| Entry Type | Assessment |
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| Client/Group | Sumathi |
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| Entry Category | Case Study |
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| Select your mentor | Brahmi Romero |
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| Intake | |
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| Assessment | |
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| Proposed number of sessions | 4 |
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| Location of sessions | Zoom online platform |
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| Planned time per session | 60 |
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| Presenting Problem | Sleep deprivation, varicose vein, high cholesterol (uncontrolled with medicines) |
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| Physical | Overall good health
Has uncontrolled high cholesterol, varicose veins for 2 years
Has neck, shoulder, upper back, and lower back aches
Has leg pain
Does asana practices and walking when time permits. Doesn’t have a regular exercise program
Feels like her height reduced in the past 5 years
Rounds her upper back
Smiling face, very calm while talking
Chest tightness
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| Client/Group goals | Know yoga tools to get deep sleep |
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| Energetic | Experiences fatigue and low energy level in the evening. Compensates or feels good after crying or weeping
Has most energy in the morning and at night
Unable to go to sleep before 11 or sometimes even longer
Wakes up at 6 am
Quality of her sleep is “Okay” level
Shallow breather or upper chest breather
Chest moves very little during breath assessment
Shares that something is blocking between her chest and abdomen and has to exert lots of effort to puff up the abdomen even though abdomen raised a little bit more than the chest during the assessment
No reverse breather, no shortness of breath
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| Emotional | Grieves the sudden loss of her son at 22 years old, in the year 2017 and the loss of her husband a year ago. Alcoholic husband.
Experiences anxiety and sadness/depression frequently
Experiences fear of life
Feeling of uneasiness gripping her or a feeling of helplessness, or moves into sadness/depression to hear about someone else’s struggles
Longing surges when others at her same age shares about their kids, what is going on in their life not in an envy manner
Thinks that she is losing the people around her.
Moderate level of anger / frustration
Drinks tea twice a day
Experiences relationship issues with her husband’s family
Has a moderate level of stress due to worries or has concerns about her future, her daughter’s future, her life after her daughter’s marriage
Feels very lonely and to avoid loneliness and sitting with her emotions, she keeps herself busy with lots of things but sadness hits her when she returns home in the evening
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| Spiritual orientation and needs | Believes in the power of the universe
Feels connected to the nature, daughter, family, and friends
Has a good social support system through family, friends, the members of her school, kitty group (group of ladies), Inner wheel club
Tries to find Peace outside of her
I can feel the storm behind her calm
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| Intellectual / Sense of self | Running a school and managing her husband’s business are her major intellectual sources
Makes intellectual decisions regarding her school and husband’s business very well but unable to access this level very well at other times especially when she gets sad / depressed
Experiences forgetfulness like forgetting where she put something
Likes to learn and adopt the positive things from others
Expresses that she is learning life lessons
Her sense of self is very disturbed and clouded
At times couldn’t get in touch with this level
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| Yoga philosophy/wisdom research reference(s) | Stress Management techniques and talking about stress
Practice and non-attachment
Sutra 1.33 - Four locks and keys
Sutra 2.33 & 2.34 - Pratipaksha Bhavanam
Sutra 2.3- Kleshas
Sutra 2.11 - In the active state, they (kleshas) can be destroyed by meditation
Sutra 2.15 - To one of discrimination, everything is painful indeed, due to its consequences: the anxiety and fear over losing what is gained
More Scientific researches:
Effectiveness of deep breathing exercises on anxiety, depression and sleep quality in patients undergoing coronary artery bypass surgery: https://pmc.ncbi.nlm.nih.gov/articles/PMC12287402/
The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults : https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2017.00874/full
How Breath-Control Can Change Your Life: A Systematic Review on Psycho-Physiological Correlates of Slow Breathing: https://www.frontiersin.org/journals/human-neuroscience/articles/10.3389/fnhum.2018.00353/full
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| Scientific research reference(s), why chosen, how you plan to incorporate 1-3 | Sumathi - Care Plan:
Centering:
Gratitude practice - Thank for three things that you have right now
Chanting Om X3
Sankalpa - setting intention for the day / session
Smiling at palms
Warm - up - Lying on the bed or seated or standing
Eye movements - Horizontal, vertical, circle, semi circle
Joint Activation Practices for All in bed or standing
Neck movements - Cervical Flexion/Extension, Rotation R/L, Lateral Fl/Ex
Spine - Spinal Fl/Ex, Rotation R/L, Lateral Fl/Ex
Pelvis - Pelvic Rocking, circling, torso circles around stationary pelvis
Fingers/Hands - Finger Abduction/Adduction, Flexion/Extension
Wrists - Wrist Flexion/Extension,Radial/Ulnar Deviation
Elbow - Elbow Flexion/ Extension, Forearm Pronation/ Supination
Shoulder - Shoulder Flexion/Extension, Abduction/Adduction, Horizontal Abduction/ Adduction, Shoulder Internal/External Rotation, Shoulder Circumduction
Scapula - Elevation/ Depression, Protraction/ Retraction, Medial/Lateral Rotation
Toes/Foot - Toe Abduction/Adduction, Toe Flexion/Extension
Ankle - Plantarflexion/ Dorsiflexion, Inversion/ Eversion, Abduction/Adduction of foot
Knee- Knee Flexion/Extension
Hip - Hip Flexion/ Extension, Hip Abduction/ Adduction, Hip Internal/ External Rotation, Hip Circumduction
Sun Salutations (progression)
Asanas: Therapeutic Yoga Level 1 poses
Backbend - Supported reclining pose - Therapeutic Yoga level1 Manual
Forward bend - Forward resting butterfly
Inversion - Legs up the wall
Twist - supported spinal twist
Relaxation
Breathing techniques
Breath awareness
Deergasvasam
3-part breath
Librarian breath
Lion’s pose breath
Bee breath
Extended exhalation
“Ha” Breath
Right and left nostril breath
Alternate nostril breath
Meditation
Guided imagery - Earth and heaven grounding meditation ( Therapeutic Level 2 manual)
Scientific Research :
The influence of hatha yoga on stress, anxiety, and suppression: A randomized controlled trial : https://www.sciencedirect.com/science/article/pii/S0001691823002512?via%3Dihub
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| Approval Notice | Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions. |
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| Questions for Mentor | How to serve a client who keeps themselves busy so they won't feel or avoid sitting with their own emotions and feelings?
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| Care Plan | Outline 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.
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| Session | |
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| 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) |
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| 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. |
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| Report briefly on each Kosha below | Progress toward wellness or worsening reported by the client/group or that you observed in the following areas |
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| Additional Information | |
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| Personal reflection from doing client/group. | |
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| Notify Mentor? | Notify Mentor of Updates/Completion
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