Neurotherapy technology and methods aren’t set in stone. Because neurotechnology is constantly evolving and still in the experimental stage, treatments and procedures are also ever-changing. Read on to learn more about this therapeutic technique.
Conditions Treated
Neurotherapy is used to treat a wide range of conditions, such as:
Attention-deficit/hyperactivity disorder (ADHD) Bipolar disorder Cluster headaches and migraine Drug-resistant epilepsy Generalized anxiety disorder Depression and major depressive disorder (MDD) Obsessive-compulsive disorder (OCD) Post-traumatic stress disorder (PTSD) Sleep disorders like insomnia Autism-spectrum disorder Substance use disorders Treatment-resistant depression
Neurotherapy can be used for people who don’t respond to pharmaceutical treatment as a supplemental or alternative way to treat a condition.
Process: How It Works
During neurofeedback training, real-time brain activity is monitored using technological tools such as electroencephalography (EEG-NF) or functional magnetic resonance imaging (fMRI-NF). With practice, neurofeedback teaches people how to self-regulate their brainwave activity. Over time, neurofeedback may also “rewire” the brain.
Neurofeedback may use reward-based operant conditioning to teach people how to control brainwave patterns by rewarding them for creating certain brainwave states on demand.
For example, alpha brainwaves are associated with a calm and relaxed state of mind, whereas beta brainwaves are associated with attention and focus. So, if lowering anxiety is the goal, neurotherapy teaches someone how to create alpha brainwaves on demand. Conversely, to address ADHD symptoms, someone would practice creating beta brainwaves.
Neurostimulation therapies use low-voltage electromagnetic or direct electric currents to modify brain activity and stimulate specific brain regions. Non-invasive neurostimulation devices such as transcranial magnetic stimulation (TMS) or transcranial direct current stimulation (tDCS) are placed above the head and do not penetrate the skin.
Although some neurotherapeutic stimulation devices are implanted during surgery, most are non-invasive and portable.
Who Does It?
Generally speaking, neurotherapy is performed by a neurotherapist. However, most healthcare providers trained to perform neurofeedback or neurostimulation also have other qualifications and certifications related to their specialty.
Types
Some types of neurotherapy include:
Electroencephalography (EEG) neurofeedbackFunctional magnetic resonance imaging (fMRI) neurofeedbackSlow cortical potentials (SCPs) neurofeedbackLow-energy neurofeedback system (LENS)Live Z-score training (LZT)Hemoencephalographic (HEG) neurofeedback
In addition to neurofeedback and neurostimulation devices, researchers at the University of California, San Francisco (UCSF) have developed a first-of-its-kind video game called NeuroRacer that is FDA-approved to treat ADHD in children ages 8 to 12.
Other new technologies on the horizon include non-invasive vagus nerve stimulation (nVNS) devices for the treatment of post-traumatic stress disorder. Two neurotherapy devices that stimulate the vagus nerve via an earbud or handheld device were recently given “breakthrough device designation” by the FDA for treating PTSD.
Eligibility: Who Uses It?
People of all ages and walks of life can benefit from neurotherapy.
For example, UCSF’s NeuroRacer video game that is being used to treat ADHD is children was initially designed to enhance cognitive control in older adults ages 60 to 85.
Outcomes
Most non-invasive neurotherapy treatments have very few side effects and are generally considered safe when performed by a trained professional.
Although outcomes may vary, recovery is typically very fast.
Warnings
Although the earliest neurofeedback studies were conducted over a half century ago, there’s still much debate about the legitimacy of many types of neurotherapy. Currently, there aren’t enough studies to be confident that every type of neurotherapy will have reliably positive outcomes.
Most neurofeedback treatments are well-tolerated and low-risk. Neurostimulation, on the other hand, is riskier because it uses electricity to modifying brain activity. Always make sure that any neurostimulation device you’re using is FDA-approved and speak with a healthcare provider about potential risks.
The most common side effect for many neurotherapies is a tingling scalp, which subsides soon after treatment.
Summary
Device-based neurotherapy is a growing field of drug-free therapeutics that can help people improve brain function without taking medications.
Neurofeedback is based on the principle that you can consciously alter the electrical activity in your brain. Neurostimulation uses neurotechnology to stimulate targeted brain areas with electricity.
The FDA’s breakthrough device program fast-tracks the development of pioneering technologies that have the potential to improve how our minds and brains work.
A Word From Verywell
Because state-of-the-art neurotechnologies are continually being developed, the field of neurotherapy is continuously evolving. Unfortunately, many of these new devices aren’t thoroughly tested or closely-regulated. Neurotherapy sessions should be performed under the guidance of a trained professional. Consult with a healthcare provider if you would like to consider neurostimulation.
