Training
Therapy starts with an intake to obtain an overview of the clients symptoms and medical history. Usually a QEEG (quantitative ElectroEncefaloGram) is made in order to see to what degree the symptoms are reflected in the pattern of brain waves. Based on this recording the therapist can identify certain frequency bands as areas for improvement. One could think of improvements such as better communication between certain parts of the brain. Subsequently the therapist will ascertain to what degree the symptoms may be resolved applying neurofeedback therapy and which training protocols serve the clients needs best.
A protocol indicates where the sensors need to be placed on the scalp and which frequencies need to be encouraged or, quite to the contrary, be discouraged. It is possible that in one training session more than one protocol is being applied consecutively. Such a protocol can also indicate whether or not other feedback parameters need to be monitored, such as the heart rate, galvanic skin response, muscle tension and/or body temperature.
Training course
After the evaluation of the QEEG measurements, the client will be informed about both the findings and the suggested treatment plan. At that stage the client decides whether to sign up for a series of at least 20 sessions. Twenty sessions is the minimum that is needed in order to get long lasting results.
Training duration
A session usually takes about an hour and in principle is conducted twice per week, preferably spread throughout the week. The actual number of sessions needed differs from person to person and depends on the severity of the ailment as well. Within ten sessions some improvement usually is already noticeable.
The actual treatment is painless and non-invasive. The therapist attaches one or more EEG sensors to the scalp with conductive gel. The sensors are read-only; i.e. they do not send or do anything to the persons head. The signal is processed by an amplifier and a computer thus providing the appropriate feedback on a screen. Depending on the specific training protocol, this can be displayed in the form of a game, a video film, auditory signals or a combination of these modes. When the clients brain frequencies show that the brain is generating the desired pattern, the client is rewarded by, for example, receiving points in the video game or by receiving an auditory cue. Feedback is also possible by watching a movie on the computerscreen. The image of the movie on the screen enlarges if the desired frequencies are produced.

Intensive training course
Another option is a much more intensive training programme which subsequently generates faster results. Maximally, one can train twice per day but one should realize that during this course no other activities can be undertaken and it is advisable to sleep inbetween the training sessions.

