Author Archives: Tamera

Overwhelm, COVID-19, and Interpersonal Neurobiology

Dr. Curt Thompson is a Falls Church-based psychiatrist who has written books on the topics of shame and the connection between neuroscience and spirituality. He also is a frequent speaker around the country, and almost all his work centers on interpersonal neurobiology.  In our few professional interactions, I have found him to be exceptionally kind and caring.

It just came to my attention that Dr. Thompson had written a blog post a couple of months ago about social distancing, online connections, and the fatigue that comes from not being as connected to others as we normally are during this time of COVID-19.  I recommend that you take a few minutes to read it, as he hits on key concepts that underlie our fatigue, including anger, fear, and lack of movement. He goes beyond explaining to offer some simple yet effective antidotes.

Although his ideas are universal ones for those of any faith or no faith tradition, Dr. Thompson comes from a Christian perspective.  As with so many things in life, I encourage you to take what works and leave the rest. You can find his article here.

Addressing Fear: Life Unlocked

A coach I know recently recommended to me the book Life Unlocked:  7 Revolutionary Lessons to Overcome Fear, by Harvard professor of psychiatry Dr. Srinivasan S. Pillay, and I, in turn, want to recommend it to you.

Dr. Pillay uses brain science to explain the structure of fear in the brain, and he does so in ways that are approachable for a layperson, which makes this more than a simple self-help book. He also offers suggestions for addressing and potentially overcoming the fear that exists in so many of our lives.

Among the topics he addresses are:

  • How fear registers itself in the brain in ways that we do not notice.
  • How hope can be an antidote to dread.
  • How to transcend fear of success.
  • How to shift deeply engrained habits of mind that create fear.
  • How fear affects attachment in relationships and how to address it.
  • How fear underlies racial prejudice, how to become aware of it, and how to undo it.
  • Trauma, fear, and the impact on the body.

The book is full of insightful and helpful bits of information of the sort that you’re likely to find yourself underlining and coming back to reread. One that struck me and gave me a WOW reaction was, “People who experience childhood trauma are six times more likely to develop chronic fatigue syndrome as adults.” I could have quoted several dozen equally interesting pieces of information that he shares with readers.

The book, though detailed and interesting, is merely a starting point for addressing fear and not a book that offers a fix for everything that ails everyone.  His one seemingly universal suggestion is to meditate.

This summary is a hasty one, and I encourage you to check out the book for yourself if the topic of fear interests you or applies to you (as it does to most of us).  I have a copy in my office library that I’m willing to share with past, current, or potential future clients.

Television and the Brain

 

Every few months, someone asks me about screen time and their children.  The question is usually related to video gaming.  However, watching television also shifts brain-wave function.

If you’ve ever sat down in the evening to watch just a little bit of television, only to emerge from a trance-like state hours later and chalk it up to fatigue after a long day, you’re not alone.  However, that sense of fatigue and inertia comes from the television itself.  All screens refresh themselves several times per second, creating a flicker.  This flicker of the television is a form of entrainment, or forcing the brain into a different electrical pattern.

Since the late 1960s, we have known that this entrainment very quickly shifts a person from an alert, beta state into a daydreamy or meditative alpha state. That meditative state makes it hard to get up from watching television and do the next thing you planned to do with your day.  It’s not just you feeling lazy; it’s your brain downshifted.  It’s just one more reason, on top of studies showing a correlation between hours of television watched and negative health impacts, to monitor and perhaps reduce the number of hours a day watching television.

Here is an interesting article from a woman who gave up television altogether for a month.  It’s not a journal article, but the author’s experience is interesting, and her writing is an easy read.

Brain Gadgets

A colleague of mine shared a blog post today from a nationally known website in which the author was touting the amazing benefits of his company’s brain gadget.  The article was mostly fluff, yet the author simultaneously was making huge claims about treating wide variety of mental disorders. It was frustrating and disheartening to me, because I knew the inventor/original distributor of this device, and I knew that person if still alive would be disheartened to read all that hyperbole for a device that is really quite good, yet not that unbelievably good.

It seems to me that there are an increasing number of similar advertisements created under the guise of information sharing rather than blatant advertising.  How does one know which of these brain-entrainment devices are worth trying and which are pretty much useless?

To be honest, I’ve fallen for a few of these pitches, especially if my fellow neurofeedback practitioners start to sound excited, too.  Here are a few of the warning signs that a brain gadget might not be worth your time:

No content.  If you find yourself reading something that has lots of impressive-sounding language, yet you cannot quite put your finger on the point, that’s a warning sign that the inventors are trying to sell you something without proof that it does what it claims to do.

Overstating benefits. If you find yourself reading about benefits that are so amazing, they’re almost too good to be true, beware. They might just be untrue.

Authority posturing. If you find yourself leaning toward a brain gadget that claims to be FDA registered and yet it’s for sale to the general public, start wondering. Meditation and relaxation tools do not need to be registered; it’s done for marketing purposes to impress potential buyers. This is often done with neurofeedback equipment to make it seem more professional, but really, the end result is often simply a more expensive product that does the same thing that more reasonably priced units provide.

Too cheap to be true. Tinkering with the brain requires know-how, and even if the gadget itself is simple and not that expensive to make, the intellect and time behind the creation have value and ought to be reflected in price.  Cutting-edge brain-entrainment devices certainly are less expensive than ever before, but there comes a point when a device is simply a toy that thinkers rather than a powerful tool that shifts.

It’s kind of a jungle out there these days.  Entrepreneurs are trying to find ways around the time and effort that people put in to neurofeedback training, either at home or with a professional. So far, there really are no hacks that achieve that goal.  I use brain gadgets to loan to clients for use in between actual brain-training sessions, but there are no short-cuts; these devices are helpful but no replacement for EEG or HEG neurofeedback.

 

Generosity is Our Natural State

Sometimes, a journal article reaches my desk that’s worth sharing, even though it isn’t directly brain-related.  The title from a Science Daily summary of the study says it all: “People try to do right by each other, no matter the motivation, study finds.”  The research was done at Ohio State and published in the journal Science Advances, and it shows that people are basically generous in nature.  In the midst of 2020, this seems like a good reminder of what the optimistic among us already believe.  You can find the study here.

Reopened!

As of June 1st, the office is re-open and accepting new clients.

We have taken reasonable precautions to make the office safe for people to be here.  Our two primary steps have been disinfection and reduced interpersonal contact.

The neurofeedback equipment has always been cleaned between clients, and we are now disinfecting surfaces that people might touch, such as chairs, faucets, and door handles.  We have also installed three air purifiers to capture airborne droplets that may contain viruses.  We ask that you wash your hands upon entering the office and not to come at all if you feel unwell.

Reducing contact with others in the office has required bigger changes, and the result is that the office will be quiet and empty when you arrive. We are limiting the number of people in the office to one trainee and one additional person, whom we ask to arrive no more than five minutes before appointment time.  In addition, my colleagues continue to work from home doing tele-health, so they and their clients are not coming and going.

While here, social distancing can occur.  Neurofeedback involves close contact to place and remove sensors, but just for a few minutes.

Finally, I have increased spacing between clients to give the air purifiers time to fully cycle the air in the room and to improve social distancing.  This means that my overall number of appointment slots is reduced, but right now, I do still have room for new people.

If you have been considering doing neurofeedback, now is a low-key time to try it.  Don’t hesitate to reach out.

 

A Lifetime of New Neurons

For most of the 20th century, accepted knowledge in the world of neuroscience was that the adult brain did not grow new brain cells.  That could have changed in the 1960s, when scientists found brain cells growing in monkey brains, and then in human brains.  However, as science sometimes goes, rather than accepting the findings of the scientists who tried to publish their discovery of brain cell growth, called neurogenesis, the scientific community destroyed the reputation and careers of those who tried to bring their discovery to light.

After that, it took until the late 1990s before someone again brought forward evidence of neurogenesis.  Now, it is accepted that an area of the brain called the hippocampus grows new cells, and that cell growth occurs throughout the lifespan for those with healthy brains.

A study from 2019 that was published in Nature Medicine and summarized in Technology Network’s Neuroscience News and Research shows that there is some neurogenesis through at least the ninth decade of life.  This is true even in the brains of those with Alzheimer’s Disease, though the rate of growth is significantly diminished.  You can read the summary here and the study itself here.

Executive Functioning Tasks in the Brain

Executive function in the brain—broadly considered to be things like working memory, transitioning from one task to another, impulse control, and decision-making—has long been believed to occur in a part of the brain called the frontal cortex.  Now, research that will be published in the journal Cortex this July and recently summarized in Science Daily, revealed that executive function behaviors involve a part of the brain called the inferior frontal junction (IFJ) and that the IFJ is, in turn, part of a network for executive functioning.

Researchers made this discovery through observing the workings of the brain of a woman who had a rare pattern of damage from a stroke in which the same parts of the brain in both hemispheres received damage.

Fortunately, near this region is among the first places on the brain that neurofeedback practitioners began training some 40 years ago, which means that this discovery does not significantly alter or undo the work of most brain trainers.

You can read the Science Daily summary here and the Cortex abstract here.

 

Reopening Safely

As Northern Virginia moves closer to re-opening, I have been looking at how to reopen my office to new clients in ways that keep everyone as safe as possible.  There is no one magical step that can assure office safety, but each step adds additional benefit, and the cumulative effect of multiple methods hopefully will be enough to reduce dramatically the chance that my office is a vector for disease.  Here are some of the steps I will be taking:

Hand Washing.  I have always washed my hands between seeing each client and as early as February started requesting that clients coming to the office do the same as they arrived.  This practice will continue; everyone who enters the office suite must immediately wash hands. Hand sanitizer is available as an additional step, but experts say that hand washing is most effective.

Surface Disinfection.  We have hospital-grade sanitizing wipes on hand, and I will be washing down my work space, door handles, and sink handles after each client departs, so that surfaces are clean for the next person.  I have always cleaned headphones and other devices with rubbing alcohol in between clients and will continue that practice.

Air Filtration.  HEPA filters capture particles down to .3 microns, and most viruses are an average of .125 microns.  However, viruses don’t fly through the air on their own. They are normally in droplets of moisture coughed or sneezed, and those droplets are more than .3 microns.  There has not been time yet for air purification system companies to have conducted independent testing to prove that their products capture droplets containing the novel coronavirus.  Common sense, however, suggests that the added benefit of air purification will make the space cleaner.  I have purchased two air purification systems from a company that does a good job of explaining the benefits and possible limitations of air filtration. You can access their blog here: https://www.alencorp.com/blogs/articles/air-purifiers-and-coronavirus .

Spacing Appointments.  Brain training appointments will no longer be back-to-back.  I will be separating each new trainee by 30 minutes to allow the air filtration to process the air in a room and to allow time for additional surface cleaning.

On-Time Arrivals.  Before, it was no problem if people arrived early to the office for their appointment.  One could simply grab a beverage and sit in the waiting room.  Now, I am asking that even if one arrives early, he or she should wait until no sooner than five minutes before an appointment to come into the office suite.  This limits the amount of contact time and potential encountering of other trainees.

Limited Attendance.  Before, it was not a problem to bring spouses, siblings or others into the office space.  Now, I am asking that attendance in the office be limited to the trainee plus one other person.  If this is not possible, I ask for advance notice to make accommodation.  In addition to limiting guests in the office suite, my two office mates are able to offer tele-health appointments and, at this time, do not have plans to return to face-to-face appointments any time soon.  Therefore, there will be no more than three people in the suite at the same time.

Moved my Seating.  I normally sit next to trainees to monitor their progress during sessions.  Now, I have moved to a chair that is approximately six feet behind the training desk, where I can see what is happening and remain at a distance.

Cancel if You Feel Unwell.  Brain training while sick has never been a great idea, so I have never charged for missed appointments due to illness.  Now, I am emphasizing the point more.  If you feel unwell, I will be asking that you cancel your appointment until you feel better.  It is difficult to discern without testing the difference between the novel coronavirus and other similar viruses, so please just stay home.

As things progress, these steps may evolve or change, but this is what I am aware I can do right now to make my office space as safe as possible in these unprecedented times.  Feel free to contact me if you have questions or are interested in a consultation.

 

 

Vagus Nerve Reset

A friend of mine recently shared this video of a quick way to reduce stress in the body by resetting the vagus nerve.  The video is only four minutes long, and the exercise can take as little as one minute (or as much as an hour) to do.  Check it out here.

Indoor and Outdoor Safety Risks for COVID-19

An associate professor of biology from the University of Massachusetts at Dartmouth is maintaining a website dedicated to his musings about COVID-19.  His recent post on catching the virus via suspended airborne droplets is particularly interesting for those of us who are wondering about how, when it’s time to re-open our spaces to the general public, to do so in the safest possible way. It is a short read and well worth your time.  I think it is particularly reassuring for those who are afraid to go outside or grocery shop.  You may find Dr. Bromage’s blog post here.

Normalizing Brains?

Recently, I had a conversation with a friend that ended up on the topic of what it means to have a normal brain, and could I train the people who come to me to have a normal brain.

Outstanding mind among ordinary brains. Conceptual image

My short answer is an emphatic NO. The longer explanation is no, because I do not believe there is any such thing as a normal brain. Are there healthy brains?  Yes.  But, tell me, who has the healthy brain—an accountant or a musician?  An electrical engineer or a poet?  Each might have a healthy brain, or an optimally functioning brain, but none of them is normal. Not one’s electrical patterns are like the others.

Of course, It is possible to have an unhealthy brain. I think we could agree, for example, that someone who has a tumor has an unhealthy brain.  It is also possible to have a damaged brain.  We could probably agree that someone who’s sustained multiple concussions has a damaged brain.  Still, it’s hard to decide whether a person who’s had a concussion or a tumor has a normal or abnormal brain.  What does normal mean?

Two studies reported on in The Toronto Star help illustrate the point that when it comes to measuring humans, the term normal isn’t helpful.

Back in the 1920s, engineers took measurements of pilots and used the average to create cockpits for military aircraft.  Then, in 1950, military engineers wondered whether sizes had changed and could account for problems with pilot crashes. So, they measured 4,063 pilots on multiple physical attributes and used the average of those measurements to come up with a guide to the size of the average pilot. Those engineers believed that better and more rigorous calculations would allow the pilots to fit better into newly improved cockpits, and fitting better would reduce crashes.

The result of all these careful measurements was to create an average pilot.  In the end, though, not a single one of those 4,063 pilots met the criteria for being average.  They found that if they had used the average of the measurements to create the cockpit, no one would have fit well. No one was average.

No one was average, so no one was really normal.

Around the same time, according to the same article in The Star, something similar was done by a prestigious gynecologist who took measurements from 15,000 women to come up with the proportions of a normal woman.  His measurements were used to create a statue, called Norma, which allegedly represented the ideal woman.  In a later contest of over 4,000 women, no one fully met the criteria for the famous ideal woman, who was simply an average of 15,000 measurements.

Using these two examples, it’s easy to understand why trying to normalize brainwave function makes little sense.  Any group of brainwave measurements, averaged, does not represent normal, nor an ideal of anything. It is a statistical phenomenon that uses false precision to convince people who vary from that average that they are more or less normal.

What I use for neurofeedback is a measurement protocol that is similar to those who seek to normalize brain function, but instead of measuring 20 sites on the scalp and comparing those results with some ephemeral normal brain, the software I uses those same 20 sites to compare the brain against itself, based on research literature showing what ranges of measurements exist for optimally functioning people.  It turns out that optimally functioning people do not have brainwave patterns that are the same, but when comparing their brain against itself rather than a norm, the comparisons have similar ranges.

Frankly, I’d rather be working on becoming closer to my optimal self than to anyone’s measurement of normal, and I’d rather train you to be a better version of yourself, too.

 

 

 

Video on Migraines

This eleven-minute video from the Institute of Human Anatomy provides an interesting explanation of migraines and how they unfold in the brain.  It does feature a human brain in the description, so if bodily parts upset you, you may want to skip this one.  If you’re like me, though, you’ll learn something and think it’s pretty cool, too.  The link for the migraine video is here.

Alpha Waves, Stress Reduction, and Relaxation

A Forbes business coach and author wrote an article listing five ways to reduce stress by increasing alpha waves, and one of those ways was, naturally, neurofeedback.  It’s worth a read and is linked at the bottom of this post.

Alpha waves are called such because they were the first electrical patterns discovered in the brain, back in 1920. They are a meditative brainwave pattern that activate when one’s eyes are closed, and they form a bridge between internal and external awareness.  Researchers spent years, especially in the 1970s, exploring ways to achieve enlightenment, improve performance, and just plain relax by boosting the level–called frequency, and quantity–called amplitude–of alpha waves.  Today, most neurofeedback practitioners include some type of alpha training in their work.

The author calls his experience of up-training alpha profound, yet hard. Based on what he wrote, I have the impression that he did intensive alpha training over a short period of time. That form of training is, indeed, hard to do, and most of us don’t have time in our lives to be spending a long weekend hooked up to electrodes and practicing alpha production.

In my practice, you may if you wish come in and train only alpha, but that would be for just one hour, twice a week (many choose to come more frequently in order to finish sooner, but you can achieve your goals with twice weekly training), over the course of a few months.  Most people, though, prefer whole-brain training, which is what I offer.  Instead of training just one brainwave pattern, my trainees work on many sites in the brain, and with all relevant brainwave patterns—not just the one.  Regardless of approach, for most people, it’s actually quite pleasurable to sit, relaxed with one’s eyes closed and listening to the reward tones while alpha training.  There are exceptions, such as those who have a history of trauma, but my approach to training is customized and not one-size-fits-all.

If you are interested in learning more, give me a call or send me an email. I have plenty of free time to chat with you and answer your questions. Then, if it’s something you want to pursue, you’ll gain the right to be at the front of the line when I am able to start taking new clients again.  And, although I do expect to have quite a few people seeking stress reduction and relaxation as our lockdown eases, I will be following my usual strict hygiene practices, plus additional steps to keep those who come to my office as healthy as possible, such as creating larger gaps of time between clients.

You can access the Forbes article here.

Garden Meditations During Lockdown

If you’re looking for little ways to dial down some of the stress and overwhelm that you may be feeling during our time of staying at home to contain the novel corona virus, this may help. 

My friend Martha Brettschneider is a meditation instructor and photographer.  Over the weekend, she made a meditative video of photographs from her garden, set to soothing music.  At just 3 1/2 minutes, it’s perfect for taking a short break in your day to introduce a little bit of calm.

You may find the video here:  https://www.youtube.com/watch?v=q73ZvZrZDBA&feature=youtu.be

And, you may visit her website here:  https://www.damselwingsphotography.com/