Entry TypeAssessment
Client/GroupDD
Entry CategoryIntended Case Study
Select your mentorSteffany Moonaz
Intake
Assessment
Proposed number of sessions4
Location of sessionsVirtual
Planned time per session60 min
Presenting ProblemDD is a 54-year-old woman experiencing significant physical, emotional, and mental strain. She presents with frozen shoulder, chronic tension, and fatigue, all compounded by high stress, anxiety, and burnout from running her own bookkeeping business. She is navigating a recent separation from her alcoholic spouse, financial instability, single parenting responsibilities, and the unexpected loss of her mother. These overlapping stressors have left her feeling overwhelmed, depleted, and disconnected from her sense of stability and wellbeing. She seeks support in regulating her nervous system, reducing physical discomfort, and rebuilding emotional resilience.
Physical

DD experiences significant physical tension and discomfort, particularly in her shoulder, neck, and upper back. Her frozen shoulder limits her range of motion and contributes to fatigue and irritability. Irregular sleep and inconsistent exercise further impact her ability to restore physically. Supporting this kosha focuses on gentle mobility, strengthening, breath-led movement, and creating healthier physical routines.

Client/Group goalsDD’s primary goals are to reduce pain and improve mobility in her shoulder, learn practical tools to manage anxiety and chronic stress, and reconnect with a sense of inner grounding and emotional clarity. She hopes to develop greater resilience in navigating her current life transitions, restore her energy, and build a sustainable, supportive daily routine. Ultimately, she aims to feel more balanced, empowered, and capable of creating a healthier path forward for herself and her son.
Energetic

Her breath is often shallow and restricted, especially during periods of anxiety or emotional overwhelm. Energy levels fluctuate, with noticeable fatigue and difficulty sustaining focus throughout the day. Regulation practices such as 3-Part Breath, longer exhales, and alternate nostril breathing can help stabilize her nervous system and improve her energetic resilience.

Emotional

DD carries a heavy mental load, marked by anxiety, sadness, grief, and persistent worry about finances, parenting, and her marriage. Her mind often feels cluttered and overstimulated, contributing to overwhelm and tension. Therapeutic support focuses on building emotional awareness, identifying stress patterns, and introducing practices that create mental spaciousness and clarity.

Spiritual orientation and needs

DD longs for a sense of peace, purpose, and reconnection with something larger than her daily struggles. Her current challenges have distanced her from joy and inner stillness. Through restorative practices, guided meditation, and moments of quiet presence, she can begin to experience glimpses of ease, softness, and inner comfort that nurture this deepest layer of wellbeing.

Intellectual / Sense of self

DD has strong intuitive awareness but often overrides her inner guidance due to stress, responsibility, and survival mode. She is seeking clearer boundaries, deeper self-understanding, and more confidence in the decisions she must make during this transitional period. Practices in this kosha emphasize reflection, journaling, inquiry, and reconnecting with personal truth.

Yoga philosophy/wisdom research reference(s)

1. Kleshas — Specifically “Avidyā” (Misunderstanding) and “Rāga/Dveṣa” (Attachment/Avoidance)
Reference: Patañjali’s Five Kleshas (Yoga Sutra 2.3)

The Kleshas describe the root causes of human suffering:
Avidyā — forgetting our true nature
Rāga — attachment or clinging
Dveṣa — avoidance or resistance
(asmita and abhinivesha also exist, but these three are most relevant)

Why This Teaching Was Chosen:
DD is experiencing suffering driven by both attachment and avoidance:
Attachment to how she wished her marriage or business would be
Avoidance of emotional pain and difficult decisions
Misbelief (avidyā) that she must carry everything alone

These philosophical frameworks help her understand her reactions without judgment.

2. Pratipaksha Bhavana — “Cultivating the opposite”
Reference: Yoga Sutra 2.33

“When disturbed by negative thoughts, cultivate their opposite.”

DD’s mind often spirals into fear, resentment, and pressure. This technique gives her a structured tool to interrupt unhelpful thinking patterns without invalidating her emotional truth.

How It Will Be Used with DD:
When anxiety rises → introduce calming breath
When resentment surfaces → introduce grounding or journaling
When overwhelm hits → reorient toward present-moment steps
Use inquiry prompts like: “What is the opposite of this thought that feels believable?”

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

1. Yoga for Stress Reduction & Nervous System Regulation

Reference:
Streeter, C. C., Gerbarg, P. L., Saper, R. B., Ciraulo, D. A., & Brown, R. P. (2012). Effects of yoga on the autonomic nervous system, gamma-aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Medical Hypotheses, 78(5), 571–579.

Why Chosen:
This study explores how yoga and breath-centered practices increase parasympathetic activity and GABA levels, which support relaxation and reduce anxiety. This is highly relevant for DD, whose chronic stress, anxiety, and overwhelming life circumstances indicate a dysregulated nervous system.

2. Yoga for Musculoskeletal Conditions, Pain, and Frozen Shoulder

Reference:
Cramer, H., Lauche, R., Haller, H., Langhorst, J., & Dobos, G. (2013). A systematic review and meta-analysis of yoga for low back pain. Clinical Journal of Pain, 29(5), 450–460.

Why Chosen:
Though this review focuses on low back pain, it strongly supports the use of yoga for chronic musculoskeletal conditions involving limited mobility, stiffness, and pain. The findings demonstrate improved function, decreased pain, and increased mobility with gentle, structured yoga-based interventions—directly applicable to a frozen shoulder protocol.

Approval Notice
Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions.
Questions for Mentor

We can discuss at 3pm!

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