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Inspiration

Neurofeedback Explained: How Brainwave Training Works

NeuroMeditation Institute
NeuroMeditation Institute
Jun 9, 2022
8 min read

From NeuroMeditation Institute

Watch · 8

Picture a movie that only plays at full brightness when your brain behaves the way you want it to. Settle into calm focus and the picture blooms and the volume swells. Let your attention drift into a familiar loop of worry and the screen dims and the sound falls away. Nothing in the room is doing the work except the electrical rhythms coming off your scalp. That, in a sentence, is the mechanism at the center of neurofeedback, and it is the subject of a one-hour introductory webinar from the NeuroMeditation Institute, presented by the psychologist Jeff Tarrant, who has worked in the field for about 25 years. He walks through what neurofeedback is, why a brain might need retraining in the first place, how EEG measures the electrical activity behind thought, how a quantitative EEG assessment builds a map of an individual's brain, and how those ideas apply to ADHD, anxiety, and depression. It is a clear primer, and it rewards a slow reading of the basics that many people skip.

Read · 7 sections

What is neurofeedback, in Jeff Tarrant's definition?

Start with the word itself. Tarrant places neurofeedback inside a larger family. "Neurofeedback is really a specialized form of biofeedback," he explains, and he defines biofeedback as any system that measures some aspect of physiology and gives the person visual or auditory feedback about what the body is doing. The examples he gives are concrete: skin conductance, which is sweat gland activity on the fingertips; heart rate variability; muscle tension read by sensors stuck to the body; skin temperature; and brain blood flow.

Neurofeedback narrows that frame to one signal. Tarrant notes that people sometimes use the term for blood flow or other brain measures, but "it's almost always brain waves." The principle is the same across the family. Monitor the signal, communicate it in a form the person can perceive, and the person can learn to change it. The webinar's own description puts the core claim plainly: EEG biofeedback uses a brain-computer interface to measure brainwave data and display it, and that data is tied to visual or auditory feedback so that changes in activity are easy to see.

Why would a brain need to be retrained?

The reasoning Tarrant offers is about rigidity rather than damage. "One of the reasons that people tend to experience symptoms, whether it's anxiety or depression or something else," he says in substance, is that the brain "has become sort of stuck in a pattern that's no longer useful." The pattern may have started in a particular way, or it may simply be how a person was born, but over time the brain settles into a rhythm of engagement that repeats even when it stops serving the person. Neurofeedback, in his account, is a way of "creating more flexibility in the system," helping the brain move out of those stuck patterns and learn to do something different.

The teaching mechanism is older than the technology. Tarrant points to operant conditioning, the principle that behavior which is rewarded tends to recur. His illustration is a puppy: give a treat when it does what you like, and it does that thing more. Ignore or punish what you don't want, and it happens less. "Interestingly," he observes, the brain responds to the same basic behavioral mechanisms. Neurofeedback is essentially a way of rewarding a brain for producing the pattern you want, moment by moment, without any treats at all. The reward is the screen brightening.

He is also clear that the same method reaches beyond clinical concerns. Neurofeedback can be used to enhance cognitive performance and attention, and, he says, it is used a great deal to facilitate meditative states, because researchers have a sense of what the brain tends to do during different kinds of meditation and can monitor those patterns to help a person find them.

How does EEG actually measure what the brain is doing?

This is the most technically dense section of the webinar, and it is worth slowing down for. Tarrant begins with the cell. Neurons collect chemical messages through their dendrites, in the form of neurotransmitters such as serotonin and dopamine. The cell body weighs that input and decides whether to fire its own signal. That signal is electrical, travels down the axon, and then triggers the release of more chemicals to the next cell. "The brain communicates chemically and electrically," he says. "You've got to have both."

"What you're actually measuring is large groups of neurons firing together, so you're measuring patterns of electrical activity."

Jeff Tarrant, NeuroMeditation Institute webinar, about 8:50

A single neuron can fire thousands of times a second, but an EEG is not listening to single cells. Measuring one neuron at a time requires invasive electrodes inside the brain and a research hospital. What a scalp sensor records is the sum of large populations firing together. The raw trace that most people picture, the dense squiggle of a clinical or sleep-study EEG, is therefore not the usable signal. Tarrant explains that the meaningful information shows up only after filtering, when the activity is sorted into frequency ranges. That is when the work moves from "clusters" of activity to named bands: theta, and then faster rhythms beyond it, each associated with different states of alertness, drowsiness, or focus. The bands are the vocabulary of neurofeedback, and the system learns to reward the person when the vocabulary moves in the desired direction.

How is a brainmap made before training begins?

Training does not start with a screen. According to the webinar's description, it starts with a quantitative EEG assessment, or qEEG. Activity is recorded from 19 locations on the surface of the head and run through several analysis systems. The output is a set of "brainmaps" that compare an individual's activity against a normative database, which gives a practitioner an idea of where and how particular regions are behaving relative to a reference group.

The purpose is specificity. When the maps reveal patterns likely to be connected with particular concerns, such as rumination or difficulty paying attention, the practitioner builds an individualized program to train those patterns toward greater flexibility. Tarrant's webinar shows sensor placements such as Cz and Pz on the scalp as part of this picture, and he is candid that interpreting such data is not a matter of reading one number. The approach is probabilistic: a map suggests where to look, not what a person's diagnosis is.

What does the approach look like for ADHD and anxiety?

Tarrant uses ADHD as a worked example. He imagines a person who says they have ADHD and asks what the practitioner should do with that information. The answer runs through the brainmap rather than the label. Two people with the same diagnosis may show different patterns, so the training target depends on what the individual's EEG reveals. This is the logic of individualized protocols: the same symptom can come from different places in the system.

Anxiety receives the same treatment, with a caution attached. Tarrant describes one pattern that tends to be associated with anxiety, but he is careful to say that calling it a single cause is an oversimplification. The more accurate framing, in his telling, is that a pattern is a tendency the brain has fallen into, and the aim of training is to restore range and flexibility so the person can move between states rather than being locked in one. The webinar is also candid about the limits of the field. Tarrant warns at the outset that there are many kinds of neurofeedback, many companies, and many types of equipment, and that his talk is an overview that will resemble, he hopes, what most providers do.

Where has the field come from, and what does it look like now?

Tarrant's own career is the most vivid measure of change. He has worked in the field for about 25 years, and he remembers the early equipment as rudimentary. Comparing the first systems he used with what is available now, he says the difference is "night and day," and that it is "thank goodness" a matter of progress. The technology is more interesting and more useful than it was, and the protocols have grown more individualized as the maps and analysis systems have improved.

The webinar closes with a playback demonstration, so viewers can see what neurofeedback looks like on screen rather than hearing it described. That choice is itself a lesson. The method is easier to understand when you can watch the signal, the brightness, and the volume respond in real time. A reader who wants the concept rather than the sales pitch will find the demo the most useful part of the hour.

Where to go from here

If this introduction has you curious, the most useful next step is the full webinar, which runs about 53 minutes and includes the live playback demo that Tarrant builds toward. Watch it with the core ideas in mind: biofeedback as the parent category, operant conditioning as the learning engine, EEG bands as the vocabulary, and the qEEG brainmap as the starting point of an individualized program. Then look at the NeuroMeditation Institute website, listed in the video's description, to see how its approach is described in its own words. Keep in mind that this is a single introductory talk from 2022, and that Tarrant himself stresses that neurofeedback comes in many forms. Ask any provider how their assessment works, what their brainmaps compare against, and how they decide which patterns to train. Those questions will tell you more than any single video can.

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Transcript

[0:02] [Music]

[0:04] welcome everybody uh

[0:07] thanks for joining us for this

[0:10] one hour webinar and this is really uh

[0:13] designed as a

[0:15] a basic introduction and i think that

[0:18] was fairly clear in the description

[0:20] um but um i think it's good to say at

[0:23] the beginning just in case some of you

[0:25] have

[0:26] some sort of background and

[0:28] neurofeedback or or know a lot about it

[0:31] this is going to be a pretty basic

[0:32] approach

[0:33] of really kind of looking at uh

[0:35] explaining how neurofeedback works

[0:38] um what is it that we're measuring how

[0:40] do we measure things how do we determine

[0:44] approaches to use with things like adhd

[0:46] anxiety and depression

[0:48] and then um

[0:50] doing a little bit of a playback demo so

[0:53] i can show you what neurofeedback

[0:55] actually looks like rather than just

[0:57] talking about it

[0:58] um

[0:59] so a little bit of my background just

[1:01] briefly

[1:02] so my name is jeff tarrant i'm a

[1:04] psychologist

[1:06] in eugene oregon in the united states

[1:09] and

[1:10] i've been predominantly working in the

[1:13] neurofeedback

[1:15] field as a professional for about

[1:17] 25 years

[1:20] and the field has changed a lot in that

[1:22] time

[1:24] if you could see some of the technology

[1:26] that i worked with at the beginning

[1:28] uh compared to now it's like night and

[1:31] day it's totally different

[1:33] thank goodness it was it was very

[1:35] rudimentary uh at the beginning

[1:38] uh stages

[1:39] and uh

[1:41] is much more interesting and useful now

[1:44] um

[1:46] so the

[1:47] one of the caveats that i should sort of

[1:49] give you at the beginning is that

[1:52] there's actually a lot of different

[1:53] kinds of neurofeedback and a lot of

[1:55] different companies and a lot of

[1:56] different types of equipment

[1:58] and of course there's no way that we

[2:00] could cover all of those possible

[2:03] options in terms of how people might

[2:06] engage with neurofeedback my goal is to

[2:08] give you sort of a basic overview

[2:11] and uh

[2:12] that

[2:13] is probably going to be

[2:15] a piece of what you would see with just

[2:18] about any provider

[2:19] that's what i'm hoping anyway

[2:22] so

[2:22] starting out uh what is neurofeedback

[2:25] right that's the question so

[2:28] neurofeedback is really a specialized

[2:30] form of biofeedback okay well what's

[2:33] biofeedback biofeedback is really any

[2:36] kind of a system

[2:38] where you are measuring or monitoring

[2:42] some aspect of physiology

[2:44] and giving the person

[2:46] some sort of visual or auditory feedback

[2:48] about what's happening in their body

[2:51] so

[2:52] you can use biofeedback to measure skin

[2:56] conductance right which is sweat gland

[2:58] activity on your fingertips

[3:00] you can do heart rate variability

[3:02] measuring aspects of how the heart is

[3:04] behaving

[3:05] you can do muscle tension

[3:07] right little sensors that you stick on

[3:08] the body

[3:09] to measure how tight or relaxed the

[3:12] muscles are

[3:14] skin temperature

[3:16] brain blood flow all of these are

[3:18] aspects of biofeedback

[3:20] neurofeedback is just really taking that

[3:23] idea but applying it to

[3:25] brain waves usually brain waves

[3:28] sometimes you'll hear people use the

[3:30] term neurofeedback

[3:31] talking about things like brain blood

[3:33] flow or some other aspect of brain

[3:36] functioning it's almost always brain

[3:38] waves

[3:39] right which we're going to get into here

[3:40] in a minute

[3:42] so the idea with neurofeedback is that

[3:44] if you can monitor brainwave activity

[3:48] and

[3:49] in some way communicate that information

[3:52] in a useful way

[3:54] to the client or

[3:56] the person that you're working with they

[3:58] can learn

[3:59] to modify their own brainwave patterns

[4:03] now why would we want to do that well

[4:05] because

[4:07] the way that i tend to look at things is

[4:09] that one of the reasons that people tend

[4:11] to experience

[4:13] symptoms

[4:15] so whether it's anxiety or depression or

[4:17] something else

[4:18] is

[4:19] that the brain has become sort of stuck

[4:21] in a pattern

[4:23] that's no longer useful

[4:25] it started doing something

[4:27] maybe it's just the way the person was

[4:29] born but the brain has kind of developed

[4:31] a rhythm a way of engaging

[4:33] that is actually kind of rigid

[4:36] and so it keeps repeating the same

[4:39] processes even if they're not useful

[4:42] so what we seem to be doing in

[4:45] neurofeedback is creating more

[4:47] flexibility in the system we're helping

[4:50] the brain learn to shift out of those

[4:52] stuck patterns and learning how to do

[4:54] something different

[4:56] now we'll get into more of that in a

[4:58] minute because it gets to this idea of

[5:01] you know how do we teach the brain to do

[5:02] that

[5:03] and really

[5:05] it's actually fairly basic in some ways

[5:07] the principles are largely

[5:09] part of something in psychology that we

[5:11] call operant conditioning

[5:13] which is basically if you reward

[5:16] something

[5:18] it'll do it more right so this this

[5:20] applies to like training a puppy right

[5:23] if you have a puppy and you want the

[5:25] puppy to do certain things and not do

[5:27] certain things well

[5:29] when it does what you like you give it a

[5:30] treat

[5:32] and guess what it does it more

[5:34] and if it if it does something you don't

[5:36] like you can either ignore it or you can

[5:39] punish it

[5:40] in which case it will do it less

[5:43] so these this is the basic idea of

[5:44] operant conditioning

[5:46] and interestingly the brain responds to

[5:49] the same kinds of basic

[5:52] behavioral mechanisms

[5:54] so we're using that to our advantage to

[5:55] teach the brain

[5:58] now most of you on this call you i'm

[6:00] sure you've heard of neurofeedback and

[6:02] you've probably heard it in relation to

[6:06] being a treatment option for a variety

[6:08] of different

[6:09] conditions

[6:10] and that's true and we'll we'll get into

[6:12] some of that you can also use it to

[6:14] enhance performance so things like um

[6:18] enhancing cognitive abilities

[6:21] right or uh cognitive performance or

[6:23] being able to pay attention

[6:25] we we use it a lot at the moment to

[6:27] facilitate meditative states

[6:30] so we kind of know what the brain should

[6:31] be doing during different types of

[6:33] meditation

[6:34] and so we can monitor those brain wave

[6:36] patterns and help somebody find those

[6:40] states of consciousness

[6:42] okay now before i can kind of get into

[6:46] um

[6:47] you know the the nuts and bolts of some

[6:50] of this

[6:51] we need to talk a little bit about

[6:54] brain waves because this is kind of the

[6:57] basis of everything we're going to be

[6:59] discussing in this webinar and so if you

[7:02] don't know what we're talking about

[7:04] it makes sense to get us all on the same

[7:05] page

[7:07] right so

[7:09] super basic overview

[7:12] what are brain waves well it's

[7:13] electrical activity made in the brain so

[7:17] every cell

[7:18] in your body

[7:19] and we're interested in brain in the

[7:21] brain cells but you know neurons but

[7:23] this is true with

[7:24] all of your cells

[7:26] uh

[7:27] you know it collects

[7:29] information from other cells

[7:32] through

[7:32] dendrites so dendrites are these little

[7:34] spines that are connected to the cell

[7:36] body and so this receives chemical

[7:38] information in the form of

[7:40] neurotransmitters

[7:41] things like serotonin dopamine etc that

[7:44] information gets received by the cell

[7:47] body

[7:48] and it uses that to make a decision

[7:50] about

[7:50] whether it's going to send its own

[7:52] signal or not

[7:53] and when it receives enough information

[7:55] that says yeah send a signal the signal

[7:59] it sends is actually electrical

[8:02] so the brain communicates chemically and

[8:05] electrically you got to have both

[8:07] so this electrical signal goes down the

[8:10] axon it goes down to these

[8:13] the axon terminals

[8:15] and then it releases more chemicals that

[8:18] get picked up by another nerve cell

[8:20] so

[8:21] brain cells communicate electrically and

[8:24] chemically

[8:25] um so what we're talking about is the

[8:28] electrical patterns

[8:29] now

[8:30] each brain cell

[8:32] is firing

[8:35] many many many many many times a second

[8:38] in some cases thousands of times a

[8:40] second

[8:41] right so

[8:42] what we are actually measuring when

[8:44] we're doing something like an eeg

[8:47] electroencephalograph this is where

[8:48] we're putting sensors on the scalp

[8:51] to measure electrical activity

[8:54] what you're actually measuring is large

[8:57] groups of neurons firing together so

[9:00] you're measuring patterns

[9:02] of electrical activity

[9:04] right it's too much to i mean you can go

[9:06] in and measure one elect

[9:08] one neuron at a time it's invasive of

[9:11] course you have to

[9:12] go into the brain and have highly

[9:14] specialized equipment and be in a

[9:15] research hospital

[9:17] um

[9:18] it's possible

[9:19] but what we're doing is sticking an

[9:21] electrode on the surface

[9:23] and looking at large patterns

[9:25] of electrical firing

[9:27] initially what we've got is this you

[9:30] know something that looks like this

[9:31] right so when you think of an eeg when

[9:33] you think of

[9:34] monitoring brain waves this is what many

[9:36] people think about because it's what we

[9:38] see in tv right and if you ever go to a

[9:41] neurologist for a sleep study or to look

[9:45] for seizures

[9:46] this is what they're largely going to be

[9:48] looking at it's called the it's called a

[9:50] raw

[9:50] eeg or a clinical eeg

[9:53] and what you're looking at is

[9:55] all of the electrical activity in in

[9:58] this case 19 locations on the scalp

[10:01] so there's 19 locations they all have a

[10:03] special name so we know where we're

[10:05] where we're at

[10:06] and you see the little squiggly lines

[10:10] that represent

[10:13] uh eeg activity as it's moving through

[10:15] the brain

[10:16] now

[10:17] this is all great except unless you're a

[10:20] neurologist

[10:22] this isn't going to mean much probably

[10:25] all these squiggle lines well what does

[10:26] this mean

[10:28] now if you're a neurologist you're

[10:29] looking for gross abnormalities you're

[10:32] looking for a seizure right or something

[10:34] like that you'll see that in this raw

[10:36] pattern

[10:38] now for us

[10:40] we need more

[10:41] finesse in terms of what we're looking

[10:44] at

[10:45] so what we do is we take a raw eeg

[10:48] something like this

[10:50] and then we run it through

[10:52] some filters a digital filter

[10:56] and what that does is allows us to see

[10:59] more of the nuance

[11:01] in the signal

[11:03] so the best way i can kind of describe

[11:05] how this works

[11:06] is by using an analogy

[11:08] right so if you've ever seen white light

[11:12] go through a prism

[11:15] out the other side comes

[11:17] a rainbow right a spectrum of colors

[11:21] and so if you think about what that

[11:22] means for a moment what it means is that

[11:25] all of those colors are contained in

[11:28] white light

[11:29] but you don't see them until you filter

[11:32] it

[11:33] so the prism acts as a filter

[11:36] because each of those colors is a

[11:38] different frequency

[11:40] red is a different frequency than blue

[11:43] right there's all of the colors have

[11:45] different frequencies so all of those

[11:47] frequencies are contained in the white

[11:49] light

[11:51] but again you have to filter it to see

[11:52] it

[11:53] so if we kind of go back to this image

[11:55] for a minute

[11:57] each one of these squiggle lines is kind

[11:59] of like a beam of white light there's a

[12:01] whole bunch of frequencies contained in

[12:03] here

[12:04] but you don't see it until you filter it

[12:08] so we run it through a specialized

[12:10] software program

[12:12] that

[12:13] pulls the signal apart so we can look at

[12:15] all the different frequencies

[12:17] right and by frequencies i'm talking

[12:19] about the speed of

[12:21] the electrical signal

[12:23] how many cycles per second are there how

[12:25] many repetitions of the wave are there

[12:28] per second

[12:29] so we can break it all apart

[12:32] and then when we do that

[12:34] we can see well how much activity is

[12:36] there

[12:37] in each of these frequencies

[12:40] right so there's two issues the speed of

[12:43] the brain wave

[12:44] how fast it is

[12:46] how many repetitions there are in a

[12:47] second

[12:48] and then how much of it is there how big

[12:51] is it so this is amplitude right or

[12:54] power

[12:55] and it's usually measured in microvolts

[12:58] so there's two issues that we have to

[12:59] deal with

[13:01] now most of the time we're not looking

[13:03] at individual frequencies we're not

[13:05] looking at one hertz two hertz three

[13:07] hertz four hertz

[13:09] what we look at instead are clusters of

[13:12] brain waves

[13:14] clusters of frequencies so when you hear

[13:16] these terms delta theta alpha beta gamma

[13:20] and there's other terms that you might

[13:22] hear as well

[13:23] for eeg bands

[13:26] a band is just a group

[13:29] all these are are clusters of

[13:31] frequencies

[13:32] so in general delta waves are going to

[13:35] be the slowest waves

[13:37] right so something like

[13:39] one to four hertz

[13:41] so one cycle per second two cycles per

[13:44] second so instead of looking at them

[13:45] individually they get put into a little

[13:47] group and we call it delta

[13:50] you can see the delta is also the the

[13:53] strongest it's got the most power it's

[13:56] the biggest

[13:57] right

[13:59] and so you'll see this pattern

[14:00] throughout the slower the brainwave the

[14:02] more power it tends to have

[14:05] theta a little bit faster still

[14:08] considered a slow brainwave

[14:11] alpha again a little bit faster

[14:14] so at alpha we're looking at like 8 to

[14:16] 12 cycles per second

[14:20] beta we're starting to get into fast

[14:21] brain waves

[14:23] right now sometimes you'll see high beta

[14:25] it's kind of the next category up

[14:27] and then gamma

[14:29] and for the most part gamma is about as

[14:31] fast as we look right now and that's

[14:33] typically around 40 cycles per second

[14:37] okay

[14:38] so the brain is making all of this

[14:40] activity zero hertz up to 40 hertz

[14:43] actually way beyond that

[14:45] it's making all these frequencies all

[14:47] the time everywhere

[14:50] right so it's a little bit of a mistake

[14:52] to think oh the brain is now making

[14:54] alpha

[14:55] well the brain is always making alpha

[14:58] it's just how much alpha is it making in

[15:01] relation to the other brain waves

[15:05] so

[15:06] the different relative

[15:08] amounts of the different brain waves

[15:11] has something to do with our states of

[15:12] consciousness so this is where things

[15:14] get interesting right

[15:16] so you can see the really brief

[15:18] descriptions under each of these names

[15:21] and this is kind of what they're known

[15:22] for right these particular eeg bands now

[15:26] again it doesn't mean like if you're

[15:28] asleep that you only have delta

[15:31] right of course you have the other ones

[15:32] but you might have a lot more delta

[15:35] you can think of dealt having a lot of

[15:37] deltas being sort of unconscious

[15:40] right things are shut off

[15:42] um

[15:43] you know

[15:44] you're in a deep sleep or you're

[15:46] disconnected you're dissociated or

[15:49] things are shut down for repair

[15:52] in theta we tend to be in that sort of

[15:54] like

[15:55] drifting into sleep that

[15:57] twilight state it can also be states of

[16:00] creativity

[16:01] right tapping into the subconscious

[16:04] dreams

[16:06] certain types of

[16:07] meditation uh involve theta

[16:10] alpha's kind of the middle tends to be

[16:12] more like an internal awareness

[16:16] and being more physically and mentally

[16:17] relaxed

[16:19] so everybody likes alpha in general

[16:22] alpha tends to feel pretty good

[16:25] beta we're getting faster if there's a

[16:26] lot of beta

[16:28] in all likelihood you're thinking you're

[16:30] analyzing you're processing your brain

[16:32] is doing something

[16:34] active

[16:35] right crunching numbers or figuring

[16:37] something out or planning for the future

[16:41] and then gamma gamma's the one that

[16:42] everybody's excited about right now

[16:45] because it's associated with some

[16:48] higher states of consciousness and

[16:50] heightened perception

[16:52] so sometimes it's associated with being

[16:54] like in a flow state or being in the

[16:56] zone

[16:57] these aha moments

[16:59] where you

[17:00] understand something without efforting

[17:03] without putting in too much thought too

[17:06] much conscious thought it's like

[17:09] the mind-body mechanism figures it out

[17:12] by itself

[17:14] gamma is also associated with certain

[17:16] types of meditative states it's been

[17:18] found with

[17:20] advanced

[17:21] meditators doing a compassion meditation

[17:24] this gamma you also see it in things

[17:26] like lucid dreaming you also see it show

[17:29] up in things like psychedelic states so

[17:32] gamma's kind of an interesting fun one

[17:34] but again for us the important thing is

[17:37] how much of each one of these

[17:39] is there in a given moment

[17:42] right

[17:43] okay

[17:45] so

[17:46] let's let's kind of get down to more

[17:47] practical issues right so we've got all

[17:50] these brain waves

[17:52] and i've already told you that the

[17:53] amount of each one has something to do

[17:55] with our state of consciousness

[17:57] you also start to see that the

[18:00] relationship of these brain waves how

[18:03] much they're there are of each one

[18:05] are also related potentially to

[18:08] different mental health concerns

[18:11] so one that's really well known it's

[18:13] been in the literature for a long time

[18:15] is something called the theta beta ratio

[18:18] and its association with adhd

[18:22] so you remember theta is a slow brain

[18:24] wave

[18:25] beta is a fast brain wave

[18:28] so if you measure the amount of theta

[18:32] and divide it by the amount of beta

[18:34] specifically at a location called cz

[18:37] right in the center of your head

[18:40] that ratio seems to be very predictive

[18:43] of whether somebody has adhd or not

[18:47] and so that simple ratio theta beta

[18:50] at cz

[18:52] you can see that from the research

[18:55] the effect sizes for

[18:57] research in this area are quite large

[19:00] right so if you're not a researcher that

[19:02] may not mean much to you but a 0.75

[19:04] effect size is huge

[19:06] if you were a researcher and found that

[19:07] you'd be very excited

[19:09] and just as an example i i put a

[19:11] citation from many years ago

[19:14] where when they looked at the theta beta

[19:15] ratio

[19:17] in a control group it did not have adhd

[19:20] the average ratio was 2.4

[19:23] right so you could imagine you measure

[19:25] theta and let's say it was uh

[19:28] 12 microvolts

[19:31] and you measured beta and it was

[19:34] 5 microvolts you do the math

[19:37] and i don't know what it is two point

[19:40] something right that's kind of normal

[19:43] so kind of a two to one ratio ish

[19:46] is about what we expect

[19:49] and then you see with the adhd group

[19:52] the average ratio was 3.7

[19:55] much higher there's much more slow

[19:58] activity

[19:59] compared to

[20:00] fast activity

[20:02] now that's contrary to what a lot of

[20:05] people think with adhd they think

[20:08] you know because adhd is characterized

[20:10] often

[20:11] by

[20:13] you know lack of impulse control

[20:15] difficulties paying attention all of

[20:17] this kind of stuff

[20:19] that it looks like things are running

[20:22] too fast

[20:24] and that's not always the case a lot of

[20:26] times the brain is actually running too

[20:28] slow

[20:29] and so what is happening

[20:31] is that

[20:32] it's making it difficult for certain

[20:34] parts of the brain to do its job

[20:36] effectively

[20:37] so if there's too much theta hanging

[20:39] around in the frontal lobes which is

[20:41] kind of what we're talking about here

[20:43] and you can actually see in the image

[20:45] below you see all that extra theta up in

[20:47] the frontal lobes what that means is

[20:49] that though that part of the brain is

[20:51] having a hard time

[20:53] being efficient and being effective

[20:55] and so

[20:57] um

[20:58] what do the frontal lobes do well

[20:59] they're involved in paying attention

[21:01] they're involved in inhibiting impulses

[21:04] right this is why with some of

[21:06] some

[21:07] kids and adults with this type of adhd

[21:11] stimulants often seem to work

[21:13] because the brain is under stimulated

[21:16] if you stimulate the brain

[21:18] it functions better

[21:20] right so it makes sense in this context

[21:23] yeah tyler just made a comment about

[21:25] could you speak to increased beta and

[21:26] distractibility yeah so here's where

[21:29] things get a little bit tricky right

[21:31] because a lot of people come in and they

[21:33] say i have adhd and you say okay let's

[21:35] do a brain map which we'll talk about in

[21:37] a minute what a brain map is

[21:39] but we measure their brain wave activity

[21:41] and we're kind of looking for this

[21:43] pattern this theta beta

[21:45] uh issue and it's not what we see

[21:48] instead what we see is a bunch of fast

[21:50] activity

[21:52] and so it's like huh okay what's going

[21:54] on here

[21:55] so

[21:57] if you have a bunch of fast activity

[21:59] what usually happens

[22:01] um if somebody's talking about adhd is

[22:03] that there's so much happening

[22:05] internally there's so much information

[22:07] coming in they're thinking about so many

[22:09] things at the same time

[22:11] that it becomes difficult to filter

[22:13] through all that information to just

[22:15] focus on one thing

[22:17] so it still looks like adhd it just has

[22:19] a different

[22:21] uh

[22:22] i don't want to say cause a different

[22:24] signature

[22:25] in terms of an eeg pattern

[22:28] whereas again oversimplified but to show

[22:30] the difference if somebody has a lot of

[22:32] slow brainwave activity

[22:34] the distractibility might because

[22:36] there's not enough information to keep

[22:38] their attention right so the stereotype

[22:41] of like the kid who's like spaced out

[22:44] and looking around the room

[22:46] you know rocking in their chair getting

[22:48] up to sharpen their pencil they're

[22:50] looking for more stimulation

[22:53] so it's kind of two different issues but

[22:55] from the outside it could look the same

[22:57] this is why we find that measuring

[22:59] somebody's brainwave activity

[23:02] uh is really useful because if we

[23:04] understand what the brain is doing it

[23:06] can help us make decisions

[23:08] about how to best serve that particular

[23:10] person so meredith asked a quick

[23:12] question could this potentially

[23:14] implicate research

[23:15] implicate research the use of stimulants

[23:18] for dissociation considering that

[23:21] is also slower waves

[23:25] uh that's interesting

[23:26] um so if i'm understanding you're kind

[23:28] of what you're saying is that could

[23:30] stimulants be useful

[23:32] to help

[23:33] uh kind of pull people out of a

[23:35] dissociative

[23:36] uh kind of a state because dissociation

[23:38] is also

[23:40] uh characterized by an excess of slow

[23:43] wave activity

[23:44] it's an interesting idea i don't know i

[23:46] don't know the answer to that but um

[23:49] i'm you know i'm sure somebody has

[23:51] looked at that you would think so uh but

[23:54] i but i haven't but it's a great

[23:55] question and then karen asks i'll take

[23:57] one more question here and then i'll

[23:58] save the rest until we get a little bit

[24:00] further in if that's okay

[24:02] uh so karen says can a brain map show if

[24:03] someone is a high sensing person

[24:06] um

[24:07] so um i'm assuming karen that what

[24:09] you're talking about is like somebody

[24:11] that's

[24:12] uh highly sensitive i think that's

[24:14] probably what you're saying a highly

[24:15] sensitive person

[24:17] and uh the answer is yes and no

[24:22] which is

[24:23] most of the type of answers that we will

[24:25] have here because the brain's

[24:27] complicated

[24:29] um

[24:29] and so what i mean by yes and no is that

[24:32] the back part of the brain the parietal

[24:35] lobes

[24:36] which are kind of this back quadrant

[24:38] have a lot to do with sensory processing

[24:42] and so if you see somebody that has a

[24:44] lot of

[24:46] very often fast brainwave activity back

[24:48] there

[24:49] it could be slow

[24:51] but basically

[24:52] some sort of dysregulation

[24:55] of that area of the brain it could very

[24:57] well be associated with sensitivity

[25:00] either being oversensitive or under

[25:02] sensitive

[25:03] now the the reason i said yes and no is

[25:05] because just because somebody has

[25:07] uh

[25:08] excess

[25:09] activity back there or

[25:11] or low activity back there

[25:13] it doesn't necessarily mean that they're

[25:16] highly sensitive

[25:17] um so it doesn't kind of go both ways

[25:19] right if we see the pattern it's not an

[25:21] automatic sort of diagnosis and that's

[25:23] true with anything

[25:25] uh in this field just because we see a

[25:27] pattern like even if i saw this pattern

[25:29] on the screen with all this theta in the

[25:31] frontal lobes now i'm gonna have a red

[25:34] flag out like oh i wonder if this person

[25:36] has some adhd symptoms

[25:39] um but they may not

[25:41] because people are tricky and that they

[25:44] may have figured out ways to compensate

[25:45] or to work around that or that slow wave

[25:48] activity may be showing up in a

[25:49] different way

[25:51] so

[25:52] you you never want to i never want to

[25:55] and i think as a field we shouldn't make

[25:57] diagnoses

[25:59] based only on the brain map

[26:01] we want the brain map and then we want

[26:03] other data to help us understand what

[26:06] this brain map means right why is there

[26:09] fast activity there our slow activity

[26:11] what does that suggest

[26:13] and

[26:14] you know what data can i gather to help

[26:16] me understand

[26:17] what's going more specifically with this

[26:19] individual

[26:21] let me give you another example

[26:24] so anxiety

[26:26] now again

[26:27] um

[26:28] i'm oversimplifying some of this for the

[26:31] purposes of of this webinar right

[26:33] because we can't cover everything

[26:35] um

[26:35] [Music]

[26:36] but one of the patterns that we

[26:38] frequently see with anxiety is

[26:41] too much fast activity so it's actually

[26:43] the opposite of what we just talked

[26:44] about with adhd with sort of a

[26:46] stereotypical adhd

[26:50] is too much fast activity and it can

[26:53] show up in lots of places but one of the

[26:56] places we often see it is right down the

[26:58] midline

[27:00] so

[27:00] the front so the midline is called the

[27:02] anterior cingulate when you

[27:04] dig a little bit deeper down to the

[27:06] brain not on the surface

[27:08] it's called the cingulate gyrus

[27:11] and the anterior cingulate this part up

[27:13] in the front

[27:14] is

[27:15] very much involved in

[27:17] a variety of emotion regulation

[27:20] responses

[27:22] and so when this part of the brain gets

[27:23] over active

[27:25] it's so beta high beta things like that

[27:30] almost

[27:31] again not always frequently it's

[27:33] associated with overthinking

[27:36] getting stuck on certain thoughts or

[27:39] feelings or body sensations

[27:41] uh rumination

[27:43] right all those kinds of things i know

[27:45] there's a lot of info on this slide

[27:48] but just to highlight a couple of things

[27:49] on the bullet points

[27:52] showing you know that multiple

[27:54] researchers and clinicians have found

[27:56] this pattern

[27:57] right so you see

[27:59] um

[28:00] you know the third bullet point

[28:02] so the eeg pattern most associated with

[28:05] stress and anxiety are increased beta

[28:08] and decreased slow wave activity so

[28:11] specifically alpha so a couple of

[28:14] different researchers have found that

[28:16] right

[28:17] um

[28:18] the fourth one anxiety is generally

[28:19] associated with an increase of 19 to 22

[28:22] hertz activity what's 19 to 22 hertz

[28:26] beta right so again you see this over

[28:28] and over again this pattern

[28:31] and so again it's one of those things

[28:33] that if somebody comes into the office

[28:35] and they say i have anxiety

[28:38] i i worry all the time okay

[28:41] and if we do a brain map a quantitative

[28:43] eeg that's what q eeg stands for

[28:47] and we see that there's a lot of fast

[28:49] activity

[28:50] right here on the anterior singulator

[28:52] down the midline

[28:54] those line up pretty well so now we know

[28:57] what to target with neurofeedback and

[28:59] that's the point of all of this is we're

[29:01] looking for patterns that make sense

[29:03] given the concerns so that we know how

[29:06] to best approach

[29:07] a neurofeedback session which we haven't

[29:10] even got to

[29:11] yet one more example with depression

[29:15] again a little bit of an

[29:16] oversimplification but this is a pattern

[29:18] that shows up consistently

[29:20] so there's a thing called frontal

[29:22] asymmetry so it used to be called alpha

[29:25] asymmetry

[29:26] now we more just call it frontal

[29:28] asymmetry

[29:30] if you look at activity in the right

[29:33] versus left frontal lobes

[29:36] what you will see is that

[29:38] if the

[29:39] left frontal lobe is a little bit more

[29:42] active

[29:43] that's usually a good thing

[29:45] so that tends to be

[29:46] uh

[29:47] you know more associated with things

[29:50] like positive feelings and more of an

[29:52] approach motivation meaning

[29:55] if there's something going on that needs

[29:57] addressing you move toward it to resolve

[30:00] it right so it's a proactive type of a

[30:03] feeling state

[30:05] if there's more activity on the right

[30:06] side

[30:08] that actually tends to be associated

[30:10] with more negative feelings

[30:11] right so more pessimistic attitude

[30:14] uh more of a cup half empty kind of a

[30:17] feeling

[30:18] and a tendency to more move away from

[30:21] challenges so withdrawal motivation

[30:25] so again if we if somebody comes in and

[30:27] they say i'm depressed okay

[30:30] and we do a brain map

[30:31] and we see we're looking at these

[30:33] frontal lobes and we see this pattern

[30:37] that's a pretty good indication that

[30:39] those things go together

[30:41] and you know not to get too

[30:44] too much in the weeds here but

[30:46] again there's a lot of research kind of

[30:48] supporting this idea that frontal

[30:51] asymmetry is associated with

[30:53] negative mood and depression in

[30:55] particular

[30:57] um so i don't need to go through all of

[30:59] those but just to show you that there is

[31:01] research in this area

[31:03] some of it actually was pioneered by

[31:06] richie davidson

[31:08] which some of you may know from the

[31:10] meditation world so he's a researcher at

[31:12] the university of wisconsin

[31:15] and does a lot of the work right now

[31:17] with looking at the tibetan monks he

[31:19] works with the dalai lama

[31:21] and uh anyway so he pioneered a lot of

[31:24] this work with frontal asymmetry

[31:26] so

[31:27] the idea right is that somebody comes in

[31:30] they've got certain kinds of concerns

[31:32] and then

[31:33] we are doing a brain map we're doing a

[31:35] quantitative eeg

[31:37] in an attempt to see if there are brain

[31:38] patterns that make sense

[31:41] with their concerns

[31:43] now and again just to reiterate

[31:45] the patterns that we've covered are only

[31:47] one of many options right there's other

[31:49] ways that things could show up for adhd

[31:52] for anxiety for depression but these are

[31:54] some of the basic patterns

[31:56] now how do we get this information how

[31:59] do we measure somebody's brain

[32:01] well we do an eeg

[32:04] and so this is an old picture of of me

[32:07] you can see my hair super short and

[32:09] that's my son because of course you

[32:11] can't take pictures of your clients

[32:13] that's usually frowned upon

[32:15] so um my son served as my

[32:17] um volunteer in this case

[32:20] and so you see we put this kind of

[32:21] elastic cap on the person that has 19

[32:26] active sensors

[32:28] electrodes sensors the same thing and

[32:30] then you've got little ear clips that

[32:32] connect to the cap

[32:34] the ear clips are there

[32:36] um

[32:37] to serve as a reference

[32:39] so the software needs the some sort of a

[32:43] reference point

[32:44] in order to calculate your brainwave

[32:46] activity and the ears tend to work well

[32:49] um so you get the cap on you squirt a

[32:52] little bit of conducting gel into each

[32:54] one of those little uh sensors so on the

[32:58] inside of the cap there's like a little

[33:00] plastic housing

[33:02] with the metal sensor kind of tucked up

[33:04] in there

[33:05] so we use a conducting gel that we

[33:08] squirt into the little hole

[33:10] that serves as a bridge from the from

[33:13] the um

[33:15] scalp

[33:16] up to the sensor because even though the

[33:18] brain's making electricity it's very

[33:21] very very small

[33:23] and we have to read it through your

[33:25] skull and through your skin and through

[33:27] your hair

[33:29] so the conducting gel helps

[33:31] bridge that

[33:33] so you can see there's a wire a ribbon

[33:36] connected to the cap

[33:37] that's connected to those 19 sensors

[33:40] you plug that ribbon into an amplifier

[33:43] an eeg amplifier

[33:45] so

[33:46] that's collecting the data the eeg data

[33:49] and

[33:50] amplifying the signal because again

[33:52] they're very tiny

[33:53] and then it's sending it to specialized

[33:55] software so you can see the data

[33:59] live record it and then use it later for

[34:01] analysis

[34:04] so i keep using the term brain map

[34:06] that's kind of a you know

[34:08] um

[34:09] that's not an official term but it's

[34:11] what all of us in the field call it

[34:13] because what we tend to do is we collect

[34:15] this eeg data

[34:17] and then we run it through some sort of

[34:19] a database

[34:20] a normative database and there's a

[34:23] variety of them out there on the market

[34:25] that have been well researched

[34:28] and

[34:31] contain data from a wide range of people

[34:35] from different age groups

[34:36] so the idea is i could do an eeg with

[34:40] somebody who is

[34:43] uh

[34:44] 21 years old

[34:46] and i

[34:47] collect their data and i run it through

[34:50] uh one of these databases so there's

[34:52] there's one called neuroguide there's

[34:54] one called qeg pro there's one called

[34:57] braindx there's actually a bunch right

[35:00] so you pick which database you want you

[35:02] got to pay for it of course

[35:05] and i

[35:07] upload my data

[35:08] and what it does then is it

[35:11] compares that person's eeg data to a

[35:14] normative group

[35:15] so if they're 21 years old it's going to

[35:17] compare them to other

[35:19] people that are around 21 years old

[35:22] and what it's going to do is give this a

[35:24] little map like this

[35:26] that shows us

[35:28] how much brainwave activity they have in

[35:30] each of these g bands

[35:34] based on a comparison

[35:36] so you know how much

[35:38] activity does a person have compared to

[35:40] sort of average

[35:43] now just because somebody has more or

[35:44] less activity than average doesn't mean

[35:46] it's a problem necessarily right

[35:49] um

[35:50] and we're looking for things that make

[35:52] sense you know given their concerns

[35:55] so this was just kind of a you know a

[35:58] semi-random brain map that i just

[36:00] grabbed you know just to sort of

[36:02] demonstrate right so you can see there's

[36:04] an excess amount of theta in the back of

[36:06] the head

[36:07] okay

[36:08] not sure what that might mean because

[36:10] not sure which client this was from

[36:13] and then you see this really sort of hot

[36:15] spots of high beta in a couple of

[36:17] locations it's a little bit of an

[36:18] unusual pattern

[36:20] now you also see these little hot spots

[36:22] here that is probably something that we

[36:24] call artifact artifact is stuff that's

[36:27] not a brainwave

[36:29] uh

[36:30] that

[36:31] uh

[36:32] that gets in the way that gets in the

[36:34] signal

[36:35] right so muscle tension

[36:38] is an artifact so when you use your

[36:40] muscles

[36:42] it fires

[36:43] muscle

[36:44] uh

[36:46] cells right so there's electricity

[36:49] and that shows up or if there's movement

[36:52] so if you're moving the eyes side to

[36:54] side or if the eyes are wiggling or

[36:55] something like that it's going to show

[36:57] up on here so sometimes that stuff kind

[37:00] of sneaks into the record and you just

[37:01] have to know what you're looking for so

[37:03] that you don't misinterpret something

[37:06] right now this is the the front page of

[37:10] uh this looks like it was a neuro guide

[37:11] report

[37:12] and this is the front page

[37:15] and

[37:16] literally you could have up to 30 pages

[37:18] of data from one recording

[37:22] so there's a tremendous amount of data

[37:24] uh that's in there that's available if

[37:26] you and you just have to kind of know

[37:27] what you're looking for so

[37:29] that's my job right you look at this

[37:31] you're trying to figure out what's going

[37:33] on here and how it makes sense with

[37:34] their symptoms

[37:36] so once we have that information so once

[37:38] we kind of have an idea

[37:41] um then we move into the neurofeedback

[37:44] portion right we know what we want to

[37:45] train

[37:47] and

[37:48] now we have to figure out how we're

[37:49] going to teach the brain

[37:50] to do something different

[37:53] so this is another just example using my

[37:56] son

[37:57] and

[37:58] so now the cap's gone

[38:00] and in this case we're using

[38:03] um four

[38:05] single sensors so it's a different way

[38:08] of hooking up now you don't have to use

[38:09] four sensors you could use one or two

[38:12] you could use a cap again for training

[38:14] it depends on

[38:15] how many locations you're wanting to

[38:17] train with neurofeedback

[38:19] what are the areas of importance

[38:21] right so for example if we go back a

[38:23] slide

[38:25] maybe you know we decide that

[38:28] these are the only two areas i'm

[38:30] interested in these two that have the

[38:31] big red

[38:32] circles on high beta

[38:35] well maybe i only need to put two

[38:37] electrodes one here so this location is

[38:40] called p3

[38:42] and this location is called c4

[38:45] right so maybe i only need two

[38:47] electrodes one at p3 one at c4

[38:51] right maybe i don't need the whole cap

[38:54] so we make a decision

[38:55] and then we create a protocol i'm gonna

[38:57] show you more what that looks like in

[38:59] real life in a minute

[39:00] so we put the electrodes

[39:02] um on the head this time we're using a

[39:04] different kind of a paste

[39:06] instead of the gel

[39:08] we're using uh something called

[39:11] 1020 which is

[39:13] it's a little bit of a stickier paste

[39:15] and so it kind of holds it onto the

[39:16] scalp for us but it's also a conductant

[39:20] and then the client is looking at

[39:22] usually

[39:23] a computer monitor that is connected to

[39:26] their brainwave data

[39:29] now let me show a different slide for a

[39:31] second for a different perspective so

[39:32] this is more like a typical setup

[39:34] where the therapist might be sitting

[39:37] next to or behind the client

[39:39] and they're looking at all the data so

[39:42] if you can kind of see my little

[39:44] computer screen on this image there's a

[39:46] bunch of numbers on there in fact this

[39:48] particular program i was using it kind

[39:50] of looks like the matrix there's all

[39:52] these numbers and they're kind of moving

[39:53] around and changing from moment to

[39:55] moment

[39:57] right

[39:58] and so i'm looking at that and i'm

[40:00] setting particular

[40:02] um goals for the brain waves

[40:05] so whatever i'm monitoring again let's

[40:08] use the example from that brain map

[40:10] there's too much high beta i want the

[40:12] high beta to go down

[40:15] so i might be monitoring the high beta

[40:17] activity

[40:18] and i set a threshold

[40:21] and i say okay anytime the high beta

[40:23] goes below this line

[40:25] you're going to get a reward

[40:27] right it's that operant conditioning i

[40:29] want to reward the brain

[40:31] for doing the right thing

[40:34] so i'm over there making little

[40:35] adjustments

[40:36] and the client is watching something

[40:38] else

[40:39] now in this case he's just watching this

[40:42] uh geometric pattern that kind of

[40:44] changes shape and changes colors and

[40:46] there's some nice relaxing music that

[40:48] goes with it

[40:49] and so what will happen on this

[40:51] particular way of using it

[40:53] is that when his high beta goes below

[40:55] that line which is what we want

[40:58] then the screen is all the way bright

[41:00] the volume is all the way up

[41:02] if the high beta goes above the line

[41:04] which is not what we want then the

[41:07] screen dims out and the volume starts to

[41:09] drop

[41:11] so this is the feedback

[41:13] not just for the client

[41:15] um consciously but also unconsciously a

[41:18] lot of this process takes place

[41:21] below the level of the conscious mind

[41:24] the brain's trying to figure out what

[41:26] the game is

[41:27] you know it understands operant

[41:28] conditioning without you having to

[41:30] manipulate anything

[41:32] and so the brain will start to make

[41:33] adjustments trying to figure out what do

[41:35] you want me to do

[41:37] and so it will try to figure out the

[41:39] game

[41:41] and in which case when it starts

[41:43] figuring it out and getting good at it i

[41:45] can make it a little bit harder

[41:46] right okay good oh you started to go

[41:48] down good can you go down a little bit

[41:50] more

[41:51] right so it's this dance

[41:54] between

[41:55] kind of the therapist

[41:56] and the client

[41:58] of trying to encourage the brain in the

[42:01] right direction

[42:03] so

[42:04] i'm going to try to show you a demo real

[42:06] quick so what we're looking at here this

[42:08] is a very simple

[42:10] protocol and again for demonstration

[42:13] purposes we want to keep it simple and

[42:15] so this is only looking at one location

[42:18] right so we're looking at one location

[42:21] it's just at pz this is the back of the

[42:23] head and this is the raw eeg

[42:26] right so that's everything it's like

[42:28] that white beam of light that contains

[42:31] everything

[42:32] and then we have it filtered a little

[42:33] bit so if you want to just see the alpha

[42:35] or the theta and you know we could make

[42:37] this a little bit

[42:38] uh boost

[42:40] the the signal if you want to see more

[42:42] definition

[42:43] right so you can see that theta there's

[42:45] fewer repetitions

[42:47] it's a slower wave how many repetitions

[42:50] are there between each red line and you

[42:53] can see with alpha there's a little bit

[42:55] more it's a little bit faster right

[42:57] now this is just this slide is uh or

[43:01] this uh screen is really just to make

[43:03] sure that we have

[43:05] um

[43:06] enough

[43:07] of a good signal that's all that we're

[43:09] using this screen for

[43:11] if i go to this

[43:12] screen this is where i'm actually doing

[43:14] some training so this is the therapist

[43:17] screen right

[43:18] and again it's very simple because i'm

[43:20] only doing one thing i'm measuring one

[43:22] location

[43:23] and i'm measuring one eeg band in this

[43:26] case alpha

[43:27] so this protocol that we're looking at

[43:29] is an alpha down protocol we want alpha

[43:32] to be decreased

[43:33] at the back of the head

[43:35] with the eyes open this is actually a

[43:37] really well known well it's becoming

[43:39] well-known protocol

[43:41] that was created by

[43:44] are really made famous by

[43:45] a researcher in canada named ruth lanius

[43:49] who was using this with post-traumatic

[43:51] stress disorder and getting really good

[43:53] results this is actually real data from

[43:56] somebody that i've been working with

[43:58] recently

[43:59] and

[44:00] uh what we're looking at on this screen

[44:02] you see the light blue line

[44:04] that represents the alpha activity

[44:07] at that location that pz and you can see

[44:09] it fluctuates it goes up it goes down it

[44:11] kind of moves around a little bit

[44:14] so my job is

[44:15] to help that activity decrease

[44:18] now you can see where i've got this

[44:20] white line that's the threshold

[44:23] okay right now it's too hard they're not

[44:25] ever getting below the line

[44:27] so i need to bring it up a little bit so

[44:30] i'm going to raise the threshold up a

[44:32] little bit

[44:35] so that

[44:37] hopefully they can figure out where it's

[44:39] at and start figuring out how to get

[44:42] below that line

[44:43] now realistically the client could

[44:46] actually watch the screen and use this

[44:48] as their feedback literally they're

[44:50] seeing their brain waves

[44:52] and

[44:53] part of the feedback is is it above the

[44:55] line is it below the line right

[44:58] so they could use this but it's kind of

[45:00] boring

[45:01] right although to be honest i do have

[45:02] people who kind of like this they kind

[45:04] of like

[45:05] seeing the more direct type of

[45:07] information

[45:09] okay so i've got it in a place right now

[45:11] where

[45:13] it's above the line some it's below the

[45:15] line sum

[45:16] and you know we'll kind of like

[45:19] play with this and see if they can find

[45:20] it

[45:22] now

[45:23] this is pretty boring

[45:24] so this might be what i have on my

[45:26] screen but this probably isn't what i

[45:28] want them to be watching i want them to

[45:30] have something else that's more

[45:31] interesting so what we might do

[45:35] is

[45:35] open up something like a youtube video

[45:39] so now you can see that

[45:42] you know they're getting all this

[45:43] positive feedback and it's dimming a

[45:44] little bit right oh what happened so in

[45:46] this case if we're looking at alpha down

[45:48] at the back of the head what we know is

[45:50] that when alpha um when your attention

[45:53] is internal when you're in your own head

[45:54] alpha goes up which is not what we want

[45:57] when your attention is external

[45:59] alpha goes down so as long as you're

[46:01] keeping your attention on what's on the

[46:03] screen and what you're seeing

[46:05] then

[46:06] you

[46:07] will keep the alpha down you'll be

[46:08] successful as soon as you get in your

[46:10] own head and start thinking which is

[46:11] usually not a great thing

[46:13] then it dims out so it can draw your

[46:15] attention to your own state of awareness

[46:18] a couple more just real quick things

[46:19] we've already talked about this but how

[46:21] does it work

[46:22] how does neural feedback work well

[46:26] operant conditioning you reward

[46:27] something it does it more you ignore

[46:29] something it does it less

[46:31] so this idea of use it or lose it

[46:33] brain cells that fire together wire

[46:35] together so through repetition

[46:38] usually we're doing these sessions twice

[46:40] a week

[46:41] and uh that repetition

[46:44] is

[46:45] um

[46:47] then kind of rewiring the brain

[46:49] literally you know because that's the

[46:51] way the brain works if you use something

[46:53] it gets stronger if you don't use

[46:54] something it gets weaker so trying to

[46:56] provide

[46:58] new information for

[47:00] the brain to be more efficient and

[47:02] effective

[47:04] you can use neurofeedback for a whole

[47:05] bunch of things

[47:07] the evidence

[47:09] for

[47:10] different conditions

[47:12] has been evaluated and published um

[47:15] uh there's probably an updated version

[47:17] but i don't think i have it because this

[47:19] one's all the way back from 2008.

[47:21] there's got to be an updated version by

[47:22] now

[47:23] but uh

[47:24] published by the applied association for

[47:26] applied psychophysiology and biofeedback

[47:29] and they go through all the research for

[47:31] all the different conditions with

[47:32] neurofeedback and biofeedback

[47:35] and say whether there is how much

[47:37] support there is

[47:38] and interestingly the highest level

[47:42] uh is with adhd and epilepsy

[47:45] seizure disorders

[47:47] uh level four which is you know the next

[47:49] highest there's a whole bunch of stuff

[47:51] anxiety pain headache etc some of this

[47:54] is biofeedback specifically and not

[47:57] neurofeedback but nonetheless the

[47:59] evidence is pretty good

[48:01] um for a lot of these different

[48:03] conditions and there's getting to be

[48:05] more and more evidence for ptsd

[48:07] not just using lanius's protocol but

[48:09] also

[48:10] uh some other protocols that uh

[48:13] seburn fisher uh has used in conjunction

[48:16] with vessel van der kolk and so there's

[48:19] more research coming out with that as

[48:20] well

[48:22] so i know we only have a minute or two

[48:23] left i always use all the time but um

[48:26] are there any

[48:28] additional questions before we wrap this

[48:30] up anything else on anybody's mind i

[48:32] tried to hit most of the questions as we

[48:34] were going

[48:35] i think i might have missed one

[48:36] somewhere

[48:38] there was a question about ocd is it a

[48:41] treatable condition actually uh

[48:44] yes

[48:46] and it depends right

[48:48] so there's always going to be

[48:50] um

[48:51] successes and not successes but it's

[48:55] interesting because a lot of times with

[48:56] obsessive-compulsive tendencies you see

[48:59] that same pattern that we talked about

[49:00] with anxiety that the anterior cingulate

[49:03] gets really kind of overheated or in

[49:05] some ways it's kind of not behaving the

[49:07] way we would like and so people tend to

[49:09] get fixated

[49:11] and so if we can get that part of the

[49:12] brain to relax or to loosen up a little

[49:14] bit

[49:15] then it uh it works much better another

[49:18] question here is the nucleus of the

[49:20] vagal nerve involved at all

[49:23] um

[49:24] so

[49:25] we can't really get to the vagus nerve

[49:30] through neurofeedback specifically

[49:32] there's other technologies that we can

[49:34] use

[49:35] to

[49:36] activate stimulate the vagus nerve

[49:39] so vibro acoustic technologies work

[49:41] really well

[49:43] heart rate variability biofeedback seems

[49:46] to activate the vagus nerve

[49:48] um so there are ways that we can get to

[49:50] the vagus nerve using other tech

[49:53] just not really specifically

[49:55] neurofeedback maybe there is but i just

[49:56] i'm not aware of it

[49:58] um i keep clicking the wrong button

[50:01] uh how does someone start doing this

[50:03] therapy i'm starting grad school in the

[50:05] fall to get my mft uh john great

[50:08] question that's a longer one send me an

[50:11] email and i'm happy to kind of give you

[50:13] some additional info

[50:14] how many sessions does it take to notice

[50:16] improvement oh great question

[50:18] uh adhd and anxiety in general with adhd

[50:22] if it is a typical

[50:24] theta

[50:26] excess pattern you can get some

[50:28] significant results in about 20 sessions

[50:32] again it varies sometimes you get that

[50:35] earlier sometimes it takes a little bit

[50:36] longer

[50:38] i'd say to say about the same is true

[50:39] for anxiety

[50:41] although honestly with anxiety i'm

[50:43] likely to use additional approaches

[50:46] so using other types of biofeedback with

[50:48] neurofeedback using some of that stuff

[50:50] we just talked about

[50:53] some vibro acoustic technology to kind

[50:55] of drop the nervous system down

[50:57] activate the the vagal nerve so there's

[51:00] um

[51:02] you know combining technology

[51:04] interventions is a um can often be a

[51:07] really

[51:08] powerful way to kind of move things

[51:09] quicker

[51:11] help regulate mania or hypomania i'll

[51:14] take this as last question and then

[51:16] we'll we'll drop it here uh thanks erica

[51:19] um

[51:20] so

[51:20] mania and hypomania there's less

[51:23] research behind that with neurofeedback

[51:27] i would say again

[51:29] in some cases i think yes

[51:31] especially if you're using a more

[51:32] stabilizing protocol so there's an

[51:35] approach called z-score training which

[51:37] is beyond the scope of what we can get

[51:40] in here to today it's a little more

[51:41] complex

[51:43] but it's really looking at

[51:45] systems networks in the brain and try

[51:48] and helping the whole networks kind of

[51:51] work in a little bit more organized and

[51:54] um structured way

[51:56] something like that or something like

[51:57] smr training

[51:59] can potentially help just relax the

[52:02] nervous system so that it's not over

[52:05] responding

[52:06] so i think that's our best

[52:09] chance

[52:10] with something like mania or hypomania

[52:12] but again there's just not a lot of good

[52:14] research at the moment

[52:18] yes heart math is great elizabeth um

[52:21] it's a great way to train heart rate

[52:22] variability i use it all the time

[52:25] um

[52:26] chris what forms of feedback are best

[52:27] besides dimming yeah games are great

[52:31] uh i particularly like using a game from

[52:33] a company called zoo core

[52:36] so they've got a software called zoo

[52:37] core air

[52:38] so you're you know you have an avatar of

[52:41] a creature flying around in the sky or a

[52:44] bird or a plane or something and you're

[52:46] flying through targets

[52:48] in the sky

[52:50] and so it's great especially for

[52:51] something like adhd or that alpha down

[52:54] approach where there's something very

[52:56] clear that is the goal

[52:59] and your mental state

[53:01] uh directs how accurate your flight path

[53:04] is so there's games like that

[53:07] in general the games need to be

[53:09] fairly

[53:10] um

[53:11] simple if you make them too complicated

[53:13] then there's gonna be too much cognitive

[53:16] extra going on that's gonna interfere

[53:19] with the training

[53:20] um so but there's lots of good games out

[53:22] there um and most of these companies

[53:24] have games built into their systems that

[53:26] work as well

[53:28] okay i gotta wrap it up there

[53:31] thank you all for showing up uh there

[53:33] will be a replay on youtube in a few

[53:35] days check out our neuro meditation

[53:37] channel there

[53:38] and uh thank you all so much

NeuroMeditation Institute
ArtistNeuroMeditation Institute

NeuroMeditation Institute, founded in Eugene, Oregon by psychologist Dr. Jeff Tarrant, teaches a brain-based approach to meditation through five styles, classes, coaching and profe…

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NeurofeedbackEeg-biofeedbackQeeg-brainmapOperant-conditioningAdhd

Got Questions?

Frequently Asked Questions

Jeff Tarrant of the NeuroMeditation Institute describes neurofeedback as a specialized form of biofeedback that measures brainwaves and gives the person visual or auditory feedback about them. Over time, the person can learn to modify their own brainwave patterns. The webinar's description adds that brainwave data can be linked to something like the brightness and volume of a movie, so the brain sees its own activity in real time.
Yes, according to Tarrant, the core learning principles are largely part of operant conditioning, the idea that a behavior which is rewarded tends to happen more often. He uses the example of training a puppy, and notes that the brain responds to the same basic behavioral mechanisms. In neurofeedback, the reward is the feedback signal rather than a treat.
A quantitative EEG assessment, or qEEG, records brain activity from 19 locations on the scalp and analyzes it through several systems. The results are brainmaps that compare an individual's activity to a normative database, which helps a practitioner see where and how certain regions are behaving. The webinar description says these maps are used to guide individualized training programs.
The webinar addresses ADHD, anxiety, and depression as applications, using ADHD as a worked example of how a practitioner might move from a diagnosis to a brainmap-based target. Tarrant describes patterns that tend to be associated with anxiety but cautions that treating any single pattern as the cause would be an oversimplification. Viewers should look at the full talk for the detail behind these claims and treat it as an introduction, not a clinical guide.
Tarrant explains that a scalp EEG records large groups of neurons firing together rather than single cells, so the raw trace is dense and unfiltered. The meaningful information appears after the signal is filtered and sorted into frequency bands such as theta and faster rhythms. Those bands are the vocabulary neurofeedback uses to decide what to reward.
Biofeedback measures some aspect of physiology, such as skin conductance, heart rate variability, muscle tension, skin temperature, or blood flow, and gives feedback about it. Neurofeedback applies the same idea specifically to brainwaves, which Tarrant says is almost always the signal used. The learning principle is the same in both: monitor, communicate, and let the person adjust.
No. Tarrant says neurofeedback can also enhance cognitive performance and attention, and it is used to facilitate meditative states, since researchers know roughly what the brain does during different kinds of meditation. Treatment for symptoms is one application among several.

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