| Entry Type | Assessment |
|---|---|
| Client/Group | stress |
| Entry Category | Case Study |
| Select your mentor | Brahmi Romero |
| Intake | |
| Assessment | |
| Proposed number of sessions | 4 |
| Location of sessions | in person / online |
| Planned time per session | 60 |
| Presenting Problem | All 3 clients are living with mid-level of stress due to health condition, relationship or financial future and they have at least one physical symptom such as lower back pain, digestive problems, knee pain and hypertension and high cholesterol. |
| Physical | Ugyen is inactive, engaging in biweekly weight training that contributes to muscle soreness, with inconsistent sleep and digestive issues affecting his overall physical energy, which fluctuates throughout the day, often leaving him feeling depleted by late afternoon; he reports a manageable pain level of 4 out of 10. Mark has a history of high blood pressure, high cholesterol, and past surgeries. He rates his pain level at a 4 out of 10, indicating some ongoing discomfort. He experiences good energy levels but requires a nap in the afternoon, suggesting some fluctuation in physical stamina. His physical activity includes yoga, stretching, walking, and weight training three to five times a week, keeping him somewhat active. Terrence experiences lower back pain, occasional numbness in his left leg, and scoliosis, all of which limit his flexibility and cause sleeping problems. He rates his pain level as 6 out of 10. He leads a relatively inactive lifestyle, with occasional exercise like running and weightlifting. His sleep is inconsistent, averaging 5-6 hours per night, and he does not wake up feeling refreshed. |
| Client/Group goals | Their goals are to improve physical and mental well-being, including reducing stress, alleviating pain, and improve quality of sleep. |
| Energetic | Ugyen's energy level is moderate, rated at 5 out of 10, with significant fluctuations throughout the day. He often feels particularly depleted in the late afternoons and early evenings. verall vitality, though his energy may not be sustained continuously due to the need for rest. Also, his necessity for the nap is due to his irregular work schedule as a flight attendant. Mark's energy level is generally high (10 out of 10), although he requires a nap during the day. This could indicate good o |
| Emotional | Ugyen's emotional state is characterized by a preference for solitude and calm environments, where he feels happiest. He struggles with busy or noisy settings, indicating sensitivity to overstimulation. While he has supporUgyen's energy level is moderate, rated at 5 out of 10, with significant fluctuations throughout the day. He often feels particularly depleted in the late afternoons and early evenings. Mark's energy level is generally high (10 out of 10), although he requires a nap during the day. This could indicate good overall vitality, though his energy may not be sustained continuously due to the need for rest. Also his necessity for the nap is due to his irregular work schedule as a flight attendant. Although he said his energy level is high and he always tries to look energetic and smile, I noticed his tiredness when he was not talking. I think this is due to his profession as a flight attendant. Terry’s energy level is moderate, rated at 5 out of 10. He struggles to wake up in the late morning and feels fatigued. His energy level only improves when he stays busy with errands throughout the day. He sold his business last year, is managing his rental properties, and does not have a full-time job, which leads to an irregular lifestyle that impacts his energy levels as well. Mark’s stress level is moderate (4 out of 10), mainly due to work and relationships. He manages stress through various practices, including yoga, meditation, and exercise. He generally feels happy but notes times of unhappiness linked to feeling depressed, which may suggest occasional low moods or emotional fluctuations. His interaction with customers as a flight attendant causes fluctuations in his mental state as well. Terry reports a high-stress level of 7 out of 10, primarily caused by lack of sleep, back pain, and family responsibilities as a caregiver to take care of his mother. He finds happiness in social interactions, such as spending time with his partner and family, but feels unhappy when alone or when family issues disrupt his plans. Despite these challenges, he feels supported by his partner and family. |
| Spiritual orientation and needs | Ugyen's intake form does not explicitly mention his spiritual orientation. However, based on his desire for calm, focus, and balance in his life, his spiritual needs may align with a search for inner peace and personal clarity. He seems to be drawn to practices that promote well-being, like yoga, which could indicate an interest in spiritual growth through mindfulness and self-awareness. Mark’s interest in Yoga Philosophy implies an intellectual curiosity about the deeper aspects of yoga, including spiritual teachings, while his sense of support and community contributes to his spiritual fulfillment, reflecting interconnectedness. Terry’s sense of support primarily comes from his relationship with his partner, who acts as a mentor and emotional anchor during challenging times. This suggests a potential area to explore for deeper spiritual or existential connections. |
| Intellectual / Sense of self | Ugyen's intellectual state shows a desire for greater focus and a more structured daily rhythm, indicating that he may sometimes struggle with mental clarity and productivity. His sense of self seems affected by these challenges, as he expresses a need for more consistency in his life and sometimes feels like he is "meandering." This suggests he may be seeking a stronger sense of purpose or direction. Mark finds fulfillment in activities like theater, travel, cooking, and reading, indicating a well-rounded intellectual engagement. He feels supported by family, friends, and communities, and expresses overall satisfaction with life. This sense of support and satisfaction indicates a strong sense of self and connection. Terry expresses a desire for more focus and structure in his life. He feels some satisfaction but also recognizes moments of dissatisfaction, especially when his plans fall apart due to caregiving responsibilities. His activities include watching videos, browsing online, and housekeeping, which provides some mental engagement but may not fully address his intellectual needs. |
| Yoga philosophy/wisdom research reference(s) | What? Why? I will use the lake analogy to explain this sutra and the benefits of stillness practice. I will encourage people to incorporate this practice into their daily routines. |
| Scientific research reference(s), why chosen, how you plan to incorporate 1-3 | Sciatica: Gentle stretches to help relieve pain and improve mobility Recovery from stress in two different postures and in Shavasana--a yogic relaxation posture https://pubmed.ncbi.nlm.nih.gov/10874346/ |
| Approval Notice | |
| Care Plan | Outline should be a practice adapted to the needs of that client/group, including:
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:
Tools from each module should be used (not on each client – but overall) |
| Final Client/Group Report | After 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 below | Progress 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) |


