ABF Neuroguide Workshops Coming to your city soon!
- To Learn and Understand a Comprehensive and Rational Approach to Analyzing and Changing Brain Function Using NeuroGuide
- To Teach Attendees How to Assess Patients, Acquire EEG an Automatic Clinical Report (ACR)
- To Learn How to Link Symptoms to Brain Dysregulations
- To Assess Symptoms By Functional Domain and Create Treatment Protocols Using NeuroLink
- To Learn How to Treat Patients Safely and Effectively as Quickly as Possible (one to two weekends) using Neuroguide and various EEG Collection Systems
Please check back soon.
- A description of what Neurobiofeedback (NFB) is and why it is done.
- What NeuroGuide is and what it is used for.
- An introduction in how to collect EEG, a s well as how to remove non-cerebral activity by artifacting.
- How to generate Maps, as well as how to link qEEG results to symptoms
- An introduction to treating the patient, as well as training protocol choices including training connectivity and SCL-NL guided protocols
- Advanced topics will be discussed including the origin and nature of the EEG, neuropsychological assessment, Event Related Potentials, Surface Effective Conductivity (ECS) and the new EEG Neural Network Injury Index (NII).
- How to treat difficult cases, as well as how to treat brain trauma and acquired brain injury will also be discussed.
- Lastly, there will be attendee case presentations and analyses.
The assessment process is tailored to the needs of the client. A full assessment consists of:
An in-depth Neurodiagnostic Interview with the client and/or family members.
The diagnostic or intake interview is the beginning of each client’s journey with ABF Behavioral Health. Lasting 90 minutes on average, this detailed session with the doctor is designed to determine:
- The presenting problem or treatment goal;
- The medical, behavioral, developmental, and biopsychosocial history of the client as it pertains to understanding the treatment goal; and
- The further testing needed to accurately determine and/or confirm a suspected diagnosis.
Following the initial interview, and diagnostic impression, or what is considered the most likely diagnosis, is offered. However, it is considered hypothetical until confirmed by objective and normative testing, as follows;
Neuropsychological testing as indicated.
Depending on the presenting condition and the case history, various normative tests are scheduled to support or rule out possible diagnoses. These tests include both survey questionnaires and performance based instruments. The domains of testing may address any or all of neurocognitive functioning (i.e. memory, language, attention, social acuity, executive functioning, and others), a personality and/or behavioral profile, and academic and/or occupational achievement.
ABF also offers broader batteries of behavioral health assessment for those in need of the most intensive testing and assessment (see also our area on Forensic Servies).
QEEG Brain Mapping
QEEG stands for quantitative electroencephalography. It is often referred to by its acronym, qEEG. It is a scientifically established method for evaluating brain function based on mapping the brain’s electrical activity. In this form of functional brain imaging, the brain’s electrical activity, as measured in 19 to 25 sites on the scalp, is analyzed using complex mathematical and statistical tools in comparison to published and FDA registered norms or averages. These norms are based on the electrical activity of thousands of individuals from several populations. The largest subset of qEEG norms, used for all comparisons other than the discriminant functions, are derived from individuals with no known neurological, developmental, or psychiatric disorder. Other subsets (those used for the discriminant function analyses) are based on individuals with a known history and established diagnosis of traumatic brain injury or documented learning disability.
This method of assessing brain function provides information about patterns of brain activation and communication that can then be related to difficulties in daily life functioning such as problems with attention, anxiety, mood, learning, executive functioning or violent behavior. For a broader discussion, we direct the reader to http://www.neurodevelopmentcenter.com/index.php?id=39 or, for a more detailed publication, http://www.appliedneuroscience.com/Huges&John.pdf
Comprehensive report of findings, review with the doctor, and discussion of treatment recommendations.
The final steps in the ABF assessment process consist of combining the data collected from the interview, the normative testing, and the qEEG mapping study into a comprehensive assessment report. An actual patient’s sample report is available for viewing by clicking the link on the right (with personal and name identifiers removed, of course).
The report is lengthy because of the amount of data collected and analyzed, but it is not hard to follow when explained by your ABF practitioner. The various sections explain the results of each stage of the assessment process, and a summary section presents a final diagnosis or diagnoses, along with a recommendation of treatment modalities. In the appendix, the relevant data charts and maps from the test scoring software, and from the qEEG brain mapping analysis, are included as graphics.
Perhaps most important, the test results and brain maps are used to evaluate the progress and effectiveness of treatment going forward, by comparing the initial report to additional mappings every 10 or so treatments. The tests and maps do not lie! qEEG is not amenable to placebo effects. If neuropsychological tests are re-administered at the end of treatment, alternate test forms are used to rule out practice effects.
ABF Behavioral Health is among the only providers of behavioral health treatment that provide specific, measurable results of the therapy you receive before, during, and at the end of treatment, based on normative biometric data.
Treating the patient:
What is Neurofeedback??
Biofeedback is Operant Conditioning (or Reward Training) of Biometric Data
- Reducing Stress via Heart Rate or Blood Pressure Training
- Achieving Calm by Galvanic Skin Response Conditioning
- Controlling Pain by Changing Muscle Hypertension (EMG)
Neurofeedback is Biofeedback of Information Contained in the Collection of Biometric Signals That Constitute the EEG, or Electroencephalogram
Why do Neurofeedback??
Neurofeedback is used to treat behavioral health issues by training the patient to alter their brain function via altering aspects of their EEG
- Neurofeedback has been shown to be an effective treatment modality for affective disorders (anxiety, depression, PTSD), developmental disorders (AD/HD, LDs and ASDs), acquired brain injury (CVAs and TBIs), and many other conditions related to brain function (epilepsy, chronic pain, addiction, etc.).
Originally, Neurofeedback was done by training patients to alter aspects of their actual brainwave signals (“Raw” EEG):
Today, Neurofeedback more commonly refers to training patients to change aspects of their quantitative EEG (“qEEG”) brain maps that have been shown to be causally related to their symptoms:
What is NeuroGuide??
- An FDA Registered Database of Normative qEEG Values
- A computer program that can compare the qEEG values of a given patient to the normative database and comparative produce brain maps
- A system for collecting and recording (“acquiring”) EEG in real time
- A set of tools for doing Neurofeedback on patients to help them retrain the brain functioning in order to address their behavioral health problems
- A research tool for doing statistical analyses on groups of brain maps
- Many other uses
Why use NeuroGuide??
NeuroGuide is the most advanced and scientifically validated system for analyzing brain function and doing neurofeedback:
- Trains Only Z-scores of qEEG metrics, not absolute values
- Symptom driven – doesn’t “chase dysregulations”
- Relies on full 19 channel EEG
- Analyzes and rewards qEEG normalization using 3-D real time brain imaging (LORETA)
- Based on the Node-Network Hypothesis of Cortical Functioning
- Can train Surface Power, Connectivity, Current Sources (3-D) or a combination of these
NF2 is 3-Dimensional LORETA Z Score Neurofeedback: Z Score LORETA biofeedback of Brodmann areas in the brain, “Hubs”, “Modules” and “Default Mode Network” and 3-dimensional locations registered to a reference MRI. Includes ‘Live’ LORETA Coherence & Phase Differences from 88 Brodmann areas. The neurofeedback protocol is based on a Symptom Check List combined with LORETA Z scores measured during a QEEG analysis to aid in linking patient’s symptoms and complaints to functional specialization in the brain.
What does a typical session look like??
HEART RATE VARIABILITY (HRV)
The central autonomic network (CAN) is a network comprised of structures from the brain’s cortex, limbic system and brainstem areas. The limbic system and cortex are involved in emotional regulation and the body’s ability to deal with stress. Information is sent to brainstem components that then influence the rhythmic activity of the heart and other organs throughout the body.
The autonomic nervous system (ANS) is divided into two branches, the sympathetic and parasympathetic nervous systems. The sympathetic nervous system (SNS) and parasympathetic nervous system (PNS) influence the time between heartbeats in an individual. Heightened activity in the SNS, or reduced in activity in the PNS, have been shown to increase heart rates and vice versa. The measurement of the average time between consecutive heartbeats, and how much it varies, is called heart rate variability (HRV). It is a measurement that can be taken by measuring an individual’s pulse, making it non-invasive in nature.
HRV research shows that this measurement can be used to determine the productivity of the CAN from moment to moment. Because biological functions are largely controlled by the brainstem components, HRV allows a practitioner to see how an individual is able to regulate emotion. Empirical research has proven that patients who display lower HRV measures than controls present with poor attention, generalized anxiety disorder and depression. Whereas, an individual who exhibits higher HRV measures is likely to display effective coping mechanisms for stressors. This research substantiates the use of HRV training in a biofeedback practice in conjunction with other modalities used to help an individual with brain markers for such disorders.
The NeuroField system is a variable DC stimulation device that is designed to reduce stress and energetically balance the human body. NeuroField is designed to deliver small electrical pulses to the energy field that is generated by the human brain. It is theorized that the energy field created by the brain can absorb energy and deliver it to damaged molecular systems in the body. When the molecular systems are repaired they allow the natural wisdom of the body to engage its regenerative systems so as to promote stress reduction and healing.
NeuroField stimulation acts to replenish cellular energy and results in reduced stress. NeuroField theory is based on the premise that the human brain emits a field of energy that extends outside the skull. This field of energy is theorized to be an interactive conduit that can travel to any region in the body. The natural healing wisdom of the human body is complex, adaptive, fluid and intelligent. When a person becomes imbalanced they become susceptible to many different types of illness. NeuroField was designed to strengthen the body and promote healthy, balanced states, and allows the body to engage its own restorative systems so as to return to a balanced, homeostatic state. NeuroField was designed after years of study, searching and research by Dr. Nicholas Dogris.
Quantitative Electroencephalographic (QEEG) and Neurofeedback
Neurofeedback, also called EEG Biofeedback, involves training individuals to change the way their brain functions by allowing them to control their electroencephalogram (EEG), or brain waves. Based on solid scientific research from the fields of neurophysiology, psychology, learning and medicine, this technique is changing the way many brain dysfunctions are treated.
The EEG is converted to images and sounds that are presented in a video display to the client, such as the one above. When the client responds appropriately, the brain waves associated with the client’s condition change to the EEG levels of typical individuals. After a number of training sessions, the change becomes permanent.
Changes achieved through Neurofeedback are permanent and in most cases done without the aid of drugs or medications. For those seeking treatments to many of the ailments or disorders we treat, neurofeedback has been a highly successful alternative to drugs. Medications treat symptoms; neurofeedback can address and correct the underlying problem, and thus achieve long lasting results without the side effects associated with prescription drugs.
Offered APU’s for Psychologists and CEU’s for the Biofeedback Certification International Alliance (BCIA) for certificates’, as well as applicants, or those intending to apply for certification; including retroactive CEU’s.