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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

Neurofeedback still has its skeptics among consumers too, especially since it remains unregulated; anyone who can afford the equipment can rent an office, hang a shingle and treat patients (see "How to choose a neurofeedback practitioner" box on page 51). Today, however, Evans says, "We've reached a tipping point where there are hardcore science people working in neurofeedback and articles being published in good journals, and it's becoming much more difficult for mainstream medicine to ignore. No one can say any longer that there is no science behind it."

The studies that have generated the most enthusiasm are the ones suggesting that the treatment offers a drug-free alternative for children with ADHD. A review of the scientific literature in 2005, for example, noted that 75 percent of kids with ADHD treated with neurofeedback improved—compared to about 70 percent treated with drugs—and no study has reported negative effects. A 2007 study from the University Hospital of Tübingen in Germany showed that after a treatment regime lasting several months, children diagnosed with ADHD not only improved their behavior and increased their ability to concentrate "significantly," but added nearly 10 points to their IQs—a result maintained six months after the study ended.

Skeptics have long argued that the benefits of neurofeedback to children with ADHD could be attributed to the placebo effect—or that the children could achieve similar improvement if they spent the same amount of time working with parents on focused tasks like assembling puzzles. By this logic, it isn't the technology of neurofeedback that helps children with ADHD, but the attention and effort of parents and therapists working in concert to support learning and concentration. To find out the truth, Swiss researchers at the University of Zurich created a controlled study to isolate neurofeedback from other factors. One group of children with ADHD was given neurofeedback, while another entered an intensive behavioral therapy program that used traditional techniques to teach them to focus. The results were dramatic: Children in the neurofeedback trial improved markedly on indices of attention and "metacognition" (the awareness of one's mental processes), whereas children in the behavioral therapy group showed no significant improvement.

But there was just one caveat. The researchers noted that the results seemed "mediated by unspecific factors, such as parental support or certain properties of the therapeutic setting and content." So, while neurofeedback works, it isn't a magic bullet—parental support and the right clinical setting, which might include other therapies, are key to realizing its potential.

Importantly, however, that potential goes beyond the treatment of disorders. Indeed, neurofeedback seems remarkably effective at improving mental focus and concentration, even for apparently "normal" individuals. "We've just done a study training eye surgeons," says Gruzelier of Goldsmiths College in London, "and we found that the rhythm that's very effective in reducing hyperactivity in ADHD children also helped enhance surgical performance by 20 percent." The aim was to do the surgery as quickly and accurately as possible, and neurofeedback training, which enhanced beta waves while relaxing the cerebral cortex to reduce hyperactive movements, seemed to enhance surgeons' ability to modulate their performance. "Instead of just charging at the target," Gruzelier says, "they were actually slightly longer and more methodical in their preparatory time, then faster and more accurate on task."

Athletes and performers often associate such success with being "in the zone." Many athletes believe neurofeedback allows them to pause racing thoughts and live wholly in the moment of the game. Prominent among them is Chris Kamen, the center for the Los Angeles Clippers basketball team, who was diagnosed with ADHD as a child and struggled in his early career, despite his imposing seven-foot height. In 2007, he discovered neurofeedback and soon improved his scoring and rebounding by more than 50 percent. As important, Kamen says, his life off the court improved as he stopped making impulsive decisions.

Kamen not only attributed the success to neurofeedback, but became a spokesperson for Hope139, a Michigan company dedicated to bringing neurofeedback technology into schools and businesses to improve performance. Neurofeedback has gained such a lustrous reputation that the Italian professional soccer team A.C. Milan has created a glassed-in "mind room," where the team gathers for mental tune-ups. In the mind room, players watch their brain waves play out across a computer screen while a team of sports psychologists monitors their progress.

Gruzelier emphasizes that neurofeedback's performance-enhancing results go beyond relaxation or the relief of anxiety—effects that might be achieved with sedatives or more conventional relaxation techniques. "We've compared this to other techniques that have reduced anxiety but have not enhanced performance in the same way," says Gruzelier, citing his studies of professional dancers and musicians who did neurofeedback training to quiet the brain's fast-wave activity and produce more slow theta waves. These studies showed remarkable improvements "not only in artistry, but communication, the way people expressed themselves, the presence they have on stage."

Elite students at the Royal College of Music in London improved their performance an average 17 percent, according to a panel of independent judges, and competitive ballroom dancers achieved "professionally significant" improvement in just five weeks. Moreover, Gruzelier notes his recent research hasn't only replicated these results, but shown they extend to novice performers. "There are dramatic improvements," he says. "Breath and pitch improve. Where they didn't sing in tune to begin with, they did afterwards."


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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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