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Alternative Techniques for Health and Wellness

Alternative Techniques for Health and Wellness. Biofeedback Brain Wave B iofeedback ( N eurofeedback ) Wellness Coaching Cognitive Behavioral Treatments. Biofeedback A MIRROR OF OUR PERFORMANCE. Biofeedback Model Classical Conditioning.

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Alternative Techniques for Health and Wellness

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  1. Alternative Techniques for Health and Wellness Biofeedback Brain Wave Biofeedback (Neurofeedback) Wellness Coaching Cognitive Behavioral Treatments

  2. BiofeedbackA MIRROR OF OUR PERFORMANCE

  3. Biofeedback ModelClassical Conditioning An unconscious associate learning process that modifies reflexive behavior and prepares us to rapidly respond to future situations.

  4. Biofeedback ModelOperant Conditioning An unconscious associate learning process that modifies the form and occurrence of the voluntary behavior by manipulating its consequences.

  5. Autonomous Nervous System

  6. Relaxation Model Practice makes perfect

  7. Relaxation Training Techniques Autogenic Training Influences the autonomic nervous system Restore balance between sympathetic and parasympathetic Muscle relaxation 10 – 15 minutes a day Research supports live vs. prerecorded Clients record in their own voice Training not a treatment What stops it from working?

  8. Relaxation Training Techniques Affirmations Develop a positive attitude Develop personal power Develop will power, self discipline A tool to motivate Self confidence If you don’t believe in yourself…who will?

  9. NeurofeedbackBrain Wave Biofeedback The illustration is from NIH.

  10. The DifferentLobes of the Brain Frontal, Parietal, Temporal, Occipital Lobes

  11. Standardized Placement ProcedureInternational 10 – 20 System

  12. QEEG (Qualitative EEG)Record 20 minutes of data – 10 EO – 10 EC

  13. Recording the Raw DataHardware - Deymed

  14. Brain Map Example Showing 3 standard deviations over activation in the parietal and frontal lobes

  15. Brain Wave Frequencies Delta – 1 – 3 HZ - sleep Theta – 4 – 7 HZ - foggy drowsiness Alpha – 8 – 11 Eyes Closed contentment, peaceful

  16. Brain Wave Frequencies Sensory Motor Rhythm – 12 – 15 HZ Calm, processing power, transition Beta waves 15 – 20 HZ Primary processing power Beta waves 20 – 30 HZ Gamma waves 30 – 60 HZ

  17. Brainwave Biofeedback 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.

  18. Neurofeedback SessionWhat Happens?

  19. Respiratory Biofeedback 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 it” Breathe Well, Be Well Robert Fried, PHD

  20. Optimal BreathingIs Important • Shortness of breath & heart disease are linked • High correlation – high blood pressure & poor breathing • Breathing drives the nervous system • Promotes weight loss – oxygen burns fats & calories • Breathing well key to sleeping well and waking up refreshed

  21. Types of Breath 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.

  22. Heart Rhythm Patterns HEART RATE variability biofeedback is a new technique for training human beings to change the variability and dominant rhythms in their heart activity.

  23. SEMG (muscle tension) 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.

  24. 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

  25. Electro Dermal Activity andTemperature Biofeedback Basic function of sweat gland – thermoregulation. EDA is strongly related to emotions. Fight or flight Training the “Relaxation Zone” By breathing correctly the blood vessels will relax and vasodilatation occurs

  26. The Research Behind It… ASSOCIATION APPLIED PSYCHOPHYSIOLOGY BIOFEEDBACK 2ND EDITION, 2008

  27. LEVEL 4 EFFICACY • ADHD • ANXIETY • CHRONIC PAIN • EPILEPSY • HEADACHES - ADULTS • HYPERTENSION • RAYNAUDS • TMJ • MOTION SICKNESS • CONSTIPATION - ADULTS

  28. LEVEL 3 EFFICACY • Traumatic Brain Injury • Headache Pediatric • Diabetes Mellitus • Fecal Disorders Children • Fecal Incontinence - Adults • Insomnia • Alcoholism / Substance Abuse • Urinary Incontinence in Males • Vulvar Vestibulitis (Vulvodynia)

  29. Insomnia Sleep Recovery Programbased on a neurocognitive model • Reviewed 21 studies – 15 published in last 5 years • Research reflected different disciplines • Clinical Psychology Health Psychology • Behavior Management Stress Management • Sleep Medicine • Applied Psychophysiology & Biofeedback • Journal of Neurofeedback Medication is NOT a long-term solution

  30. What the Studies Found… • The importance of a cognitive approach in treating insomnia • The neurocognitive perspective is powerful, can establish direct links, and casual directions • There is evidence that hyper-arousal is implicated in insomnia • There is solid evidence that CBT is effective for persistent insomnia and is generalizable and sustainable • Stimulus control therapy is most effective single treatment • Research supports EMG and EEG biofeedback • Most patients will benefit from either treating insomnia on a cognitive level with or without medication

  31. Insomnia Sleep Recovery ProgramFour Week Program • Goals – Total Sleep Time and Daytime Awareness • Change maladaptive behaviors and habits • Stimulus control instructions • Establishing sleep restriction guidelines • Introduction of relaxation techniques (breathing and autogenic training) • Neurofeedback to address cortical hyper-arousal • Cognitive restructuring • Tools – QEEG, sleep assessment, sleep log

  32. DOES IT WORK?YES • Biggest challenge – changing habits around sleep • Clients fall into many treatment categories • Keeping focus on sleep goals • Lifestyle changes

  33. Q & A Leigh Richardson, BCN, BCB, CWC Brain Performance Center 910 E. Southlake Blvd, Ste. 165 Southlake, TX 76092 817-500-4863 www.TheBrainPerformanceCenter.com

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