Clinical Neurotherapy


Book Description

Neurotherapy, sometimes called EEG biofeedback and/or neurobiofeedback involves techniques designed to manipulate brain waves through non-invasive means and are used as treatment for a variety of psychological and medical disorders. The disorders covered include ADHD, mood regulation, addiction, pain, sleep disorders, and traumatic brain injury. This book introduces specific techniques, related equipment and necessary training for the clinical practitioner. Sections focus on treatment for specific disorders and which individual techniques can be used to treat the same disorder and examples of application and the evidence base for use are described. - An introduction for clinical practitioners and psychologists investigating neurotherapy techniques and application - Includes coverage of common disorders such as ADHD, mood regulation, addiction, pain, sleep disorders, and traumatic brain injury - Includes evidence base for use - Includes training methods for new users




Handbook of Clinical QEEG and Neurotherapy


Book Description

This book is an essential resource describing a wide range of approaches and technologies in the areas of quantitative EEG (QEEG) and neurotherapy including neurofeedback and neuromodulation approaches. It emphasizes practical, clinically useful methods, reported by experienced clinicians who have developed and used these approaches first hand. These chapters describe how the authors approach and use their particular combinations of technology, and how clients are evaluated and treated. This resource, which is encyclopedic in scope, provides a valuable and broad, yet sufficiently detailed account, to help clinicians guide the future directions in client assessment and neurotherapeutic treatment. Each contribution includes literature citations, practical information related to clinical interventions, and clinical outcome information.




Clinical Neurotherapy


Book Description

Thought disorders are one of the more debilitating of psychiatric disorders, and one of the more difficult to treat. The results of neuroimaging studies using EEG, qEEG, LORETA or VARETA with thought disorders will be discussed. The utility of electrophysiological methods in differential diagnosis and treatment will be discussed in detail. This chapter explores the use of various brain-based treatment modalities and technologies for the treatment of thought disorders. Neurofeedback, cranial electrostimulation and transcranial magnetic stimulation studies for the treatment of thought disorders are reviewed to evaluate treatment efficacy.




Clinical Neurotherapy


Book Description

Depression continues to be on the increase in the United States and worldwide, according to current statistics, which supports the need to expand potential treatment options beyond psychotropic medications. Psychotropic medications are still the primary approach to treatment and considered best practice in the medical community for mood disorders; however, studies show limited response rates to medication in participants but a high placebo response rate. This chapter explores the use of various brain-based treatment modalities and technologies for the treatment of mood disorders. Neurofeedback, auditory visual stimulation, cranial electrostimulation, transcranial magnetic stimulation and vagus nerve stimulation studies for the treatment of depression were all reviewed to evaluate their efficacy. The studies reviewed show that all modalities have their strengths and weaknesses, but should be considered viable treatment modalities to improve symptoms of depression.




Clinical Neurotherapy


Book Description

Developmental disorders cover vast, often overlapping diagnostic territories. Originating in childhood, many of these disorders continue to produce symptoms and functional difficulties throughout the individual’s life. Some developmental disorders have strong genetic components; others are of unknown etiology. Two of the most important are disorders of attention and seizure disorders, which are covered in separate chapters. This chapter focuses on autism spectrum disorders, intellectual disabilities, dyslexia, disorders of bowel and bladder elimination control, and sleep. As research progresses, the necessity of full-cap simultaneous EEG acquisition under both resting and activation conditions, with detailed analysis of co-modulation and coherence is becoming clearer. There is no need for overadherence to rigid frequency band definitions. The role of underlying network dysfunctions, not just individual sites, continues to emerge.




Clinical Neurotherapy


Book Description

This review provides an updated overview of both basic and clinical research literature, neurophysiological rationale and current methods of practice pertaining to clinical neurofeedback. While considering general issues of physiology, epilepsy and learning principles, it focuses on the treatment of epilepsy with sensorimotor rhythm (SMR) training, arguably the best established clinical application of EEG operant conditioning. The basic research literature provides ample data to support a very detailed model of the neural generation of SMR, as well as the most likely candidate mechanism underlying its efficacy in clinical treatment. Further, although more controlled clinical trials would be desirable, a respectable literature supports the clinical utility of this alternative treatment for epilepsy. The skilled application of clinical neurofeedback with epilepsy requires a solid understanding of the disorder, as well as the neurophysiology underlying EEG oscillations and operant learning principles. The best clinical practice includes a systematic quantitative mapping of multi-electrode EEG measures against a normative database before and after treatment to assess outcomes, as well as documented measurement of progress towards EEG normalization during training.




Clinical Neurotherapy


Book Description

Past and possible future trends and major developments in neurotherapy are reviewed and put into context. Neurotherapy has comprised several broad areas that can be divided into volitional and nonvolitional interventions. One common element of these approaches is the goal of altering (“modulating”) neuronal activity, in the pursuit of improved efficiency and effectiveness. A wide range of techniques has evolved that are generally used either sequentially or in combination. Integrated methods that incorporate multiple approaches are becoming increasingly important and clinically relevant. The future of neurotherapy will be influenced by a range of factors that will include scientific and clinical developments, economic realities and sociocultural influences. In addition, a unified approach with a cohesive theoretical underpinning has not yet been achieved. Progress in neurotherapy will require progress in all of these areas to secure its proper role in the fields of medicine, psychiatry, psychology and mental health. A singular purpose and a unified design approach can lead to improved levels of usability and efficacy.




Clinical Neurotherapy


Book Description

The purpose of this chapter is to examine hidden factors affecting neurofeedback treatment. It proposes a sociotechnical systems field theory of the neurofeedback treatment setting to help the therapist think about these factors beyond the specifics of this article. A typology of therapist styles in this model is proposed – Buddy, Technocrat, Integrated Practitioner and Withdrawn – to help the therapist identify his or her impact on the field of treatment. Case vignettes are presented as illustrations, along with one case with qEEG data. Genetics, illicit and prescribed drugs, patient variables, therapist variables, historical factors, suggestions for clinical hygiene and guides for treatment are presented.




Clinical Neurotherapy


Book Description

Nonpharmacological methods of therapeutically influencing the brain have become widely used by clinical practitioners, and there is an accumulating body of outcome research. This chapter introduces readers to existing neurofeedback (EEG biofeedback) methodologies, as well as different modalities of neurotherapy for brain stimulation. Neurofeedback methods include symptom-based neurofeedback, neurofeedback guided by quantitative electroencephalography data, neurofeedback based on normative database Z-score and LORETA data, the Low Energy Neurofeedback System, slow cortical potentials training, fMRI neurofeedback, hemoencephalography training and infra-low frequency training. Brain stimulation technologies include electroconvulsive therapy, transcranial magnetic stimulation, deep brain stimulation, vagal nerve stimulation, cranial electrotherapy stimulation, transcranial direct current stimulation, a pulsed electromagnetic stimulation device, and audiovisual stimulation. Ethical and standard of care issues and considerations for liability protection are then reviewed.




Clinical Neurotherapy


Book Description

Quantitative EEG (qEEG) has become an increasingly common method of assessment in the field of neurofeedback. The International Society for Neurofeedback and Research (ISNR) has issued a position paper advocating its widespread use within the field, and many entering the field gravitate toward its use because of its empirical value in the assessment and determination of protocols for intervention with neurofeedback. At the same time, the neuroimaging field has also increasingly taken an interest in qEEG and begun to employ it extensively in research alongside fMRI, because of its high temporal resolution and increasing spatial resolution resulting from recent enhancements such as low-resolution brain electromagnetic tomography (LORETA) imaging. This growing common use has provided a valuable new information source for the field of neurofeedback that can be applied at the research and clinical levels for an enriched analysis of client disorders. This chapter, on the one hand, is intended as an example of how those already engaged in qEEG might synthesize the emerging neuroimaging research with their own clinical experience, and is also an effort to present this topic in a generally understandable fashion. Those clinicians who are new to the field of neurofeedback or who are considering the use of qEEG at the clinical level are often intimidated by the complexity of the technology, and by the lack of basic guides to its implementation. Psychologists, counselors and medical professionals do not typically receive the technical training to prepare them for this new and powerful technology, which may come to play an important role in their respective professions. This chapter therefore is also meant to examine qEEG in a basic and comprehensive schema to help inform and initially guide such an audience in further exploration of the topic.