INTRODUCTION TO CLINICAL
APA Continuing Education (CE) Credits granted: 12
This home-study bundle provides a strong introduction to the use of clinical biofeedback for psychologists, doctors, therapists, health practitioners, and students. This package includes an introduction to common physiological measurements or respiration, heart rate from electrocardiogram (ECK/EKG) and blood volume pulse (BVP), skin conductance, temperature, muscle tension (sEMG) and hemoencephalography (HEG). The instructors outline expectations for clean waveforms and discuss desired norms, as well as providing tips for running hassle-free stress assessments, resonant frequency evaluations and biofeedback training sessions. No prior understanding of biofeedback is necessary in order to benefit from the knowledge-base of this bundle.
The three recordings included in this home-study package are:
Biofeedback Beginner's Online Class Recording
Biofeedback Strategies Online Class Recording
Interpreting Client Results: Psychophysiological Assessment Webinar Recording
At the conclusion of these three home-study recordings, participants will be able to:
- Identify good clean waveforms from poor-quality signal recordings for the following modalities: respiration, heart rate from electrocardiogram (ECK/EKG) and blood volume pulse (BVP), skin conductance, temperature, muscle tension (sEMG) and hemoencephalography (HEG).
- Apply the physiology sensor (listed above) to obtain a clean signal recording from a subject.
- Prepare a patient for stress assessment.
- Perform basic interpretation of stress assessment results.
- Evaluate the client's resonant frequency to determine their optimal breathing rate for maximizing heart rate variability (HRV)
- Understand surface electromyography's (sEMG) use in assessing muscle pain, with specific discussion of lower back pain, upper trapezius asymmetry, headaches and fibromyalgia
- Prepare and follow a general training plan with successive training goals for peripheral finger temperature training.
- Employ effective skin conductance training exercises with a client.
Read below to learn more about the learning objectives and content of each individual recording that is included in the home-study package:
BIOFEEDBACK BEGINNERS' ONLINE CLASS RECORDING
Ideal for beginners or individuals looking to enter the field of biofeedback, Jon Bale, the BFE's research manager, introduces the concepts of measuring psychophysiological indicators for stress profiles. Over the 5 hours of instruction, participants are guided on how to make sense of data monitoring and displaying biological signals of interest for stress assessments and stress profiles, as well as "rule of thumb" numbers to expect in terms of increased and decreased stress. Each lesson will cover a different signal modality in terms of underlying physiology, accurately recording the signal, expected norms, basics of self-regulation, limitations of monitoring, correct methods for sensor/electrode application, and discrimination of artifacts from real data.
The breakdown of the lessons is as follows:
- Lessons 1 & 2: Respiration, Heart Rate and Heart Rate Variability (HRV), from both blood-volume pulse (BVP) and electrocardiogram (EKG) sensors.
- Lesson 3: Skin conductance and Peripheral Finger Temperature
- Lesson 4: Muscle Tension (Electromyography) and short introduction to Hemoencephalography (HEG)
The content of this recording derives from the following works:
"Passive Infrared Hemoencephalography: Four Years and 100 Migraines".
Journal of Neurotherapy
, 8-3 (2004): 23–51.
Moss, Don, and Schaffer, Fred. Psychophysiology & General Health: Heart
Rate Variability (HRV). Version 3.0. Montreal, Canada, 2007
Schwartz, Mark S., Andrasik, Frank. Biofeedback - A Practitioner's Guide,
3rd edition. New York: Guildford Publications, 2005
Thought Technology Ltd.. Basics of Surface Electromyography Applied
to Psychophysiology. Document Number MAR908. Montreal, Canada, 2008
Toomim, Hershel. "A report of preliminary data: QEEG, SPECT, and HEG;
Targeted treatment positions for neurofeedback". Applied Psychophysiology
and Biofeedback, 25-4 (200): 253–254.
BIOFEEDBACK STRATEGIES ONLINE CLASS RECORDING
The BFE receives a large amount of correspondence from health practitioners just getting started with clinical biofeedback. It's quite common for clinicians new to measuring psychophysiology with biofeedback equipment to have questions similar to the ones shown below:
"How should my client sit when recording the assessment profile?"
"How do I get my client to avoid creating artifacts?"
"What is the best way to structure a biofeedback training session?"
"What conclusions can I make from this stress profile?"
Anyone can learn the principles of biofeedback, but many theoretical courses do not get into the tips and tricks of the trade for organizing a therapeutic session, measuring good data, successfully making use of your biofeedback equipment, and coach their patient.
In these four 1.5-hours online class recordings, Linda Walker, Ph.D. candidate, shares her biofeedback strategies of success so that any clinician can improve their therapeutic method and attain better results with their clients. Included in this recording package are two additional 10-minute videos of Linda's assessment preparation of a biofeedback recording session with a client: one of the pre-assessment setup, and the other during the running of the assessment. These recordings also come with Linda's checklist document of reminders for recording and interpreting a psychophysiological protocol.
Note: Linda uses the standard Thought Technology and Biograph Infiniti software as her reference point for recording and review data.
INTERPRETING CLIENT RESULTS: PSYCHOPHYSIOLOGICAL ASSESSMENT WEBINAR RECORDING
- Are you a novice clinician that has trouble with the interpretation of your client's psychophysiological assessment profiles?
- Are you an experienced clinician that sometimes has questions on how to interpret your client's results?
- Are you unsure what the desirable norms should be for your stress assessment results?
- Do you have difficulty building a treatment plan from evaluation data?
This webinar recording is an answer to your interpretation woes, where Jon Bale, the BFE's research manager, will provide a basic guide for interpreting psychophysiological assessment data. This presentation includes step-by-step method for reviewing data, discussion of norms and some common patterns based on research and clinical experience. The modalities that are included in this session's focus are heart rate, heart rate variability (various statistics), respiration rate, skin conductance/galvanic skin response, peripheral finger temperature and muscle tension.