PEP006: Stimulation Technologies

24 CE Hours / $500

Instructors: Cynthia Kerson, PhD, QEEGD, BCN, BCB & Dave Siever, CET

Cynthia Kerson

Cynthia Kerson

PhD, QEEGD, BCB, BCN (Assistant Program Director)

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Dave Siever

Dave Siever

EET

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Stimulation technologies, which include audio-visual entrainment (AVE), cranio-electro stimulation (CES) and transcranial DC stimulation (tDCS) are current treatment modalities that utilize both indirect and direct stimulation of the brain to regulate brain state, cognitive and emotional wellbeing. These are forms of applied psychophysiology – a union of psychology and physiology. There are many research publications showing efficacy with AD/HD, seizure disorders, substance abuse, autistic spectrum disorders, mild traumatic brain injury and post-traumatic stress disorder, depression, cognitive decline in seniors and academic improvements in college students, among others. A medical and/or psychological practitioner may, under the scope of his license, practice this intervention. It is essential that the practitioner gains full knowledge of the neuroanatomical and neurophysiological features of the brain sites being trained and understands the likely objective and subjective reactions.  A medical professional and a psychologist would be brought to current knowledge about psychological and clinical implications of the various technologies.

This course addresses the concepts of dysarousal, learning principles, best training protocols, and treatment plans for specific presentations for neurofeedback and neuromodulatory approaches.

Level:

Introductory to Intermediate (some knowledge of brain function and anatomy as well as neuromodulatory mechanisms is required)

Abstract:

Stimulation technologies, which include audio-visual entrainment (AVE), cranio-electro stimulation (CES) and transcranial DC stimulation (tDCS) are current treatment modalities that utilize both indirect and direct stimulation of the brain to regulate brain state, cognitive and emotional wellbeing. These are forms of applied psychophysiology – a union of psychology and physiology. There are many research publications showing efficacy with AD/HD, seizure disorders, substance abuse, autistic spectrum disorders, mild traumatic brain injury and post-traumatic stress disorder, depression, cognitive decline in seniors and academic improvements in college students, among others. A medical and/or psychological practitioner may, under the scope of his license, practice this intervention. It is essential that the practitioner gains full knowledge of the neuroanatomical and neurophysiological features of the brain sites being trained and understands the likely objective and subjective reactions.  A medical professional and a psychologist would be brought to current knowledge about psychological and clinical implications of the various technologies.

This course addresses the concepts of dysarousal, learning principles, best training protocols, and treatment plans for specific presentations for neurofeedback and neuromodulatory approaches. This course will also demonstrate EEG recording and training procedures with state of the art instrumentation and will prepare the clinician for providing neurofeedback in his practice.

References:

Collura, T. & Siever, D (2009). Chapter 8 – Audio-visual entrainment in relation to mental health and EEG. Quantitative EEG and Neurofeedback-2nd Edition, 195-220.

Kharrazian, D. (2013). Why my brain isn’t working. Elephant Press: Carlsbad, CA.

Siever, D. (2003). Audio-visual entrainment: I. History and physiological mechanisms. Biofeedback. 31, (2), 21-27.

Siever, D. (2009). Transcranial DC stimulation. NeuroConnections. January, 2009, 22-25.

Smith, R (2007). Cranial electrotherapy stimulation: Its First Fifty Years, Plus Three. Tate Publishing: Mustang, Oklahoma.

Educational need:

Improved understanding of the psychological and physiological implications of the factors, which influence brain function. An understanding of brain stimulation and the technologies of AVE, CES and tDCS plus an understanding of the treatment protocols used with these technologies and an understanding of the outcomes produced.

8 Objectives:

  1. The attendee will gain a foundational knowledge of arousal, how it works and the myriad of influences that modulate it, particularly those influences which modulate it to our detriment.
  2. The attendee will gain a foundational knowledge of QEEGs and view pre and post results of a few cases using AVE.
  3. The attendee will gain a foundational knowledge of heart rate variability (HRV) and the way in which AVE enhances breath and heart.
  4. The attendee will gain a foundational knowledge of the underlying physiological mechanisms on which AVE, CES and tDCS act in bringing about their effectiveness in treatment.
  5. The attendee will gain a foundational knowledge of the history, development and relevant research relating to the emergence of AVE, CES and tDCS and the studies that have been completed in proving their efficacy.
  6. The attendee will learn how AVE protocols are designed.
  7. View demonstrations of the various technologies and how they are employed in order to facilitate an understanding of the equipment, electronic and instrumentation concepts so they may use the equipment with confidence.
  8. The attendee will be better prepared for handling clinical situations where simple, quick, effective and low cost methods may be employed in remediating cognitive and emotional challenges.

Course Outline:

1. Dysarousal Part I (3.5 hours)

View webinar “When Arousal Goes Awry” (2.5 hours)

Read all materials in your Documents 1 folder

Respond to review questions of this section and send to ckerson@saybrook.edu

This section focuses on the general structure of the emotional brain, neuronal regulation and how, genetics, diet, pre-natal/childhood factors, environmental stressors cause dysregulation of the brain, its neurotransmitters, cerebral blood flow and behavior.

2. Dysarousal Part II QEEG (1.5 hours)

View .PPT “QEEG and Pre-Post Studies” (1.5 hours)

(There is no reading for this section)

Respond to review questions of this section and send to ckerson@saybrook.edu

This section is a condensed introduction into EEG and QEEG in particular. The intent of this webinar is to familiarize the student with enough basic knowledge of EEG and QEEG to understand the pre and post results following treatment with AVE.

3. Introduction to Audio-visual entrainment and History (1 Hour)

View .PPT “Introduction to AVE” (30 minutes)

Read all materials in your Documents 3 folder

Respond to review questions of this section and send to ckerson@saybrook.edu

This section introduces the student as to the evolution and historical milestones of audio-visual entrainment technology. It also covers how AVE can use as a prophylactic against maladies and how AVE enhances life in general.

4. Physiology of Audio-visual entrainment Technology (2 hours)

View .PPT “Physiology of AVE” (30 minutes)

Read all materials in your Documents 4 Folder

Respond to review questions of this section and send to ckerson@saybrook.edu

This section involves being able to understand the effects that AVE has of brain physiology and its relevant effects on states of mind.

5. Clinical Studies of Audio-visual Entrainment  (4 hours)

View webinar “Studies of AVE” (1 hour)

Read all materials in your Documents 5 folder

Respond to review questions of this section and send to ckerson@saybrook.edu

The section focuses on the effects of various AVE protocols and the effects they had on improving attention, IQ and behavior.

6. ADD/ADHD and Academic Performance Studies of AVE  (2 hours)

View .PPT “Learning and Attention” (45 minutes)

Read all materials in your Documents 6 folder

Respond to review questions of this section and send to ckerson@saybrook.edu

This section focuses on learning issues, AVE protocols and the effects that they have on improving attention, IQ, grade-point average and behavior.

7. Application of Stimulation Technologies in Sports (1.5 hours)

View .PPT “1 Basics” (30 minutes)

Read all materials in your Documents 7 Folder

Respond to review questions of this section and send to ckerson@saybrook.edu

This section involves understanding the elements involved in peak performance and the “zone,” and how AVE is used to enhance sports performance.

8. Matters of the Heart (2 hours)

View webinar “Matters of the Heart” (30 minutes)

Listen to .MP3 “Breath Training Tutorial” (15 minutes).

Listen to the .MP3 “HRV with Entrainment” track.

Read all materials in your Documents 8 folder

Respond to review questions of this section and send to ckerson@saybrook.edu

The heart is very sensitive to changes in thoughts and emotion. Heart rate variability is a biofeedback based method of measuring heart-breath rhythms and using them to teach relaxation and meditation. However, if a subject is too over-aroused, HRV can be counterproductive as the client tries to establish a slowed (meditative) breath rhythm when his/her autonomic activation clearly will not allow it. AVE breaks through high arousal , mainly by clearing out racy, destructive thoughts, thus allow the subject to gain breath control and fast-track to a calm state of body and mind.

9. AVE Protocol Design  (1 hour)

View .PPT “AVE Protocol Design” (1 hour)

View .MPEG “Applying AVE” (15 minutes).

Read all materials in your Documents 9 folder

Respond to review questions of this section and send to ckerson@saybrook.edu

You will learn the actions on which tDCS is based. You will learn several electrode placement montages for treating various maladies and enhancing cognitive functioning. It also addresses safety and potential side-effects from AVE.

10.  Cranio-Electro Stimulation and Micro-current Electrotherapy (2.5 hours)

View webinar “CES” (30 minutes)

View .MPEG “Applying CES and MET” (15 minutes).

Read all materials in your Documents 10 folder

Respond to review questions of this section and send to ckerson@saybrook.edu

This section of the course focuses on the effects of CES, its applications and how to use CES on the body (micro-current electro therapy) for treating pain. This section also addresses safety and potential side-effects from CES.

11.  Transcranial DC Stimulation  (3 hours)

View .PPT “tDCS” (1 hour)

View .MPEG “Applying tDCS” (15 minutes)

Read all materials in your Documents 11 folder

Respond to review questions of this section and send to ckerson@saybrook.edu

The student will learn the actions on which tDCS is based. You will learn several electrode placement montages for treating various maladies and enhancing cognitive functioning. This section also addresses safety and potential side-effects of tDCS.

Administrative Information

Schedule:

You can start the course whenever wish to within six months of the purchase date and work at your own pace as long as you complete the course within one year of purchase. Just contact us at scher.behavemedfoundation@gmail.com or (800) 530-6658 to get started.

Duration of course validity:

You must begin the course within six months of the purchase date and complete it within one year of the purchase date. Courses not completed by that time are void and must be repurchased if still available. No refunds are provided for courses not completed within one year of purchase.

CE Credit:

The Behavioral Medicine R&T Foundation is approved by the American Psychological Association to sponsor continuing education for psychologists. The Foundation maintains responsibility for this program and its content.

BCIA:

This course is accepted by the Biofeedback Certification International Alliance for recertification continuing education.

Payment, Refund, Scholarship, and cancellation policies:  

Full payment for each course is required before access to the course is provided. Payment is by credit card though our web site’s secure ordering section or by check in US dollars made out to the Foundation and sent to the address below. Full refund will be made until students are given access to the course materials. After getting access to the course materials there is no refund at all as the Foundation has committed its resources to you and you have access to all of the course materials. A course would only be cancelled due to an extreme emergency on the part of the course instructor or the Foundation. In the highly unlikely event a course is cancelled, you would receive a full refund.

Scholarships: 

The Foundation gives scholarships consisting of 25% off the cost of the course(s) to (a) students and professionals (e.g. clinicians, coaches, teachers) from emerging nations and (b) full time graduate students in developed nations.

Course updates:

Updates to all courses are placed on the course web site as they are made. Students are informed when updates are available. 

Questions / further information?

Contact Dr. Richard Sherman (director of the psychophysiology CE and doctoral programs) at rsherman@nwinet.com or (360) 452-5020.