MenuClose

Admin – Practicum Workspace

by | Feb 16, 2024

← Go back

Entry TypeAssessment
Client/GroupJoe
Entry CategoryIntended Case Study
Select your mentorBrahmi Romero
Intake
Assessment
Proposed number of sessions4
Location of sessionsvirtual
Planned time per session60
Presenting Problem63 year old male experiencing panic attacks and emotional stress due to work situation
Physical

No issues with mobility, injury or pain.
Diagnosed with hypertension and hypercholesterolemia under control through prescription medications (Atorvistatin and Chlorithalidon)
Active, runs 6 miles on alternate days and works out at the gym on the days he is not running. In lieu of the gym he has attended a yoga class - he may substitute the gym with yoga.
During panic attack - increased respiration; tightness in chest; increased heart rate; and occassionally stomach ache
Isolation triggers his panic attacks and experiences claustrophobia during panic attacks only.
Measurement - Stress Scale 1-10 (low to high) = last week 8.5
Sleep cycle 11-7, quality is ok but lately wakes up to worry.

Client/Group goalsLearn how to recover from panic attacks; manage his thoughts; reduce worry and stress;
Energetic

Most energy in the afternoon, runs or goes to the gym after work (4pm).
Is hazy in the morning, usually gets up and leaves for work;
While not working walks the dog in the morning.
During panic attack - very low energy.

Emotional

Worried about integrating back to school and about losing license - depending on outcome.
During panic attack - experiences anger.
He enjoys and finds beneficial his daily online 30 minute meditation practice.
practices gratitude occassionally

Spiritual orientation and needs

Jewish and open to the Yoga Sutras and all practices.

Intellectual / Sense of self

Director of Music at Jewish community group in Washington DC.
During panic attack - negative thoughts.
Has a caring, intellingent partner, two close friends and a very good relationship with his 19 year old daughter who lives locally.
Currently has been canceling most of his evening music sessions/practices.
Struggling choosing a
Enjoys reading and connection to nature.
Enjoys serving others in improving their condition.

Yoga philosophy/wisdom research reference(s)

Sutra 1:14 – Sa tu Dirgha kala nairantarya satkarasevito drdhabhumih – Practice becomes firmly grounded when well attended to for a long time, without break and in al earnestness.
Sutra 2:40 – Saucha – Purification – discuss ways one can practice purifying the mind.

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

Yadla VS, Nj P, Kamarthy P, Matti MR. Effect of Integrated Yoga as an Adjuvant to Standard Care for Panic Disorder: A Randomized Control Trial Study. Cureus. 2024 Jan 31;16(1):e53286. doi: 10.7759/cureus.53286. PMID: 38435873; PMCID: PMC10905419.

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.
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