Entry TypeAssessment
Client/GroupSR
Entry CategoryCase Study
Select your mentorSteffany Moonaz{}
Intake
Assessment
Proposed number of sessions5
Location of sessionsVirtual/in-person
Planned time per session60-90 min
Presenting ProblemThe client has been diagnosed with reactive arthritis and postural orthostatic tachycardia syndrome (POTS) from long covid with preexisting hypermobility syndrome.
Physical

Arthritis (pain), POTS (raising heart rate), hypermobility syndrome.

Client/Group goalsHer goal for yoga therapy is to strengthen her body, be healthiest as her body can be and accept and love herself regardless.
Energetic

Fatigue, difficult going to sleep, energy blockage (based on her doctor who was also trained in eastern medicine).

Emotional

Anxiety, worrying about the future.

Spiritual orientation and needs

The client’s spiritual orientation is Catholic.

Intellectual / Sense of self

React to stressors, feeling that she is not good enough, judging others.

Yoga philosophy/wisdom research reference(s)

During each session, I will teach one yoga wisdom: what is yoga (book 1 sutra 2) and link it to the cause of stress and anxiety, Ahimsa, Four Locks and Four Keys, Ishwara pranidhana.
1. Carrera, J. Inside the Yoga Sutra. 7th Satchidananda Ashram – Yogaville, Inc, Virginia, USA. 2006. 400 pp.
2. Kabat-Zinn, J. Wherever You Go There You Are: Mindfulness meditation in Everyday Life. Hachette Books, New York, USA 279 pp.

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

The format of the plan is based on Freedenberg et al (2017) who used mindful-based stress reduction that include deep breathing practices, meditation, guided imagery, and yoga to decrease stress in adolescents with Cardiac diagnoses. Cultivating awareness of stress-related symptoms using the mindfulness technique to alleviate symptoms and reframing thoughts to look at stressors in a different are also the component of the program. Although the study was done in adolescents with cardiac disease, I think that the finding can be extrapolated to adults who suffer from chronic illness. Adaptation of yoga postures are based on Moonaz and Byron (2018) and Hinsley (2022).
1. Freedenberg VA, Hinds PS, Friedmann E. Mindfulness-Based Stress Reduction and Group Support Decrease Stress in Adolescents with Cardiac Diagnoses: A Randomized Two-Group Study. Pediatr Cardiol. 2017 Oct;38(7):1415-1425. doi: 10.1007/s00246-017-1679-5. Epub 2017 Jul 12. PMID: 28702717.
2. Krebs EE, Lorenz KA, Bair MJ, Damush TM, Wu J, Sutherland JM, Asch SM, Kroenke K. Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference. J Gen Intern Med. 2009 Jun;24(6):733-8. doi: 10.1007/s11606-009-0981-1. Epub 2009 May 6. PMID: 19418100; PMCID: PMC2686775.
3. Hinsley, L. Yoga for Bendy People: Optimizing the Benefits of Yoga for Hypermobility. New Degree Press, Delaware, USA 2022. 309 pp.
4. Moonaz, S., Byron, E. Yoga Therapy for Arthritis. Many River Press, Washington, USA 2018. 328 pp.

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

none - this is a retroactive entry (clinet #1).

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?Do not notify Mentor (choose if you wish to continue working on this entry later)