Neurofeedback for Depression and Bipolar Disorder

 The first indication that we are experiencing trauma / PTSD is when we find ourselves not living in the present.  Enjoyment of the moment and social interaction is clouded by constant ruminations about the past, and worries about the future.  We are unable to ‘let go’, relax, and grasp opportunities as they present themselves in the Now.  

We are plagued by intrusive thoughts that bring us back to events in the past, which needn’t even be related to a traumatic event, but which remind us of some inadequacy and amplify our self-doubt.  Feelings of shame and guilt come into the picture as well, further eroding our self-confidence.  “How can I be happy and enjoy this after what has happened?”.  Similarly, our perception of the future is shrouded in worry and fearful anticipation.  Uncertainty is our greatest foe, our perception of safety is unhinged by any doubt as to what could happen next.  

The absence of a plan becomes a concern, the lack of clarity as to what’s around the corner a burden.  Negativity associated with the past deprives us of hope.  We are thus unable to see uncharted territories ahead as an opportunity, and much rather dwell on impending threats.  

Indeed, our system is primed to protect us, and we are in survival mode.  This process becomes self-feeding as we become addicted to the hyper-arousal our sense of fear induces.  Our sense of joy and looking forward to fun becomes clouded to the extent we forget and no longer yearn it.  Detachment sets in, further isolating us from feelings that previously motivated us.  This process can even start slow and subtly, yet the cycle is self-fulfilling and deprives us of the necessary perspective to break and get out.

In Personalised Brain Training, our definition of trauma is wider.  We include for example perceived loss of social standing, which can be either the cause or the consequence of a traumatic event or development.  The perceived loss of social position results in us feeling judged.  We become hypersensitive to how people approach us, talk to us, deal with us.  

This is a subjective concept, as it should be, given that trauma should be recognised as an issue of perception by the affected person, rather than a concept being ‘awarded’ by an unrelated party, though external affirmation can help and medical advice should be sought in any event.  As humans, social recognition is a critical component of our biological drive to propagate.  Attraction relies on this, which ultimately leads to bonding.  

Consequently, there are numerous brain areas devoted to, or involved in, the assessment of our position with regard to others.  When our self-perception is assailed, or even the viability of our self is questioned, we are naturally shaken.  Various brain areas become dysrhythmic.  These include areas responsible for our body control and awareness, and many therapies focus on engaging the body and somatosensory system with a view to inducing cerebral changes.  

However, this is only a part of the picture – there are many, arguably more powerful neuronal centres in the brain that are affected by trauma, and with a Kaiser Neuromap and Default Network Training (together, Personalised Brain Training), we can assess the issues more accurately, completely and efficiently, as well as then successfully training the brain to overcome trauma and setting ourselves on course for a positive trajectory.  

Another consequence of trauma is that we may feel unable to rationally assert a sense of safety.  This is different to self-nurture, or an emotional sense of safety.  When we are unable to talk ourselves down from a situation we lose the ability to effectively regulate our moods, to switch off when we need to, and ultimately can become excessively paranoid.  

There are neural correlates for this behaviour, and we can asses this with a Kaiser Neuromap.  Safety and assurance are core needs we are programmed to seek to fulfil.  Authority and role models help us in this quest.  When we become dysregulated in our ability to self-soothe, we are also compromised in our ability to find paternal guidance.  As a result, we tend to over-idolise figures who seemingly exude strength and power, or disobey completely and become unnecessarily rebellious – both immature behaviour patterns.  Resetting this balance is crucial to achieving calming, regulated emotions, reduced hypervigilance and controlling impulsiveness.  Personalised Brain Training lets us achieve this. 

When hypervigilance persists untreated, we face further problems.  

Physically, our heart beats faster and harder, more of the time, which is a clear stress on our system.  

Mentally, we become prone to developing intrusive thoughts, even when we are able to relax, and more so when we are stressed, where these can take on third-person character, a voice in our head.  This can have a destabilising effect, not least because we are now spending energy ‘defeating’ other perspectives we are internally engaged with, and thus distracting us from the ‘now’.  Being on hyper-alert can also make us more susceptible to feeling relational to sensory input, in that we feel that everything is directed at us, which can set us up for psychosis.  

As we lose our ability to enjoy the moment, our social interactions suffer.  Exercising our social brain keeps us alive and forms the basis for sound mental health.  Our brains are adaptive, and we need to provide stimulus to maintain connections and sustain flexibility.  Isolation deprives us of many necessary exercises.  For example, brain areas that deal with face recognition also respond to affective interactions and the ability to discriminate between emotional content of faces.  We need to keep training these brain areas through social interaction in order to maintain emotional recognition – it is not a surprise that perpetual mask-wearing heightens our social anxiety (aside from adverse physical effects).  

Social recognition, a key component of our biological need to attract and bond, is driven by sensory interpretations.  Again, we need to exercise brain areas that contribute to this, including language and speech generation and comprehension, auditory sensitivity, and monitoring rewards for actions, both directly and vicariously.  Our mirror neuron system contributes towards learning from others’ mistakes or examples, and consequently the storage of social rules necessary for constructive functioning in a society.  

Inclusion is imperative to establishing a healthy self-image or sense of self.  This in turn is crucial to forming stable relationships with friends, family and forming healthy alliances necessary for personal and professional progression.  When we lose our sense of belonging to a group or cause, we may become unstable in our self-perception and our relationships with others.  The effect may snowball into perceptions of abandonment, feelings of emptiness and dissociation; this in turn correlates with mood dysregulation, impulsive and often dangerous behaviours, intrusive thoughts and potential self-harm.  

With Personalised Brain Training, we can assess vulnerability to these traits as they manifest in functional brain area dysrhythmia that shows in a Kaiser Neuromap; with Default Network Training, an advanced form of neurofeedback, we can train these brain areas and networks in a holistic manner to help re-establish balance.  This enables us to reconnect with our environment and re-enter a positive feedback loop.

Sleep is adversely affected by trauma.  First, the mind needs to ‘let go’ in order to enter deeper sleep cycles, which is a challenge for many.  Excessive rumination and intrusive thoughts can hinder this, as does the loss of our ability to rationally calm ourselves down.  The depth of our sleep is governed by our ability to self-nurture and create an emotional ‘safe space’.  Homeostasis during various sleep stages is governed by other parts of our brain, some still involving the cortex.  With a Kaiser Neuromap we can detect dysrhythmia in the relevant brain areas and train these accordingly with Default Network Training (together, Personalised Brain Training).  

Focus and organisation suffers as a consequence of sleep issues.  This time, different brain areas are affected, which we can also train.  When we are unable to concentrate and produce our best output, we become demotivated and our mood and sense of self suffer.  Again, there are brain areas responsible for these aspects of being, for which we can again detect dysrhythmia and provide neurofeedback training.  The process is holistic – many components have to work together effectively for us to function optimally. 

Mood regulation suffers when we lose social integration, sleep and focus. Neurofeedback training found to significantly help 80% of people with depression by aiming to restore motivation, improving sleep and focus, and reducing anxiety.  

There are numerous potential cortical contributors to depression, and with a brain map we can see vulnerabilities.  

Neurofeedback training lets us address these as well as establish a generally improved sense of well-being in a holistic manner.  he positive effects of neurofeedback training have been shown to be lasting.  Neurofeedback is non-invasive and medication-free.

There are multiple types of anxiety, each correlating with one or more brain areas being dysrhythmic:

• Social anxiety: When we’re in a situation with other people and our understanding of the social dynamics and complexities is overwhelmed. 
• Sensory overload: our brain interprets all sensory stimulus as directed to ourselves.  We lose the ability to discern what is directed at us, and which matters or interactions are of no concern to us.  This sets us up for panic attacks and ultimately psychosis.  It also means we become singular in our perspective, unable to take on other points of view
• Loss of narrative: Our episodic understanding of the situation, how we got there and what happens next, is impaired, and we are unsure of where we are and where we’re going.  This hyperactivates our amygdala, and the sensation is highly emotional
• Auditory sensitivity: we become prone to overly interpreting the emotional content of words and sounds, creating an air of prickliness and pushing people away without knowing it
• Activation: Our ARAS is responsible for setting the right level of physiological arousal, or wakefulness, for the situation, and to remain stable there.  When this is on overdrive, we are pushed further into fight-or-flight mode than necessary, thus heightening sensory sensitivity.  Panic attacks are an extreme manifestation.
• Trauma: an inability to self-nurture – creating an emotional safe-space around us – and self-soothe – being able to talk ourselves down rationally from a situation, thus resulting in mood instability.  This can also manifest in dissociation and heightened pain perception.  We ruminate about the past and worry about the future, instead of being able to enjoy the present. 
• Intrusive thoughts: Self-criticism overshadows motivation and confidence, and we become self-aware and distracted by negative thoughts and feelings.  Some use acquired habits to distract from this. Our confidence, motivation and social interaction suffer as a result.

The primary issue of trauma affects brain areas that are activated during empathy and forgiveness.  With these two qualities impaired, our emotional life suffers, as do our social capacities.  With neurofeedback training, we can restore functionality of these brain areas.  Another reason this is important is because we do not want to become oppressors ourselves.  As we lose our sense of emotional investment in our surroundings, we become careless with regard to others’ feelings and needs.  

Implicitly, we are now capable of unintended yet real behaviour patterns that can harm others, as we become deaf to feedback.  Not only has trauma affected us, it now makes us perpetrators that pass it on. 

Besides reduced social interaction and a less meaningful emotional life that is now more self-centred – and with the wrong type of therapy, becomes self-indulgent and self-perpetuating – we can experience a physical withdrawal from our environment.  Dissociation can be momentary and intense, or subtle and ongoing to the extent that we are not even cognisant of it.  Either way, our bodies retreat from sensations, analogous to our emotional withdrawal.  

Many therapies aim to revive our sense of ownership of our bodies, and thus ultimately our life and future, by training our body awareness in various ways.  Realising that our bodies are steered by our mind, specifically our cortex, we can train the relevant brain areas that govern our body perception and movement execution.  

Neurofeedback training effectively complements these approaches by directly treating the areas involved in perception and interaction with our surroundings.

One of the first manifestations of trauma is in our bodies.  Aside from heightened physiological arousal, a form of paralysis can override our natural motions and postures.  Stress, and pain ensue, which can often be felt all around the body.  Fibromyalgia is a variant of this phenomenon, as are headaches, chest pains, and chronic fatigue.  

There are many techniques for combating this form of physical dissociation.  Neurofeedback complements these by training the brain areas that instruct the body to behave in this undesirable way.  It is a holistic approach, and we restore overall calming while providing the brain with rational and emotional capacity to overcome its challenges.