Entry TypeAssessment
Client/GroupCentral State Hospital - #39
Entry CategoryIntended Case Study
Select your mentorBrahmi Romero
Intake
Assessment
Proposed number of sessions3
Location of sessionsCentral State Hospital, Bldg 39
Planned time per session45
Presenting ProblemPTSD, anxiety
Physical

All participants have mobility restrictions:

Mr. Jones - leg length discrepancy, right hamstring weakness/lack of activation from gun shot wound, sciatica; shoulder tightness and forward position

Mr. Moore - pain in right knee (no known diagnosis), some cognitive impairment in following guidance/cues, limited overhead shoulder mobility

Ebony - in postural assessment her arms are very still, no natural movement/swing when she walks - almost as if her upper body is "locked down".

Carol - while no noticable physical restrictions during physical assessment, prefers to practice seated in a chair. Not sure if this is an issue of movement confidence, or something on the manomaya kosha level.

Client/Group goalsanxiety and stress management
Energetic

Clients present somewhat tamasic - do not know how much of this is related to current medications for anxiety or aggressive behavior? (I'm not privy to this information, nor do I want to know anything that would reveal information on their criminal charges to me).

Emotional

Clients do not speak much - they will respond if I ask a question, but overall very reticent. Again not sure how much of this is due to current medications? Mr. Moore and Mr. Jones are more vocal - will laugh and smile.

Ebony - face is always expressionless, yet she is very attentive and engaged with practice. I interpret her consistency, always showing up, as a sign of receiving benefits from her practice and a desire to explore what yoga has to offer across all the koshas.

Spiritual orientation and needs

Clients have shared nothing on this level with me.

Intellectual / Sense of self

This kosha is challenging for me to assess - or perhaps I need guidance on how to better interpret what I see, hear and feel from the clients?

Yoga philosophy/wisdom research reference(s)

I feel like any and all of the yoga sutras will be beneficial. Especially those involving our thoughts and our ability to influence our thoughts and calm our minds.

The panchamaya kosha model - that we are more than the body.

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

Free Inside (program recommended by Brahmi Romero)

Sensory Enhanced Yoga for Self-Regulation and Trauma Healing, Lynn Stoller - in particular Chapter 7: Recovery and empowerment through yoga in prison.

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

Thoughts on any sutras that would be the most clear and easy to grasp, as well as useful?

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