Biofeedback In Psychotherapy
Biofeedback is a powerful adjunctive tool for psychotherapy. Disorders such as
anxiety and depression are mind-body phenomena: they have a basis in both psychology
and physiology. Psychotherapy needs to address both.
In biofeedback a therapist uses scientific instruments to measure
physiological correlates of mental states, and feed the signals back to the user via computer.
This usually means displaying the signal as a graph of some sort.
The feedback enables us to become more aware of how thoughts and feelings
affect us physically. With training and practice with biofeedback,
we can learn to create the physiological conditions for more positive states of mind.
A simple example of a biofeedback parameter is EMG (electromyography) - this is
an electrical correlate of muscle tension. You probably know from your own
experience that muscle tension tends to increase with stress. But it's not always easy
to be aware of, or to change - that's how biofeedback can help.
Another useful biofeedback parameter is the level of carbon dioxide
in exhaled air, which can be measured with an instrument called a capnometer.
Depleted levels of carbon dioxide are an indication of over-breathing.
In my experience over-breathing is one of the most significant factors in
anxiety and depression. The figure above shows the effect of over-breathing:
reduced brain activity levels. Breathing retraining using capnometry biofeedback
can appreciably ameliorate physical symptoms of stress.
Neurofeedback
Neurofeedback is biofeedback that uses some measure of brain activity, most
typically EEG or electroencephalography. It is a powerful modality and can help almost any
disorder of the nervous system including psychiatric disorders such as depression or OCD,
developmental disorders such as Attention Deficit Disorder or ADD, and Traumatic Brain Injury
(TBI) to name just a few.
Biofeedback Links
Association for Applied Psychophysiology and Biofeedback (AAPB)
Biofeedback Foundation of Europe
York Biofeedback Centre - this is sister-site of the present one,
giving more information on both biofeedback and neurofeedback.