About Neurofeedback
What is neurofeedback?

What conditions can it help?

What conditions can it enhance?

How does neurofeedback work?

Is the change permanent?

Can neurofeedback training be used while a patient is on medication?

What are the costs and time commitments of neurofeedback?

What do the experts say?

Books

Articles

What is Neurofeedback?

Neurofeedback or EEG biofeedback is a method for retraining the brain, encouraging it to improve how it functions. This state-of-the-art tool allows you to see the frequencies produced by different parts of your brain as they are being made so you can learn to change unhealthy patterns. These patterns create problems with focus, attention, sleep, motivation, learning, and emotions, and can become ingrained over time. Neurofeedback training helps your brain get "unstuck" and teaches it healthier frequencies and better functioning. As these new patterns are learned by the brain, they become “second-nature" and in most cases, permanent. The most exciting part is that neurofeedback training puts you back in control of your life.

What conditions can it help?

Most of the conditions that cause trouble are due to the brain's inability to shift easily between states. The brain is supposed to shift easily between states, from sleep to relaxation, from calm alert to high alert, when needed. Once your brain is trained, it can shift on its own as opposed to being "stuck." This lack of state flexibility causes problems seen in conditions such as sleep disturbances, bed wetting, depression, chronic fatigue syndrome, fibromyalgia, as well as, attention deficits such as ADHD and ADD, impulsivity, anger, migraines, PTSD, OCD, panic attacks and anxiety disorders. It has also proven a beneficial treatment for some forms of autism, cerebral palsy, and other organic brain conditions.

What conditions can it enhance?

As neurofeedback training increases the brain’s flexibility, it benefits individuals seeking greater levels of personal performance. Widely used by athletes, performers, executives and others, neurofeedback helps to increase memory, mood, confidence, and cognitive performance, while enhancing a more restful state during sleep.

How does neurofeedback work?

Two computers are used, one for the client and one for the therapist. Sensors are placed on the scalp over specific areas of your brain that are suspected to be causing problems. Specifically designed software provides video-type games that reward the client through beeps and game points as he or she produces the desired brainwaves. No joystick or mouse is used – your brain plays the games directing all of the movement. As the games progress, the clinician makes adjustments to the training goals and challenge levels causing the brain to exercise and retrain.

Because neurofeedback focuses on the unconscious part of the brain, the client doesn’t need to concentrate or “work at" change. This type of therapy has an advantage for the resistant client or the adolescent because he or she can always be successful with neurofeedback.

Is the change permanent?

In general, therapists report that in many conditions, results are permanent. Once the neuropathways are built and functioning optimally, they continue. However, in some cases, follow-up sessions may be necessary. Your neurofeedback provider will be able to answer your questions dependent upon the severity of the condition and life circumstances.

Can neurofeedback Training be used while a patient is on medication?

Yes, therapists report many clients start neurofeedback while on one or more medications. After a number of sessions, a reduction in medications is not unusual. If the client feels over medicated, this information should be given to the physician to make the appropriate decisions about the dose.

What are the costs and time commitments of Neurofeedback?

Each person’s experience with neurofeedback is different, and there are as many variations of time spent in training as there are brains. The number of sessions you need to make a lasting change depends upon a number of factors including the seriousness of your situation, how often you choose to train, other “co-existing problems" and your personal commitment to change.

Generally speaking, neurofeedback requires at least one session per week, but two or three sessions are more desirable during the early stages of training. Each session lasts from 30-45 minutes, and the cost is comparable to talk therapy.

What do the experts say?

"In my experience with EEG biofeedback and ADD, many people are able to improve their reading skills and decrease their need for medication. Also, EEG biofeedback has helped to decrease impulsivity and aggressiveness. It is a powerful tool, in part because the patient becomes part of the treatment process by taking more control over his own physiological processes."

—Daniel Amen, M.D. Change Your Brain Change Your Life

In the latest issue of the medical journal, "Clinical Electroencephalography", official journal of The EEG and Clinical Neuroscience Society, Neurologist and Associate Editor, Frank H. Duffy, M.D., writes:

"The [research] literature, which lacks any negative study of substance, suggests that EEG biofeedback therapy should play a major therapeutic role in many difficult areas. In my opinion, if any medication had demonstrated such a wide spectrum of efficacy it would be universally accepted and widely used….It is a field to be taken seriously by all."

"Neurofeedback is on the cutting edge of the mind-body revolution. I believe it is one of the treatments that will keep us moving toward and era of new approaches of naturally managing our health." (Candice B. Pert, Ph.D., former chief of Brain Biochemistry at the National Institute of Mental Health and author of Molecules of Emotion and Your Body is Your Subconscious Mind."

Books

"A symphony in the Brain: the evolution of the new brain wave biofeedback" Atlantic Monthly Press New York, 2000.

"The A.D.D. Book: New understandings, New Approaches to Parenting Your Child" William Sears, M.D., and Lynda Thompson, Ph. D. Little, Brown and Company, 1989.

"Getting Rid of Ritalin: How Neurofeedback Can Successfully Treat Attention Deficit Disorder without Drugs" Robert W. Hill, Ph.D. and Eduardob Castro, M. D. Hampton Roads Publishing Company, Inc. 2002.

Books

Taylor E, Sandberg S, eds. The Epidemiology of Childhood Hyperactivity. New York: Oxford University Press; 1991.

Lubar JF. Discourse on the development of EEG diagnostics and biofeedback for attention deficit hyperactivity disorders. Biofeedback Self Regul 1991;16: 201-225.

Mannuzza S, et al. Adult outcome of hyperactive boys: Educational achievement, occupational rank, and psychiatric status. Arch Gen Psychiatry 1993;50:565-576.

Still GF. Some abnormal psychological conditions in children. Lancet 1902;1:1008-1012.

Bradley C. The behavior of children receiving benzedrine. Am J Psychiatry 1937;94:577-585.

Tan G, et al. Attention deficit hyperactivity disorder: Pharmacotherapy and beyond. Postgrad Med 1997; 101:201-222.

Wender PH, et al. A controlled study of methyl-phenidate in the treatment of attention deficit disorder, residual type, in adults. Am J Psychiatry 1985; 142:547-552

Nash JD. Treatment of attention deficit hyperactivity disorders with neurotherapy. Clin Electroencephalogr 2000;31:30-37.

Rossiter TR, LaVaque TJ. A comparison of EEG biofeedback and psychostimulants in treating attention deficit/hyperactivity disorders. J Neurotherapy 1995;1:48-59.

Greenberg LM, Dupay TR. Interpretation Manual for the TOVA Program. Los Alamitos, CA: Universal Attention Disorders; 1991. Available from Universal Attention Disorders, 4281 Katella Avenue, Suite 215, Los Alamitos, CA 90720; telephone: (800) 729-2886.

Zametkin AJ. Attention-deficit disorder: Born to be hyperactive? JAMA 1995;273:1871-1874.

Evans JR, Abarbanel A, eds. Introduction to Quantitative EEG and Neurofeedback. San Diego, CA: Academic Press; 1999:8-100, 390-395.

Linden M, et al. A controlled study of the effects of EEG biofeedback on cognition and behavior of children with ADHD and learning disabilities. Biofeedback Self Regul 1996;21:35-49.

Heilman KM, et al. A possible pathophysiologic substrate of attention deficit hyperactivity disorder. J Child Neurol 1991;6 Suppl;S76-S81.

O’Tuama LA, Treves ST. Brain single-photon emission computed tomography for behavior disorders in children. Semin Nucl Med 1993;23:255-264.

Mesulam MM. Frontal cortex and behavior. Ann Neurol 1986;19:320-325.

Zametkin AJ, et al. Cerebral glucose metabolism in adults with hyperactivity of childhood onset. N Engl J Med 1990;323:1361-1366.

Thompson L, Thompson M. Neurofeedback combined with training in metacognitive strategies: Effectiveness in students with ADD. Appl Psychophysiol Biofeedback 1998;23:243-263.

Lubar JF. Neurofeedback for the Management of Attention Deficit Hyperactivity Disorders. In: Schwarz MS, ed. Biofeedback: A Practitioner’s Guide. New York: Guilford Press; 1995:493-522.

 

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