| Entry Type | Individual Yoga Therapy Session |
|---|---|
| Client/Group | Ruth C |
| Entry Category | Case Study |
| Select your mentor | Brahmi Romero |
| Intake | |
| Assessment | |
| Approval Notice | |
| Care Plan | Outline should be a practice adapted to the needs of that client/group, including:
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:
Tools from each module should be used (not on each client – but overall) |
| Session Date | 02/05/2024 |
| Session Number | 1 |
| Total Session Minutes | 90 |
| Homework assignment to client/group | Read: Pratipaksha Bhavana, Sutras 2.33-2.34 Philippians 4:6-8 MSG (Message Translation) Matthew 11:28-30 MSG Practice: Awareness Practice You can take as much or as little time as you like with this practice. Feel free to explore it differently every day: seated, standing, supine. Even try it “in motion” during an outdoor walk. The goal is to pause and notice, without judgement or trying to “fix” whatever sensations arise. Physical layer: From the crown of the head down to the soles of the feet, check in with the different areas of your body. Notice areas of tension and discomfort, allowing them to be as they are. Notice the areas that feel good, and if that is a challenge for the current practice, see if you can find an area that feels neutral. Emotional layer: What emotions are present? How subtle or strong? Are there conflicting emotions present today? Allow whatever you discover to have space. Intellectual layer: Notice what thoughts are present. Be a curious outside observer to them. Are there themes to the thoughts? Allow them to move freely. Energetic layer: Recognizing that your energy is constantly moving and adjusting along a vast spectrum - from empty/exhausted/depleted to overflowing/electric/hyperactive.. Where is your energy at this moment? Is it a blend/mix of states - like “tired and wired”? Again, allow it to be whatever it is, no judgements or efforts to change. Practice: Asana Eye Movements: Up/Down, Side to Side, Circles: Counter, Clockwise JAPA: Joint Activation Practices for All Sun Salutation: Pause. Notice. How should I support my practice today? Pos Practice: Pranayama Three-Part Deep Breathing (or “filling the pitcher”) To begin this practice, first take slow natural deep breaths. Let the breath be full but When you are relaxed you can begin the first part of the three-part breath by expanding the The second part of this breath is done by allowing the breath to move up into the rib cage. Again, practice gently with evenness and steadiness until you feel the muscles relaxing and The third part of the breath is done by allowing the inhalation to fill the chest completely to |
| Activities | I guided her through an Awareness practice, and gave her space to share anything she wanted after. She felt the “connectedness of all her layers.” In particular with the emotional layer… over the weekend she had learned of the passing of a friend, Colleen, whom she had just spoken to the week prior. They had met early on in their respective recoveries, and while she has maintained her sobriety, Colleen had struggled the past two years with addiction. Her passing was alcohol related. She shared that she noticed feeling both the sadness of her friend’s passing and the circumstances around it, yet at the same time felt peaceful. She also shared that the Awareness practice reminded her of a practice she experienced when she was in IOP (intensive outpatient group therapy for addiction), where every session began with participants writing down their answers to the question, “Where am I,” answering in terms of physical, emotional, mental and spiritual terms. We talked for a bit about the similarities between developing awareness in our YCAT sessions and the awareness she was encouraged to cultivate in her addiction recovery. Some other learnings she shared that I really appreciated and hope to incorporate in our sessions: 1. HALT (Hungry, Angry, Lonely, Tired) - she was taught this to use when she was tempted to take a drink, as they represent four states where you’re easily triggered or vulnerable. If hungry, eat something. If angry, pause and check in with yourself or reach out to your sponsor. If lonely, go to a meeting or call your sponsor. If tired, rest. 2. “Move a muscle, change a thought.” This was shared by Ian, one of the counselors in her IOP. It’s been part of her motivation is staying active in both body and mind. We spent more time talking than I had planned for the session, but I think it was time well spent in building our therapeutic relationship. With her desire to know more about the principles of yoga, I had planned on introducing her to Sutra 2.33-34 on Pratipaksha Bhavana, so for part of her homework I asked her to read those sutras, and shared the article written by Rev. Jaganath Carrera for the Integral Yoga Magazine, letting her know we’ll discuss them next week. I did briefly introduce it, and offered some Biblical scriptures which echo the heart of the practice. I did want her to move a little bit, and since she had never explored using the wall as a support, I led her through some adaptive sun salutations using the wall. She commented how she felt no discomfort in her neck, back or shoulders where she often holds tension, and instead felt more length and space through her entire posterior chain. (We meet in the small studio space in the fitness center of her condominium building, which has 3 stability balls and some mats.) Due to time constraints I wasn’t able to guide her through yoga nidra or meditation today as I had hoped, but feel I can better organize our time together for next week. I did guide her through a practice of dirga swasam, with which she was familiar from her yoga classes. She found a steady seat, placing one hand on her belly and one on her chest in order to connect more deeply with the movement of the breath in her body. I offered the image of the breath entering and leaving her body much like water being poured into and out of a pitcher. She really enjoyed working with that image during the pranayama practice. |
| Client/Group progress summary | My goal is to work with the client for a total of 8 sessions, so that I can concurrently complete my YCAT Level 2 internship. As we began I gave her an overview of the 8 weeks, sharing that during our first session our focus will be on Awareness. We began with a check-in, where she shared she was feeling great and her energy was good. She had completed radiation treatment #10 out of 20 that morning, and when she felt herself in a little energy slump, she took a short nap the hour prior to our meeting. |
| Reflection and self-evaluation | I shared with her that homework I'm giving myself is to get a copy of the Big Book from Alcoholics Anonymous so that I can explore as well the many similarities there seem to be between the teachings from the Big Book and the teachings from the Yoga Sutras. I know I will not be able to invest the time I would like by our next session, but during our time together I would also like to introduce her to the Six Tenets of Yoga of Recovery developed by Durga Leela. I feel these would resonate very much with Ruth and they are not a tool I have previously shared with a client, so we could delve into them together. Initially I believed sharing tools of yoga to support healing from cancer would have the most value, but perhaps sharing tools to continue to support her recovery and her role as a mentor to those also on a recovery journey will be equally supportive. |
| Final Client/Group Report | After 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. |
| Plan for next session | Focus on Breathing/Pranayama |
| Report briefly on each Kosha below | Progress 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 |


