Entry TypeAssessment
Client/GroupYoga for Letting Go, Group 1
Entry CategoryCase Study
Select your mentorSteffany Moonaz{}
Intake
Assessment
Proposed number of sessions8
Location of sessionsOnline
Planned time per session75
Presenting ProblemAll clients indicate that they have anxiety or stress and trauma history, along with more than half with depression diagnoses.Most feel tired upon waking up and all have interrupted sleep when not taking sleep inducing medication. Several clients indicated interpersonal relationship stress.
Physical

A majority of clients have hyper mobility with one with hypo mobility and one with regular inflammation of some joints as a result of Lupus.

Client/Group goalsAll clients indicate that they would like to relieve anxiety and stress and to relieve tension, pain, or inflammation in the body. A majority of clients in this group are also interested in spiritual support and building community with others.
Energetic

All clients were low-energy except for the client with Lupus who was high-energy.

Emotional

All clients seemed sad and also anxious.

Spiritual orientation and needs

All talked about wanting to feel more connected to Self and the Universe. One is averse to I will offer the Four Noble Truths through the Yoga Sutras of Patanjali to share with the group lessons on suffering, including ways that they can reduce or resolve their own suffering.

Intellectual / Sense of self

All clients seem very self-aware of physical pain, but less so about emotional impacts on mental health. Several also seem hyper-vigilant about perceived threats. One indicated some awareness that their physical pain may be as a result of emotions or self-judgment.

Yoga philosophy/wisdom research reference(s)

I researched the Yoga Sutras 2.1-2.17 because all of the clients have expressed that they are suffering in various ways and during MI at intake they each indicated some belief that they may be choosing to suffer. I have interacted with each of them before in some capacity, with a majority of the group having done individual or group yoga therapy with me during my coursework in the IYTH program.

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

I read this article to have a better understanding of the link between eye movement and the vagal nerve, which influenced my decision to utilize eye movements in the care plan. Tyrrell, R.A., Thayer, J.F., Friedman, B.H. et al. A behavioral link between the oculomotor and cardiovascular systems. Integrative Physiological and Behavioral Science 30, 46–67 (1995). https://doi.org/10.1007/BF02691389

This article provided some information about meditation and breath based practices to balance the autonomic nervous system with vagal nerve stimulation. Gerritsen RJS, Band GPH. Breath of Life: The Respiratory Vagal Stimulation Model of Contemplative Activity. Front Hum Neurosci. 2018 Oct 9;12:397. doi: 10.3389/fnhum.2018.00397. PMID: 30356789; PMCID: PMC6189422.

This study informed my approach with yoga interventions to improve sleep quality and feelings of improved general health. Arasappa R, Bhargav H, Ramachandra K, Varambally S, Gangadhar BN. Perspective of patients referred to Yoga center in a tertiary neuropsychiatric hospital: A cross-sectional retrospective study. Indian J Psychiatry. 2021 Nov-Dec;63(6):543-548. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_1164_20. Epub 2021 Dec 3. PMID: 35136250; PMCID: PMC8793704.

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

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