Clinical consultation, mentoring, or a report on the qEEG that you record.

Clinical Consultation

I can consult with you regarding your patients or your personal situations as a professional. I'm well-versed in cognitive behavioral methods and psychophysiology. I'm able to help you get started with biofeedback, neurofeedback and/or quantitative EEG. I can also simply problem-solve with you about difficult clients you may have. Finally, I'm happy to engage you in any sort of personal consultation you'd like via telehealth; I work with a number of therapists on personal and professional issues. I would not bill your insurance; this would be a professional consultation and of course completely private.

Mentoring

Mentoring is required to become a Diplomate of the International QEEG Certification Board. I'm on that Board and would be very happy to mentor you as you prepare QEEG reports and prepare for the examination. Mentoring doesn't mean teaching basic skills, but once you get some EEG data recorded I can critique the recordings, suggest ways to improve the quality of the raw data, and help you learn to get beyond the statistics in the database. I should note that I am not using LORETA. I use the Neuroguide database and determine what I think will be the most clinically effective and safe neurotherapy strategies, using two-channel feedback equipment. I am not a believer in training to a z-score of zero. Many brain electrical patterns can be compensatory, while others are defensive. The patient's history, symptoms and nature all need to be taken into account in neurotherapy. The term "neurotherapy" is something David Trudeau and I promoted early on with the "Journal of Neurotherapy". The intent there was and still is to promote the idea that neurofeedback is simply a technology. Neurotherapy is the systematic application of CBT method - coaching metacognitive skills, and all the rest - coupled with and enhanced by neurofeedback. Biofeedback, particularly of the autonomic functions like skin conductance and heart rate variability is also critically important for patients with anxiety and PTSD. I wrote an article a long time ago called "It's all neurofeedback", pointing out that the EEG doesn't show you much about the limbic system. But autonomic biofeedback most certainly does. So I include discussion of such things in my mentoring process.

QEEG Analysis

What I can provide

I can analyze, comment on, and give neurofeedback training recommendations on digital 19-channel data that you send me. I use Neuroguide surface Z-scores and make recommendations based not only on observed deviations from norms, but on the symptom presentation you describe.

What you must provide

• A full clinical diagnosis with symptoms and history, including medications, history of head injury, and major medical issues
• Identification of the exact name and model of the equipment you used to make the recording
• 19-channel data recorded initially with ear references (A1 + A2)
• At minimum 5 minutes per recording — 10 is better if you are only recording one eyes closed and one eyes open dataset. DO NOT record continuously. Recordings must be separate files for each recording condition. Be certain to label them carefully, i.e., EC, EO, LSN, Read, etc.
• You must be a licensed healthcare provider in your state or province if this is a clinical patient's data. If this is part of a research program no license is needed, but let me know the full information about the research program you're involved with

The better job you do controlling artifact — eye movement, blinking, jaw and forehead muscle tension, body movement, tongue movement — the better understanding you can get of what the brain is actually doing.

Recommended recording conditions

We routinely record under multiple conditions. I encourage you to do the same: Eyes Closed, Eyes Open, Reading, Listening, Writing, Drawing, and a repeat of the Eyes Closed condition. This gives an extremely complete view of what the brain does at rest, during input tasks (reading, listening), and output tasks (writing and drawing). Repeating the eyes closed condition at the end of the session gives a much more precise understanding of how stable the default mode is than just doing one eyes closed recording, as many do.

Fees

• $300 — Report based on one eyes closed and one eyes open recording
• $400 — Report based on one eyes closed, one eyes open, and one task recording
• Add $50 for each additional task recording

I strongly encourage at least one task recording — for example, listening or reading.

You can upload and send .pdf, .docx files with clinical information and .edf or .edf+ files through this HIPAA-compliant link. DO NOT USE MY EMAIL ADDRESS, IT IS NOT HIPAA-COMPLIANT.