Also called EEG biofeedback. The technology of neurofeedback has evolved over the past years. Neurofeedback incorporates various sciences in order to map brain function. Mapping the brain allows one to better understand brain function leading to better guided neurofeedback therapy. It is the integration between neuroscience, neurology, psychology, rapidly evolving field of computer science and faster CPUs, electrical engineering, and mathematics that has made neurofeedback a successful treatment protocol. With advancement of faster computers, complex mathematical formulas are used to come up with more accurate and live brain mapping. Based on the brain’s potential to change/plasticity, we can alter and improve one’s brain waves or brain functions leading to improvement in behavior and desirable cognitive function.
To start the brain training or neurofeedback training one first performs electroencephalogram (EEG) while the eyes are open and closed. This gathered EEG data will be analysed by a quantitative EEG software and the patient’s brain map is drafted. Brain mapping or QEEG will allow to better understand the brain function based on the frequency and distribution of the waveforms. The information from QEEG analysis allows one to form a treatment plan or a training protocol in order to help organize and normalize in most cases the brain wave activities at a location within the brain.
- Based on protocol derived from QEEG analysis, neurofeedback training will be planned and implemented.
Once a treatment protocol is drafted the neurofeedback training will be started. At this time EEG electrodes are placed on the scalp and the individual will be hooked down to an amplifier. Patient will be sitting in front of a TV/computer monitor to provide feedback for the purpose of optimizing brain waves.
The number of neurofeedback/brain training sessions for one to see a positive response can vary from 5-20+ sessions. Typically, each session is about 35 minutes long and is done approximately twice a week. On average, after about 5-10 therapy sessions, patients have expressed better sleep, feeling less anxious, improved memory, ability to concentrate better, ability to better perform tasks and activities. Patients have also expressed emotional stability. The average success rate is about 75%.
The lasting effect of neurofeedback could be up to 30 years based on the literature that is available. However, depending on the diagnosis/treating condition, individual, the severity and length of the symptoms, there are times that one may need to have more therapy sessions and or booster therapies.
- Based on the available data and current research, on average after about 20 sessions the success rate for the stress management is about 90%, attention disorder 65%, memory loss 73% and improving burnout symptoms are about 78%.
Regarding the side effects of neurofeedback, unlike medication that needs to incorporate itself into the body, neurofeedback is a form of brain exercise. As in physical exercise one may get tired. Neurofeedback may occasionally result in a sense of mental fatigue, exhaustion, reintroduce/refresh old emotional and mental conditions, in the form of vivid dreams. Typically, these symptoms gradually subside with rest and as the therapy sessions continue. Other self limiting symptoms are dizziness, light sensitivity, headache, and nausea. The severity of these symptoms is more dependent on the severity of the underlining psychological trauma. That is why it is necessary for us to know each individual’s mental and physical state before starting the therapy.
At AAN we incorporate both quantitative EEG to map the brain to better understand and visualize the distribution of various brain waves/frequencies. Following this you would undergo neurocognitive/neuropsychological testing.
Because you are being evaluated by a neurologist, Dr. Ourmazdi, it is important to bring along any recent medical records, neuroimaging, and lab test results.
At AAN we pursue neurofeedback evaluation and intervention by the following process:
Day One: Each patient is evaluated by Dr. Ourmazdi, our neurologist. During the first visit he will perform a full neurological consultation in addition to reviewing an intake questionnaire. Afterwards, if indicated, he may order blood tests, MRIs and other pertinent neurological tests.
2-4 weeks later: Dr. Ourmazdi will go over your test results. Based on the outcome of this evaluation you and Dr. Ourmazdi will go over various treatment options.
- If we both agreed that Neurofeedback will benefit you, then the following will be scheduled.
Day one of Neurofeedback therapy: The patient will undergo QEEG/ Brain mapping (1hr) and neurocognitive assessment testing (30-60 min) tailored for each individual’s needs.
Day 2: Which is typically within the first 2 weeks Dr. Ourmazdi will review QEEG outcome and go over neurofeedback training and training plan. It is during this visit that he will also answer your questions. Typically, this session takes about 50 minutes. In addition, it is during this visit that we can initiate neurofeedback treatment.
Day 3 and onward: beginning or continuing of training procedure/neurofeedback training. Each session on average takes about 35 minutes. It is expected that one has had a good night sleep the night before, eaten well before, has had no alcoholic beverages nor consumed any marijuana products, is able to sit and relax comfortably in a chair without the tendency to doze off and fall asleep. You will be seated in a comfortable chair, electrodes will be placed on your head. You are expected to sit in front of a large screen TV or listen to music, eyes open or closed. Instructions are given to follow. For us to assess each treatment effectiveness, typically at the beginning and/or end of each session a small questionnaire is to be filled out.
- During each neurofeedback training session just sit and relax and allow your mind start the training process.
Halfway through/about 10 sessions: in order to assess progression and effectiveness of the treatment a neurocognitive assessment and/or QEEG is repeated. This comparison allows us to further fine-tune and improve the next series of training sessions.
Commonly by about the 20th session: We will repeat QEEG and neurocognitive testing to reassess the success and improvement in symptoms. This may lead to further recommendation such as adding more brain training sessions. Total number of neurofeedback sessions for everyone varies. This is due to the underlining severity of individual’s psychological/cognitive state.
- No two individual outcomes are the same. As in the case of physical exercises no two individuals improve and progress equally.
Goal of Neurofeedback:
Outcome of neurofeedback training is to improve symptoms.
- Increase Energy
- Improve sleep quality
- Improve conscious and focus
- Relax mind
On a case by case basis we have fee reduction plans and scholarship programs. Please ask for them.
First day: Neurology consultation (May bill the insurance depending on the carrier) $275 (per hour)
Second day: Typically a follow up visit will be billed.
First day of Neurofeedback
Assessment: neurocognitive testing and quantitative EEG (may or may not be billable to the insurance) $700
Day two: go over brain mapping data and formulate therapy plan $205 (per hour)
Quantitative EEG brain mapping: (may or may not be billable to the insurance) $550
Individual neuro feedback sessions: $140 (Not insurance billable)
Neurocognitive assessment testing: $140
Package deals paid up front in the first day of Neurofeedback Assessment
10 neuro feedback sessions: $1500
20 neuro feedback sessions $2700