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Improve mental health with neurofeedback

How you can train your brain to help reduce stress, enhance creativity and improve mental health.

Blaine Greteman | March 2009 issue

Photo: Susanne Björkman

As Vicki Wyatt attaches electrodes to my scalp with a generous glop of slimy goo, I'll admit I'm a little skeptical about the calming effects of the treatment I'm about to experience. With newborn twins at home, I usually have enough slime in my life and on my clothes to push anyone over the abyss. But that, says Wyatt, is precisely why I could benefit from neurofeedback, a therapeutic tool that advocates claim can reshape our brains—and our lives.

To learn more about the procedure, I've come to The Wyatt Clinic in downtown Oklahoma City. Just blocks from the memorial that marks the site of the 1995 federal building bombing, the location is aptly associated, in my mind, with both psychic trauma and healing. This is a gentrifying but hardscrabble neighborhood where Wyatt treats patients, from overstressed professionals to addicts trying to get back on their feet. Wyatt has been a therapist for 22 years, with a research background at the University of Oklahoma Health Sciences Center, but she has only recently embraced neurofeedback as part of her treatment regimen. "My formal education didn't really provide any alternative treatments," she says. "It was traditional psychotherapy and talk therapy. When I look back, I think this would have benefited a lot of the children and families earlier in my career."

The equipment looks fairly unexceptional, including the electrodes, which could pass for iPod headphones and are glued strategically to my head and temples. Wyatt clips a "ground wire" to my ear. The wires run from the electrodes to a black amplifier box the size of a small paperback. This deceptively simple-looking piece of machinery, which can cost several thousand dollars, processes electrical signals from my brain and sends them to a laptop, where they're represented graphically on the screen. Wyatt boots the laptop, opens a neurofeedback training software program and settles me into one of the comfy chairs that make her cozy, carpeted office look more like my mother's living room than the white-tiled clinic I'd expected.

After Wyatt hooks me up, I'll use my brain waves to control a video game. When I achieve the desired mental state, a small red bug will move around the screen eating flowers and emitting a happy chirping sound. To succeed at the game, I must eliminate brain waves that interfere with relaxed concentration—those associated with hyperactivity, depression and that all-too-familiar feeling of "zoning out."

I'm coming off a sleepless night of diaper-changing, rocking and feeding, so focus isn't exactly my forte right now. But after watching the bug languish sadly for a few minutes, I begin to practice some deep, yogic breathing and try to stop my racing thoughts about work, home and deadlines. Sure enough, the band representing my desired brain activity jumps and the red bug begins to rouse himself from his stupor, eat a few flowers and chirp with approval.

After years on the outskirts of medical respectability, neurofeedback has been vindicated by a growing body of evidence showing its potentially remarkable benefits to everyone from elite athletes and musicians to violent criminals and children with Attention Deficit Hyperactivity Disorder (ADHD). The U.S. National Library of Medicine's database of scholarly articles, for example, contains dozens of positive scientific studies on neurofeedback published in the last two years. The results, from some of the world's top universities and research hospitals, suggest that neurofeedback is a promising treatment for a range of cognitive health issues: seizures, low IQ in kids with learning difficulties, vertigo and tinnitus in the elderly, and substance abuse, even with notoriously addictive, destructive drugs like crack cocaine.

Advocates say neurofeedback has emotional benefits as well. "You feel very good on this," says John Gruzelier, a professor of psychology at the University of London's Goldsmiths College. And all these effects are generated by the patient's brain, not by drugs. No wonder some proponents describe neurofeedback's effects in spiritual, as well as physical, terms.

It all starts with those slimy electrodes attached to the scalp, which pick up a small part of the electrical symphony produced continually in our brains. Neurons, the billions of cells that make up our cerebral cortex and nervous system, transmit information by firing electrical and chemical signals across synapses, the junctions where they meet. These tiny electrical pulses are central to our consciousness and bodily lives: Each time our hearts beat, we blink at a bright light or smile at a bit of good news, that action requires a flurry of electrical activity.

The brain's electrical impulses take the form of waves that researchers categorize by frequency—the number of times they repeat each second (see "Making waves" box). The slowest are the delta waves, which the brain typically produces during deep sleep. Next are theta waves, another slow undulation at four to eight cycles per second, often associated with creative and subconscious thought, which we produce when we're sleepy or daydreaming. We make alpha waves of eight to 12 cycles per second when we're alert and relaxed, and still-faster beta waves when we engage in active problem-solving or become alert or anxious. The fastest patterns, above 30 cycles per second, are made by gamma waves—usually faint and difficult to detect, but associated with high-level thought.


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How to choose a neurofeedback practitioner



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Comments (12)

Is there a good resource for acquiring a biofeedback machine for ones-self? A practitioner may not be readily available for some of us, or affordable.

posted by odysseus on 2/23/2009 12:35 pm

International Autism expert, Lynette Louise, has referred us to some great videos on using neurofeedback programs on Autistic children: www.brainbody.net/Videos.html. You can follow Lynette on twitter @lynettelouise.

posted by katiek on 2/24/2009 1:19 pm

It is possible to work from your own home under the tutelage of a practitioner so distance is not a real factor ... price of the units is however ... many of the families I work with apply for grants and/or run fundraisers ... this is a therapy worth pursuing ... good luck

posted by lynettelouise on 2/24/2009 1:28 pm

Yes, I found an amazing guy that is 90 years old, but looks about 70 years old. His name is Hershel Toomim, Sc.D

www.biocompresearch.com/about-biocomp-research

In 1973, The Biofeedback Institute of Los Angeles (BILA) opened as a non-profit public service. Under the clinical direction of psychologist Marjorie Toomim, Ph.D, and the electrical mastery of Hershel Toomim, Sc.D., BILA has offered clinical psychotherapy and or EEG and HEG biofeedback to several thousand patients for over thirty years

Just Google anything on biofeedback or neurobiofeedback and his name will come up

Corkey

posted by Corkey on 2/25/2009 9:09 pm

I am very grateful for this excellent article on EEG neurofeedback by Blaine Greteman. It is one of the most comprehensive and balanced informational pieces I've read yet. As a past president of both of the 2 major international biofeedback and neurofeedback associations - International Society for Neurofeedback and Research (www.isnr.org) and the Association for Applied Psychophysiology and Biofeedback (www.aapb.org), I have been working for years to help our field reach the "Tipping Point." Getting curent information about neurofeedback and self-regulation out to the public is key to reaching that goal, and I think Blaine Greteman has contributed tremendously to our efforts. If I had a dollar for every client or patient I've seen over the past 20 years who said, "Why didn't my doctor, dentist, therapist, shrink, company, school, team or SOMEBODY tell me about this sooner" I could have retired years ago. But I love my life's work too much to retire!

Thanks, ODE and Blaine! Lynda Kirk, MA, LPC, BCIA-EEG Fellow, QEEG-D Clinical Director - Austin Biofeedback and EEG Neurotherapy Center www.austinbiofeedback.com

posted by lyndakirk on 2/26/2009 7:44 am

posted by PaulaM on 2/26/2009 1:22 pm

I did neurofeedback for a head injury several years ago with Dr. Deborah Stokes in Alexandria, VA. I had tinnitus, brain fog, insomnia and migraines and after about 40 sessions, the majority of my problems were much improved. The results have held and although I still struggle with insomnia at times, I now have my life back and have been able to go back to work, continue my hobbies and spend more time with my grandchildren. Before finding neurofeedback, I was told by the doctors that nothing could be done for me. I hope that this technique soon becomes more accepted by the medical field. Paula Mitchell, Annandale, Va

posted by PaulaM on 2/26/2009 1:22 pm

I am a Past President of the International Society for Neurofeedback & Research and want to say this article was well done. Neurofeedback offers an alternative to relying on only medication treatment for conditions such as ADD/ADHD, head injuries, depression, anxiety, OCD, uncontrolled epilepsy, learning disabilities, autism, and insomnia. People can read more about neurofeedback at www.isnr.org which is the website for the international society.

However, don't let just anyone try to change how your brain is functioning. It has become a buyer beware marketplace. You need to be aware that there are an increasing number of lay people who are obtaining neurofeedback equipment in violation of FDA regulations and then presuming that they are qualified to put electrodes on people's heads and treat serious brain-based disorders. This can be dangerous. To protect yourself (1) seek out a practitioner who is BCIA certified (www.bcia.org) AND (2) who is a licensed health care provider in your state or country. Both are important. To read about some of the risks in having neurofeedback done by an unqualified person, you can read my article from the Journal of Neurotherapy on this subject which can be found at www.neurofeedbackconsult.com/hammondarticle.pdf

D. Corydon Hammond, Ph.D., University of Utah School of Medicine

posted by Hammond on 2/26/2009 4:17 pm

I would like to add one more comment. Home training with neurofeedback can be done, but I strongly recommend that it only be done after an assessment by a licensed health care professional and BCIA certified therapist who then supervises the home practice. To do otherwise is a risk you don't want to take.

D. Corydon Hammond, Ph.D.

posted by Hammond on 2/26/2009 4:21 pm

While it is true that many clinicians use neurofeedback to work with their clients, it is also true that thousands of people around the world have trained themselves or family members with excellent results. I too started with my own brain and established a practice of four offices in Atlanta from 1992-2001 before starting to teach NF to clinicians and home trainers. I've worked with both all over the US, Europe, Australia, South America and a bit into Asia. Training your brain does require some good guidance and development of some basic skills, but the trainee is the one who does the work and gets the credit. There are lots of resources available at brain-trainer.com. NF is, above all, a self-regulation technology--probably the greatest since meditation. Though many meditators would say you should not start without a teacher/guide, many do--have life-changing results.

posted by pvdtlc on 2/27/2009 9:03 am

I am here to share some good thoughts for you guys. I know this really can help. This is about choices for healing - body, mind, spirit. Create Your Health (CYH) is designed to inspire and give you choices regarding improving your life – physically, emotionally, and spiritually. Each episode will introduce you to a particular therapeutic tradition and demonstrate what a treatment within that practice is like. Check out their website createyourhealth.com and discover several alternative health practices and take charge of your life to be able to live pain free again - no drugs and no surgeries.

posted by jennydrea on 8/ 6/2009 8:41 am

have never thought about it like that before. Thanks so much for the depth and understanding at which you covered the topic. it's a useful piece of information not only for me but for many others. have read a lot on the topic at different blogs and books (download mainly from www.picktorrent.com but this piece really gives food for thought, it's a great site!

posted by hitcliff on 8/12/2009 12:24 pm

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