Neurofeedback Neurofeedback : : Objectives and Disclosure What is - PDF document

APNA 29th Annual Conference Session 4023: October 31, 2015 Neurofeedback Neurofeedback : : Objectives and Disclosure What is It? What is It? • Describe how neurofeedback works through neuroplasticity and How to Use It as an Integral How to Use It as an Integral operant conditioning toward brain regulation Part of Psychiatric Part of Psychiatric Nursing Nursing • Evaluate the efficacy of neurofeedback (according to research) for treatment of developmental trauma (including PTSD), Autism Practice Practice Spectrum Disorders, and ADHD • Explain how a psychiatric nurse ethically demonstrates his/her competence in the practice of neurofeedback • This speaker has no conflict of interest to disclose SUSAN PARCELL BINDEWALD PMHCNS-BC What is Neurofeedback? Common Misconceptions Self-initiated Non-medication Non-invasive Electroshock Therapy Scientifically built on operant conditioning and Altered States of Consciousness neuroplasticity Trans-cranial Stimulation HISTORY Neurotherapy 1960’s – Initial Stages 1924- Groundwork University of Chicago o Dr. Hans Berger, o Dr. Joe Kamiya Neurologist University of California, Los Angeles School of Medicine o Dr. Barry Sterman Bindewald 1

APNA 29th Annual Conference Session 4023: October 31, 2015 Why Have I Not Heard of FRANK DUFFY, HARVARD Neurotherapy? UNIVERSITY NEUROLOGIST • “Neurofe feedba back has has be been said said to be to be possib possibly ly the big- the big- “The literature, which lacks any negative gest br gest breakt eakthr hrough in in non- non- study, suggests that NFB plays a major invas invasive me medic dicine ne in in the the therapeutic role in many different areas. In past fifty past fifty years” years” my opinion, if any medication had • (E (Eduardo ardo C Castro, stro, M.D., N D., Neurolo urologist a ist and Robert bert W W. H Hill, ll, PhD, D, demonstrated such a wide spectrum of Psychologist, Healing Y Psyc aling Young B ung Brains ns – The N Neurofeedba eedback ck efficacy it would be universally accepted and Sol Solution , 2009). 2009). widely used.” TH THOMAS IN INSEL, L, Chemical vs. Electrical DIRECTOR OF NIMH DIRECTOR OF NIMH Ther There must must be “a retu be “a return to unde to understanding min mind and brain and brain in terms in terms of rh of rhyth ythms and and patter patterns of ns of elec electri trical communi communicati tion” 2010. ” 2010. NI NIMH MH has reo has reoriented its res its research ch and and is is focus focused on on “diso “disorders rs of of the human connec the human connecto tome” me” (int (interconnected netw network of k of neur neurons in s in the the brai brain) 2013. 2013. Neural Pathways “Medicine Man,” Daniel Goldstein BCIA CREDENTIALING BESSEL BESSEL VAN VAN DER KOLK, DER KOLK, M.D. M.D. Harv Harvard ard Psychia Psychiatrist and Trauma rist and Trauma Expert Expert What are the BCIA • Drugs do not change fundamental brain activity requirements? and medications work only as long as the • 36 Didactic hours of patient takes them. course work • 10 sessions of personal • In the case of ADHD and other disorders, NFB training allows the brain to train to produce different • 100 client sessions patterns of electrical communication, so after a • 10 case conference standard course of treatment, no further drug or presentations other therapy may be needed. • Written certification exam Bindewald 2

APNA 29th Annual Conference Session 4023: October 31, 2015 NEUROTHERAPY Who Can CONSIDERATIONS Benefit From Is Cost Prohibitive? NFB? - For Clinicians - For Clients Time Considerations EVERYONE! Client Expectations Who? Everyone? Well, What About . . . almost . . . • Organic Brain Disorders • “When I train others in learning to do 19-channel z-scored NFB, I • Parkinson’s, Dementia (e.g.: Alzheimer's) really emphasize this need and the discipline required not to ‘chase’ any dysregulations post hoc just because, like Mt. Everest, they are there. When we form hypotheses first, and we find that when the • Benzodiazepines dysregulations match the hypotheses (and therefor the symptoms), • Xanax, Valium, Restoril, Klonopin neurotherapy is successful 98% of the time. By "we" I mean the team at our practice, which includes many specialists”. • Ongoing Substance Abuse • William Lambos PhD Licensed Neurosychologist BCN also noted that about 12% of people (after informed screening and/assessment) should • Marijuana, Alcohol, Heroin not be treated with NFB. July 24, 2015 Email Communication Post Traumatic Stress Disorder Developmental Trauma – Calming the Fear-Driven Brain . . . Using Neurotherapy Bindewald 3

APNA 29th Annual Conference Session 4023: October 31, 2015 1 in 1 in Every 68 Children in America meet Every 68 Children in America meet NFB and Autism Criteria for Autism Spectrum Criteria for Autis Spectrum Dis Disorders rders http://www.youtube.com/watch?v=qiHFI36wmzo Substance Addictions ADHD AND AND LEARNING PROBLEMS “In five studies NFB has been found to result in sustained benefits when reassessed even up to two years after the end of treatment and these findings are in stark contrast to the lack of sustained benefit from either behavior therapy or stimulant medication as documented in the MTA Cooperative study” (Pigott et. al., 2013). ADHD NFB: Level 5 Efficacy • NFB was considered a “Level 1” treatment for ADHD by the American Academy of Pediatrics (AAP): This is “resting on a thirty plus year history of scientific research and clinical success in attentional dysfunctions (Cantor & Evans, 2013).” • “Research has commonly shown that with ongoing practice sessions approximately 75-80% of persons can retrain how the brain is functioning producing significant improvements in a wide range of conditions, such as: ADH ADHD, learning disabilities, anxie anxiety, depression, head injuries, insomnia, autis autism, and addiction” (Hammond, 2011). Bindewald 4

APNA 29th Annual Conference Session 4023: October 31, 2015 PRE AND POST QEEG “BRAIN Inter-Session Reports MAP” Alex, Age 10 REFERENCES Cantor, D. S., & Evans, J. R. (2013). Clinical neurotherapy: Application of techniques for treatment (1st ed.). Oxford, UK: Academic Press Fisher, S. (2014). Neurofeedback in the treatment of developmental trauma: Calming the fear-driven brain . W. W. Norton & Company. Hammond, D.C., (2011). What is neurofeedback: An update. Journal of neurotherapy, 15, 305-336. Myers, J., & Young, J. (2012). Brain wave biofeedback: Benefits of integrating neurofeedback in counseling. Journal of Counseling and Development , 90 (1), 20-28. doi: 10.1111/j.1556- 6676.2012.00003.x Pigott, H. E., De Baise, E., Bodenhamer, E., & Davis, R. The Evidence-Base for Neurofeedback as a Reimbursable Healthcare Service to Treat Attention Deficit/Hyperactivity Disorder. Sherlin, L., Arns, M., Lubar, J., & Estate, S. (2010). A position paper on neurofeedback for the treatment of ADHD. Journal of Neurotherapy , 14 (2), 66-78. doi: 10.1080/10874201003773880 Kolk, B. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma . Viking. REFERENCES REFERENCES Images: Images: http://www.adhdsolutions.co.za/what-is-neurofeedback http://www.nature.org/newsfeatures/specialfeatures/animals/amphibians/strawberry- http://www.brainmaster.com/content-sub/discovery-24e/ poison-dart-frog.xml http://www.patientsleepsupplies.com/Ten20-Conductive-Paste-4- http://homeopaticka-poradna.czweb.org/ oz..html?m1track=googlebase&gclid=CI2x_JPb27wCFY1QOgoduDIALg#googlebase http://www.horrorphile.net/mary-and-max/ http://www.eeginfo.com/shop/product_info.php/cPath/55_60/products_id/245?osCsid=c3b03 http://hartleyfoundation.org/biofeedback-yoga-west 9588c80f6a4a9ff6de28500350a http://www.drchugh.com/rtms.html https://www.cchrint.org/2013/11/25/with-nearly-5-million-u-s-children-on-adhd-drugs-doctors- http://www.futuredude.com/sci-fi-made-real-is-matt-damons-exosuit-in-elysium-possible/ finally-express-concern/ http://www.usgwarchives.net/pa/blair/1picts/davis/freight-train.jpg http://www.homecoming4veterans.org/ http://www.forbes.com/sites/ashoka/2013/04/25/co-creating-our-future-one-big-idea-at-a-time/ http://braintreatmentcenter.asia/english/autism/arts/EEG_findings_in_autism.jpg http://www.eeginfo.com/newsletter/?p=367 http://www.eeginfo.com/qiktest/ http://sleeptechstudy.wordpress.com/2013/05/13/the-international-1020-system-of-electrode- http://ptsdusa.org/what-is-ptsd/the-statistics/ placement/ http://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Mental-Health/ http://www.vcstar.com/news/2008/feb/28/art-vs-aids-fowler-exhibit-examines-how- artists/? Documents/CRPsychosocialInterventions.pdf printer=1%2F http://aspiringmormonwomen.org/2013/10/09/unmet-expectations/ http://www.aamsco.com/solutions/light-bulbs/thomas-edison/ https://onechildvstheworld.files.wordpress.com/2013/10/brain-and-learning.jpg http://www.olyfloat.com/benefits/meditation-creativity/ Video: http://neurofeedback2015.kajabi.com/fe/79711 ‐ rewiring ‐ the ‐ brain ‐ free ‐ ce ‐ seminar Bindewald 5