| Entry Type | Assessment |
|---|---|
| Client/Group | KR |
| Entry Category | Capstone |
| Select your mentor | Steffany Moonaz |
| Intake | |
| Assessment | |
| Proposed number of sessions | 15 |
| Location of sessions | Home |
| Planned time per session | 60 |
| Presenting Problem | “Stuck” in the middle of an unhappy marriage and experiencing difficulty making a decision; experiences difficulties maintaining boundaries in her life leaving her over-tasked, and not showing up for herself resulting in anxiety, frustration and anger; has unresolved grief due to loss of mother as well as loss of identity prior to COVID. |
| Physical | KR is a 52 year old female, mother of a 16-year old daughter whom she raised the majority of her life as a single Mom, is currently married x 7 years (2nd marriage). She expresses unhappiness in the marriage due to a lot of changes since COVID (loss of job, menopause, moving to a different town, being a PT caretaker to her ailing mother). She has recently lost 30 pounds and expresses wanting to lose more weight to get back down to where she is "happiest." She is post L4-5 laminectomy and spinal fusion after having a cyst in the spinal column resulting in lower back pain for a long time. She still currently experiences a lot of lower back soreness, but not the extreme pain prior to surgery. She is also post plantar fasciotomy x 3 years (L foot). She experiences a lot of hip pain (R side) possibly as a result of the surgery and practices yoga to stretch it out. KR reports sleeping well, though experiences a lot of fatigue in the mid-afternoon (around 2-3pm). KR exercises as often as she can, but sometimes loses the motivation and would rather not bother - reports that it depends on the mood that day - as she has a tendency to "shut down" from life when feeling overwhelmed. |
| Client/Group goals | 1) Learn tools to release anger and frustration as well as heal from trauma due to several losses in life. 2) Learn how to maintain boundaries and begin to consistently show up for herself. 3) Develop emotional resilience and regulation to increase life happiness. 4) Develop trust within myself to make right decisions that serve me and my daughter. |
| Energetic | KR reports experiencing a high level of stress (due to finances, career, marital struggles, lots of driving daily and loss of mother) and manages a lot on a daily basis. She reports being able to "manage it all" until she can't and then everything falls apart and she reports "shutting down." She reports struggling w/ a lot of anxiety, bouts of depression, lots of overwhelm and this all manifests in difficulties in her marriage and doing anything positive for herself. She reports that she has a tendency to have her own moods be reliant on those around her and is a self-reported "co-dependent" and "fearful avoidant." |
| Emotional | KR reports experiencing the most joy when it comes to her daughter, Sophia, and her dogs/cats. She has a close relationship with her daughter, and says they are "like the Gilmore Girls." She mentions that sometimes she's not sure if it's such a great idea to be best friends w/ her daughter, but "it is what it is." She says she has a strong bond w/ all her pets, and has a strong passion for animal welfare, reporting that she is in charge of hosting a "Kitten Yoga" event at her studio every few months to raise money for a local cat adoption organization. KR has a close relationship w/ one of her older brothers and his family in Westchester, NY and sees them as often as possible. She also has a close circle of friends whom she says are her "family." KR is married, but reports not having a strong bond at this time w/ her husband due to feeling "unseen" and "not a priority." She mentions they have become progressively more distant since COVID and she mentions feeling "regretful" that she gave more to the marriage than he did, and for that she feels "resentful." KR is currently working weekly with a therapist in order to sort out past trauma as well as current marital and personal issues. |
| Spiritual orientation and needs | KR is not religious at all, but was born and raised Catholic. She says she has learned deeper spirituality through yoga and yoga philosophy which started for her 15-16 years ago when studying Jivamukti Yoga in Jersey City. She reports feeling more of a connection with what she learned in yoga, than she ever did w/ religion. She reports that yoga and yoga philosophy that she learned through the Jivamukti Center helped her get through her father's passing in 2011 and her first divorce and has not looked back since. She says studying "yoga" is a lifelong passion and what saved her during those years. |
| Intellectual / Sense of self | KR is very aware of all of her current dysregulation and has a good intellectual handle on the "why" of what she's experiencing. It appears that the disconnect is in coping and making change. She says through therapy she has already learned that she has a difficult time "trusting herself" with certain decisions based on her upbringing. KR says she had a very domineering mother who she says had very "borderline personality" traits and KR knows a lot of how she is, is based in that upbringing. She reports hoping that yoga therapy can help her learn ways to move through life in a healthier and happier way, in light of the past. |
| Yoga philosophy/wisdom research reference(s) | 1) Ahimsa - using non-violence as a lesson in maintaining healthy boundaries, and only taking on what is yours and not everyone else's. By taking on too much one can harm oneself through overwork and burn out. 2) Bhagavad Gita- Key Verse: “The wise are not deluded by appearances; they rest in the Self.” — (2.16) 3) Bhagavad Gita- Key Verse: “Yoga is the journey of the self, through the self, to the self.” — (6.20) 4) To heal from grief: Patanjali’s Yoga Sutras (2.45), “By surrender to Ishvara (the divine or higher consciousness), samadhi (liberation) is attained.” Through this sutra, we can begin to trust that life moves through and with us in ways we don’t always understand. Loosening our grip on needing to fix, control, or make sense of deep loss. Softening into what is, without turning away from the pain and realizing that we are not in this all alone. |
| Scientific research reference(s), why chosen, how you plan to incorporate 1-3 | Yoga as a tool to reduce anxiety and depression: Cramer H, Lauche R, Anheyer D, Pilkington K, de Manincor M, Dobos G, Ward L. Yoga for anxiety: A systematic review and meta-analysis of randomized controlled trials. Depress Anxiety. 2018 Sep;35(9):830-843. doi: 10.1002/da.22762. Epub 2018 Apr 26. PMID: 29697885. Cramer H, Lauche R, Langhorst J, Dobos G. Yoga for depression: a systematic review and meta-analysis. Depress Anxiety. 2013 Nov;30(11):1068-83. doi: 10.1002/da.22166. Epub 2013 Aug 6. PMID: 23922209. Yoga to help release trauma and grief: Taylor J, McLean L, Korner A, Stratton E, Glozier N. Mindfulness and yoga for psychological trauma: systematic review and meta-analysis. J Trauma Dissociation. 2020 Oct-Dec;21(5):536-573. doi: 10.1080/15299732.2020.1760167. Epub 2020 May 26. PMID: 32453668. English A, McKibben E, Sivaramakrishnan D, Hart N, Richards J, Kelly P. A Rapid Review Exploring the Role of Yoga in Healing Psychological Trauma. Int J Environ Res Public Health. 2022 Dec 3;19(23):16180. doi: 10.3390/ijerph192316180. PMID: 36498254; PMCID: PMC9741324. Yoga as a tool to develop emotional and mental resilience: |
| Approval Notice | |
| Questions for Mentor | I'm sure there will be many. 🙂 |
| 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? | Notify Mentor of Updates/Completion |
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