Biofeedback Brain Wave Biofeedback (Neurofeedback) Wellness Coaching Cognitive Behavioral Treatments...

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Transcript of Biofeedback Brain Wave Biofeedback (Neurofeedback) Wellness Coaching Cognitive Behavioral Treatments...

Biofeedback Brain Wave Biofeedback (Neurofeedback)

Wellness CoachingCognitive Behavioral Treatments

Alternative Techniques for

Health and Wellness

BiofeedbackA MIRROR OF OUR PERFORMANCE

Biofeedback ModelClassical Conditioning

An unconscious associate learning process that modifies reflexive behavior and prepares us to rapidly respond to future situations.

Biofeedback ModelOperant Conditioning

An unconscious associate learning process that modifies the form and occurrence of the voluntary behavior by manipulating its consequences.

Autonomous Nervous System

Relaxation Model

Practice makes perfect

Relaxation Training Techniques

Autogenic TrainingInfluences the autonomic nervous system

Restore balance between sympathetic and parasympatheticMuscle relaxation

10 – 15 minutes a dayResearch supports live vs. prerecorded

Clients record in their own voice Training not a treatment

What stops it from working?

Relaxation Training Techniques

AffirmationsDevelop a positive attitude

Develop personal powerDevelop will power, self discipline

A tool to motivateSelf confidence

If you don’t believe in yourself…

who will?

NeurofeedbackBrain Wave Biofeedback

The illustration is from NIH.

The Different

Lobes of the Brain

Frontal, Parietal, Temporal, Occipital Lobes

Standardized Placement ProcedureInternational 10 – 20 System

QEEG (Qualitative EEG)Record 20 minutes of data – 10 EO – 10 EC

Recording the Raw DataHardware - Deymed

Brain Map Example

Showing 3 standard deviations over activation in the parietal and frontal lobes

Brain Wave Frequencies

Delta – 1 – 3 HZ - sleep

Theta – 4 – 7 HZ - foggy drowsiness

Alpha – 8 – 11 Eyes Closed contentment, peaceful

Brain Wave Frequencies

Sensory Motor Rhythm – 12 – 15 HZCalm, processing power, transition

Beta waves 15 – 20 HZ Primary processing powerBeta waves 20 – 30 HZGamma waves 30 – 60 HZ

What It Does: uses sensors to monitor the brains electrical activity. Used for ADHD, addiction, depression, traumatic brain injury, insomnia, peak performance and many other neurological disorders.

On the average 20 sessions is required to create and retain the change.

Each session is 20 – 25 minutes of training time. Using operant conditioning teaches the brain self regulation.

Brainwave Biofeedback

Neurofeedback SessionWhat Happens?

What it does: uses a band around the abdomen to monitor the breathing and respiration rate. Can create lasting change in 5 sessions.

“Breathe is essentially on loan to us; we must return it when we are done with it”Breathe Well, Be WellRobert Fried, PHD

Respiratory Biofeedback

Optimal BreathingIs Important

• Shortness of breath & heart disease are linked

• High correlation – high blood pressure & poor breathing

• Breathing drives the nervous system

• Promotes weight loss – oxygen burns fats & calories

• Breathing well key to sleeping well and waking up refreshed

What kind of breather are you? Breathing predominantly in the chest causes SEMG in the trapezius area.

The recording below from Peper, Gibney, Tylova, Harvey, and Combatalade (2008) shows the difference between thoracic and effortless diaphragmatic breathing.

Types of Breath

Heart Rhythm Patterns

HEART RATE variability biofeedback is a new technique for training human beings to change the variability and dominant rhythms in their heart activity.

Most muscles are controlled involuntarily

The SEMG records muscle waves from muscles. We measure the amplitude,

wavelength, and frequency. We graph in the time and frequency domain.

SEMG (muscle tension)

Frontales – Forehead tensionAction: draws the scalp forward, raises eyebrows, and wrinkles the forehead Sensor placement: locate the actives between the eyebrows and hairlineClinical application: anxiety, stress profile, and tension-type headache

Application of Frontales SEMG

SEMG (muscle tension)

Electro Dermal Activity andTemperature Biofeedback

Basic function of sweat gland – thermoregulation. EDA is strongly related to emotions. Fight or flight

Training the “Relaxation Zone”By breathing correctly the blood vessels will relax and vasodilatationoccurs

ASSOCIATION APPLIED PSYCHOPHYSIOLOGY BIOFEEDBACK2ND EDITION, 2008

The Research Behind It…

LEVEL 4 EFFICACY

• ADHD

• ANXIETY

• CHRONIC PAIN

• EPILEPSY

• HEADACHES - ADULTS

• HYPERTENSION

• RAYNAUDS

• TMJ

• MOTION SICKNESS

• CONSTIPATION - ADULTS

• Insomnia

• Alcoholism / Substance Abuse

• Urinary Incontinence in Males

• Vulvar Vestibulitis (Vulvodynia)

• Traumatic Brain Injury

• Headache Pediatric

• Diabetes Mellitus

• Fecal Disorders Children

• Fecal Incontinence - Adults

LEVEL 3 EFFICACY

Insomnia Sleep Recovery Programbased on a neurocognitive model

• Reviewed 21 studies – 15 published in last 5 years

• Research reflected different disciplines – Clinical Psychology Health Psychology– Behavior Management Stress

Management– Sleep Medicine– Applied Psychophysiology & Biofeedback – Journal of Neurofeedback

Medication is NOT a long-term solution

What the Studies Found…

• The importance of a cognitive approach in treating insomnia• The neurocognitive perspective is powerful, can establish direct

links, and casual directions• There is evidence that hyper-arousal is implicated in insomnia• There is solid evidence that CBT is effective for persistent

insomnia and is generalizable and sustainable• Stimulus control therapy is most effective single treatment• Research supports EMG and EEG biofeedback• Most patients will benefit from either treating insomnia on a

cognitive level with or without medication

Insomnia Sleep Recovery ProgramFour Week Program

• Goals – Total Sleep Time and Daytime Awareness• Change maladaptive behaviors and habits• Stimulus control instructions• Establishing sleep restriction guidelines• Introduction of relaxation techniques (breathing and

autogenic training)• Neurofeedback to address cortical hyper-arousal• Cognitive restructuring• Tools – QEEG, sleep assessment, sleep log

DOES IT WORK?

YES

• Biggest challenge – changing habits around sleep

• Clients fall into many treatment categories

• Keeping focus on sleep goals

• Lifestyle changes

Q & A

Leigh Richardson, BCN, BCB, CWCBrain Performance Center

910 E. Southlake Blvd, Ste. 165Southlake, TX 76092

817-500-4863www.TheBrainPerformanceCenter.com