Entry TypeAssessment
Client/GroupMB
Entry CategoryIntended Case Study
Select your mentorSarala Evans
Intake
Assessment
Proposed number of sessions5
Location of sessionsZoom
Planned time per session75-90 minutes
Presenting ProblemLong-Covid - wanting to rebuild physical strength / stamina
Physical

Client is Tamasic, somewhat cagey and charming at times. He's had several bouts of COVID-19. Diagnosed with Long-COVID in 2023. He recently started walking again and intends to turn that into a daily practice. He's concerned about his lack of 'muscle tone and stamina'. Wants to bring movement / yoga back into his life.

Client/Group goalsBetter muscle tone. Stamina.
Energetic

Tamasic energy is due in part to Long COVID and a possible a low-grade depression - a comorbidity? He was recently laid off from a high-stress finance job, which has left him without a daily structure. Says his energy level is best in late morning. By mid-afternoon he takes a 1- to 2-hour nap. Client states his sleep is good, probably too good - average of 8 to 9 hours per night plus one or two naps.

Emotional

Emotionally flat. Puts up a chipper front, yet there's a sense of avoidance and disconnection. He seems hopeful about the future at times - almost glib - yet no clear goals as yet. We joked about setting a goal to set goals.

Spiritual orientation and needs

Client is agnostic. Didn't offer any sense of a greater force or universal presence. He definitely needs Sangha / connection. I suggested he try out a few classes at IYI-SF, as he lives within walking distance. Said he'd consider it.

Intellectual / Sense of self

At times he seems quite centered and confident and others distracted and evasive. He's obviously intelligent and engaging. I sense he's feeling lost without his job and who he is without his work. Said several times he needs structure, which is a healthy sign that presents an opportunity to consider his True Nature - not his job, possessions... the cultural markers of success.

Yoga philosophy/wisdom research reference(s)

Svadhyaya- “We suffer, the yogis tell us, because we forget who we are. We think we are the boxes we are wrapped in and forget that we are really the Divine “hiding” inside. Svadhyaya, or self-study, is about knowing our true identity as Divine and understanding the boxes we are wrapped in. We can find clues about our boxes by watching our projections, by the process of tracing our reactions back to a belief, and by courageously looking at life as it is. This process of knowing ourselves, and the boxes that adorn us, creates a pathway to freedom. The ability to shift our identification from our ego self (our “boxes”), to the witness, and finally to our true identity as Divinity itself, is the joy of this jewel of self-study.”

The Yamas & Niyamas -- Deborah Adele

I believe that Svadhyaya is an important teaching for him to consider right now, as he seems to be stuck in a Tamasic state. I also sense he's struggling with his recent lay-off, finding himself in the unknown and possibly experiencing a loss of identity. This is, who am I without this prestigious role?

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

'Post-COVID-19 Condition' also known as Long-COVID is a new diagnosis, which has made a significant impact worldwide since the onset of COVID-19 in 2020. To date, there is limited research relative to the benefits of Yoga and mindfulness practices for mitigating and reversing symptoms. However, initial research findings offer promising results that Yoga may indeed provide an array of benefits to patients' specific symptoms and overall well-being.

A number of studies, including the one cited below are finding specific benefits with Yoga practices including Asana, Breathing Practices and Meditation / Mindfulness Practices. These benefits include a stress and anxiety relief, strengthening the immune system, a reduction in inflammatory markers and 'various cardioprotective effects'.

Yoga for COVID-19: An Ancient Practice for a New Condition - February 2023
Complementary Therapies in Clinical Practice -
DC Santos, Sonia Jaconiano, Sofia Macedo, Filipa Ribeiro, et. al.
Scienc
https://www.sciencedirect.com/science/article/pii/S1744388122001852

With this in mind, I will present client with a series of basic asanas to re-introduce movement and support the Annamaya Kosha, 3-Part Breath and Brahmari for stress relief and to bolster physiological functioning, meditation to support neuroplasticity, mindfulness and overall well-being.

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