Alternative Ways to Health & Wellness

Biofeedback Brain Wave Biofeedback (Neurofeedback) Wellness CoachingCognitive Behavioral Treatments

Alternative Techniques for Health and WellnessBiofeedbackA 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 SystemRelaxation ModelPractice makes perfect

Relaxation Training Techniques

Autogenic TrainingInfluences the autonomic nervous systemRestore balance between sympathetic and parasympatheticMuscle relaxation10 15 minutes a dayResearch supports live vs. prerecordedClients record in their own voice Training not a treatment

What stops it from working?

Relaxation Training TechniquesAffirmationsDevelop a positive attitudeDevelop personal powerDevelop will power, self disciplineA tool to motivateSelf confidence

If you dont believe in yourselfwho will?

NeurofeedbackBrain Wave BiofeedbackThe illustration is from NIH.

The DifferentLobes of the BrainFrontal, 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 ExampleShowing 3 standard deviations over activation in the parietal and frontal lobes

Brain Wave Frequencies

Delta 1 3 HZ - sleepTheta 4 7 HZ - foggy drowsinessAlpha 8 11 Eyes Closed contentment, peacefulBrain 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 BiofeedbackNeurofeedback 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 itBreathe Well, Be WellRobert Fried, PHD

Respiratory BiofeedbackOptimal BreathingIs ImportantShortness of breath & heart disease are linkedHigh correlation high blood pressure & poor breathingBreathing drives the nervous systemPromotes weight loss oxygen burns fats & caloriesBreathing 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 BreathHeart Rhythm PatternsHEART 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)

24Electro Dermal Activity andTemperature Biofeedback

Basic function of sweat gland thermoregulation. EDA is strongly related to emotions. Fight or flight Training the Relaxation ZoneBy breathing correctly the blood vessels will relax and vasodilatationoccursASSOCIATION APPLIED PSYCHOPHYSIOLOGY BIOFEEDBACK2ND EDITION, 2008The Research Behind It

LEVEL 4 EFFICACYADHD

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 - AdultsLEVEL 3 EFFICACYInsomnia Sleep Recovery Programbased on a neurocognitive modelReviewed 21 studies 15 published in last 5 years

Research reflected different disciplines Clinical PsychologyHealth PsychologyBehavior ManagementStress ManagementSleep MedicineApplied Psychophysiology & Biofeedback Journal of Neurofeedback

Medication is NOT a long-term solution

What the Studies FoundThe importance of a cognitive approach in treating insomniaThe neurocognitive perspective is powerful, can establish direct links, and casual directionsThere is evidence that hyper-arousal is implicated in insomniaThere is solid evidence that CBT is effective for persistent insomnia and is generalizable and sustainableStimulus control therapy is most effective single treatmentResearch supports EMG and EEG biofeedbackMost patients will benefit from either treating insomnia on a cognitive level with or without medication

Insomnia Sleep Recovery ProgramFour Week ProgramGoals Total Sleep Time and Daytime AwarenessChange maladaptive behaviors and habitsStimulus control instructionsEstablishing sleep restriction guidelinesIntroduction of relaxation techniques (breathing and autogenic training)Neurofeedback to address cortical hyper-arousalCognitive restructuringTools QEEG, sleep assessment, sleep logDOES IT WORK?YESBiggest challenge changing habits around sleep

Clients fall into many treatment categories

Keeping focus on sleep goals

Lifestyle changes

Q & ALeigh Richardson, BCN, BCB, CWCBrain Performance Center910 E. Southlake Blvd, Ste. 165Southlake, TX 76092817-500-4863www.TheBrainPerformanceCenter.com