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Can two decades of research be wrong about the benefits of direct neurofeedback for neuropsychiatric disorders?

I don’t think so!

With the growing awareness around complex trauma and the corresponding increase in mental health challenges, such as anxiety, depression, and addiction, it is mission critical that the healthcare system take off the blinders and drop the belief that prescription medications are the first line of attack to address such challenges. Most health care insurance will now cover acupuncture and chiropractic services, which are considered complimentary and alternative medicine (CAM) practices, in addition to more traditional, conventional medical services for what ails the body. However, they seem more reluctant to turn to CAM when addressing what ails the mind. After twenty years of research, direct neurofeedback or transcranial direct current stimulation has been shown to relieve the symptoms of many neuropsychiatric disorders.

The mind is the different levels of consciousness that arises from the brain, the main organ of our neurological or nervous system in the human body. Therefore, the mind works through the organ of the brain to think, feel and decide what action to take or not. So when we are challenged by our mental health, we can work with the mind and/or the brain. Traditionally, medications were prescribed for the brain while psychotherapy was prescribed for the mind. But what if someone is not responding to the medications or doesn’t want to take medications at all? How can we then work with the brain directly, while also working with the mind? That’s where direct neurofeedback comes in.

With the growing understanding of the neuroplasticity of the brain, more noninvasive brain stimulation options have been explored. Neuroplasticity is the nervous system’s innate ability to reorganize itself towards health and balance in response to stimuli by creating new neural networks in the brain. This facilitates the neurons to regulate their responses to new situations. Direct neurofeedback communicates with the brain directly in its own natural electromagnetic language, gently stimulating the brain’s neuroplasticity, facilitating the interruption of the imbalances of the brain and supporting the development of a more balanced state. This approach trusts in the human body’s inborn ability to heal itself when the support structures are organic.

When someone has a history of complex trauma, the body and mind naturally adapt for survival, and symptoms of that adaption include, but are not limited to, panic attacks, obsessive-compulsive thoughts and behaviors, fibromalgia, self-harm behaviors, impulsivity, chronic fatigue, poor concentration and procrastination. The American Psychiatric Association produces a book, called the Diagnostic and Statistical Manual of Mental Disorders, creating labels for all of these normal human adaptations to a chronic hostile environment. The book might be more appropriately titled Human Trauma Responses. When the healthcare system wears this lens when offering healing modalities, it can begin to embrace person-centered care that involves personal choice, which trauma robs us of. Within choice of healing journeys, CAM options become more available when backed by decades of research. As a safe and affordable neuromodulation approach, direct neurofeedback has potential in many clinical uses.

If you would like to read more about this research:

Might direct neurofeedback reduce impulsive behaviors?

The symptom of impulsivity can be found listed under several mental/behavioral health diagnoses, including but not limited to intermittent explosive disorder, substance abuse, OCD, PTSD and binge eating disorder.  When the Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5™) was published in 2013 and included binge eating disorder, I finally felt validated and, at the same time, gratitude for discovering yoga, which helped to reduce my anxiety and my out-of-control eating, especially in light of the fact that I didn’t want to start taking any prescription medications.

My relationship with food has been a long and winding road.  I have memories when I was 4 or 5 of sitting at my kitchen table by myself, long after everyone else finished eating and was allowed to move on, because I was not allowed to leave the table until I finished everything on my plate, including those horrible green vegetables.  I tried every trick in the book, including slipping some to the dog under the table and putting some in my mouth, wiping my mouth with a napkin and spitting what was in my mouth into the napkin.  I also hear my parents in my mind saying “Eat your food!  There are people starving in Africa” and thinking to myself “Great, send them my food!”.

From there, after my parents got divorced, food became scarce for most of my adolescence.  My parents’ divorce and subsequent relationship was very contentious, pushing me into the land of anxiety.  I began to worry about where my next meal would be coming from and if it would be enough.  The pattern that grew from there involved eating large amounts of food (even if I wasn’t hungry) when food was available and eating very quickly (to ensure I got enough before it disappeared).  I also have memories as a young adult where I would eat my meal very quickly and then eat what was left by others on their plates.

As time passed, my relationship with food changed when my weight began to increase.  At this point, I would not allow myself to eat anything until the end of the day, after I had taken care of everyone else’s needs on my list.  Only then, almost like a reward for completing my “To Do” list for others and my sense of self-restraint or control, would I allow myself the indulgence of fulfilling one of the most basic human needs.  What didn’t change at this point though, was the speed in which I ate and the amount of food I would eat!

I then ventured into the many ‘diets’ being promoted.  My weight began to yo-yo.  My life felt so out-of-control as did I!  It wasn’t until I discovered yoga that I found myself in a space to really confront this unhealthy relationship I had with food, facing the fears lying beneath my journey in the land of anxiety.  And even with the support of my yoga practice (and a boost from some hypnotherapy), it took me many more years to see food as simply a source of energy for my body, like gas or electric for a car.

So how excited was I when I read the recent promising research on using direct neurofeedback (i.e., transcranial direct current stimulation or tDCS) to reduce impulsive behaviors!  Although it is not exactly clear how it does so, a positive effect was found in 74 out of 92 research studies.  It warms my heart to learn that there is an alternative to prescription medications, something that specifically supports the brain’s innate ability to reorganize itself towards health, and does so relatively quickly.

If you would like to read a little more on this research, click on the box below: