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combinations of the slower frequencies, but even gamma has been found to be involved
in rapid-eye movement (REM).
Gamma Waves
These are involved in higher processing tasks as well as cognitive functioning. Gamma
waves are important for learning, memory and information processing. It is thought that
the 40 Hz gamma wave is important for the binding of our senses in regards to
perception and are involved in learning new material. It has been found that individuals
who are mentally challenged and have learning disabilities tend to have lower gamma
activity than average.
Beta Waves
These are known as high frequency low amplitude brain waves that are commonly
observed while we are awake. They are involved in conscious thought, logical thinking,
and tend to have a stimulating affect. Having the right amount of beta waves allows us
to focus and complete school or work-based tasks easily. Having too much beta may lead
to us experiencing excessive stress and/or anxiety. The higher beta frequencies are
associated with high levels of arousal. When you drink caffeine or have another
stimulant, your beta activity will naturally increase. Think of these as being very fast
brain waves that most people exhibit throughout the day in order to complete conscious
tasks such as: critical thinking, writing, reading, and socialization.
Alpha Waves
This frequency range bridges the gap between our conscious thinking and subconscious
mind. In other words, alpha is the frequency range between beta and theta. It helps us
calm down when necessary and promotes feelings of deep relaxation. If we become
stressed, a phenomenon called alpha blocking may occur which involves excessive
beta activity and very little alpha. Essentially the beta waves block out the production
of alpha because we become too aroused.
Optimal: Relaxation
Theta Waves
This particular frequency range is involved in daydreaming and sleep. Theta waves are
connected to us experiencing and feeling deep and raw emotions. Too much theta
activity may make people prone to bouts of depression and may make them highly
suggestible based on the fact that they are in a deeply relaxed, semi-hypnotic state.
Theta has its benefits of helping improve our intuition, creativity, and makes us feel
more natural. It is also involved in restorative sleep. As long as theta isnt produced in
excess during our waking hours, it is a very helpful brain wave range.
Delta Waves
These are the slowest recorded brain waves in human beings. They are found most often
in infants as well as young children. As we age, we tend to produce less delta even
during deep sleep. They are associated with the deepest levels of relaxation and
restorative, healing sleep. They have also been found to be involved in unconscious
bodily functions such as regulating heart beat and digestion. Adequate production of
delta waves helps us feel completely rejuvenated after we wake up from a good nights
sleep. If there is abnormal delta activity, an individual may experience learning
disabilities or have difficulties maintaining conscious awareness (such as in cases of
brain injuries).
Too much: Brain injuries, learning problems, inability to think, severe ADHD
Too little: Inability to rejuvenate body, inability to revitalize the brain, poor sleep
That said, it should be hypothesized that by making calculated adjustments to the brain
waves of an individual with ADHD, concentration, attentiveness, and cognitive function
may improve.
Source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230047/
Source: http://www.ncbi.nlm.nih.gov/pubmed/24321363
2012: In a 2012 review of literature, researchers sought out studies regarding the
efficacy of neurofeedback for the treatment of ADHD. They were able to find 3
systematic reviews along with 6 randomized-controlled trials that were not included in
the reviews. The authors of this review noted that most non-randomized, controlled
trials demonstrated positive results, but evidence for efficacy diminishes significantly in
randomized controlled-trials.
Source: http://www.ncbi.nlm.nih.gov/pubmed/22930416
2012: A study published in 2012 highlights the need to tailor neurofeedback treatment
to an individual rather than use a generalized protocol. Researchers analyzed various
EEG biomarkers and conducted a pilot study in attempt to personalize neurofeedback
treatment. They hypothesized that by personalizing treatment based on observable
biomarkers, treatment outcomes improve.
A total of 21 patients with ADHD were treated with neurofeedback, but prior to the
treatment, they had undergone a QEEG (quantitative EEG). This allowed researchers to
determine individualized EEG biomarkers that may be causing their symptoms. Posttreatment effects on inattentiveness (ATT), hyperactivity/impulsivity (HI), and
comorbid depressive symptoms were evaluated.
The effect size was reported as 1.78 for ATT (inattentiveness) and 1.22 for
hyperactivity/impulsivity. It was noted that those receiving SMR training exhibited
increases in N200 and P300 brain wave amplitudes. This pilot study demonstrated the
importance of personalizing neurofeedback treatment based on individual QEEG
readings. Perhaps this is why most of the research on neurofeedback is muddied; the
researchers arent personalizing treatment based on QEEG and are solely using the
same (usually SMR/theta) protocol for everyone.
Source: http://www.ncbi.nlm.nih.gov/pubmed/22446998
2011: A study with 35 children that had been diagnosed with ADHD analyzed the effects
of neurofeedback training. The children were ages 6 to 14 years old, consisting of 26
boys and 9 girls. Researchers utilized a theta/beta protocol for neurofeedback along
with a separate form of EMG biofeedback designed to improve forehead muscle
relaxation.
A total of 18 participants were assigned to receive neurofeedback and the remaining 17
served as a control group (receiving the EMG biofeedback). Both the neurofeedback
group and the control group engaged in a total of 30 training sessions. Baseline
symptoms were documented with psychological, behavioral, and psychometric rating
scales; parents and teachers were involved in the ratings.
Both groups experienced reductions in theta/beta ratios following the 30 sessions.
Parental ratings noted significant improvements in ADHD symptoms, specifically
inattentiveness was reduced significantly among those that had received neurofeedback
training compared to the control group. Furthermore, neurofeedback significantly
improved attention and reaction time based on psychometric measures.
That said, there was no evidence suggesting that neurofeedback training improved
measures of hyperactivity or impulsivity. In other words, this study is suggesting that
children diagnosed with ADHD characterized primarily by inattentiveness may benefit
more than those with a greater degree of hyperactivity or impulsivity. This study
implies that some children with ADHD could derive modest benefit from neurofeedback
training.
Source: http://www.ncbi.nlm.nih.gov/pubmed/21842168
2009: Researchers noted that neurofeedback has been utilized since the 1970s in
attempt to reduce symptoms of ADHD. They note that many practitioners question
whether neurofeedback is an evidenced-based treatment or an unproven intervention
for ADHD. The researchers performed a meta-analysis and selected studies of
neurofeedback for the treatment of ADHD.
They mentioned that all studies measuring pre and post symptoms of ADHD
discovered a significant effect of neurofeedback on symptoms. Specifically, they noted
that large effect sizes were reported in the reduction of impulsivity and inattention,
while a moderate effect was reported for the reduction of hyperactivity. Authors of this
meta-analysis stated that the clinical effects of neurofeedback for the treatment of
ADHD can be considered clinically meaningful.
It was noted that neurofeedback for the treatment of ADHD can be classified
(AAPB/ISNR) as Efficacious and Specific (Level 5) with greatest benefit in improving
inattentiveness and impulsivity. While it may not be as effective in reducing
hyperactivity, it still was suggested to provide moderate improvement. This evidence
was based off of 3 randomized studies that implemented a sham neurofeedback
control group all suggesting neurofeedback is effective.
Source: http://www.ncbi.nlm.nih.gov/pubmed/19715181
2009: A relatively moderate sized study compared the effects of neurofeedback training
with that of a computerized attention skills training program for the treatment of
ADHD. A total of 102 children (ages 8 to 12) diagnosed with ADHD participated in the
study. The children were assigned to either 36 sessions of neurofeedback training or 36
sessions of the computerized attention skills training within two four week blocks.
The neurofeedback group received one block of theta/beta training and a second block
of slow cortical potential (SCP) training. ADHD symptoms were assessed pretreatment, during treatment, and post-treatment with scales such as: the German
ADHD rating scale and the FBB-HKS both of which were completed by parents and
teachers. Results as indicated by parent and teacher ratings suggested that the children
receiving neurofeedback experienced significant improvement compared to the control
group.
This study suggests that neurofeedback training among children diagnosed with ADHD
is superior to a placebo. While researchers didnt know the specific effects of
neurofeedback treatment, they suggested that it should be considered an effective
intervention for those with ADHD.
Source: http://www.ncbi.nlm.nih.gov/pubmed/19207632
2006: A study from 2006 suggested that 30 sessions of neurofeedback can improve
attention, intelligence, and behavior among children with ADHD. This study
incorporated neurofeedback training with a theta-beta protocol and slow cortical
potentials (SCPs). A total of 38 children were included in the study; 19 of which
received theta-beta neurofeedback and the other 19 of which received slow cortical
potential (SCP) neurofeedback.
All children received 30 initial neurofeedback sessions, with a follow-up training session
approximately 6 months after their 30th session. Participants were analyzed prior to
the neurofeedback (at baseline) with measures of: attention, intelligence, and
behaviors. The researchers noted that both groups were successful at voluntarily
regulating cortical activity (e.g. self-regulation) in accordance with specific tasks and
conditions.
In other words, they were able to shift their brain activity to an ideal state of functioning
to match an assigned task. Both groups were noted to increase IQand attentional
measures results didnt differ between groups. Parent and teacher reports highlighted
significant behavioral and cognitive improvements. The effects of neurofeedback
training remained after 6 months, suggesting that multiple neurofeedback protocols
(theta-beta or slow cortical potential) can significantly improve ADHD symptoms.
Source: http://www.ncbi.nlm.nih.gov/pubmed/16869483
patterns particularly increased activity within the 16 to 20 Hz range (beta waves) and
decreased activity in the 4 to 8 Hz range (theta waves).
Researchers noted that children experienced significantly higher scores on the WISC-R
following treatment. They also were reported as taking better notes in school,
experiencing improved social adaptability, and having higher self-esteem. It was
concluded that neurofeedback is a good treatment for children with ADHD, especially
due to the fact that it is non-invasive.
Source: http://www.ncbi.nlm.nih.gov/pubmed/16118616
Source: http://www.ncbi.nlm.nih.gov/pubmed/15357015
Behavioral improvements were also reported in both groups by teachers and parents
(according to the IOWA-Conners Behavior Rating Scale). Authors suggested that
neurofeedback was effective in improving certain symptoms of ADHD in children and
may be a viable alternative treatment to pharmaceutical drugs.
Source: http://www.ncbi.nlm.nih.gov/pubmed/12737092
Source: http://www.ncbi.nlm.nih.gov/pubmed/24922488
Source: http://www.ncbi.nlm.nih.gov/pubmed/24021501
2013: A pilot study compared the effect of 30 neurofeedback sessions with a stimulant
medication to treat ADHD symptoms. The study consisted of 32 ADHD patients ages 7
to 16 with no history of medication usage. The patients were randomized to receive
either neurofeedback or pharmaceutical treatment; with an even split of 16 participants
in each group.
Prior to treatment, ADHD symptom severity was assessed with 2 scales both of which
contained parent and teacher forms. Neurofeedback training spanned between 7 and 11
months and the same 2 scales were utilized to assess symptom severity. The primary
measure was the 18 symptoms of ADHD based on the DSM-IV criteria.
Results suggested that outcomes were significantly different between the 16 patients
receiving pharmaceutical treatment compared to the 16 receiving neurofeedback.
Specifically, those taking the medication experienced statistically significant
symptomatic improvement compared to those engaged in neurofeedback. Researchers
concluded that the research supports usage of pharmaceutical drugs to treat ADHD, but
not neurofeedback.
Source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3779016/
Source: http://www.ncbi.nlm.nih.gov/pubmed/22890816
While the quality of the studies conducted is far more important than the number of
studies conducted, many of the studies suggesting neurofeedbacks efficacy for ADHD
have incorporated larger samples and randomized designs than those suggesting a lack
of therapeutic efficacy. Multiple meta-analyses suggest that utilizing neurofeedback
compared to a pseudo-neurofeedback sham yields clinically significant results for the
treatment of ADHD.
Studies suggesting that neurofeedback is ineffective are limited in terms of sample sizes
and the fact that they utilize a generalized training protocol rather than one tailored to
the individual. No meta-analyses to date suggest that neurofeedback is likely to be
ineffective for the treatment of ADHD. At this time, most evidence suggests that proper
neurofeedback training is likely to yield (at least some) benefit.
Whether the benefit should be considered clinically significant remains unknown and
warrants further research. Various studies have determined that neurofeedback
training significantly: reduces inattentiveness, impulsivity, and hyperactivity. It also
has been found to increase intelligence and reduce reaction time. To imply that
neurofeedback is ineffective or does nothing is relatively short-sighted and
unscientific; it is known that the practice produces lasting changes to the brain waves.
Nonetheless, further research is warranted to confirm the preliminarily touted (or
speculative) efficacy of neurofeedback, especially in larger trials. While many
researchers want to test generalized training protocols (e.g. SMR/theta training), this
strategy should be considered suboptimal. A more effective neurofeedback training
strategy is to personalize sessions based on pre-treatment QEEG recordings
the evidence seems to support QEEG neurofeedback as well.
Due to the fact that each case of ADHD is different, it should not be concluded that a
one size fits all neurofeedback training approach will provide clinical benefit for
everyone; neurofeedback training should be individualized. Not everyone with ADHD
will have the same electrocortical activity and may not need the same protocol (at the
same neural site) as others. At this time, it is logical to conclude that the evidence
supporting neurofeedbacks efficacy for the treatment of ADHD outweighs evidence
suggesting against its efficacy.
Note: Some believe that neurofeedback can be utilized as a standalone treatment for
ADHD, while others think it may be better suited as an adjunct intervention. The
efficacy of neurofeedback for ADHD may also be due to other factors stemming from
individual variation such as: age, type of training, and/or ability to understand the
training process.
Blood flow: It is possible that neurofeedback training alters blood flow to the brain.
Perhaps the training increases blood flow to certain regions (e.g. prefrontal cortex), which in
turn improves concentration. There are forms of biofeedback known to increase blood flow
(i.e. HEG), but neurofeedback may have similar effects.
Brain wave regulation: Neurofeedback can teach you how to consciously shift your
brain waves. In other words, the training teaches you how to produce more beta waves for
tasks requiring more cognitive horsepower. If you have ADHD, the ability to regulate brain
waves improves efficiency of brain functioning and helps you adapt based on environmental
demands.
Less reliant on medication: There have been reports suggesting that those engaging
in neurofeedback often become less reliant on their ADHD medications. Someone taking a
psychostimulant may notice that after they engage in neurofeedback, they no longer need
their medication to focus or perform. By correcting electrical abnormalities, individuals
may not require as much pharmaceutical treatment.
ADHD; yet most researchers only test this protocol. Failing to account for
individualized differences based on pre-training QEEG recordings is a recipe for poorer
outcomes.
Sample sizes: Most studies analyzing the efficacy of neurofeedback for the treatment of
ADHD have small or modest sample sizes. There is a need for studies with large-scale
samples to better understand the efficacy of neurofeedback for attentiondeficit/hyperactivity disorders.
Study designs: Ideally, studies should be randomized, double-blind, and placebocontrolled. Unfortunately the research of neurofeedback for the treatment of ADHD is
limited and most studies werent designed this way. Some studies that found neurofeedback
effective were not randomized and others were not placebo-controlled. Its more difficult to
interpret the efficacy when the designs may be flawed.
Types of neurofeedback: There are different types of neurofeedback utilized for the
treatment of ADHD. Some are designed to help you learn how to consciously regulate brain
waves, while others are designed to enhance the efficiency of your nervous system.
Examples include: fMRI neurofeedback, QEEG neurofeedback, and NeurOptimal.
Source: http://www.ncbi.nlm.nih.gov/pubmed/22449216
Gamma waves: Individuals deficient in gamma waves may experience cognitive deficits
and/or retardation. The less gamma activity a person has, the more difficult it is for them to
process information. Some individuals with ADHD may have deficits in the gamma band
and may benefit from uptraining gamma frequencies.
Beta waves: Many people with ADHD are deficient in various beta frequencies. By
increasing these frequencies, the persons ability to focus improves. That said, in rare cases,
a person may have excess beta waves (type-2) in certain regions as a result of hyperarousal.
This hyperarousal may result in poor attentional capacity and cognitive function.
Theta waves: A majority of those diagnosed with ADHD produce excess theta waves.
These theta waves result in less conscious thinking, more impulsive reacting, and promote
inattentiveness. Those who are inattentive and prone to daydreaming may have too much
theta, particularly in the prefrontal cortex making it impossible to concentrate.
Delta brain waves oscillate between 0 Hz and 4 Hz (cycles per second) and are regarded
as the slowest brain waves that humans can produce. They are typically produced during
the deep stages of sleep (stage 3 and stage 4) and are involved in regulating unconscious
bodily processes such as heart beat regulation, kidney functioning, and digestive
functioning.
It is thought to help the body with healing and is thought to release various hormones
including human growth hormone (HGH) at various frequencies. There are many
benefits associated with having optimal delta wave functioning. These include: getting a
better nights sleep, boosted immune system functioning, as well as increased empathy.
Delta waves are typically generated in the right hemisphere of the brain and are linked
to our subconscious and unconscious processes. Younger kids tend to have more delta
activity and as we age delta activity becomes increasingly sparse even during sleep.
While you are in a delta state of functioning, you have no conscious awareness.
Advanced healing: The delta brain wave rhythm is known to be very restorative. This
is the primary state of consciousness that you enter during the deepest stages of sleep. Delta
waves help restore bodily and rejuvenate the mind. If you are injured whether its physically
or mentally, delta is the brain wave that helps restore your body back to its natural
homeostasis.
Anti-aging: It has been suggested that delta waves actually release various hormones
that promote slower or anti-aging processes within the body. These hormones that help
restore the body include: DHEA as well as melatonin. It is unclear as to how much delta
waves help with anti-aging. Obviously if these hormones are released from delta production,
they may help restore the body and prevent a stress response from taking over.
Deep sleep: When you enter your deepest sleep, delta activity slows down your
metabolism and helps restore both your mind and body. Among individuals that deal with
chronic stress, the delta state may not be reached. Thus the stressed out individuals may
wake up and they wont feel restored at all. This is the slowest wave sleep and is often
referred to as SWS or slow wave sleep among researchers.
Empathy: People that have a deep sense of empathy for others tend to produce slower
brain waves during empathetic states. They may producetheta waves in addition to very
slow delta waves. It is the slow brain wave activity that allows individuals to really get a
sense of others emotions and relate to the person based on how they are feeling.
GHB production: Delta waves tend to increase the production of gammahydroxybutyric acid a naturally occurring substance in the central nervous system of
humans. It has neuroprotective properties and is thought to help protect cells from hypoxia
and other damage.
Growth hormone (HGH): Some have suggested that HGH (human growth hormone)
is released at certain frequencies in the delta range. This means that while you sleep, your
body is able to enter a state of relaxation which is the ideal state for the secretion of HGH.
Some would argue that deep delta sleep is the best way to promote natural release of HGH
by the pituitary gland.
Immune system: Ever notice when you get sick and sleep you typically feel better the
next day? This is because when your body and mind relax in the deepest levels of delta sleep,
your immune system functioning improves. Most people do not notice improvements in
recovery from a sickness during the daytime, they notice after a full nights sleep. This is
because the delta waves play a huge role in immune system functioning.
Intuition: When you have a gut reaction to a certain event or experience, it is typically
an automatic or unconscious response from your body. If you are able to trust your
intuition, it means that you trust your bodys natural response. This is primarily a result of
slow wave activity in the theta and/or delta range.
that individuals with various types of brain injuries tend to produce delta during waking
hours making it extremely difficult for the individual to perform conscious tasks.
Unconscious mind: Delta waves are linked with the unconscious meaning responses
that cannot be consciously controlled. Bodily functions that are regulated unconsciously
include the beat of the heart, breathing, kidney function, digestion, etc. Every process that is
unconsciously regulated is associated with delta activity.
Age affects delta: In general, the younger an individual is, the more likely they are to
have higher amounts of delta. As we age, delta activity tends to significantly decline.
Newborn babies tend to have a lot of slow wave activity simply because their brains have not
developed enough to facilitate conscious thought. As the infant continues to grow and their
brain evolves, delta activity is reduced, and their brain waves tend to speed up to greater
frequencies. Delta is a dominant brain wave among infants. Delta waves tend to decline
during adolescent years by about 25%. In the elderly / senior citizens, they may not produce
any delta activity even during sleep it may be entirely absent from the EEG.
2.
Disorders: Individuals with brain functioning problems may have irregular delta
activity. For example, in some cases of ADHD, brains of individuals are producing
abnormally large quantities of delta and theta waves when they should be producing
faster beta waves. Other problems including paranomnias involve delta irregularities. Sleep
walking and sleep talking tend to occur while delta production is high. Additonal diseases
and disorders in which delta plays a role include: diabetes, Parkinsons and schizophrenia.
Various brain injuries may result in an individual producing excessive delta brain waves
making concentration and learning extremely difficult.
3.
Gender differences: On average, females have been shown to have more delta wave
activity than males. This holds true across all species of mammals, but noticeable differences
do not typically appear until early adulthood (e.g. 30s or 40s in humans). Men tend to
show significantly more restricted delta wave activity than females. Some hypothesize that
this may be in part due to the fact that men tend to have larger skull sizes.
4.
Production: Delta waves typically are found in the thalamus or in the cortex. During
sleep, delta waves tend to be dominant in the right hemisphere of the brain. Delta waves are
also thought to be dominant in the thalamus to help coordinate reticular formation. Lesions
to the brain are thought to disrupt delta production.
Alpha brain waves are considered slower brain wave activity with oscillations that
range from 8 Hz to 12 Hz (cycles per second). The alpha wave is typically produced by
the right hemisphere of the brain, but often is synchronized across both right and left
hemispheres on an E.E.G. Specifically, alpha waves are observed as being generated
mostly from the occipital lobe during drowsiness and sleep.
Individuals that relax with closed-eyes tend to exhibit more alpha wave activity. In fact,
the alpha range typically becomes dominant when a person closes their eyes and focuses
on relaxing. When you open your eyes, alpha wave activity becomes reduced. Many
researchers believe that alpha activity is linked to drowsiness, relaxation, and boosted
mood. Think of the alpha brain wave as playing an important role in helping people
calm down. It bridges the gap between our waking state and our sleeping state.
Types of Alpha Brain Waves
The alpha range contains a few different types of specific alpha waves. All types of alpha
waves play an important role in our sleep-wake cycle.
1.
Occipital Lobe: This is the most widely researched type of alpha activity. Scientists
have found that alpha activity increases significantly during states of relaxation and while
our eyes are closed during periods of rest. In this state we are not asleep, but our brains are
relaxed and thoughts are slowed. The activity is centered in the occipital lobe and most
agree that it is produced by this region of the brain.
2.
REM Sleep: During our rapid-eye movement sleep, there is an appearance of alpha
waves. This activity tends to be produced by the frontal-central region of the brain.
Researchers currently arent sure of the purpose of alpha production during REM sleep, but
some hypothesize that they are just normal and may indicate slightly increased arousal.
Some think that alpha activity may have an inverse relationship to REM sleep pressure.
3.
Slow-Wave: The other type of alpha waves observed are during slow brain wave sleep.
This is sometimes referred to as the alpha-delta state. The activity can be observed across
the anterior-posterior region of the brain. Some believe that this may indicate a slightly
wakeful period during deep sleep.
Calmness: Most people associate the alpha range with feelings of calmness. People that
are stressed have a diminished ability to produce these waves. When we are at our calmest
with our eyes closed and are idly relaxing, this is when we experience alpha as a dominant
brain wave state.
Daydreaming: If you close your eyes or daydream a lot, this may be evidence of alpha
increases. Most adults tend to be very focused and task-oriented. Alpha is more common in
younger children that tend to daydream a lot and have difficulties focusing. In some cases, it
is even linked to ADHD if the increased alpha is accompanied by other slow wave activity
(e.g. theta).
Decreased focus: During the alpha brain wave state, many individuals have poorer
focus and concentration. It has been shown that the greater the amount of alpha activity, the
more likely someone is to make a mistake. Studies have shown that when someone makes a
mistake, alpha activity increases an average of 25%. In other words, the person is on auto
pilot or too idle to perform a certain task. When alpha decreases, attention and focus
increase. Therefore, alpha is not ideal for critical thinking and/or detail-oriented, technical
work.
Flow state of mind: It has been thought that the 10 Hz alpha wave is key in a flow
state of consciousness. A state of flow is characterized by being calm and focused at the same
time. In other words, the saying mind like water holds true. It is able to go with the flow
without getting overly aroused or being idle. This is considered a happy medium between
the fast paced beta waves and the drowsy theta waves.
Immune system: Some have hypothesized that our immune system benefits from
increasing alpha waves. This in part has to do with the fact that relaxation can help our
bodies recover from the toxic effect of stress. It is known that stress can cause all sorts of
health problems, so it is no wonder that relaxing (in the alpha range) helps boost the
immune system.
Peak performance: Despite the fact that the 40 Hz gamma wave has been linked to
peak performance, so has the 10 Hz alpha wave. It is hypothesized that a synchronized 10 Hz
rhythm across both hemispheres may play a role in helping people achieve a relaxed state of
peak performance. There have been studies conducted involving basketball players and
golfers and when they missed a shot (basketball) and/or hit a bad shot (golf), they
experienced spikes of beta activity. When they sank a free throw or hit a good shot, they
maintained alpha activity.
Positive thinking: This isnt the high-energy, excitement-type, positive thinking of the
beta range. However, when people experience alpha increases it is linked to having a more
optimistic outlook on life. People tend to be calm and think fairly positive with dominant
alpha. Think of this as the opposite of rapid-negative stressful or angry thoughts.
Problem solving: For thinking outside the box, some would argue that the alpha range
is what helps. Individuals sometimes get so stressed out that all they do is keep thinking and
ruminating about possible solutions, but can never solve their problem. Sometimes it helps
to simply slow the mind down and then the solution appears easily and naturally in the
alpha state.
Relaxation: Anytime you feel deeply relaxed, you are experiencing alpha brain waves.
Think of times right before you go to bed and transition into sleep. Your eyes are closed, you
are relaxing and you experience a sense of calmness. If you like to lay out in the sun and tan
and experience a sense of relaxation while lying with your eyes closed, this also provides an
alpha boost.
Serotonin: When we relax, our body is able to naturally produce more serotonin. It is
hypothesized that alpha may release more serotonin and thus increase our ability to relax,
stay calm, and ward off stress.
Slower visual acuity: Since alpha activity decreases when people are fully awake with
eyes open, it is linked with slower visual acuity. In other words, visual processing speed
while you are awake is negatively affected by increases in alpha.
Super learning: Some have argued that increases in alpha contribute to a state of
super learning. Meaning more of our brain is able to absorb information and thus we learn
better. I tend to disagree with this hypothesis based on the fact that alpha activity tends to
decrease focus. There may be some degree of truth to this for certain types of learning if
accompanied by appropriate beta.
Visualization: If you like to close your eyes and visualize, this is the brain wave that
you will experience. Anytime you close your eyes, are relaxed, and visualizing internally (e.g.
minds eye), you will come to learn what the alpha range feels like.
Note: Alcohol and drug abuse can significantly reduce alpha frequency and amplitude.
Thus decreasing the benefits to be had from this particular range. In part this may be
why individuals that abuse drugs and alcohol have a difficult time relaxing once the
high wears off.
Alpha Brain Waves Research
Discovery: German neurologist Hans Berger was the first individual to discover alpha
waves. He did this by measuring electrical activity in the brains of hospital patients with
skull damage. He documented these waves along with beta activity. He found that when
alpha waves decrease and beta activity becomes dominant, we are fully awake. Since he
discovered this wave, they have been referred to as Bergers Wave.
Biofeedback: This is a technique that involves helping people naturally train their
brains to produce certain brain waves. The idea behind it is that you receive feedback
when your brain increases activity of a certain wave. The goal is to eventually learn how
to consciously produce this type of brain wave activity without feedback after multiple
training sessions.
Seizure resistance: Some hypothesize that increasing the amplitude and dominance
of alpha brain waves can help individuals that are seizure-prone. Research in cats
indicates that if alpha activity is trained, they have a greater resistance to seizures.
Whether this holds true for humans is somewhat controversial.
Stress relief: Research has shown that individuals that are stressed out tend to
produce an overabundance of beta waves. Most of these individuals may experience
what is called alpha blocking or blocked alpha activity. Meaning the alpha activity is so
low, that it doesnt allow the individual to lower their level of arousal. In order to
decrease stress, it has been found that training alpha via biofeedback has had some
positive results.
Gamma brain waves are the fastest documented brain wave activity on an E.E.G.
oscillating between 40 Hz and 100 Hz. Because they are the fastest brain wave
activity, they also have the smallest amplitude on an E.E.G. (electroencephalogram) in
comparison to the other major ranges of brain wave frequencies. Gamma waves play a
role in sensory-binding as well as information processing within the human brain. They
are able to link and process information throughout the entire brain. Individuals with
healthy gamma wave activity have been associated with having increased problem
solving skills, compassion, self-control, and intelligence.
They also play a role in helping us perceive reality and help us with memorization.
Individuals that experience a shortage of gamma wave activity tend to have learning
disabilities, mental retardation, and problems with cognitive functioning. Individuals
that have brain injuries may also experience a shortage of gamma brain wave activity. If
you are a person that has a healthy amount of gamma waves, your brain should be
functioning quite well.
Attention: Gamma waves have been documented to help with attention specifically
attentive-focus. Specifically when the brain increases the 40 Hz frequency, various parts of
the brain are able to function with efficiency and unison.
Binding of senses: They bind all the senses together in the brain. In other words, they
help your brain process smells, sights, and sounds simultaneously.
Focus: Individuals with high level mental processing and functioning tend to exhibit
greater gamma activity throughout the brain.
Compassion: In a study with Buddhist monks, it was found that gamma activity
increased when they entered a meditative state of compassion.
Consciousness: The gamma waves throughout your brain help you understand your
environment and dictate your experience of consciousness.
Mental Processing: Your overall mental processing is influenced by your gamma brain
waves.
Perception: How you perceive reality and how aware you are is directly tied to 40 Hz
gamma activity.
R.E.M. Sleep: Gamma brain waves play an important role in the R.E.M. or Rapid-Eye
Movement sleep stage.
Subjective awareness: Some have suggested that gamma wave activity correlates with
subjectivity. However, this is a claim that is not scientifically supported.
Unity of consciousness: One popular theory suggests that these brain waves
contribute to unity of consciousness. This is just a theory take it with a grain of salt.
Source: http://www.ncbi.nlm.nih.gov/pubmed/24737038
2014: A journal was published in 2014 suggesting that neurofeedback interventions are
helpful for reducing symptoms of those with autism spectrum disorder (ASD).
Researchers discuss that the ability to self-regulate brain waves is associated with
symptomatic improvement, but doesnt address other symptoms. They believe that
Source: http://www.ncbi.nlm.nih.gov/pubmed/25071545
2014: It is thought that some of the behavioral, social, and communication deficits
among those with autism spectrum disorder (ASD) stem from impaired neural
communication. Researchers suggest that neurofeedback training could help improve
neural communication and bolster connectivity between regions. To test this
hypothesis, they administered neurofeedback training to children with autism spectrum
disorder and typically developing children.
The neurofeedback protocol specifically trained individuals to regulate mu rhythms (9
Hz to 11 Hz). Since the mu rhythm is thought to influence the mirror neuron system
(MNS), and those with autism are believed to have dysfunctional mirror neuron
systems, training an individual to modulate mu rhythms could normalize activity
potentially leading to functional behavioral, perceptual, and social benefits.
All participants (autism and typically developing) engaged in 30 hours of neurofeedback
training. Following the training, eyes open and eyes closed EEG recordings were
collected along with a mu suppression index. Degree of improvement was determined
Source: http://www.ncbi.nlm.nih.gov/pubmed/24778378
2014: A study published in 2014 analyzed the effect of combining EEG neurofeedback
with transcranial magnetic stimulation (TMS) for the treatment of autism spectrum
disorder. Researchers suggested that this protocol of combined treatments may be
beneficial due to the fact that TMS has been previously associated with positive
behavioral and electrophysiological effects among individuals with autism. EEG
neurofeedback is a technique that is thought to correct neuroelectrical abnormalities
and ultimately improve functionality among those with autism.
To test this combined treatment of neurofeedback and TMS, researchers gathered 42
participants. All participants were children that had been formally diagnosed with
autism spectrum disorder. Participants were measured in the form of behavior
evaluations and reaction time test with ERP (event-related potential) recordings. A total
of 20 participants were assigned to receive neurofeedback with TMS, while the
remaining 22 were put on a wait list (serving as the control).
Individuals receiving combined neurofeedback with repetitive TMS (targeting the
prefrontal cortex) engaged in a total of 18 therapy sessions. Following the 18 sessions,
behavioral, reaction time, and ERP measures were collected. Results from the study
suggest that the combined effect of neurofeedback plus TMS significantly improves
behavioral and functional outcomes among those with autism spectrum disorder (ASD)
compared to a control group (those on the waiting list).
Source: http://www.ncbi.nlm.nih.gov/pubmed/25267414
Source: http://www.ncbi.nlm.nih.gov/pubmed/22903518
Based on the compilation of studies collected, authors noted that the evidence does not
support the efficacy of neurofeedback for the treatment of autism spectrum disorder.
While some studies in this review suggested possible benefit of neurofeedback for
autism spectrum disorder, authors theorize that the benefits may stem from attentional
improvements. Since many individuals with autism have comorbid attentional deficits,
using neurofeedback for ADHD may offer some benefit. The fact that neurofeedback
can improve attention should not be mistaken as an improvement in the core symptoms
of autism spectrum disorder.
Many of the studies incorporated in this review included small sample sizes, were shortterm, and had differential diagnostic criteria. Numerous studies failed to provide an
adequate control intervention, making it difficult to interpret results. Future reviews
would be strengthened by larger samples, longer-term studies, similar measures, and
sufficient control interventions.
Source: http://www.ncbi.nlm.nih.gov/pubmed/21752020
2010: Research published in 2010 suggested that core symptoms of autism spectrum
disorder (ASD) may improve with behavior therapy. In addition, there are other
treatments such as pharmaceutical drugs that may improve functionality of those with
autism. However, many treatments are associated with problematic side effects, adverse
reactions, and may worsen certain symptoms.
Using neurofeedback is a relatively safe way to potentially improve symptoms of autism
by altering neuroelectrical activity. Authors note that neurofeedback is considered a
Level 2 treatment in that it is possibly efficacious for those with autism spectrum
disorder. This review highlights a need for future studies with randomized, doubleblind, placebo-controlled designs.
This review determined that some studies found neurofeedback to be an efficacious
intervention for those with autism. Authors suggest that it is important to understand
the mechanisms by which neurofeedback is changing the brain among those with
Source: http://www.ncbi.nlm.nih.gov/pubmed/19856096
2010: It is known that the brains of individuals with autism tend to have anatomical
and functional abnormalities. Some experts believe that those with autism tend to
display patterns of hyperconnectivity in certain regions, and hypoconnectivity in others;
these have been confirmed by QEEG readings. It is thought that with EEG
neurofeedback training, some of the regional connectivity issues (hyper and/or hypo)
can be normalized.
This report analyzed the effects of 2 controlled studies determining the efficacy of
neurofeedback among those with autism. Authors of this report sought to understand
whether a symptom-specific approach vs. an assessment/connectivity approach was
more effective among those with autism receiving neurofeedback treatment. Both
approaches were noted as providing significant improvement in symptoms.
However, it appeared as though a connectivity-based neurofeedback approach resulted
in a greater reduction of symptoms as determined by advanced measures (autism
subscales). When individuals in the two studies were matched for symptomatic
severity, the amount of change was significantly greater among those receiving
connectivity-based neurofeedback. This report suggests that it may be better to use a
QEEG and target abnormal connectivity rather than focus on targeting symptoms.
Despite these findings, it should be noted that only two studies were compared. In
addition, no study has directly compared the efficacy of the two neurofeedback
approaches. It appears as though connectivity-based neurofeedback (as guided by a
QEEG) may be superior to symptom-specific neurofeedback for the treatment of autism.
Source: http://www.ncbi.nlm.nih.gov/pubmed/19649702
Source: http://www.ncbi.nlm.nih.gov/pubmed/19908142
Brain wave regulation: Those that are trained with neurofeedback are able to selfregulate electrical activity within the brain. Regulating brain wave activity can help reduce
symptoms associated with autism spectrum disorder and comorbid conditions. This ability
to consciously modulate brain wave activity is a skill that can be maintained long after
neurofeedback training is complete.
Less reliant on medications: Many individuals with autism spectrum disorder are
taking medications to treat various symptoms. For example, individuals may be
taking SSRIs to target mood problems and/or psychostimulants to target attentional
deficits. With proper neurofeedback training, a person may be able to reduce the need for
pharmaceutical interventions.
Long term effect: The ability to consciously normalize brain wave activity is often
maintained long after neurofeedback training is complete. Just like it takes many sessions of
trial and error to ride a bike, it can take many sessions of neurofeedback before a person
learns how to regulate their brain waves. Some believe that the skill of normalizing
electrical activity is maintained for months (or years) after neurofeedback training.
Low risk: Using neurofeedback for any condition (including autism) should be
considered low risk. There havent been any reported significant side effects nor adverse
reactions. The only major risk associated with the practice is using a suboptimal or poor
training protocol. A poor training protocol has potential to worsen symptoms rather than
improve them.
Non-invasive: Another advantage associated with neurofeedback for autism is that its
non-invasive. The technique involves placing electrodes on the outside of a persons scalp,
thereby measuring brain wave activity. No incisions are required to get an accurate reading
of neuroelectrical activity throughout the cortex.
Individual differences: Most studies fail to account for specific individual differences,
which may skew the results. It would be helpful to know whether participants are highfunctioning, normal-functioning, or low-functioning, whether they are taking medications,
and specific individual differences associated with QEEG recordings.
Participants: Many studies involve different age groups of those with autism spectrum
disorder. It is unclear as to whether individuals of certain ages are more or less likely to
derive benefit from neurofeedback training. Some would speculate that younger ages may
have a tougher time understanding how to engage in the neurofeedback, while others may
believe that results may be less significant among older individuals.
Sample sizes: Most sample sizes are relatively small-scale, making it difficult to
determine whether results are accurate. Evidence for the use of neurofeedback in treating
autism symptoms is mixed and will remain difficult to interpret until larger-scale trials are
conducted. Studies with hundreds of participants would be preferred over those with
double-digit numbers.
Study designs: Due to the fact that most study designs are not randomized, doubleblind, and placebo-controlled, it is unclear whether neurofeedback is effective for treating
core symptoms of autism. It is difficult to suggest that neurofeedback is clinically effective in
poorer designed studies, despite favorable outcomes. In addition, many poorly designed
studies have small samples, further complicating the interpretation of results.
standalone treatment, and/or the synergistic effect of multiple treatments are more
substantial than either standalone intervention.
Beta waves: Some protocols have involved increasing SMR beta, while decreasing beta
spindles. Training of SMR is considered relatively safe and is thought to improve various
aspects of cognition and concentration.
Theta waves: Many individuals with autism spectrum disorder are thought to have
excess theta waves on the EEG. Too many theta waves are associated with ADHD and may
result in significant brain fog. In fact, they may also contribute to depressive moods and
emotional instability. Therefore downtraining (decreasing) these waves could be helpful for
those with autism.
To help others get a better understanding of the experience, discuss the specific type of
neurofeedback training (e.g. mu rhythm modulation) and note whether other
interventions were simultaneously utilized (e.g. medications, therapy, biofeedback).
Realize that differences in efficacy of neurofeedback may be subject to significant
individual variation and are likely influenced by the specific protocol devised by a
neurofeedback practitioner.