BIOFEEDBACK
BIOFEEDBACK: How Training Occurs
Willowbrook Psychological Associates offer computerized biofeedback for muscle tension headaches, migraine headaches, pain disorders, bruxism, essential hypertension, hyperactivity, excessive sweating, anxiety and stress related disorders. In biofeedback training, instruments provide a person with immediate information about his or her biological condition. The individual learns to alter physiological processes while in a relaxed state. Muscle tension can be measured and fed back by the EMG (electromyograph) machine. Before EMG training, a person usually cannot detect increasing muscle tension until it reaches a painful threshold (e.g., a tension headache). As a person learns relaxation skills and practices these skills, he or she is able to control muscle tension before it becomes a source of pain.
     
Skin temperature is another measurement that is often used in biofeedback training. During periods of stress or tension, blood leaves the hands and feet and goes to the vital organs. Changes in blood flow and skin temperature may be related to migraine headaches as well as painfully cold extremities.
     
Our computerized biofeedback laboratory is equipped to help with many problems and offers biofeedback for muscle tension, skin temperature, electrodermal responses (excessive sweating), blood pressure and pulse rate. Some referrals for biofeedback may require consultation with a physician prior to treatment, to rule out a physical cause.

BIOFEEDBACK AND CHILDREN
Children can benefit from biofeedback training as they tune-in to their own bodies and learn about self-control of muscle tension, blood flow and relaxation. A child is selected for biofeedback on the basis of certain behaviors and symptoms. Hyperactivity, extreme muscle tension when angry or competing, test anxiety, phobias, low self-confidence, and physical conditions such as tension or migraine headaches, asthma, or chronic pain may be helped by using biofeedback in combination with good psychological and medical care.
     
To help motivate a child, games may be created using different types of feedback. The child may play a game of controlling muscle tension by controlling the "motorcycle sound" or speeding up and slowing down the "speedometer". The child may be asked to drive through a fast food restaurant and place an order by stopping (relaxation) and starting (tension) the sounds. The child may also be asked to follow the route of a toy car on a plastic road map, or paddle a canoe down an African river. Tasks may require relaxing deeply until all obstacles have been cleared. For example, "driving through a school zone" would require slowing down to a speed of 20 m.p.h. which the child would see by the meter on the biofeedback instrument. A complete stop such as at a stop sign or traffic light may require maintaining relaxation for 15" or 30".
     
Some computerized games are also available, and we occasionally use electric trains or compuer games to help children learn to control their own level of relaxation. If too much tension is produced the train stops or the video game turns off. When the child has relaxed again then the train starts or the video game comes back on. It is great fun to watch a child playing these games while relaxed and calm.
     
Most children can learn techniques for relaxation and self-control. Like adults, these skills need to be developed with regular home practice. In addition, we'll help teach the child to use the techniques in stressful situations, such as at home or in school. Only when the self-control can be used in real life do we feel the training is complete.

Stress Management Associates
Willowbrook Psychological Associates, PC
relax@stresscontrol.com
10609-B Grant Rd.
Houston, Texas 77070
281-890-8575
281-469-6976 Fax

©2005 Edward A. Charlesworth, PH.D.,
Willowbrook Psychological Associates, P. C.

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