Entry TypeAssessment
Client/GroupKatie K
Entry CategoryCase Study
Select your mentorBrahmi Romero
Intake
Assessment
Proposed number of sessions5
Location of sessionsonline
Planned time per session75
Presenting ProblemKatie's presenting issues include chronic pain, stress and anxiety, sleep disturbances, and tension. She experiences persistent pain in her back, neck, and shoulders, likely caused by her desk-bound work style and extensive keyboard use, which impacts her daily comfort and well-being. She occasionally experiences left rib pain, which she considers not serious. Additionally, Katie faces moderate to high stress levels due to work and family pressures. She has a history of anxiety and depression, including self-harm during her teenage years, which contributes to her overall mental and emotional strain. Katie also struggles with achieving deep sleep, resulting in morning fatigue and a desire to feel more energized and productive each day.
Physical

Katie leads an active lifestyle, regularly exercising by incorporating yoga three times a week and various fitness programs five times a week. Despite her good general health, she experiences chronic pain in her back, neck, and shoulders, and occasional intercostal pain. She has had knee surgeries and needs to treat her knees gently. Katie's physical goals include improving her posture, reducing physical tension, and managing the chronic pain in her body.

Client/Group goalsKatie's goal is to achieve a holistic balance within her mind, body, and soul. She aims to alleviate tension in her back, neck, and shoulders while learning effective techniques to manage stress and anxiety. Improving sleep quality is also a key focus for her. Her top priority is managing stress and anxiety.
Energetic

Katie's energetic kosha is characterized by moderate to high-stress levels resulting from work and dealing with her mother’s mental issue and stepsister’s drug use. She struggles with morning fatigue due to insufficient deep sleep, although her breathing patterns are normal. Her energy peaks during midday and evening, but she wants to feel more energetic in the mornings. Her frequent, vivid dreaming disrupts her deep sleep, leading to morning tiredness. Although her breathing is described as normal, there is room for improvement in breath control to manage her energy better. Stop using marijuana, which she will if she can find other relaxation techniques, incorporating pranayama practices such as bhramari could help restore her energy balance.
By increasing her morning energy, Kate can achieve better overall energy management and reduce the impact of stress on her daily life.

Emotional

Katie manages stress and anxiety through talk therapy, exercise, yoga, and bedtime meditation using phone apps. She has a history of depression and anxiety and rates her social support system as strong to okay. Kate experiences moderate to high levels of stress, influenced by family dynamics and work responsibilities, particularly handling layoffs in her HR role. This adds to her mental and emotional burden. She has a history of self-harm during her teenage years. She could benefit from deeper and more structured meditation practices and studying yoga philosophy to enhance her mental clarity and emotional resilience.

Spiritual orientation and needs

Katie identifies as deeply spiritual, although she does not consider herself religious. She feels a strong connection to the universe and believes that her spiritual journey involves achieving enlightenment and deeper connections with the universe. Katie experiences spiritual manifestations, such as feeling her angels in the form of butterflies and sensing energetic vibrations. She seeks to enhance her spiritual well-being through deeper understanding and practice of yoga, meditation, and energy healing technique
Katie needs spiritual support that focuses on cultivating a deeper connection with herself, the universe, and her inner peace. Practicing meditation and breathing practice studying yoga philosophy will lead to improve her holistic well-being.

Intellectual / Sense of self

Intellectually, Katie is engaged through her preparation for an HR certification exam and her interest in yoga philosophy and energy healing. She enjoys learning new things and teaching others about self-care, self-love, and stress management. Her yoga practice can support her intellectual growth by deepening her understanding of yoga philosophy and energy healing, as well as encouraging continuous learning and teaching opportunities.

Yoga philosophy/wisdom research reference(s)

What?

Four Locks and Keys

By cultivating attitude of friendliness toward the happy, compassion for the unhappy,
delight in the virtuous, and disregard toward the wicked, the mind-stuff retains its
undisturbed calmness.

Yoga Sutra of Patanjali 1.33

Why?
Katie’s stress and anxiety is caused by interacting with others, her tasks at work heavily involve dealing with others as HR, and dealing with her family members her mom and step
sisters is disturbing her mind and interrupting her daily life. By learning how to deal with different types of people, she will be able to maintain her mind calm.

How?

10 minutes daily meditation on Four Locks and Key

Friendliness: Visualize someone who is happy and feel genuine happiness for them. Repeat silently, "May you be happy."
Compassion: Visualize someone who is struggling or unhappy. Feel compassion and repeat silently, "May you find peace and relief from your suffering."
Delight: Visualize someone who has done something virtuous. Feel delighted in their goodness and repeat silently, "May your goodness continue to shine."
Equanimity: Visualize a challenging person or situation. Practice detachment and repeat silently, "May I remain calm and balanced."

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

What : Kapalbhati pranayam
This breathing practice will activate the sympathetic nervous system, increasing blood circulation and energizing the body, and mind. Kapalbhati pranayama helps to convert deoxygenated venous blood to oxygenated blood, thereby purifying the blood and improving oxygen saturation.

Why: Katie feels fatigue in the morning due to insufficient sleep. This practice will increase her energy level and elevate her mood to start a productive day. In corporate with increasing her quality of sleep can achieve one of her goals, become a “morning person”

How: I would suggest practicing this every morning for 3 to 5 minutes.

Contraindications: There are contraindications for this breathing practice including high blood pressure, heart disease, abdominal issues, and pregnancy.

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)