Neurofeedback
What Is It?
Plain-Language Explanation
Neurofeedback is computer-assisted brain training. Small EEG sensors placed on your scalp read your brain waves in real time, and a computer translates this information into a game or video — for example, a film that plays more smoothly when your brain produces a steadier, more organised pattern.
With repeated practice, your brain learns on its own how to reach and hold healthier patterns. No electricity enters the brain; the process relies entirely on natural feedback.
Technical Explanation
Neurofeedback is the clinical application of neurophysiological operant conditioning. EEG signals (typically 2–4 channels in the 10-20 system) are acquired in real time, filtered for the target frequency band, and spectral power is calculated every 50–100 ms. A reward signal (visual/auditory) is delivered continuously whenever target-band amplitude falls within the protocol-defined threshold.
Common protocols include: alpha enhancement (8–12 Hz) for relaxation and focus; SMR (sensorimotor rhythm, 12–15 Hz) reinforcement for motor regulation; theta inhibition (4–8 Hz) with concurrent low-beta enhancement (15–18 Hz) for attention disorders. Functional connectivity changes are confirmed via pre-post QEEG for objective progress documentation.
How It Is Used at Our Practice
Neurofeedback protocols in our practice are designed from each patient's baseline QEEG profile. Target frequencies and electrode sites are selected individually rather than using generic protocols. Sessions last 30–45 minutes under direct clinical supervision.
Neurofeedback is most effective as part of a multimodal programme. We integrate it with tES, structured cognitive exercises, and lifestyle strategies to maximise long-term neuroplasticity.
Scientific Evidence
- Arns M et al. 2009, Clin EEG Neurosci — Efficacy of neurofeedback for ADHD: a meta-analysis
- Gruzelier JH 2014, Neurosci Biobehav Rev — EEG-neurofeedback for optimising performance
- Marzbani H et al. 2016, Basic Clin Neurosci — Neurofeedback: a comprehensive review on system design
- Ros T et al. 2020, Neuroimage — Consensus on the reporting and experimental design of neurofeedback studies
Frequently Asked Questions
- How many neurofeedback sessions are needed?
- Most clinical protocols consist of 20–40 sessions. Early changes are often observed within the first 10–15 sessions, but long-term consolidation requires a full programme.
- Can neurofeedback replace medication?
- Neurofeedback is an adjunctive therapy, not a replacement for pharmacotherapy. Medication decisions are always made in consultation with your physician.
- Is neurofeedback effective for children?
- There is scientific evidence supporting its use in certain neurodevelopmental conditions in children. Suitability is assessed individually during consultation.
- Are the results permanent?
- Outcomes tend to be durable when the full programme is completed and supported by a healthy lifestyle. Booster sessions may be recommended in some cases.
Wondering whether this modality is right for your condition?