Counseling, Mental Training  & PsychoPhysiological Conditioning  for Optimal Health and Performance
Dr. Julie Madsen, Clinical Psychologist
Refresh your mind.. Calm to your body... Accept change .. Connect on common goals ..
: "Biofeedback is a process that enables an individual to learn how to change physiological activity for the purposes of improving health and performance.
* Precise instruments measure physiological activity such as brainwaves, heart function, breathing, muscle activity, and skin temperature.
* These instruments rapidly and accurately "feed back" information to the user.
T* he presentation of this information - often in conjunction with changes in thinking, emotions, and behavior - supports desired physiological changes.
Over time, these changes can endure without continued use of an instrument."

Association for Applied Psychophysiology and Biofeedback (AAPB)
AAPB President, John Arena, PhD, May 18, 2008
"ANXIETY:  Everybody gets anxious. Treatment is called for if the amount of anxiety is out of proportion to the problem or lasts too long. Many methods for helping people reduce and control their anxiety have been shown to be effective. Behavioral techniques include relaxation training, cognitive restructuring, and biofeedback. Any form of biofeedback that helps people become aware of their physiological responses as they become anxious and that helps people learn to relax is apparently at least as effective as any other behavioral technique.
This therapy is rated as efficacious (level 4 on a scale of 1 - 5 with 5 being the best)."
"ADHD: Several small controlled and moderately large clinical studies show that neurofeedback (brainwave biofeedback) significantly helps children with ADHD who have math problems.
This therapy is rated as efficacious (level 4 on a scale of 1 - 5 with 5 being the best)."

Numerous high quality studies have demonstrated that people having high blood pressure - especially if it is stress related - can benefit extensively from biofeedback as long as they learn and practice the skills needed to control their blood pressures. Many hypertensives no longer need any medications after successful biofeedback training.
This therapy is rated as efficacious (level 4 on a scale of 1 - 5 with 5 being the best)."
"ASTHMA / HYPERVENTILATION: A relatively large, controlled study by Lehrer et al (2004) showed that biofeedback can have a highly significant impact on the severity of asthma related symptoms. Small clinical studies have also shown positive effects of biofeedback."
This therapy is rated as probably efficacious (level 3 on a scale of 1 - 5 with 5 being the best).
"INSOMNIA: Both the National Institutes and the American Academy of Sleep Medicine have both stated that biofeedback used in conjunction with relaxation training can help sleep problems.
This therapy is rated as probably efficacious (level 3 on a scale of 1 - 5 with 5 being the best)."
"Jaw Area Pain / TMJ / TMD: Numerous controlled, clinical, comparative, and long term follow-up studies have proven beyond any doubt that biofeedback can reduce and cure tension and migraine headaches among adults and children. Several medical groups strongly recommend using biofeedback before or instead of medications.
This therapy is rated as efficacious and specific (level 4 on a scale of 1 - 5 with 5 being the best)."
"Non-cardiac Chest Pain: Several small controlled and clinical studies with follow-ups of up to three years have shown that people whose chest pain is related to either (a) incorrect breathing patterns or (b) anxiety respond very well to heart rate variability biofeedback. This therapy is rated as probably efficacious (level 3 on a scale of 1 - 5 with 5 being the best).
This therapy is rated as probably efficacious (level 3 on a scale of 1 - 5 with 5 being the best)"
"Pelvic Pain / Vulvar Vestibulitis: Several small controlled studies have shown that muscle tension biofeedback from the pelvic floor is at least as effective as surgery and cognitive restructuring for improvements in sexual function and significantly reduced pain during intercourse (but not quite as much as surgery) among people with vulvar vestibulitis.
This therapy is rated as between possibly and probably efficacious (levels 2 to 3 on a scale of 1 - 5 with 5 being the best) until more controlled and larger clinical studies with longer term follow-ups are published."
"CHRONIC PAIN: Hundreds of controlled and clinical studies of various sizes, some with multiyear follow-ups, show that biofeedback can help and / or eliminate chronic pain either by rectifying the underlying problem causing the pain or by reducing stress magnifying it.
This therapy is rated as probably efficacious (level 3 on a scale of 1 - 5 with 5 being the best)."
So How Effective is It?
"Evidence Based Practice in Biofeedback and Neurofeedback 2008, by Carolyn Yucha, PhD & Doil Montgomery, PhD" AABP
"The Efficacy of Biofeedback and Neurofeedback for Common Disorders: A White Paper Series" Sponsored by AAPB and ISNR.
American Academy of Child & Adolescent Psychiatry

Endorsed studies meeting clinical guidelines for the following disorders:

Seizure Disorders
Anxiety Disorders
Reading Disabilities
Addictive Disorders
The American Academy of Sleep Medicine
Biofeedback and relaxation are endorsed for the management of insomnias.
Association for Applied Psychophysiology and Biofeedback
Biofeedback and Neurofeedback that meet research-grade criteria are endorsed as adjuncts and alternatives to traditional treatments. See below.
International Society for Neurofeedback and Research
Provides an up to date bibliography of applications of neurofeedback protocols .
Research on the success of biofeedback in treating certain conditions is inconclusive or needs to be validated. Some research studies use a small number of participants, which makes it difficult to generalize the results to a larger population. Also, many conditions have different subtypes with a variety of psychological, social, and physical causes. This fact, combined with research design concerns, makes it difficult to compare research studies. For example, while most studies have reported positive outcomes in the treatment of alcohol abuse and dependence, problems with methods and statistical analyses have called study results into question. Also, its effectiveness in treating opiate abuse or dependence has not been consistently shown, as with its use in treating menopausal hot flashes, and there are limitations in studies relating to its use in cancer treatment. Continued research is needed to further evaluate and improve different biofeedback techniques for various conditions.
Like exercise training, Biofeedback requires a motivated  and active frame of mind, and the desire to experiment what what was learned.
Thus, it may not be suitable for individuals with low motivation or those  who are not willing to take a highly active role in training or explore how training applies to situations.:
Understanding The Past: individuals inclined to examine their past to alleviate problems and symptoms may benefit more from other treatment types, such as psychotherapy .
Cognitive Impairments: Individuals with cognitive impairment may be unable to remain engaged in the treatment, depending on their level of functioning.
Pacermakers: individuals with a pacemaker or other implanted electrical devices should inform their health care professional before entering biofeedback training, in case certain types of biofeedback sensors may interfere with the devices.
Undignosed Pain: individuals with specific pain symptoms in which the cause is unknown should have a thorough medical examination to rule out any serious underlying disease before starting biofeedback training.
While it can be used in combination with conventional medical treatment for illnesses such as cancer and diabetes, it should not replace those treatments.
Arns, M., de Ridder, S., Strehl, U., Breteler, M. & Coenen, A. Efficacy of Neurofeedback Treatment in ADHD: The effects on Inattention, Impulsivity and Hyperactivity: a Meta-Analysis. EEG and Clinical Neuroscience; 40(3), 180-189.

Other important endorsements:
The American Academy of Neurology (2006)
endorsed the use of biofeedback in the treatment of migraine disorder.