Marin Biofeedback
1925 Francisco Blvd. E. #12 San Rafael, Ca. 94901
(415) 485-1342
Fax (415) 485-1348
A
Typical Session
The
Brains Electrical Profile
Protocols
Roshi Light Goggle System
Hemoencephalography
Home Training
Very)
Basic Brain Anatomy
Brain Mapping
FAQs
Resources
The amazing brain is made up of many different systems, one of which is bioelectrical. This is a biological system of electricity. The bioelectrical profile is the composition of thought, and the context in which thinking occurs including chemical composition, metabolic state, hormonal state and the physiological connection to the body. It is with this system that the brain communicates with the use of neurotransmitters and the various brainwaves that help us think, move, sleep, work and so forth. We are not aware, most of the time, that our brain has an electrical system but in fact, it does. However, the brain can and does become disregulated, often resulting in ADD and other learning disabilities, depression, seizures, etc. Neurofeedback is a way to overcome these and other problems of the brain.
The feedback the brain receives is just that - feedback. While in a neurofeedback session, the client is hooked up to the computer and sends the brain's electrical information to it. The computer displays this information and sends reward messages. Since it favors reward over non-reward, the brain will respond on a very basic level to the positive feedback. For example, if it is suggested that there should be more beta waves, the brain will make a concerted effort to add more. Ultimately this will change the impaired bioelectrical profile to a more functional one.
For example, people who suffer with ADD symptoms will often have an over-abundance of theta frequency wave (see next page) in the front part of the brain. Since this wave is associated with falling asleep and awakening, and is considered a fuzzy state, having too much theta in the front part of the brain, where we do most of out thinking, causes loss in focus. If the feedback suggests that this part of the brain decrease theta frequency waves, the brain responds positively and the person’s electrical profile will be expressed with less theta, making it easier for the person to attain more focus.
A Typical
Neurofeedback Session
A neurofeedback session includes the client sitting in a comfortable chair in a quiet room. He or she will have 2,3 or 4 electrodes placed on the part of the scalp from where the electrical information will be received. The computer screen and audio speakers will allow the client to see and hear what is happening in their bioelectrical system.
When the brain's electrical system is performing optimally, the
computer will feed sound and visual approval. When it is not, the computer will
reflect that as well. The brain responds to the positive and negative feedback
on a very basic level. It chooses to be rewarded and does its best to
"please the computer - and its owner." After a number of sessions, the changes will be
permanent. Once the optimized profile is established, the client may see subtle
to dramatic behavioral changes. There are different forms of feedback. In the
picture to the left, this young boy is rew
arded when his brain waves reflect a
learning state by filling in all of the dots in the road through the 'town game'.
Anna, to the right, is using her brain in a new and unique way to master the art
of basketball. At the end of each session, the children get coupons with points
that can be redeemed at home. Here, Scamp is guarding Dylan's coupon.
The Roshi system is designed to quiet the mind through lowering all of the brain wave amplitude, or the volume of the electrical signals. Once this is achieved, the quiet brain can then be retrained for optimal performance. The goggles are worn, with eyes closed for the duration of the session - usually 30 minutes. There will sometimes be added a sound enhancement. The training area of the brain can be decided based upon the brain map or the presenting symptoms.
According to Dr. Hershel Toomim, the
developer of this unique device, ”hemoenchephalography (HEG) is the study of
blood flow in the brain.” More specifically, he states, ”that it is the study of
voluntarily controlled blood flow or oxygenation in specifically chosen brain
modules.”
Blood brings oxygen, glucose and other basic nutrients to all parts of the
brain. The ability of perfuse blood to the specific areas of the brain that need
it is quite remarkable. When areas of the brain are compromised by trauma,
dysregulation or other insult, they will ”shut down” and the blood will be
directed into the areas that are being used. HEG training will encourage the
redirection of the needed blood, with its valuable oxygen and nutrients back
into the areas that have been effected.
A Typical Hemoencephalography Session
A HEG session includes the client sitting in a comfortable chair in a quiet
room. He or she will have a headband attached around the head. The computer
screen and audio speakers will allow the client to see and hear what is
happening in the frontal lobes or other area that the HEG headband is targeting.
In many forms of biofeedback and neurofeedback, relaxation is a key state in
self-regulation training. In HEG training, relaxation is less important;
intention and thinking play a more important role.
When there is enough blood perfusion the computer will feed sound and visual
approval. This might include the playing of a favorite DVD or the progression of
a bird or dolphin in a video clip. When there isn’t enough blood perfusion, the
computer will reflect that as well by stopping the video or sending the bird or
dolphins backwards. The brain responds to the positive and negative feedback on
a very basic level. It chooses to be rewarded and does its best to ”please the
computer and the owner.” After a number of sessions, the changes will be permanent. Once the
optimized blood perfusion is established, the client may see subtle to dramatic
behavioral changes. Jean, to the right, is watching a DVD that is driven
by the level of blood flow to his frontal lobes. When it is reduced, the movie
stops and won't restart until he engages his frontal lobes, thus encouraging
blood flow to them.
HEG is like Exercise for the Brain
HEG sessions last approximately 50 minutes. Once the headband is placed on the
head and the desired feedback is set, the client forces, in ways that are unique
to each person, the blood to flow into the areas of the brain that are being
trained. The action of blood flowing to parts of the brain is very difficult to
feel. However, positive feedback from the computer will let the client be aware
of the very subtle changes. Through suggestion, the feedback lets him or her
figure out how to self-regulate the blood flow to help with the brain function
that is compromised.
Each session is broken into smaller units, usually 3 ten-minute sections are
best. However, for some clients, 4 or 5 five-minute sections work better. This
can be determined at the onset of the training (and can be changed as needed).
Because this is exercise for the brain, it can be as tiring as 50 minutes at the
gym.
How Do We Determine Which Areas of
the Brain Need HEG Training?
All clients should have a brain map or evaluation done to get an understanding
of which parts of the brain are being compromised. Many behavioral traits or
symptoms can have similar brain wave abnormalities. Additionally, many syndromes
have different profiles. The brain map or evaluation will determine what unique
brain wave profile is involved with each client. A test is important because
while some people have similar behavioral issues, for example attentional
problems or anxiety, their brain wave profiles can differ dramatically.
The HEG training can be incorporated when there are brain wave profiles that
include relational disregulation, and/or obvious brain blood flow problems, as
in trauma and migraines. Either of these indicates a loss of blood perfusion.
Remote neurofeedback training includes the rental of
a BrainMaster module that you use in conjunction with the software that you
install into your own computer. This gives you the luxury of doing your
neurofeedback training in your own home or office whenever you choose. The
program enables you to email me the session notes so I can see how your sessions
are going and change the protocol if necessary. When you are ready to start the
training, I'll teach you how to apply the sensors and set up your training
sessions. As you progress, I can alter the training as needed. Once a month, you
will come to Marin Biofeedback to do a session and to allow us time to check in
and see what progress has been made. This type of training works beautifully for
people who live a long distance from Marin Biofeedback or for those who cannot
travel. In addition to the BrainMaster for neurofeedback training, there
are other devices available.
The Brain’s
Electrical Profile
There are four different wave ranges within the brain’s electrical continuum. They are delta, theta, alpha and beta. As shown by the diagram below, the waves start at .5 Hz and continue to 40 Hz. A Hz is the amount of times a wave is repeated within a second. For example, a 1 Hz wave means there is only one wave in one minute, while a 20 Hz wave means there are 20 in a second. Therefore, a delta wave, which is .5 – 3.5 Hz is much slower than a beta wave that is between 12.5 and 40 Hz.
The electrical profile of the brain varies. It changes under different demands and during different tasks. For example, alpha waves are more dominant when the eyes are closed. Additionally, different parts of the brain function better when served with different electrical patterns.
A common brain wave profile is alpha and theta dominance while meditating, especially in the parietal area (below). Obsessive thoughts tend to include a dominance of very high beta waves in the frontal area. Fuzzy or confused thinking is just the opposite – too much theta and alpha frontally.
A common protocol is the SMR training. With this training, we are encouraging a frequency range between 12 and 14 Hz in the central area. When this electrical profile is optimized, it sets the brain up to communicate to the body’s motor systems to calm down. This training was designed by Barry Sterman when researching seizure patterns with feral cats in the early 80's.
Delta: The delta waves are predominant in the sleep state, especially during REM sleep. They range from .5 to 3.5 Hz. We don't usually train in the delta frequency range, except to reduce it for seizure activity or excessive slowing due to head injury.
Theta: This range is associated with hypnogogic states such as falling asleep and awakening. It is commonly associated with creativity and meditation. When uptraining theta, it is almost always involving these issues. When training to reduce theta, it is commonly to reduce fuzzy thinking and seizure activity. It is the frequency range between 3.5 and 7.5.
Alpha: Alpha waves are considered the frequency range that enables one to be calm but alert. Depending upon where they are in the brain, however, they can also be associated with anxiety. Training an increase in Alpha waves usually involves emotional and affective issues as well as well being and meditation enhancement. When training to reduce alpha, it is often because there is an overabundance of it frontally, causing anxiety and unclear thoughts. It is the range between 7.5 and 12.5.
SMR: SMR is described above. It is the range between 12.5 and 14.5.
Beta: There is a wide range of behaviors that are associated with beta waves, from attentive and problem solving to mind chatter to hysterical. Beta uptraining can help with attention, depression, sleep, executive processing and memory issues. When downtraining beta, it is usually due to "chatter minds" and for meditation enhancement. It is the range between 14.5 and 40 Hz.
The brain is made up of these four different cortical (or surface) areas. Refer to the picture on the top of this page.
Frontal: The frontal part of the brain is where we do our thinking. It is where we problem solve, cognize and process thought. Speech production, motivation and impulse control are mediated here as well. The area at the back of the frontal lobe is known as the motor cortex and is responsible for voluntary motor movement. This is where the SMR protocol is sited (see previous page). The frontal lobe is located behind the forehead to the middle of the top of the head..
Parietal: The foremost part of this lobe is important for bodily sensations of touch and kinesthetics, along with the integration of sensory input. It is known as the somatosensory cortex. The area behind the somatosensory cortex is responsible for spatial orientation, sense of direction and sense of touch. t is at the back of the head, above the occipital lobe.
Occipital: The occipital area is the site where the optical nerves meld into the brain’s cortex and is responsible for reorganizing the visual input so that it can be translated. This is also an important area for meditation. This lobe is located at the lower portion of the back of the head.
Temporal: The temporal lobes are responsible for hearing. They also are implicated in memory and emotionality. They are the closest to the limbic areas of the brain, where emotions are mediated. They are located just above the ear on each side of the head.
Alpha/Theta Training
The alpha/theta training involves placing sensors on the parietal area, or upper back part of the scalp, and with eyes closed, the client listens to a reward for the alpha and theta frequencies. These frequencies are best known for their relaxation and creative qualities. This was discovered by Peniston and Kulkowsky. They used this protocol with recovering alcoholics. Compared to controls, the experimental group stayed without alcohol. Other studies showed the alpha/theta training resulting in significant increases in warmth, abstract-thinking, stability, conscientiousness, boldness, imaginativeness, and self-control (Saxby, Peniston, 1995). It is common to use this protocol for addition disorders, anxiety, meditation enhancement and stress reduction.
Bliss Training
The bliss training utilizes brain areas that are directly connected to the limbic system and the amygdala (regulates some memory functions and the fear response). Because a reference sensor is placed in the frontal area, it creates a neurological loop that connects the affective (or emotional) areas with the frontal (or cognitive) areas. This leaves many clients feeling blissful and very grounded in their affective state. It is used for anxiety, depression, anger control, sleep disorders, P.T.S.D and others.
Beta Enhancement Training
Beta enhancement training is just that - the enhancement of beta waves. It is commonly focused in the frontal and temporal areas. It can help with ADD/ADHD, learning disabilities, some headaches, sleep disorders, memory issues and depression. This training can be powerful in helping people with fuzzy thinking.
Network Training
Correlation training is indicated with people who, through the brain map, show areas that either are hypercoherent or hypocoherent. This means that parts of the brain are too communicative or not communicative enough. The sites that are trained are very specific to the client. There are some markers and patterns that are common with people who are obsessive, have rage issues and who have memory problems. Comodulation and phase training are also available for training as indicated by the brain map.
SMR Training
SMR training is the uptraining of specific wave frequencies in the Sensory Motor Strip or central part of the brain. This part of the brain is responsible for communicating to the muscular and skeletal systems. When the SMR frequencies of brain waves are not optimally proportional to the other brain waves in this area, the communication between the brain and the motor systems of the body becomes skewed. Thus, exacerbating the chronic dysfunction of the muscle group that is in pain. SMR training can also aid in sleeping and creates a calming state. It is indicated for chronic fatigue and Fibromyalgia, TMD and Bruxism, ADHD, anxiety, repetitive strain injuries, and Carpal Tunnel Syndrome.
*Is neurofeedback reimbursable by health insurance? More and more insurance companies are recognizing neurofeedback as a viable remedy for many health related problems. Some companies require a prescription from your primary care-giver, some don’t. We recommend you call your provider and ask them what they need in order for you to be reimbursed.
*How many sessions will it take? This is a hard question to answer because people come in for many different health problems. At Marin Biofeedback, we recommend a 40 session program. Some people complete the program sooner, and some may take longer. This includes two 45 minute sessions per week.
*What is the time required per week for neurofeedback to work? Neurofeedback is a different process for each person. Some people prefer to allow the neurofeedback to take place without a lot of extra work; while others prefer to combine what they are learning at Marin Biofeedback with other parts of their daily life.
*How do I get started? Call Marin Biofeedback and set up an appointment for a psychophysiological stress profile. This takes about 1 – 1 1/2 hours. Once we get to understand your needs and physiological profile, we can begin the treatment process.
* Biofeedback and Neurofeedback are considered experimental by the American Medical Association.
A Symphony in the Brain; Jim Robbins. Grove Press ISBN 0802138195
Psychophysiology, Human Behavior and Physiological Response 3rd ed; John L. Andreassi, Erlbaum Associates ISBN0-8058-1104-4
Saxby E, Peniston EG, Journal of Clin Psychol 51 (5): 685-693 (Sep 1995)