Archives of the MASBBM Annual Conferences




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October 24, 2015

Loyola University Graduate Center, Columbia, MD

Theme: Practical and Scientific Ways to Understand and Change the Brain

The conference provided presentations suitable for clinicians interested in learning how biofeedback can enhance their practice, as well as those who are well seasoned in their field of biofeedback and neurofeedback. Attendees will gain exposure to methods of EEG and physiological assessment that inform procedures for stimulating neurogenesis and integration into the central nervous system.

Overview of the Conference:
• Two half-day presentations
• Come for the morning or the afternoon or come for all day
• Valuable information for psychiatrists, psychologists, social workers, licensed professional counselors and other health and mental health care professionals
• Instructional Level: suitable for Introductory, Intermediate and Advancedo

A Basis for Behavior: Assessing the Brain to Train the Brain
Morning Presenter: Adrian Van Deusen has worked in the field of applied psychophysiology and neurotherapies since 1995, first as an educational professional, then as a clinical supervisor and, since 2001, as a business owner as well as content creator. Adrian works to create, test and commercialize physiological interfaces as applied by healthcare, education and artistic/athletic professionals through neurofeedback and biofeedback paradigms. He is a published scientific author from his experience in experiment design with doctoral candidates. Adrian's product focus is in digital signal processing applied to game theory and thus in quantifying the human experience. His 20-year career has thus far been a productive one in terms of fomenting growth and critical thinking in the fields of experimental and applied psychophysiology.

Morning Session Description: This brief didactic presentation will offer a basic historical perspective on the development of the EEG assessment field. A more in-depth review of specific EEG assessment techniques for developing neurofeedback plans and tracking clinical evolution will then be followed along a chronological track, from 1 Channel SMR burst count to 1 Channel Theta/Beta to 2 channel, Mini q and finally 19 channel qEEG. General themes of signal quality, changes in age and changes between eyes closed and eyes open states will be brought into context. The overarching goal is to demonstrate commonalities between all the methods discussed and provide a better understanding of different EEG assessments as a singular method of varying complexities, but with a similar procedure and purpose.

Learning Objectives for the Morning Session:Participants will…1. Be more conversant in brain electrical phenomena.
2. Be able to recite the historical arch which has led to this moment in his or her clinical practice with neurofeedback.
3. Discern differences and similarities between a few common EEG assessment methodologies.
4. Be able to discuss at least two EEG assessment methodologies used in the present day..

Target Audience for the Morning Session:
Health care professionals working with or studying to begin working with EEG biofeedback, including psychologists, social workers and licensed professional counselors.

Lunch: presentation of MASBBM’s Fourth Lifetime Achievement Award to William E. Whitehead and a report on MASBBM’s proposed Strategic Plan

Physiological Assessment of Psychological Resilience and the Emerging Technology of Neurointegration
Afternoon Presenter:
Paul Rapp attended the University of Illinois as a James Scholar and graduated with a Bachelors degree in Physiology (minor Chemistry) from the College of Liberal Arts and Sciences and a Bachelors in Physics from the College of Engineering. He attended Cambridge University as a Winston Churchill Scholar and did his PhD in the Department of Applied Mathematics and Theoretical Physics under the direction of Professor Sir James Lighthill. He was a Fellow at Gonville and Caius College, Cambridge University, and subsequently joined the faculty of Drexel University College of Medicine where he was a Professor of Physiology and Pharmacology. In 2007, he joined the Department of Defense as the Director of the Traumatic Injury Research Program.

Afternoon Session Description: Two emerging technologies will be discussed: (1) methods for using noninvasive measures of autonomic nervous system function to quantify psychological resilience and (2) procedures for facilitating neurointegration.

Psychological resilience is understood to be an essential element in a psychologically successful life and is commonly described as an objective of psychiatric treatment including neurofeedback and psychotherapy. The quantitative assessment of psychological resilience has, however, proved elusive. It has been suggested that characterization of autonomic nervous system behavior during recovery from an acute cognitive challenge can provide a meaningful measure of psychological resilience. This research will be described.

Several procedures for stimulating neurogenesis are now available, but neurogenesis alone is not enough. Newly formed neurons must be integrated into the central nervous system. Procedures for meeting this essential clinical requirement are under development and will be described.

Learning Objectives for the Afternoon Session:Participants will…1. Be able to explain how heart rate variability changes during acute cognitive challenge.
2. Be able to describe how the change in heart rate variability during the recovery from stress can provide a measure of resilience.
3. Participate in a review of neurogenesis and the procedures for stimulating neurogenesis.
4. Be able to discuss why neurogenesis must be accompanied by neurointegration.

Audience for the Afternoon Session: psychiatrists, clinical psychologists, biofeedback practitioners, social workers, licensed professional counselors and other health care professionals.

April 25, 2015

Loyola University Graduate Center, Columbia, MD

Self-Medication vs. Self-Regulation: The Neuroscience of Addiction and Meditation
Presenter: A. Martin Wuttke
Martin Wuttke is a pioneer in combining multiple protocols of neuro-biofeedback training as a self-regulation tool for people suffering from many types of common ailments and problems. He has been practicing meditation and using neurofeedback as a tool for recovery for over 20 years. He continues to develop, research and teach protocols for neuro-biofeedback and meditation. Marty is the president of The Wuttke Institute in Carpinteria, CA..

Description: As the organ for the mind, the brain devotes pathways as well as actual numbers of neurons to the various skills we learn and even the very thoughts we think. Just like a muscle, these brain areas will get "stronger" the more we use them. This applies to the positive as well as to the negative thoughts that we entertain. Emotions such as compassion, empathy and harmlessness, therefore, can be cultivated. Over time, the brain will build stronger and larger areas to support and express these attributes. Studies with fMRI confirm that brain areas that correlate with positive emotions actually become thicker as a result of contemplative meditation practice.

Learning Objectives:Participants will…1. Summarize the application of yogic science in neurofeedback and potential for facilitating the meditation process..
2. Recognize the neuro-biological basis of inner transformation.
3. Summarize and discuss the neuroscience of addiction.
4. Apply neuro-cognitive rehabilitation as a tool for addiction recovery.

Target Audience:
Those interested in addiction recovery, meditation, self-regulation and yogic science, including psychologists, addictions counselors, neuropsychologists, neurotherapists and other health providers, as well as students.

October 25, 2014

Loyola University Graduate Center, Columbia, MD

Pathways to Self-Regulation: Demonstrations, Presentations and Case Studies in Nutrition, Biofeedback and Neurofeedback

MASBBM's Role in the Evolution of Self-regulation, Biofeedback & Neurofeedback Lilian Rosenbaum, LCSW-C, PhD, is Clinical Associate Professor in the Department of Psychiatry at Georgetown University Medical School, where, from 1973 to 2001, she taught a medical student elective course titled, "Biofeedback in Integrative Medicine." From 1975 to 1988, she was the Director of Georgetown's Biofeedback Program, believed to be the first in the nation. She has been in private practice providing psychotherapy and biofeedback in the Maryland/DC area for over 40 years. One of the first members of the Innominate Society, the forerunner to the current MASBBM, Dr. Rosenbaum is MASBBM's President-elect and will assume the office of the President at the Spring 2015 Conference.

Description: Carl Sagan once said, "You have to know the past to understand the present." Dr. Rosenbaum uses a quotation from her father to define evolution as "when the next generation knows more than the parents – that's evolution." This presentation will address the evolution of the Innominate Society to the current MASBBM; the evolution of research, ideas and examples of practical applications; and the generational evolution of professionals from the early days of the field to today. Dr. Rosenbaum will recall the first program for clinical treatment at Georgetown University in the Bowen Family Center and provide two examples of early research with monkeys to demonstrate that self-regulation is possible.

Learning Objectives:Participants will be able to…1. Summarize and appreciate the early history of the MASBBM and its vital role in the development of biofeedback and the fields of biofeedback, neurofeedback and behavioral medicine.
2. Recognize how early research and practice impacts the biofeedback field today.
3. Discuss the evolution of professionals in the biofeedback field.

Target Audience:
Current and prospective members of MASBBM; all professionals and students interested in biofeedback and neurofeedback.

Relevance of Nutrition, Foods, Additives and Toxins on Brain health and Behavior

Keynote Presenter: Dana Laake, RDH, MS, LDN, is a Licensed Nutritionist providing preventive and therapeutic medical nutrition services through Dana Laake Nutrition in Kensington, MD. Her practice encompasses the full spectrum of complex health issues in all ages, including children with special needs, ADHD and autism. She received her master's degree in nutrition from the University of Maryland. In addition to media presentations, Ms. Laake has been a Maryland Legislative Assistant on health issues and has served four gubernatorial appointments on two state health care regulatory boards. She has authored two books relating to ADHD and autism nutrition.

Description: The success of therapies for brain trauma, cognition, mood, behavior and self-regulation relies upon the integrity of the brain's neural tissues and neurotransmitters. These structures and systems are significantly dependent upon nutrients and their co-factors. Additionally, while there are many common food culprits affecting the brain, these problematic reactions are unique to each person, based on the individual's own biochemistry. Of increasing concern is the profoundly detrimental impact of artificial additives and environmental toxins on brain structures and functions. This presentation explores the underlying dietary and nutritional approaches as adjunctive and synergistic treatments for those affected by brain trauma, cognitive dysfunction and disorders involving mood, behaviors and self-regulation. Treatment is based on identifying the underlying nutritional, metabolic, digestive, immune, neurochemical and gene variant findings. Optimum brain health can enhance the client responses to therapies, including biofeedback and neurofeedback.

Learning Objectives:Regarding brain health, behavior and self-regulation, participants will…1. Describe the impact of nutrients, foods, additives and toxins.
2. Identify the nutritional, metabolic, digestive, immune, neurochemical and gene variant findings.
3. Describe the basic content of removing what harms the brain and providing what the brain needs.
4. Identify which clients would be good candidates for referrals for nutritional/dietary/ lifestyle interventions.

Target Audience:
Biofeedback and behavioral medicine professionals, other health care practitioners with an interest in biofeedback and behavioral medicine and nutrition/diet/toxin relevance.

A Demonstration of the "Balance From Within" Program

Anna M.C. van Mourik-Maddox, RN, BCN, was born in Amsterdam and in 1962 received her nursing diploma through the University Hospital Leiden, where she developed an interest in mental health issues. In 1985, once her children became young adults, Ms. Van Mourick-Maddox obtained her RN license in Maryland and began to work as a nurse, becoming board certified in psychiatry. Feeling that psychiatric nursing and teaching go hand in hand, in 1993 she received a BSPA in adult education with a minor in psychology. In 1999, through a request from the Alternative Medicine Department at Calvert Memorial Hospital, she attended a course in biofeedback education and was BCIA certified in 2002. In 2013, Anna retired from Calvert Memorial Hospital after 28 years and currently is in private practice.

Description: As a psychiatric nurse, Ms. van Mourick-Maddox provided stress reduction classes to patients at the Calvert Memorial Hospital In-Patient Psychiatric Unit. These classes directly informed and led to the development of the “Balance From Within” program. A key component of this program is patient education, which can be provided through the program’s PowerPoint presentation. There are four main areas of the patient education: (1) Biofeedback as a Complimentary/Alternative Modality, (2) the history and physiology of stress, (3) managing stress and (4) self-regulation techniques. This program can be used in conjunction with biofeedback equipment, but does not require it. This session will highlight the PowerPoint presentation from the instructor’s point of view.

Learning Objectives:Participants will be able to…1. Educate patients about stress.
2. Explain how patient education informs and encourages self-regulation techniques.
3. Demonstrate self-regulation techniques associated with effective breathing.

Target Audience:
Professionals interested in providing stress reduction to their patients.

Four Channel Z-score Neurofeedback Training
Elsie L. Ferguson, MS, PhD, earned her master’s and doctorate in the University of Pittsburgh’s Graduate Division of Natural Health Sciences Department and was a U.S. Public Health Service Fellow in Clinical Psychology for four years. She has been a licensed psychologist in private practice in Bethesda, MD, since 1979 and specializes in clinical psychophysiology (biofeedback and neurofeedback) and cognitive behavior therapy in the context of behavioral medicine. Board certified in clinical neurofeedback and biofeedback, she is a Life Member of the American Psychological Association and is a member of its Division 38 (Health Psychology). Dr. Ferguson is a Past President and current Advisory Board member of MASBBM. She has been a faculty member at the Johns Hopkins School of Medicine and their School of Public Health and has given many professional papers at state, regional and national scientific meetings.

Description: A history of Z-score training will be reviewed, including assessment with either a mini-QEEG or the Neuroguide QEEG. The presentation will include how to use these assessments to guide Z-score therapy. Various Z-score measures will be described and experience with programs for 4-channel Z-score will also be described, including Thought Technology, Integrative Medicine and BFE Z-score screens. Representative clients’ results will be presented and a demonstration of a “hook-up” will be done.

Learning Objectives:Participants will be able to…1. Describe the history of Z-score neurofeedback therapy.
2. List the six Z-score measurements.
3. Explain the difference between a mini-QEEG and Neuroguide QEEG assessment and use in planning and guiding Z-score therapy.

Target Audience: Neurofeedback therapists who want to know more about Z-score neurofeedback therapy.

When Your Knife Won't Cut the Leftovers, You May Need to Switch to a Spoon

Michael A. Sitar, PhD, is a Maryland state licensed psychologist and a Board Certified Fellow in Neurofeedback. He has experience and expertise in providing biofeedback and neurofeedback therapy and psychotherapy with adults, adolescents and children. Dr. Sitar received his doctoral degree from The Catholic University of America and is certified in EEG Biofeedback by the Biofeedback Certification International Alliance and is a member of ISNR, AAPB, APA, MPA and APP. Dr. Sitar has been an MASBBM Board member for over 20 years and is currently finishing out his third stint as President, with his current term ending in 2015. He is on the board of the Pain, a non-profit group providing education and support for chronic pain sufferers and their families. In private practice for over 25 years, his practice is eclectic, encompassing the treatment of ADHD, anxiety, autism, depression, addictions, chronic pain, migraines, TMJ, sleep problems, memory, learning disabilities and head injury.

Description: A case will be presented of a young man with chronic debilitating headaches. Initial progress was made using neurofeedback and treatment was terminated. However, after a lapse of several months, symptoms increased. Further sessions of neurofeedback were unsuccessful and another modality (HRV) was employed, which had variable success and eventual resolution, at least for now.

Learning Objectives:Participants will be able to…1. Describe how biofeedback and neurofeedback may help reduce pain in chronic headaches.
2. Recognize that an intervention may be initially successful, but fail to achieve lasting reduction or remission of symptoms.
3. Demonstrate how being flexible in your practice by recognizing that a successful intervention may not last, may fail on its second application and alternative intervention may then prove effective.

Target Audience: Clinicians who practice neurofeedback and/or biofeedback or who have an interest in psychophysiological approaches.

May 3, 2014

Loyola University Graduate Center, Columbia, MD

Theme: Physiology and Neuropsychology of Head Injury

Neuropsychological Assessment of Traumatic Brain Injury
Presenter: Angelo S. Bolea
, has a PhD in Clinical and Educational Measurement Psychology. With 40 years of experience, he served for 20 years as Director of the Inpatient Neuropsychological Lab conducting head injury rehabilitation assessment. Dr. Bolea currently lectures and has a neuropsychological private practice.

Description: Assessment of brain injury is challenging. Certain tests and test procedures can address specific of brain impairment. Correlation of tests with neurometrics, such as MRI, PET and SPECT scans is a way of increasing validity of the subtle inconsistencies cardinal to brain injury. Testing, clinical history and clinical observations will be explored.

Learning Objectives:Participants will…1. List tests valid to target brain impairments.
2. Compute the within-test inconsistencies characteristic of traumatic brain injury (TBI).
3. Explain basic principles of the test scores and patterns in a healthy brain.
4. Critique neuropsychological narrative reports to improve accuracy of TBI.

Integrated Neuropsychiatric Assessment System (INAS)
Presenter: David O. Keyser, PhD,
is a neurophysiologist and the Director of Laboratory Operations for the Traumatic Injury Research Program, MEM, Uniformed Services University of the Health Sciences. Keyser is a prior chair of the Diving and Environmental Physiology Department, Naval Medical Research Center. He received his Bachelor of Science degree in Biology from The Citadel in 1981. His graduate education includes the University of Maryland School of Medicine and Union Institute and University. At present, Dr. Keyser's research interest is in the elucidation of physiological metrics for the early identification of individuals at high risk of developing PTSD or PTSD-like symptoms following mild traumatic brain injury or psychological trauma. Additional research efforts include application of physiologic metrics to track mental health intervention progress in pediatric/adolescent populations suffering from complex trauma. Keyser is a certified brain injury expert and a member of the American Physiological Society, AAAS and Doctors for Neuroscience.

Description: Individuals receiving mild traumatic brain injuries (mTBI) may not present symptoms in the immediate post-injury period, but they can present significant subsequent impairment in cognitive and affective processing. The object of the Traumatic Injury Research Program (TIRP) is to develop diagnostic technologies that can identify at-risk patients before the appearance of overt symptoms based on electrophysiological and neuropsychiatric testing. TIRP has designed and tested a prototype portable Integrated Neuropsychiatric Assessment System (INAS). The core technology is the DBPA digital amplifier produced by Sensorium, Inc. The INAS combines EEG, quantitative EEG, evoked potentials (visual, auditory, somatosensory), event related potentials (visual, auditory, somatosensory), neuropsychological assessments, psychological testing, psychiatric screening, heart rate variability assessments and eye tracking in a unique assessment protocol.

Learning Objectives:Participants will…1. Discuss physiological processes that are altered in neuropsychiatric disorders and with the technologies that can quantify physiological variables relevant to neuropsychiatric disease.
2. Distinguish the three primary objectives of clinical psychophysiology: diagnosis, assessment of treatment response and identification of individuals at risk of delayed onset presentation of neuropsychiatric disorders.
3. Discuss the benefits of an integrated approach to assessment and the value of simultaneous acquisition of electrophysiological signals and neurocognitive inputs.

Concussion and TBI: What Every Health Care Provider Needs to Know in a Nutshell. It Isn't All in the Head!

Presenter: Mary Lee Esty, LCSW-C, PhD,
is President of the Brain Wellness and Biofeedback Center of Washington, (BWB) in Bethesda, MD. She began providing biofeedback services in 1989. The Center provides biofeedback and neurofeedback treatments for symptoms of concussion and traumatic brain injury (TBI) as well as pain, AD(H)D and mood disorders. Her peer-reviewed neurotherapy research has been published in the Journal of Head Trauma Rehabilitation and the Journal of Neuropsychiatry and Clinical Neurosciences. Currently she is conducting TBI/PTSD research with Iraq/Afghanistan veterans in collaboration with the Traumatic Injury Research Program at USUHS, the military medical school. She is a Senior Fellow of the Biofeedback Certification International Alliance in Biofeedback and in Neurofeedback. Dr. Esty is co-author of Conquering Concussion, a book that describes what is involved in concussion especially the long-term, and often unrecognized, effects of concussion on children and adults.

Description: Post-concussion has many faces. The wide variety of possible symptoms creates confusion and often misdiagnoses because of the many unseen injuries that can result. Some effects are short-lived, but others do not appear for months and often don’t seem connected with the trauma. Weight gain, extreme dizziness, visual problems, learning, sensory and mood problems are only a few that may occur in tandem with behavior problems. Without basic knowledge of how and why these problems appear, the victim may be accused of laziness, lack of motivation, faking pain or malingering. What is the provider or parent to do? This presentation will discuss common and mysterious symptoms and the need for specific therapies and why referrals are necessary. No one therapy has a monopoly on healing and in the case of concussion, a village is often needed. Case histories will illustrate the process of history taking, diagnosis and treatment planning.

Learning Objectives:Participants will…1. Know how to get an in-depth history of unrecognized childhood (or adult) head trauma.
2. Understand how disturbed sleep and poor nutrition impede recovery from concussion.
3. Recognize post-concussion symptoms.
4. Be able to evaluate the potential for recovery.

October 19, 2013
Loyola College Graduate Center, Columbia, MD

Theme: Beyond & Beneath the DSM V: How Electrophysiological Research Findings Can Guide Clinical Treatments and Improve Performance – Endophenotypes and Biomarkers in a Post-DSM World: Stable Guidance Amidst Diagnostic Chaos

Presenter: Jay Gunkelman, QEEG Diplomate,
is recognized as one of the top leaders in the fields of EEG and QEEG. Past-President of the International Society for Neurofeedback and Research, former board member of the Association for Applied Psychophysiology and Biofeedback, Jay was the first EEG technologist to be certified in QEEG and was granted Diplomate status in 2002. He has conducted, published or participated in hundreds of research papers, articles, books and meetings internationally. Jay is co-founder and Chief Science Officer of Brain Science International and is a popular lecturer on the topic of QEEG and phenotype identification of neurological disorders..

Description: Dr. Gunkelman will present the underlying genetic/epigenetic/endophenotypic nature of the 11 common EEG patterns that explain the preponderance of the EEG variability. We will look at a variety of clinical conditions, with the phenotype patterns and their predicted treatment approaches; use peer reviewed published outcome studies, forming the evidence base for these neurofeedback (NF) and medication interventions; and review the pathophysiological basis of attentional and affective regulation disturbances including OCD/ODD, with associated medication predictions, as well as the NF outcome of the phenotype model applied to ADHD, depression and an addiction case series (N=30). The Autism Spectrum will be discussed, with an Autism Science Digest publication in this area and the previously mentioned studies all provided as an electronic handout to the audience on memory sticks.

Following these "harder science" applications of the EEG discussed during the morning session, Dr. Gunkelman will present in the afternoon session a physiologically-based model of mind/brain/consciousness, with published evidence showing a physical basis for distant effects in healing (from the Journal of Scientific Exploration, a Medline listed journal), and also the neuroimaging of out-of-body experience drawn from a paper in the New England Journal of Medicine from 2007. The day will connect the breadth of the clinical-to-consciousness spectrum with one seamless model, based on phenotypes, from treating pathology to optimizing peak performance with the same approach based on the peer reviewed published phenotype model.

Learning Objectives:1. Identify three (3) EEG phenotypes associated with CNS over-arousal that are commonly seen in PTSD and some forms of addiction.
2. Identify many DSM categories with the same phenotypes. (The EEG phenotypes reflect underlying brain function; they are not isomorphic with the DSM categories that reflect descriptors of surface symptoms).
3. Identify three (3) forms of cingulate failure associated with OCD/ODD and the medication implications for these three patterns.
4. Identify the cortical location of the fMRI change with an out-of-body experience.
5. Differentiate efficacy and specificity, as applied NF and medication for ADHD.
6. Identify the relative levels of risk associated with medications and NF for ADHD and epilepsy.

April 6, 2013, 8:30 a.m. – 4:45 p.m.
Loyola College Graduate Center, Columbia, MD

Theme: A PSYCHOPHYSIOLOGICAL POTPOURRI: An Amalgam of Interventions

Retrain the Brain: Reclaim the Mind: A Seminar Introducing Behavioral Health Professionals to the Neuromodulation Technologies that are Transforming Clinical Practice

Presenter: Ed Pigott, PhD,
is a licensed psychologist providing neurofeedback and audio-visual entrainment services in Columbia, MD. Dr. Pigott presents frequently at professional conferences (including invited presentations at both APA's annual conferences), as well as leading workshops on the use of neurotherapy / neuromodulation treatment strategies. He has published over 20 articles and book chapters, the majority focused on evaluating the efficacy of innovative treatments. Dr. Pigott is a partner with two other psychologists in NeuroAdvantage, an audio-visual entrainment company. He has also consulted to ISNR in the development of templates of appeals letters to invoke challenges to insurance company exclusions of neurofeedback and biofeedback services by invoking the Federal Parity Law provisions.

Description: This session will focus on teaching participants how to incorporate hemoencephalography (HEG) neurofeedback and audio-visual entrainment technologies into their private practice. The research supporting these technologies as well as hands-on experience with them will be included in the session. A rationale for broader acceptance of our psychophysiological interventions will be made, in light of critical reviews of major pharmacological research studies that found them to be lacking in effectiveness, despite the significance shown in efficacy studies. The shortcomings of antidepressants, stimulants and major psychotropics, despite their wide acceptance and use will be presented, along with a strategy to appeal insurance coverage denials and argue for coverage, invoking Parity Law provisions.

Learning Objectives:1. Identify how to incorporate HEG neurofeedback and audio-visual entrainment technologies into their clinical practice.
2. Analyze the research supporting the effectiveness of these technologies for treating various diagnostic groups of clients.
3. List what groups of clients these technologies are contraindicated.
4. Gain hands-on experience with these technologies.
5. Create better understanding of the rationale for using psychophysiological interventions.
6. Identify the shortcomings of antidepressants, stimulants and major psychotropic drugs.
7. Provide a strategy to appeal insurance coverage denials and argue for coverage invoking Parity Law provisions.

Target Audience:

Afternoon Presentation: The Impact of Biomedical Conditions on Neurofeedback Efficacy

Presenter: Hanno W. Kirk, PhD, LICSW, has been a teacher/trainer for the past 35 years. In 2005, while touring nationwide with Is It ADHD or Pediatric Bipolar: Differential Diagnosis and Effective Treatment, he became aware of neurofeedback as an alternative to pharmacology. After retiring from active teaching and touring in 2010, he is now in private practice in Lewisburg, WV, specializing in children and adolescents with behavioral and autistic spectrum disorders, as well as persons with trauma issues. He is principal author of Psychosocial and Behavioral Aspects of Medicine (LWW 2002) and is a frequent presenter at conferences.

Description: Studies have shown that biomedical conditions ranging from metabolic issues to problems in the "gut" can directly affect neurochemical and neuroelectrical functioning in the brain. Metabolic factors such as deficiencies (or excess) in key essential amino acids, minerals or enzymes can produce disregulation in the brain that may not be remediable through neurofeedback. Similarly, conditions in the gut such as candida, aspergillus, clostridia dificilis and others can cause major changes in brain functioning that can trump the most assiduous neurofeedback efforts. Clinicians need to know how to recognize signs of such biomedical conditions since they could be impeding the effectiveness of our interventions. Clinicians also need to know how to refer to appropriate integrative medicine specialists for assessment and treatment. Case studies from Dr. Kirk's practice will be discussed.

Finally, there will be a report on the clinical results of expanding inroads to utilization of neurofeedback by the military. Dr. Kirk will focus on results of treatment for PTSD of several hundreds of active duty military in a program in progress for several years at a major military facility.

Learning Objectives:1. Analyze the connection between biomedical conditions and brain functioning.
2. Identify how to probe for and recognize active biomedical conditions that could nullify neurofeedback interventions.
3. Provide rationale to refer to appropriate integrative medicine specialists who can assess and test for biomedical problems.
4. Identify access additional references for self education on the relationship between biomedical issues and brain functioning.
5. List results of a neurofeedback program in use by the military.

Target Audience: All

October 27, 2012, 8:30 a.m. – 4:45 p.m.
Loyola University Graduate Center

Biofeedback Buffet: A Multitude of Methodologies

Keynote Presenter: William Decker, PhD.
A mid-west farm boy who earned his social psych PhD from the University of Connecticut in 1975, Dr. Decker had already joined the Penn State University training community psychologists. By 1978, he joined the University of Maryland's Health Education Department, training undergrads and professionals in psychophysiological self-regulation research and applications. That academic melting pot shaped the emergence of biofeedback services as the defining focus of his clinical practice in Northern Virginia.

A founding member MASBBM, Dr. Decker has been a strong advocate for continued professional development across the spectrum of neurofeedback and biofeedback services. He first introduced QEEG services into his private practice in 1991. Since, he has developed an increasingly client driven approach to how QEEG and behavioral assessment data can be used to shape client training. For over a decade, he has provided independent, professional QEEG interpretations for both neurotherapy training recommendations and as a tool for medical treatment selection.

Integrative Coupling of QEEG & Behavioral Assessment with Neurofeedback
As in building design, in neurotherapy services Form follows Function (FfF). Often, we providers lose sight of that mandate. How can that happen? When it comes to neurotherapy, we have so many architectural planning tools (with QEEG and Z-Score training models) available. Yet, we have little training in how to couple those tools to the outcomes our clients most desire. Coupling our assessment tools to client outcomes has not been adequately addressed by our professional development efforts. This session addresses how client function can better drive our planning rather than the particular tools we providers have tied up in our capital resources. This session will urge integrating behavioral and QEEG assessment designs to drive the outcomes our clients need..

Learning Objectives:
1. Identify three movements in neurofeedback that have contributed to providers' dilemmas when selecting the neurotherapy plan they will implement.
2. Participants will recall at least three dominant strategies shared during the presentation.
3. Participants shall demonstrate that they can correctly flow chart at least two of the commercially available approaches presented for integrating QEEG assessment into neurofeedback training.
4. Participants will learn two approaches to integrating behavioral assessment and training to augment neurofeedback outcomes.
5. Presenter will demonstrate how the QEEG interpretation and review process is best determined by whether or to what degree its recommendations will contribute to the client's behavioral goals.
6. Participants will acquire some of the presenter's strategies for coupling assessment decisions derived from client goals, physiology and adjunctive interventions.

Afternoon Presentation #1:
Breath Training Integrating Two Modalities: Heart Rate Variability and Capnography

Presenter: Elsie L. Ferguson, MS, PhD, earned her master's and doctorate in the University of Pittsburgh's Graduate Division of Natural Sciences' Psychology Department and was a US Public Health Service Fellow in Clinical Psychology for four years. She is a licensed psychologist in private practice in Bethesda, MD, since 1979, and specializes in clinical psycho-physiology (biofeedback and neurofeedback) and cognitive behavior therapy in the context of behavioral medicine. Board certified in clinical neurofeedback and biofeedback, she is Life Member of the American Psychological Association, a member of its Division of Health Psychology, of ISNR and the Association for Applied Psychophysiology and Biofeedback.

Past President and Advisory Board Member of the MASBBM for a decade, and recipient of its Distinguished Service Award, she was a faculty member of the Department of Obstetrics and Gynecology of the Johns Hopkins School of Medicine and Department of International Health of the Johns Hopkins School of Public Health. Invited lecturer and workshop organizer, she has given many professional papers at state, regional and national scientific meetings.

This session will offer a brief review of the physiology of breathing, the benefits, myths and cautions for breath training, including two case studies and a demonstration of breath training.

Learning Objectives:
1. Learn about the mechanics and chemistry of breathing.
2. Learn different ways to practice breathing.
3. Review of Strobel's "Quieting Response."
4. Demonstrate use of Heart Rate Variability equipment and Capnography equipment.

Afternoon Presentation #2:
Using HRV Biofeedback in Couples Therapy to Reduce Emotional Reactivity and Increase Connection and Communications

Presenter: Walter J. (Walt) Ciecko, Ph.D., BCB, is a licensed psychologist in private practice in Wilmington, DE, and is Director of the Delaware Relationship Center. He is certified by Imago Relationships International as an advanced clinician, individual and couple workshop presenter and consultant. Walt is also certified as a Marriage and Family Therapist, Biofeedback Clinician, EMDR Therapist, Sports Psychologist and as a workshop presenter of Hot Monogamy. He presents workshops to individuals, couples, groups, business and industry. Clinically, Walt is interested in relationship development and enhancement, gender issues, enhancing self-regulation emotionally and physiologically, trauma-recovery and peak performance training. Personally, individuals experience him as thoughtful, knowledgeable, compassionate and caring with an easy-going style.

Description: Couples typically enter couples therapy as a result of a crisis in their relationship. The crisis characteristically comes after the couple drifts emotionally. With the crisis there is emotional reactivity present in the relationship as well. Current brain research shows that little, if any, constructive rehealing or strengthening of the relationship can take place if reactivity is high. HRV Biofeedback is showing promise as an adjunctive aid in helping individuals to emotionally and physiologically "slow down" and reset their autonomic nervous system and emotional setpoint. Imago Relationship Therapy helps couples strengthen their ability to create more effective contact and connection. In this workshop, Walt will share a structure and process using HRV biofeedback to help couples reduce reactivity and strengthen their contact and connection with each other.

Learning Objectives:
1. Review the impact and effect of distress on relationship.
2. Introduce participants to Imago Relationship Therapy and its approach to couples therapy.
3. Learn how HRV biofeedback can help couples enhance contact and communications.
4. Learn a structure and process to help couples create better connections and learn to unpack emotions more productively.

2011 Fall Conference
October 29, 2011, 8:30 a.m. – 4:45 p.m.
Loyola College Graduate Center, Columbia, MD

Multi-modal Evaluation Strategies for Improving Self-regulation Training Plans: An Integrative Approach

Leslie Sherlin, PhD, adjunct associate professor in the department of mind-body medicine at Southwest College of Naturopathic Medicine, faculty in the department of psychology at the University of Phoenix main campus, adjunct faculty in the department of psychology at Northern Arizona University and clinical faculty at Southwest Naturopathic Medical Center. He has served on the board of directors for the International Society for Neurofeedback and Research and the Biofeedback Certification International Alliance in a number of elected positions, including president. He is on the editorial board of The Journal of Neurotherapy: Investigations in Neuromodulation, Neurofeedback and Applied Neuroscience, is certified at the Diplomat level in QEEG and is BCIA Board Certified both in biofeedback and neurofeedback.

Healthcare professionals may rely upon one or more psychophysiological metrics to aid in appropriate interventions and treatment plans. When those selected metric(s) indicate a rationale for biofeedback or neurofeedback intervention, they often are included in treatment plans to teach self-regulation by which remediation of target symptoms is the objective. Many capable practitioners avoid utilizing costly, time-consuming and lengthy metrics such as full QEEG/ERP and in vivo stress profiles because of those costs and due to the challenges of reducing the information into meaningful personalized protocols. They rely on either “researched” protocols that may not transfer well to their presenting client or upon the evaluation expertise of others. This problem is extremely prevalent for EEG evaluations and neurofeedback where equipment, time and analysis procedures can be costly and overwhelming. This interactive workshop presents an evaluation model from underlying physiological theories and established research findings using only multi-modality metrics such as 2 and 4 channel EEG, HRV and GSR, a sensible approach to intervention planning for the integrative provider.

Learning Objectives:

I. To be able to identify appropriate physiological assessment tools for a variety of mental health disorders identified by the most current scientific literature.
II. To be able to utilize physiological assessments and clinical decision tree to determine an appropriate intervention strategy with the use of biofeedback and/or neurofeedback techniques.
III. To be able to objectively assess learning curves and progress of the client in self-regulation of physiological metrics.

2011 Spring Conference
April 30, 2011, 8:30 a.m. – 4:45 p.m.
Loyola College Graduate Center, Columbia, MD

Integrating Capnometry with Heart Rate Variability: Good Breathing, Good HRV & the Resonant Heart

Bob Whitehouse, EdD, is a licensed psychologist in the Denver and Boulder, CO, area. He has a large clinical psychology/biofeedback practice where he uses capnometry and HRV in every intake and many sessions thereafter. Dr. Whitehouse has over 13,000 hours working with HRV, much of which includes use of capnometry. He consults and teaches workshops around the world and has recently developed an HRV Flexibility certification program which also utilizes capnometry. He developed one of the nation's first college biofeedback programs in 1974 as a psychology professor. Dr. Whitehouse has integrated HRV and capnometry into the Somatic Experience trauma work of Peter Levine and Diane Heller. He currently is also teaching the nation's first Psychophysiology and Biofeedback course in a Sport and Performance Psychology program in the Graduate School of Professional Psychology at the University of Denver in Colorado. He is certified by BCIA and formerly was an AAPB board member and Insurance and Legislative chair. He is a recipient of the AAPB Sheila Adler Distinguished Service Award and the CAAPB Johann Stoyva Distinguished Service Award. He lives near Boulder, Colorado.

We want good breathing chemistry whether we are relaxed, excited, challenged, stressed or exercising. We can get good HRV with slow, deep breathing, but may drop our ETCO2 levels. Capnometry eliminates the guesswork about what is good breathing. When breathing chemistry is good, then HRV can be more safely improved. Behavioral training for accessing different spectral states (i.e., heart waves) of HR is important for flexibility in emotions and health. There are other ways in addition to Resonant Frequency Breathing to attain the body's most powerful electromagnetic signal, the heart's Resonant Frequency and its many special benefits. In this day-long workshop, Dr. Whitehouse will cover the above with PowerPoints and demos, as well as cite clinical applications and research. Participants are expected to gain new perspectives and skills in the use of breathing techniques and HRV techniques.

Learning Objectives:

I. To understand the importance of capnometry.
II. To dispel myths about good breathing and identify the signs and symptoms of bad breathing (even if HRV is good) and to know both the chemistry and mechanics of good breathing and how to make it happen.
III. To understand HRV in terms of physical and emotional signatures and benefits.
IV. To understand Heart Resonance and Global Coherence.
V. To know how to interpret Spectral Analysis of HRV.
VI. To identify at least seven (7) ways to help clients develop better breathing skills and increased HRV.

October 23, 2010, 8:30 a.m. – 4:45 p.m.
Loyola College Graduate Center, Columbia, MD

Expanding Clinical Psychophysiological Interventions to Populations Experiencing Unusually Stressful Challenges

Wes Sime is a health psychologist and sport psychologist at First Step Wellness in Lincoln, Nebraska. He is the originator of the PROGolf concept and has worked with golfers at all levels, including the PGA Tour. He is certified by (AASP) Association of Applied Sports Psychologist and in Biofeedback by BCIA. He is also a professor emeritus at University of Nebraska-Lincoln and a licensed psychologist (Nebraska and Colorado). Dr. Sime also has a strong history in Professional Baseball having worked with teams and individuals in a ten year case study with neurofeedback at the core.  Dr. Sime is trained in Critical Incident Stress Debriefing to work with police, fire and rescue workers who are faced with tragic mortalities on a regular basis and who are vulnerable to secondary PTSD symptoms. In addition, he is fully trained in EMDR from which he has developed a condensed method of treatment that includes home training for the clients struggling with anxiety and depression symptoms. Dr. Sime has also developed a Physician Wellness Program. He is a Medical Consultant to the Army Center for Enhanced Performance. 

Description of Presentation:
Dr. Sime will discuss promoting behavioral stress management with special populations that include:
• Physicians and Other Health Care Providers
• Wounded Warriors / Returning Veterans with PTSD and/or TBI
• Mildly Impaired Individuals
• Overwhelmingly Anxious including Athletes, Executives and Other Elite Performers
Promoting Behavioral Stress Management with Special Populations

• A wellness program tailored to physicians who need family counseling and stress coping;
• Critical incident stress debriefings, e.g. modifications to Fire/Rescue First Responders to provide catharsis in the face of prevalent overwhelming stoicism;
• A description of the Army Center for Enhanced Performance Program’s utilization of behavioral principals to help in recovery from severe injury;
• An introduction to Capnography and Heart Rate Variability adapted to Anxiety Resistant Cases, along with survival strategies in the face of overwhelming life challenges;
• Countermeasures to aging with memory and waning cognitive functioning, introducing the Captain’s Log and IVA for working with adults for enhancing memory and recovering confidence.
Behavioral and Sports Medicine Applications to Assist Elite Performers

• A description of the biofeedback consultation involving Payne Stewart, the very successful PGA golfer of Scottish descent who turned his career around in l999 shortly before his tragic airplane crash ending his life.
• A 10-year case study with DVD highlights featuring the professional baseball player Sean Casey, who sought assistance following injury and who worked diligently using BF/NF together with Interactive Metronome (I.M.) to produce record-setting performance results in the World Series. The I.M. is a behavioral method of achieving healthy brain benefits parallel to that found with NF. 
• A condensed version of EMDR as it has been used with highly stressed elite performers facing anxiety provoking stressors. A detailed demonstration and rational for the use of EMDR with BF/NF and as a “homework” process for extended therapeutic benefits. • An overview on Sue Wilson's Optimal Health and Performance Software for testing individuals in preparation for competition in high stress situations.
• Demonstration of the PROGolf Suite biofeedback software (distributed by Thought Technology) showing how both peripheral BF and EEG assessment of mental stamina can be used to enhance performance under distress and competition. 
Learning Objectives:
I. Plan a Wellness Program tailored to physicians who need family counseling and stress coping.
II. Prepare to address fire/rescue first responders to enable catharsis in the face of overwhelming stoicism.
III. Utilize ACEP behavioral principles with wounded warriors to help in recovery from severe injury.
IV. Develop survival strategies for overwhelming life challenges and anxiety resistant cases.
V. Develop effective counter-measures to aging and memory loss with waning cognitive functioning over age 60.
VI. Describe the sport psychology and biofeedback consultation involving elite golfers.
VII. Discuss a 10-year case study in major league baseball featuring consultation in BF/NF and Interactive Metronome following injury.
VIII. Recommend use of a condensed version of EMDR with highly stressed elite performers facing anxiety provoking stressors.
IX. Evaluate Sue Wilson’s Optimal Health and Performance BF software for testing individuals in preparation for competition and/or high stress situations with athletes or healthy normal clients.
X. Illustrate the PROGolf Suite BF software using sport specific stressful conditions of distractions and mental challenge under time pressure to develop mental tenacity and stamina.

April 24, 2010, 8:30 a.m. – 4:45 p.m.
Loyola College Graduate Center, Columbia, MD

Integrating Approaches to Headaches

Presenter: Colleen Blanchfield, MD.
Colleen Blanchfield earned her B.S. from the University of Wisconsin in 1981 with majors in Zoology and an independent major entitled The Biology and Psychology of Women. After her residencies in Neurology and Psychiatry at State University Health Science Center in Brooklyn, Dr. Blanchfield began her neuropsychiatric practice in Northern Virginia. She was on staff at Dominion Hospital and Fairfax Hospital, where she performed electroconvulsive therapy. In both Neurology and Psychiatry, Dr. Blanchfield provides clinical assessment and evaluation at her practice in Reston, as well as medication management. She is licensed to practice acupuncture in Virginia.

Description of Presentation:
Dr. Blanchfield will present the pathophysiology, anatomy and neurochemistry of tension headache, migraine and migraine variants. Clinical presentation including symptoms and complications will be discussed. Different treatment modalities including medications, acupuncture, biofeedback, relaxation therapy and nutrition will be explored. As is typical in Dr. Blanchfield’s presentations, audience participation will be required. Kindly inform her if you do not wish to play.

Learning Objectives:
I. To understand the neuroanatomy of migraine and migraine variants
II. To understand the neurochemical changes associated with migraines
III. To understand the nerve chemistry of prophylactic and acute treatments

Emily Perlman, MS, SMC-C and Jodi Maron Barth, PT, CCI.
Emily Perlman is a BCIA certified therapist and a certified stress management consultant at the Neurotherapy Center of Washington in Bethesda, MD. While at NRH Regional Rehab, she developed a bladder retraining program incorporating biofeedback, and started a fibromyalgia program. Ms. Perlman is an experienced practitioner of EEG neurotherapy. With a Master of Science in Therapeutic Recreation from the University of North Carolina, Chapel Hill, she currently does extensive pain management work and is studying for an MA in Counseling degree at Walden University.

Jodi Maron Barth is a licensed physical therapist in the field of rehabilitation. She is a certified clinical instructor through the American Physical Therapy Association. Currently, Ms. Barth is a regional manager of facial palsy and TMJ program specialist for NRH Regional Rehab in the Washington, DC, metro area. Ms. Barth has specialized in outpatient rehab for the last 20 years. A graduate of Ithaca College’s PT program, she attended the Masters of Science program at Adelphi University in the area of exercise physiology. 

Description of Presentation:
We will discuss the interaction between the foot biomechanics, spine and TMJ and how these factors along with muscular tension and imbalance are key factors and contributors to patient symptoms. This presentation will be a hands on and practical application of biofeedback and physical therapy techniques in the treatment of headache. This workshop will include both an overview and demonstration. The importance of integration of different types of interventions will be highlighted.

Learning Objectives:
I. Understand what a muscle imbalance is
II. Recognize how muscle imbalance contributes to headache
III. Develop a good understanding of the direct relationship between TMJ dysfunction and headache
IV. Be able to recognize postural/biomechanical dysfunction
V. Understand the comprehensive multi-disciplinary approach required to successfully treat this patient population.

Deborah Stokes, PhD,
is a licensed psychologist and licensed professional counselor providing fulltime clinical neurotherapy services to individuals with disorders of affect, attention, anxiety, stress and pain. She has a B.S. degree in Behavioral Science from the University of Maryland, a M.Ed. in Counseling from George Mason University in Fairfax, Virginia, and a PhD in Psychology from the Union Institute in Cincinnati, Ohio.  She completed an internship with Candace Pert in Mind Body medicine at Georgetown University.  Dr. Stokes holds certifications in EEG Biofeedback, Addictions Counseling and Employee Assistance Counseling. She has recently completed a research study with 37 migraineurs using neurofeedback. 

Description of Presentation:
This talk is a review of several years work with migraine clients. It will review retrospective data used in a recently published study in the journal Behavioral and Brain Functions, and will discuss the various neuro and biofeedback protocols used in working with the migraine population. 

Learning Objectives:
I. To identify the type of biofeedback with Grade A evidence for treating migraines
II. To learn the varying biofeedback and neurofeedback modalities used in this study
III. To learn the types of medications typically used by migraineurs
IV. To learn which type of data collection instruments are most useful in working with migraines
V. To identify other co-morbidities likely to also be impacted when working with this population.

December 12, 2009
Loyola College Graduate Center, Columbia, MD

Theme: Naturopathic Methods and Bodywork as Complements to Neurofeedback and Biofeedback in the Treatment of Headaches


Julie McKay, CST-D, NCTMB, BFRP and Kevin Passero, MD

April 25 & 26, 2009
Loyola College Graduate Center, Columbia, MD

Utilizing the QEEG to Enhance Neurofeedback of ADD, Autism and Aspergers


Michael K. Linden, PhD,
is the Director of the Attention Learning Center and ADD Treatment Centers of San Juan Capistrano, Irvine and Carlsbad, California. He is an Adjunct Continuing Education Professor at Alliant International University. Dr. Linden is a licensed Clinical Psychologist; Marriage, Family and Child Therapist; and is certified by the Biofeedback Certification Institute of America in both general and EEG feedback.

Description of Saturday’s Presentation: This course will present the advances in the diagnosis of Autism, Aspergers and ADD using continuous performance tests and QEEG brain imaging. We will discuss the ADD / Aspergers / Autism connection and explain the similarities and differences in symptoms and QEEG patterns. The use of QEEG to discover which subtype of Autistic / Aspergers (6) and ADD (4) will be explained. In addition, this course will cover a multimodality treatment approach for patients with Autism, Aspergers and ADD. Neurofeedback candidate selection and treatment effects will be explained. Medication management will be reviewed. 

I. Overview of ADD, Aspergers & Autism Spectrum Disorders (ASD)
II. Computerized Assessment of ADD & ASD
III. QEEG Subtypes of ADD & ASD
IV. QEEG Subtype Based Neurofeedback for ADD & Autism

1. Understand how to utilize QEEG Maps to assist in the diagnosis of ADHD, Aspergers & Autism and discovery of subtypes.
2. Learn how to use QEEG subtypes of ADD, Aspergers & Autism to develop the most successful neurofeedback treatment plans.


Jonathan Walker, MD,
is a nationally recognized neurologist and researcher in areas of learning difficulties. Dr. Walker is also board certified in electroencephalography, and is the President of the American Board of QEEG Technology. He has found that neurotherapy is more effective when it is guided by the QEEG (brain map) and the sessions are monitored by a trained therapist.  In addition to seeing patients in his clinic, Dr. Walker interprets test results for other neurofeedback practitioners, offering protocols for QEEG-guided neurofeedback training to remediate the growing number of medical conditions for which this treatment is dramatically effective.

Description of Sunday’s Presentation: The course will cover recent advances concerning the development of Autistic Spectrum Disorders, relevant QEEG findings and the importance of detoxification for treatment.

Outline:I. Recent Advances in the Pathogenesis of Autism
II. Detoxification in the Treatment of Autism
III. QEEG findings in Autism
IV. Remediation of Autism Using Neurofeedback

Objective1. Understand recent findings regarding the pathologies of ASD.
2. How to utilize detoxification and neurofeedback in your treatment.

November 1, 2008, 8:30 a.m. – 4:30 p.m.
Loyola College Graduate Center, Columbia, MD

Clinical Biofeedback: Applications for PTSD and Trauma


George S. Everly, Jr., PhD, ABPP,
is the co-founder of the International Critical Incident Stress Foundation, Inc., and its representative to the UN. He is a part-time professor of psychology at Loyola College, and on the faculty of the Johns Hopkins Center for Public Health Preparedness. Dr. Everly is the author or editor of 15 textbooks and 100 published papers. He is the founding Executive Editor of the International Journal of Emergency Mental Health.

Learning objectives: Identification and understanding of the psychological and physiological manifestations of Complex PTSD.
David S. Riggs, PhD, is the Executive Director of the Center for Deployment Psychology, where he oversees the development and delivery of training seminars to prepare behavioral health professionals to provide for the needs of deploying Service members and their families. He is a Research Associate Professor at the Uniformed Services University of the Health Sciences. As a clinical and research psychologist, Dr. Riggs’ work has focused on trauma, violence and anxiety.

Learning objectives: Identification of the effects of deployment on Service members and their families with a focus on how to influence a better adjustment.

Angelo Bolea, PhD,
is a Clinical Neuropsychologist in private practice specializing in neurofeedback, assessing and treating children and adults with CNS disorders. He has recently retired as Director of a neuropsychology lab at a local hospital pioneering in psychiatric conditions, including PTSD. Dr. Bolea conducts lectures on brain function to local communities and across the United States and Canada. He is a Past President of the MASBBM.

Learning objectives: Knowing the importance of myelination, the likely locations in the brain of PTSD and to know expected brain plasticity in recovery from PTSD.
Mary Lee Esty, PhD,
is President of the Neurotherapy Center of Washington. Dr. Esty is a social worker with a doctorate in health psychology. She has been doing neurofeedback for over 12 years and has treated more than 1,300 patients in that time using EEG neurotherapy. Dr. Esty is recognized as a Fellow in both EEG and Biofeedback with the Biofeedback Certification Institute of America.

Learning objectives: Learn about a recently published study on the effect of Flexyx™ Neurofeedback System on Mild / Moderate Traumatic Brain Injury.

June 2, 2007, 8:30 a.m. – 4:30 p.m.
Loyola College Graduate Center, Columbia, MD

Complementary, Integrative and Behavioral Medicine: Meeting at the Crossroads with Implications for the Future


Margaret Chesney, PhD
, is the Deputy Director of the National Center for Complementary and Alternative Medicine (NCCAM) at the National Institutes of Health (NIH). She is the Past President of the Academy of Behavioral Medicine Research, Past President of the Division of Health Psychology of the American Psychological Association and Past President of the American Psychosomatic Society.

The terms "complementary and alternative medicine," "integrative medicine" and behavioral medicine are often used together or interchangeably. These areas of work and study do share certain domains of clinical practice and research, but also have different origins, traditions and constituencies. The purpose of this presentation will be to discuss the interface among these three areas from the perspective of a clinician and researcher who has experience in biofeedback and behavioral medicine prior to joining the National Institutes of Health as Deputy Director of the National Center for Complementary and Alternative Medicine.
Monica Myklebust, MD,
is currently the Medical Director at the University of Maryland’s Center for Integrative Medicine. She previously served as the Director of Integrative Medicine Clinical Services at the University of Michigan.

The presenter will give a general overview of various applications and challenges of Integrative Medicine based on her experience at the University of Arizona, the University of Michigan and the University of Maryland.

Galena Kuiper, LCSW,
holds a Master’s degree in social work from the University of Maryland, and has been working with children, adolescents and adults for over 15 years. She specializes in working with children and adult survivors of sexual abuse and trauma, and has worked in a variety of social service environments. Ms. Kuiper is a Fellow of the American Academy of Experts in Traumatic Stress and serves on the Board of Directors of the MASBBM.

This presentation will address the treatment of a young man in his early 20s who presented with issues of depression, OCD, GAD, social anxiety and PTSD. It will highlight the integration of neurofeedback and cognitive therapy, and will address treatment coordination with an outside specialist.

Elsie Ferguson, PhD,
received her PhD in Psychology from the University of Pittsburgh. She was a Research Associate at the Johns Hopkins School of Hygiene and the Johns Hopkins Rural Health Research Center in India. Dr. Ferguson trained in biofeedback and behavioral medicine at the Institute for Preventive Medicine and has practiced independently since 1979 as a licensed clinical psychologist. She is a past president of the MASBBM and serves on its Board of Directors.

The objectives for this session are to illustrate the positive and negative aspects of complementary and adjunctive medical interventions.


SATURDAY, JUNE 3, 2006 - 8:30 a.m. to 5:00 p.m.
Loyola College Graduate Center, Columbia, Maryland

Theme: Neurofeedback and Coherence
Presenter: Jonathan Walker, M.D.
                   Clinical Professor of Neurology
                   Texas Southwestern Medical School, Dallas Texas

Dr. Walker's presentation has three objectives embracing both morning and afternoon sessions. They are:

1) - identification of real phenomena and artifacts in the EEG
2) - delineation of a modular coherence approach to understanding QEEG and its utility in guiding neurofeedback training and treatment
3) - demystifying coherence training and clarifying Its Importance.

Dr. Walker is a neurologist who practices in Dallas, Texas. He is Clinical professor of Neurology at Texas Southwestern Medical School in Dallas Texas. Recognizing the potential of neurofeedback very early for the treatment of dysfunctional brain disorders, he has presented and published on neurofeedback and QEEG and has presented workshops on coherence at the ISNR and elsewhere.



SATURDAY, OCTOBER 15 - 8:30 a.m. - 5:00 p.m.
Loyola College Graduate Center, Columbia, Maryland 

Conference Themes:
1) Child and Adolescent Mental Health Disorders.
2) Neurofeedback and other behavioral interventions in treatment of ADD, ADHD, depression, anxiety disorders and other childhood disorders.


SATURDAY, MAY 22, 2004 - 8:30 a.m. - 5:00 p.m.
Loyola College Graduate Center, Columbia, Maryland

Theme: The utilization of Biofeedback, Neurofeedback, Paced Breathing, Hypnosis, Cognitive Behavior Therapy, and Other Behavioral Medicine Interventions in the Treatment of Sleep Disorders
Sleep disorders: Their Biology, Management and Treatment
Keynoter:  Jacques Conaway, M.D.
    - An Introduction to Polysomnography
    - Sleepiness and Driving
    - Obstructive Sleep Apnea and Cardiovascular Disease
Dr. Conaway is affiliated with Pulmonary and Critical Care Associates of Baltimore (PCCB) and practices at three hospitals in the Baltimore area. A Diplomate of the American Board of Sleep Medicine, he is also Board Certified in Pulmonary Disease and in Critical Care Medicine.

Gail Feagans, RN, MSN, CS
    - Multifaceted Interventions for Insomnia
Gail Feagans RN, MSN, CS has been a biofeedback practitioner since 1987. She has a private practice in Greenbelt, MD, and is the EAP Coordinator for the Prince George's Fire/EMS Department.

Joe Mallet, Ph.D.
    - Hypnosis and Cognitive Behavior Therapy Interventions with                    
      Sleep Disorders
Dr. Mallet practices as a psychologist in Washington, DC. He specializes in hypnotic approaches to health psychology.

Elsie Ferguson, PhD
    - Neurofeedback Interventions with Sleep Disorders
Dr. Ferguson in private practice in Bethesda, MD beginning in 1979 is a Medical Psychologist specializing in neurofeedback and biofeedback treatment and multimodal cognitive behavior therapy.


BALTIMORE, MD 21225-1233


First day presenter Tom Brownback, M.A. is a licensed psychologist and Executive Director of Brownback, Mason & Associates, a group psychological private practice in Allentown, Pennsylvania. Tom has been involved in the field of biofeedback, and, in particular, neurofeedback for over 25 years. 
Board Certified as a Senior Fellow in Biofeedback by BCIA, he is also Board Certified as a Diplomate in EEG, QEEG and Peak Performance.
Tom and his wife Linda co-authored a chapter on the use of neurotherapy in treating dissociation which appeared in Quantitative EEG and Neurofeedback, published by the Academic Press, 1999. At the AAPB 2000 Meeting Tom and Linda gave the first Invited Address on Peak Performance Training.
Tom will present his QEEG driven BMA Neurofeedback Model. He will then show us how clients may benefits from the series of eight BMA Neurofeedback Manuals guiding clinical decision-making in delivering neurotherapy.

Peter M. Litchfield, Ph.D., served as Executive Director and Chairman of the Executive Board (1997) of Behavioral Physiology Institutes, a private graduate school offering Ph.D. and M.S. degrees in behavioral medicine. 
During 1981-1996 he was Executive Director of the Applied Psychophysiology Institutes, an internationally recognized school of professional continuing education in biofeedback and behavioral medicine. During his tenure provided hundreds of workshops and certification programs worldwide.  

From 1976-1982 he served as Director of Proseminar Institute, then the largest provider of continuing education in psychology in the nation. At California Polytechnic State University he was Assistant Professor of Psychology (1976-1974) and Associate Professor with tenure (1974-1981). Dr. Litchfield is a pioneer in the integration of capnometry into the field of clinical biofeedback. He will offer practical insights for incorporating “Physiologic Mindfulness” into your biofeedback and neurotherapy practice. 
Visit his website at
The purpose of Dr. Litchfield’s presentation is to first understand respiratory physiology, the breathing heart wave [HRV] and over breathing. He will then instruct participants in how to augment mindful breathing and autonomic balance while instructing clients in self-regulation.

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