing practices, and had never been exposed to ideas like he is the Eternal Witness and not the ever-changing mind. He is a fierce competitor, and once he had it in his mind that he would practice ideas like "There is inertia in my mind" rather than identifying with the temporary feelings, he took that idea and ran with it. Though yoga nidra was not very successful with this client, he loves the guided imagery and practices it on his own.

Spiritual orientation and support plan

This client has really been taking to the yoga sutras, and he seems to have opened his mind to spiritual ideas when explained through ideas like mental clarity and inner peace. We have talked about some of his rituals surrounding his squash competitions, and he is open to trying anything to help him feel and perform better. In our next session, I plan to re-introduce the Eight Limbs of Raja Yoga as a framework for self-development. Together, we will establish simple, practical practices that most easily fit into the client’s daily life. A deeper connection to their inner Self will be fostered through consistency with spiritual practices. For example, in the morning, he can do 5 minutes of asana, 5 minutes of pranayama, and 5 minutes of a more subtle practice (chanting, guided imagery, inspirational reading) and go from there.

Additional Information
Feedback received from client/group, anecdotal or written

client has voiced the opinion that I "really know this stuff". He says he can feel my passion and it makes him curious to learn more. He said he really likes the movements, and although he doesn't love all the subtle practices, he has said that he can see how each one might have value for someone.

Sample of homework given between sessions (after initial homework)

His homework has been to continue his asana and pranayama practice, engage in inspirational reading, practice sitting still, practice movement snacks throughout the day, practice witnessing, avoid screentime before bed, and reflect upon philosophical teachings.

Personal reflection from doing client/group.
Rough estimate of time spent in preparation and follow up documentation per session15-30 minutes.
What you would change with benefit of hindsight

I would have started and focused more on the raja yoga aspects of the teaching and really attempted to dive into the yoga sutras from the beginning. I will need to ask this client what it was that made him interested in the yoga sutras and make note of that ; perhaps try to build on it. I could even seek out / set up a template to work through the sutras and have that as a resource on hand.

Questions, problems, areas in which you’d like more support

I do feel like I would benefit from getting more into the subtle teachings again, specifically the doshas, gunas, and chakras, though I know the chakras aren't a focus of IYT.

Did you enjoy your service?

Yes, I loved it, though I have been noticing in the back of my mind that I don't feel yoga therapy is financially feasible, and that is leading me to a reluctance to put in the work for the yoga therapy certification. I am also so busy with other things that it is hard for me to prioritize this kind of service, even though I enjoy it tremendously.

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