Schedule of Events - Saturday Continued

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‎1:35pm – 2:35 pm‎     60-MINUTE BREAKOUT SESSIONS - SYMPOSIAŸŸŸ


Overcoming Anxiety and Negative Thoughts for High Performance

Presented By: ‎

  • Leah Lagos, Psyd, BCB
  • Erik Peper, PhD, BCB

SESSION SYNOPSIS: As students or athletes experience physical as well as emotional anxiety, whether ‎related to a health or performance goal, there is a tendency for accelerated negative thinking.  ‎Sometimes, the individual will experience a cascade of doubts before engaging in a competitive ‎moment.  Others may have difficulty screening out negative thoughts while performing.  The ability to ‎turn off the mind and stay positive following performance is critical for recovery.  Many peak ‎performers, ranging from medical doctors to elite athletes, experience a cardiovascular response with ‎their heart rate pounding in their chest or unconsciously communicate feelings of defeat to their brain ‎through their reclined posture.  The purpose of this one-hour joint presentation is to explore frequent ‎challenges that high performers face in controlling their thoughts such as rigid thinking, feeling trapped ‎or stuck, and negative self-talk.  Presenters will then introduce specific physiological strategies, for ‎addressing these challenges, which are based on research and clinical experiences, working around ‎the world with high-performance individuals in music, the arts, business, and sports. Through an ‎interactive, experiential based presentation, participants will learn clinically useful skills for not only ‎conquering anxiety but to improve cognitive functioning during critical moments.‎

  • Clinical Interventions and Optimal Performance
  • Advanced
  • ‎70% Clinical/30% Research‎

LEARNING OBJECTIVES:

  • Discuss concepts of posture, breathing, and mindfulness and their relevance to cognitive functioning,‎
  • Identify frequent cognitive challenges that high performing individuals face before, during, and after ‎competitions.‎
  • Observe and experience specific postural and HRV biofeedback techniques for reducing rigidity and ‎increasing openness of thoughts and emotions.‎
  • Experience how these biofeedback-based skills can be used to effectively and quickly improve ‎cognitive agility.‎

TARGET AUDIENCE: Clinicians and researchers interested in optimizing human health and ‎performance.‎

DIVERSITY CONSIDERATIONS: Drs. Peper & Lagos will specifically address issues of cultural competence ‎and diversity in their discussion.‎


Multi-interdisciplinary Approach and Treatment for Youth with Persistent Postural-perceptual ‎‎Dizziness (PPPD): A Pilot Brief Protocol Using HRV Biofeedback and Cognitive-behavioral ‎Therapy

Presented By: ‎

  • Katie Fleischman, PhD
  • Justin Doo, BS

SESSION SYNOPSIS: Persistent postural-perceptual dizziness (PPPD) is a chronic vestibular disorder, ‎commonly seen in children ‎and adolescents, yet, most often described in adults. Common symptoms ‎include dizziness, unsteadiness, or ‎non-spinning vertigo, and are exacerbated by position changes, ‎active or passive motion, and complex or ‎moving visual stimuli; leading to a significantly lower quality ‎of life. The incidence and prevalence rates ‎are poorly understood, due to its newly evolved medical ‎history, overlap of neurological and psychiatric ‎symptoms, and symptoms often associated with other ‎medical conditions (Knoblauch, 2019). Youth are ‎symptomatic for months or years without proper ‎diagnosis and treatment (Trinidade & Goebel, 2018; Wang ‎et al., 2001). A vestibular multi-‎interdisciplinary approach to treatment focusing on bio-behavioral ‎treatments have been effective. ‎This approach consists of a comprehensive medical evaluation and ‎diagnosis, vestibular rehabilitation ‎physical therapy (VRPT), cognitive-behavioral therapy (CBT), selective ‎serotonin uptake inhibitors ‎‎(SSRIs), or serotonin-norepinephrine reuptake inhibitors (SNRIs) (Popkirov, et ‎al., 2018; Trinidade & ‎Goebel, 2018; Whalley & Cane, 2016). However, psychophysiological interventions ‎such as ‎biofeedback have been scarce in the PPPD literature. Heart rate variability (HRV) biofeedback has ‎‎shown to be effective in adults with PPPD (Trinidade & Goebel, 2018), asthma (Lehrer et al., 2013), and ‎in ‎improving overall health and quality of life (Frank et al., 2010). Most importantly, HRV has recently ‎been ‎an effective intervention for a variety of psychophysiological disorders among adolescents, ‎leading to a ‎greater sense of self-reported resiliency and emotional regulation (Sætren et al., 2019), ‎decreased frequency ‎of headaches and increased psychosocial adjustment (Arruda et al., 2021), as ‎well as, better ‎neurobehavioral regulation and cognitive performance in post-acute concussions ‎‎(Coffman et al., 2021). ‎This symposium will summarize the literature, theory, diagnoses and ‎treatments of pediatric vestibular ‎disorders, with a primary focus on PPPD. We will discuss ‎comprehensive multi-interdisciplinary approach ‎to treating PPPD which includes a medical, ‎audiological and vestibular testing, physical therapy and ‎psychological evaluation. Additionally, we will ‎address ways to improve "buy in" from families that are ‎only seeking a medical approach rather than ‎multi-collaborative treatment plan. Lastly, we will review a ‎piloted brief CBT/biofeedback protocol ‎with initial HRV outcome data in treating these challenging ‎patients.‎

  • Clinical Interventions and Optimal Performance
  • Introductory
  • ‎50% Clinical/50% Research‎

LEARNING OBJECTIVES: ‎

  • Recognize the difference in vestibular disorders, specifically PPPD. Summarize theory of PPPD ‎condition ‎and Inter-multi-disciplinary well established treatment care model. ‎
  • Understand PPPD common comorbid medical and psychological conditions‎
  • Utilize and apply CBT/Biofeedback piloted treatment protocol including other care modalities ‎
  • Summarize HRV application and pilot outcome data findings

TARGET AUDIENCE: All

DIVERSITY CONSIDERATIONS: PPPD is a common condition in youth; however, this condition is not well ‎understood. This is likely related to its ‎newly evolved medical history, overlap of neurological and ‎psychiatric symptom characteristics and symptoms often ‎associated with other medical conditions. ‎Furthermore, outside tertiary vestibular programs, this condition can often ‎be misdiagnosed leading to ‎youth suffering for months until years without the right diagnosis and treatment. This lack ‎of clarity ‎and need for specialized medicine, can limit further barriers of care for our underserved youth. ‎Additionally, ‎due to the interdisciplinary approach to care, including psychological treatment being an ‎imperative part, the ‎approach “buy in” can be difficult. A bio-behavioral and bio-psycho-social model ‎of care with a multicultural lens, ‎can help meet families with diverse backgrounds where they are at in ‎understanding this complex condition and ‎treatments.  Lastly, community outreach and school ‎support is imperative in their treatment and care at the micro and ‎macro systems. ‎


Successfully Integrating Applied Psychophysiology Procedures into a Medical Care Environment

Presented By: ‎

  • David Arroyo, Psic.Npf, BCB

SESSION SYNOPSIS: Applied psychophisiology´s potential to modify many physiological functions in a ‎stable and permanent manner towards an adequate state of self-regulation opens enormous ‎possibilities within medical practice to offer - either as primary or adjuvant therapy - more effective ‎therapeutical options, of minimally invasive nature, with fewer side effects and more economical, in ‎the medium and long term, compared to the usual treatments.    However, for years, the struggle to ‎integrate interventions based on applied psychophysiology to medical care schemes has not been as ‎successful as it should have been, erroneously relegating them to a category of alternative or ‎complementary medicine (according to the definition accepted by the National Institutes of Health -‎NIH-) ignoring its evidence-based nature and making it difficult for medical specialists, hospitals and ‎even insurance institutions to use and accept them. This work proposes possible solutions to the ‎above from the viewpoint of: a) the professional who provides the services of applied ‎psychophysiology, b) the medical specialist who is responsible for offering the patient the possibility of ‎these services forwarding him to the right specialist, c) healthcare institutions (hospitals) and even ‎considers the role played by distributors of equipment in this functional chain, all this from the ‎experience of the author as founder and head for 10 years of the first in-hospital service of applied ‎psychophysiology in Mexico, as well as president of the Medical Bioethics Committee of that ‎institution.‎

  • Clinical Interventions and Optimal Performance
  • Intermediate
  • ‎90% Clinical/10% Research‎

LEARNING OBJECTIVES: ‎

  • Recognize the general situation of Applied Psychophysiology regarding medical care schemes.‎
  • Analyze the variables that affect the situation of Applied Psychophysiology in medical attention and ‎care schemes.‎
  • Reflect on the possible solutions that allow these interventions to be considered as viable to be ‎integrated into comprehensive health care schemes.‎
  • To identify strategies and types of applied psychophysiological intervention - whether evidence-based ‎or potentially effective - that can be integrated into the medical management of a specific condition or ‎set of conditions either as primary or adjuvant therapy, always following the bioethical principles of ‎good practice in health sciences.‎

TARGET AUDIENCE: Aimed at students and health science professionals interested in the functional ‎integration of interventions based on applied psychophysiology into medical-hospital environments ‎and in multidisciplinary applications of health and medical sciences, either as primary or adjuvant ‎therapy, and always with the goal of improving the quality of life of the patient.‎

DIVERSITY CONSIDERATIONS: The ultimate goal of a procedure based on the paradigm of Applied ‎Psychophysiology is to improve the subject's quality of life, either by correcting an adverse condition ‎and/or by improving performance. The simple definition of quality of life implies factors beyond a ‎purely organic functional state since by obligation it has to consider in equal way a level of dynamic ‎satisfaction before the demands of the life by age, culture and personal responsibility. The practice of ‎clinical psychology, medicine and applied psychophysiology must go hand in hand ensuring that ‎objective, measurable and quantifiable goals are maintained while respecting the individual ‎differences of each case in order to provide the best possible care, when possible.‎


Oral Presentations Session 5: Optimal Performance Focus

The following 15-minute and/or 30-minute abstract presentations will be featured ‎‎1. Psycho-Physiological Indicators of Biological Ageing; A Study on Invasive and Non-Invasive ‎‎Biomarkers 2. Effect of Nature-based Physical Activity on Post-traumatic Growth among Healthcare ‎Providers ‎with Post-traumatic Stress

 

DIVERSITY CONSIDERATIONS: The intervention described is mostly culture-free, depending on feelings ‎of self-efficacy. If effective, it offers relative economy because after brief training, nothing is needed ‎other than the basic skill in specific breathing control and understanding of when to use it.‎

 


Effect of Nature-based Physical Activity on Post-traumatic Growth among Healthcare Providers ‎with ‎Post-traumatic Stress

Presented By: ‎

  • Shamoon Noushad, M.Phil.‎
  • Sadaf Ahmed, PhD

SESSION SYNOPSIS: In the aftermath of trauma, post-traumatic growth is demarcated as a positive ‎change and traumatic stress as a negative change, which further leads to PTSD. Previous studies have ‎also indicated that both constructs can co-exist. Detailed descriptions of post-traumatic stress ‎reactions are available in the literature, but the psychophysiological phenomenon of post-traumatic ‎growth is still unclear. Studies have shown that the restorative effects of nature-based therapy have ‎been accounted for a reduction in stress and increase positive affect. The purpose of designing this ‎randomized control trial was to observe nature-based walk on post-traumatic growth and ‎Psychophysiological alterations associated with it. This study was designed to examine recreational ‎exposure to the natural environment for the promotion of post-traumatic growth among health care ‎providers with traumatic stress. In addition, to assess whether post-traumatic growth is associated ‎with psychophysiological alterations, i.e. Cortisol, C-Reactive Protein, Interleukin-6, Brain-Derived ‎Neurotropic Factor, and Heart Rate Variability. At baseline, the participant was assessed with Trauma ‎Symptom Checklist 40 to evaluate trauma intensity. Moreover, subjects who had developed PTG or did ‎not have any trauma intensity were excluded from the study. Blinded treatment was provided to ‎subjects meeting eligibility criteria and were randomized into two groups sequentially as they agree to ‎participate. The nature-based walk was used as an intervention or experimental group vs the control ‎‎(sit in nature). The study outcomes were observed at baseline and 3-month follow-up.There was a ‎significant effect of each of the two conditions (walk or sit) on traumatic stress and post-traumatic ‎growth. Those who were on walking protocol experienced more significant post-traumatic growth ‎‎36.38 ± 7.22 (T1) to 64.05 ± 14.19 (T2) than those on the sitting protocol 36.18 ± 6.96 (T1) to 59.21 ± ‎‎18.41 (T2). There were no significant biochemical predictors of PTG as per the post-intervention ‎regression model among the experimental group except for cortisol. An inverse relation was observed ‎between the two (β = -3.956, p=0.010). While none of them were found significant in the control ‎group. No significant difference in the HRV, BMI and blood pressure were observed between subjects ‎of the experimental group and control group after 3 months of intervention.‎

  • Clinical Interventions and Optimal Performance
  • Intermediate
  • ‎30% Clinical/70% Research‎

LEARNING OBJECTIVES: ‎

  • effect of nature-based therapy on post-traumatic growth
  • the biochemical and physiological correlates in achieving post-traumatic growth
  • effect of exercise and nature on post-traumatic growth

TARGET AUDIENCE: Psychophysiologist, psychologist, physical health therapist.‎

DIVERSITY CONSIDERATIONS: This study was conducted keeping in view the  blend of racial, ‎ethnic, cultural and personal characterstics of study participants selected from metropolitan city of ‎Karachi, Pakistan.‎

 

2:45pm – 4:15pm‎     90-MINUTE BREAKOUT SESSIONS - SYMPOSIA

 

 

The Efficacy of Casual Video Games in Reducing Symptoms of Depression and Anxiety: Implications for ‎Biofeedback Practitioners

Presented By: ‎

  • Christina Brown-Bochicchio, PhD, CTRS
  • Amelia Saul, MS, CTRS
  • Lauren Bethune Scroggs, MS, NCC, CCMHC, LCAS-A, LPC-A

SESSION SYNOPSIS: Researchers using electroencephalogram (EEG) have found a relationship between ‎frontal alpha asymmetry and depression though results have been conflicting (Davidson &Henriques, ‎‎2000; Gotlib, 1998; Davidson, 1995). There is limited research on how casual videogames (CVG) affect ‎alpha activity in individuals with Major Depressive Disorder (MDD) and other mood disorders. These ‎following presentations will involve three clinical studies using HRV, EEG, psychological and somatic ‎changes to determine the efficacy of video game play in reducing symptoms of depression and ‎anxiety. In studies conducted using EEG, researchers have found a relationship between alpha ‎activity and depression. When alpha activity improves so does depression symptoms (Davidson, ‎‎1995). There is limited research on how biofeedback integrated causal videogames (CVG) affect alpha ‎production for individuals who are clinically depressed. The purpose of this randomized controlled ‎study was to determine whether a regimen of prescribed CVGs improved alpha production and ‎correlate these changes with depression symptoms    The purpose of this presentation is to discuss a ‎three part, multi-phased study that tested the influence of a regimen of prescribed CVG play on an ‎individual’s alpha activity and mood, anxiety and depressive symptoms. All three phases of the study ‎including methodology and results will be discussed in this presentation.‎

  • Hot Topics
  • Intermediate
  • ‎20% Clinical/80% Research‎

LEARNING OBJECTIVES: ‎

  • Observe CVG affect on alpha brain waves through demonstration of research protocol
  • Summarize applications of readily available CVGs on various populations
  • Apply potential applications of CVG use in other relevant populations.‎

TARGET AUDIENCE: This presentation is appropriate for biofeedback students, individuals interested ‎in treatment alternatives for mood conditions, practitioners and researchers.‎

DIVERSITY CONSIDERATIONS: This presentation addresses cultural competence as CVG's provide ‎intervention alternatives for all socioeconomic groups regardless of access to medical care. CVG's are ‎also available across multiple languages and cultures.‎


Using Heart Rate Variability to Structure Client Interactions

Presented By: ‎

  • Matthew Bennett, MA, MBA
  • Inna Khazan, PhD, BCB

SESSION SYNOPSIS: Biofeedback practitioners help to heal and optimize the psychophysiology of those ‎seeking our help. Successfully providing support and help depends on matching our communication ‎style and intervention to the current state of those we are trying to help. One of the most practical ‎utilizations of the mobile phone HRV apps is to access the person’s state before a session. A quick ‎review of a person’s daily and pre-session reading scores against longer-established baselines ‎provides the practitioner insight into the current emotional state of the person.  A person whose pre-‎sessions reading is at or above their baseline average is likely in their window of tolerance and ready ‎to work. In this state, the professional can challenge them to work hard on tasks. A person with a ‎score lower than these averages will need some support or easier interventions to bring them back ‎into their ventral vagus and prefrontal cortex and gain the social, cognitive, and emotional energy to ‎maximize their time with you.   In this symposium, we will explore how to use pre-session HRV ‎readings to help professionals structure sessions in a way that matches the person’s current state. Pre-‎meeting HRV readings assist the professional by making the time more productive, avoiding pushing ‎the person beyond their window of tolerance, and minimizing the chances for allostatic overload. If a ‎person with a low HRV expresses feeling anxious, nervous, or frustrated, a few minutes of mindful low ‎and slow breathing at Resonance Frequency rate helps apply the vagal brake to calm the sympathetic ‎nervous system. While time is always precious, just a few minutes helps shift states from one that ‎could quickly grow into anger and withdrawal to a state supporting the goals of the meeting.‎

  • Clinical Interventions and Optimal Performance
  • Introductory
  • ‎50% Clinical/50% Research‎

LEARNING OBJECTIVES: ‎

  • Implement pre-session HRV readings into their practice.‎
  • Identify how pre-session HRV readings can promote co-regulation and psychological safety.‎
  • Position inexpensive technology to improve outcomes and the client experience

TARGET AUDIENCE: Biofeedback practitioners working with clients

DIVERSITY CONSIDERATIONS: The presentation will incorporate our understanding of running a ‎culturally competent biofeedback practice.‎


Applications in Chronic Pain Management

Presented By: ‎

  • Peter Behel, MA
  • JP (Jack) Ginsberg, PhD
  • Christopher Gilbert, PhD

SESSION SYNOPSIS: Comprehensive pain management has emerged as its own stand-alone application ‎area based upon the circumstances leading to the development of the chronic pain syndrome. Recent ‎history suggests that the indefinite use of opioids to manage this condition may not be without its own ‎set of complications. The purpose of this panel is to provide a basis for managing chronic pain from a ‎functionally-based perspective, apart from the use of medications.‎

  • Clinical Interventions and Optimal Performance
  • Intermediate
  • ‎100% Clinical‎

LEARNING OBJECTIVES: ‎

  • Account for autonomic influences on pain signal processing.‎
  • Distinguish physiological mechanisms that contribute to the development of the chronic pain ‎syndrome.‎
  • Recognize the relationship between HRV and chronic pain.‎
  • Review how cognitive therapy and hypnosis interact with the neurophysiology and biochemistry ‎underlying chronic pain.‎

TARGET AUDIENCE: Practitioners who are interested in chronic pain.‎

DIVERSITY CONSIDERATIONS: Many diverse cultures are adversely impacted by opioid overuse ‎administered under the auspices of treating chronic pain. The purpose of this proposed panel is to ‎offer an approach in chronic pain management that is functionally-based.‎

 

‎4:30pm – 5:30pm‎    60-MINUTE BREAKOUT SESSIONS - SYMPOSIA


A Method for More Accurate Determination of Resonance Frequency of the Cardiovascular System ‎Using Two Open Source Programs to Perform It

Presented By:

  • Lorrie R Fisher, PhD Applied Psychophysiology, LMFT

SESSION SYNOPSIS: This meeting will introduce a our study which validated a more exact automated ‎method of determining cardiovascular resonance frequency (RF) against the “stepped” protocol ‎described by Lehrer et al. in 2000.  Thirteen participants completed a 15-minute RF determination ‎session by each method. The Lehrer protocol assessed heart rate variability (HRV) in five 3-minute ‎stationary windows from 4.5-6.5 breaths per minute (bpm), decreasing in 0.5 bpm steps, using ‎multiple criteria for determining RF.  The new software fully automated RF determination. The new ‎method used a sliding window with a fixed rate of change (in this case, 67.04 ms per breath) at each of ‎‎78 breath cycles ranging from 4.25 - 6.75 bpm. Its algorithm analyzed IBI to locate the midpoint of the ‎‎1-minute region of stable maximum peak-trough variability. The display superimposed HRV and ‎respiration intervals for simplified phase analysis.  RF was quantified from the breath duration at that ‎point. In our study, 11 of the 13 matched pairs fell within the 0.5 bpm resolution of the stepped ‎method. Comparisons of LF power generated by the autoregressive (AR) spectral method showed a ‎strong correlation in LF power production by the two procedures (R = 0.751, p = 0.000). The sliding ‎pacing protocol was favored by 69% of participants. The software is available open-source.‎

  • Clinical Interventions and Optimal Performance
  • Intermediate
  • ‎70% Clinical/30% Research‎

LEARNING OBJECTIVES: ‎

  • Learn how to obtain and to fully utilize the features of the new "sliding" method software
  • Observe a case in which the "sliding" method was able to explain a mysterious outlier
  • Hear a few suggestions for further research (perhaps a dissertation?) that follows this study

TARGET AUDIENCE: Clinicians who are interested in using HRV biofeedback, and programmers who ‎would like to adapt an elegant open-source software suite to their research needs.‎

DIVERSITY CONSIDERATIONS: HRVB works the same way for all humans.‎


The Challenge of Habit: Making Meaningful Changes in a Quest to Improve Brain Health

Presented By: ‎

  • Anne Ward Stevens, PhD

SESSION SYNOPSIS: If you could  change three habits to improve your brain health, what would they ‎be? Improved sleep? Better nutrition? Daily meditation? Sounds easy, right? So why isn’t it? Why don’t ‎we just do it? As mental health providers and brain/performance trainers, we are in the business of ‎brain health. But the bottom line is, we often don’t do the very thing that ask of our clients. Yes, that is ‎putting your brain first.    While the solution to better health, vitality and well-being seems simple, ‎begins with these habits, for many of us, it is not easy to change! And, if we have difficulty, as experts ‎in the business in brain changing, then it may be difficult for our clients. The problem is that while we ‎know that certain habits lead us to be healthier and happier, we don’t do it? Neuromodulation ‎techniques may assist the brain to change, but when we that is our primary focus, we will miss other ‎factors that can speed up the process and support and nurture continued brain growth.     Research in ‎the past few years has been plentiful describing the importance of nutrition, sleep (Fultz, N., et al, ‎‎2019), and exercise, as well as, other habits (Isaacson, R., et al 2019) such as meditation/breathing and ‎mindfulness (Lazer, S., et al, 2005) on brain health. This talk summarizes how these habits promote ‎and sustain brain health, including their relation to neuroplasticity.  Finally, a discussion about ‎implementing strategies to strengthen motivation and incorporation of these habits will be offered.‎

  • Clinical Interventions and Optimal Performance
  • Introductory
  • ‎70% Clinical/30% Research‎

LEARNING OBJECTIVES: ‎

  • Identify personal beliefs or concepts that may impede the progress of their clients healthy habits
  • Discuss how healthy habits can improve neuroplasticity
  • Discuss how healthy habits can improve neuroplasticity

TARGET AUDIENCE: Clinicians interested in getting the best out of themselves and their clients

DIVERSITY CONSIDERATIONS: This talk will discuss special populations when it comes to health and ‎health habits and their access to information, etc


An Integrative Psychophysiological Approach to Balance the Gut-Brain Axis

Presented By: ‎

  • Ashlie Bell, PhD, LCSW, BCN

SESSION SYNOPSIS: Recent research within the fields of medicine, neuroscience, psychiatry, and ‎microbiology has revealed a complex, remarkably interconnected relationship between the brain and ‎gastrointestinal system. The gut-brain axis involves a number of complex feedback loops between the ‎microbiome, intestinal barrier, mucosal immune system, neuroendocrine system, and hypothalamic-‎pituitary-adrenal (HPA) axis, as well as the enteric, autonomic, and central nervous systems (De Palma, ‎Collins, Bercik, & Verdu, 2014 , Mayer, 2011). Through these communication channels, signals from ‎the brain can modulate motor, sensory, and secretory functions of the gut, and signals from the gut ‎can influence various aspects of psychological and cognitive function (De Palma et al., 2014; Grenham, ‎Clarke, Cryan, & Dinan, 2011; Mayer, Knight, Mazmanian, Cryan, & Tillisch, 2014). As such, alterations ‎in one component can trigger a cascade of effects throughout the axis.  Exposure to prolonged or ‎excessive stress—from emotional trauma to pathogenic invasion—can produce especially detrimental ‎effects on this axis, leading to chronic physical and psychological disorders (Bell & Ross, 2014; Mayer et ‎al., 2014).‎
Failure to adequately address imbalances throughout this axis might inhibit clients’ progress in ‎psychophysiological interventions such as neurofeedback and biofeedback.  This presentation will ‎provide an overview of research on the gut-brain axis as it relates to the fields of psychophysiology ‎and mental health, as well as guidance for appropriate intervention using the tools available to us.  We ‎will especially examine the impact of stress on the gut-brain axis, as well as the role of this axis in ‎stress-related disorders. We will then discuss practical recommendations for an integrative ‎psychophysiological approach to help clients effectively balance this axis. We will also cover methods ‎for reducing the brain’s stress reactivity, balancing the neuroendocrine system, optimizing microbiota ‎compositions, repairing the gut lining, restoring tight junctions in the blood-brain barrier, ensuring ‎adequate nourishment, and reducing inflammation.‎

  • Hot Topics
  • Introductory
  • ‎50% Clinical/50% Research‎

LEARNING OBJECTIVES: ‎

  • Describe the role of the gut-brain axis in various cognitive and mental health disorders
  • Explain the effects of stress on both the gut and brain, as well as how each influences our stress ‎reactivity
  • Discuss the feedback loops that exist between the gut and brain, and how each impacts the other
  • Implement integrative psychophysiological interventions to improve health and mental health ‎outcomes

TARGET AUDIENCE:  Practitioners looking to be more effective in their work with clients who are ‎struggling with cognitive and mental health challenges  - Individuals interested in new, innovative ‎solutions for optimizing health and wellness  - Individuals interested in learning more about the ‎integration between the brain, mind, and various body systems

DIVERSITY CONSIDERATIONS: This presentation will promote taking an individualized approach for ‎each unique client, which includes taking into account each individual's cultural background, ‎environment, spirituality, practices, etc.‎


Oral Presentations Session 6: Neurofeedback Focus

The following 15-minute and/or 30-minute abstract presentations will be featured ‎‎ 1. ‎Transcending Bio and Neurofeedback: Clinical Process in the Applied ‎Neuropsychophysiological ‎Paradigm (A Transdisciplinary, Evidence Based Approach)‎ ‎2. Neurorehabilitation Program Using Bio-‎photo/Electromagnetic Stimulation Wearable 3‎. Evaluation of Home based Neurofeedback Training for ‎Children with Attention Deficit ‎Hyperactivity Disorder


Transcending Bio and Neurofeedback: Clinical Process in the Applied ‎Neuropsychophysiological ‎Paradigm (A Transdisciplinary, Evidence Based Approach)‎

Presented By: ‎

  • David Arroyo, Psic.Npf, BCB

SESSION SYNOPSIS: The clinical process in health sciences aims to gather, organize and interpret ‎sufficient data that makes possible for us to make an adequate evaluation of a given situation and to ‎develop and implement a truly effective treatment plan or intervention to help our patient or client.    ‎Nowadays, the paradigm in which clinical process is currently based has proved to be insufficient to ‎achieve those goals successfully as it may because it usually underutilizes the full capacity of the ‎resources that modern scientific and technological advances can provide, or otherwise, it may rely too ‎much on these developments and dismiss the human dimension of the patient or client and most of ‎the factors and variables that play a key role in attaining a real state of wellbeing, when that’s ‎possible.    Transdisciplinarity connotes a philosophical foundation and a practical strategy that crosses ‎many disciplinary boundaries to create a comprehensive approach that helps understand situations ‎and solve problems in a way where a “one-way approach” may be insufficient.    Because of it´s ‎transdisciplinary nature, the Applied Neuropsychophysiology Paradigm requires the consideration of ‎the human being in all of his physical, mental, social - and even spiritual - dimensions in a holistic ‎manner, taking into account a great number of intrinsic and extrinsic variables that can alter its health ‎status and relying on the latest technology to thus be able to accomplish a much more effective clinical ‎process, from the potential to obtain more accurate multifactorial diagnoses -that even allows us to ‎assess objectively what is traditionally considered subjective-; to help us implement treatment ‎programs that could complement other conventional treatments increasing their effectiveness or to ‎replace them with new options which can be less intrusive with fewer undesirable side effects with a ‎higher rate of success improving the life´s quality and functional capacity.‎

  • Basic Science (All Levels)‎
  • Intermediate
  • ‎90% Clinical/10% Research‎

LEARNING OBJECTIVES: ‎

  • Reach an understanding of the philosophical, scientifical and practical foundations of Applied ‎Psychophysiology and it´s paradigm
  • Integrate this paradigm in an appropriate clinical process that ensures proper implementation of ‎techniques such as Biofeedback and Neurofeedback in an transdiciplinary environment with other ‎disciplines that integrate health sciences.‎
  • identify the necessary dynamic processes that integrate a successful clinical process and the ‎multidisciplinary knowledge to implement it
  • Obtain the foundations that will allow the ability to propose a clinical process to each particular case ‎that satisfactorily balances those elements generalizable from the scientifical evidence-based point of ‎view and those that includes individual differences that can be from anatomic-physiological ‎pecularities or from more subjective elements such as cultural elements, individual beliefs, customs, ‎etc. all from a bioethical perspective.‎

TARGET AUDIENCE: Aimed at students and health science professionals interested in applied ‎neurosciences - and particularly applied psychophysiology - at any level of education and experience - ‎who seek a greater understanding of the discipline beyond technical elements and ‎physiological/behavioral standards by proposing a truly comprehensive clinical process that increases ‎the potential for obtaining the desired results.‎

DIVERSITY CONSIDERATIONS: The ultimate goal of a procedure based on the paradigm of Applied ‎Psychophysiology is to improve the subject's quality of life, either by correcting an adverse condition ‎and/or by improving performance. The simple definition of quality of life implies factors beyond a ‎purely organic functional state since by obligation it has to consider in equal way a level of dynamic ‎satisfaction before the demands of the life by age, culture and personal responsibility.‎


Neurorehabilitation Program Using Bio-photo/Electromagnetic Stimulation Wearable

Presented By:‎

  • Victoria  L. Ibric, MD, PhD, BCN
  • Liviu G. Dragomirescu, ‎

SESSION SYNOPSIS: Abstract: Twenty-four clients, 10-86 y/o, volunteered for this study: participants, ‎previously diagnosed and treated by their own physicians or psychologists for a variety of conditions ‎such as, ADHD, LD, fibromyalgia and other pain syndromes, sleep disorders, post stroke, post-‎concussion syndrome, asthma, COPD and memory dysfunctions. Before the study commenced, a ‎battery of subjective tests (DSM-5, Amen ADD questionnaires) were completed and medical history ‎collected. Prior to the beginning of the study, clients were evaluated cognitively with the IVA-QS ‎continuous performance test.  In most cases, parents, spouses or close family members completed bi-‎weekly evaluations, to monitor the specific changes in client’s overall health condition and progress.  ‎After each session participants completed a questionnaire. Neuro-stimulation sessions were offered ‎three times per week, half an hour each session, for 20 – 40 consecutive sessions. The cognitive ‎functions were re-evaluated with the same IVA-QS battery, as used at the start of the study, after 20 ‎and after 40 consecutive sessions of Neuro-Stimulation.   Majority of the participants benefited from ‎the Neuro-Stimulation program obtaining remarkable physical, emotional and cognitive ‎improvements. Objectively the IVA-QS showed significant and continuous improvements. No negative ‎side effects have been reported from this training.  Conclusion: The Neurodynamic Activator™, as a ‎unique standalone brain trainer, shown to be a useful device that benefited all the participants and ‎the benefits obtained and reported at the end of the study, continued to be sustained 18 months ‎later, after the completion of the Neuro-Stimulation. Other light / bio-photo-stimulation methods will ‎be discussed.‎

  • Hot Topics
  • Intermediate
  • ‎40% Clinical/60% Research‎

LEARNING OBJECTIVES: ‎

  • Recognize the difference and similarity between Neurofeedback and Neurostimulation process.‎
  • Discuss the variety of instruments used for Neurostimulation from past to present.‎
  • Observe demonstrations of various light stimulation devices

TARGET AUDIENCE: The Bio-Photo and electromagnetic stimulation has been applied to a very ‎heterogeneous group of people, as cultural diversity and competence, who volunteered for this ‎project.‎

DIVERSITY CONSIDERATIONS: Summarize the basic role of the light/ electromagnetic stimulation in the ‎Neuromodulation processes.‎


Evaluation of Home based Neurofeedback Training for Children with Attention Deficit ‎Hyperactivity ‎Disorder

Presented By: ‎

  • Wasifa Jamal, PhD
  • Max Newlon, M.Ed.‎

SESSION SYNOPSIS: Attention deficit hyperactivity disorder (ADHD) and Attention deficit disorder ‎‎(ADD) are prevalent disorders. Those who suffer from ADHD and ADD have deficits in the areas of ‎attention control, such as the inability to sustain attention over time or attend to stimuli selectively. ‎Neurofeedback protocols have been considered to be efficacious in the treatment of ADHD and most ‎research has resulted in clinical benefit in children. However, high costs and poor access to ‎practitioners and clinics prevent families from obtaining this form of intervention.     For this study ‎families of 18 children, diagnosed with ADHD/ADD, across the US volunteered to participate in a 5 ‎week at home neurofeedback training program. They were of ages 10-17. Children were asked to ‎complete 5 sessions per week, each for 20 minutes. Each training session consisted of a series of high ‎attention and relaxation exercises. During each training session the children wore a wireless portable ‎EEG headband and played the attention and relaxation neurofeedback games from the comfort of ‎their homes. Three electrodes were positioned on the child’s head: active lead at the frontal midline ‎‎(FZ) site, with ground and reference lead on the left ear. The child’s success during a game depended ‎on his/her ability to remain in a focused (or relaxed) state, depending on the exercise.     The system ‎used a machine learning algorithm to match the user’s EEG signals with the model of a focused task ‎and rewarded higher focus scores with visual and auditory stimuli and lower scores were penalized.    ‎The results show statistically significant (p<0.01) training effects with reduced inattention and ‎hyperactivity and impulsivity in the Connor’s Comprehensive Behaviour Rating Scale (CBRS) parent ‎reports, indicating that ADHD symptoms have reduced over the 5 weeks, 25 sessions of this home ‎based neurofeedback training program.‎

  • Intermediate
  • 100% Research‎

LEARNING OBJECTIVES: ‎

  • understand how home based neurofeedback training is implemented
  • see effects of at home neurofeedback training on children with ADHD

TARGET AUDIENCE: The study was open all families across the USA who meet criteria.‎
 

‎6:00pm – 7:15pm ‎   

Keynote Address ‎Presented by Ron Swatzyna, PhD

Ronald J. Swatzyna, PhD received his Masters of Science and Doctorate of Philosophy in ‎Social Work from The ‎University of Texas Arlington. Currently, he is the Director/Chief ‎Scientist of Neurophysiology Research at Houston ‎Neuroscience Brain Center and ‎Founder of Clinical NeuroAnalytics, LLC. Dr. Swatzyna is a licensed clinical social ‎worker, ‎and board certified in neurofeedback and biofeedback by the Biofeedback ‎Certification International ‎Alliance (BCIA). For the past 23 years, Dr. Swatzyna has ‎analyzed and treated the most diagnostically challenging ‎and 15 years ago he started ‎using electroencephalography (EEG) and quantitative EEG (qEEG) data to assist ‎‎psychiatrists in medication selection and titration. Dr. Swatzyna is a retired City of ‎Arlington, Texas professional ‎Firefighter-EMT-I and a veteran of Vietnam and the first Gulf ‎War. Finally, his personal battle with a traumatic ‎brain injury and posttraumatic stress ‎disorder has motivated him to become a leading expert in brain dysfunction.‎

 

7:15pm – 10:30 pm‎    

SATURDAY NIGHT AAPB “CONNECTIONS” CLOSING ‎RECEPTION ‎

 

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Wednesday, March 23, 2022‎

Thursday, March 24, 2022‎

Friday, March 25, 2022‎

Friday March 25, 2022 CONTINUED

Saturday, March 26, 2022‎

Saturday, March 26, 2022 CONTINUED

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