How to Choose a Biofeedback or Neurofeedback Provider

Self-Regulation Through Biofeedback Training & Neurofeedback

I have often heard from patients that it is difficult to find a biofeedback/neurofeedback provider. Not really understanding what biofeedback or neurofeedback really consists of or what to expect can make this process difficult. I have been inspired by some patients to therefore write up a short blog of how to better search for a provider, and what I would hope I can offer for potential patients seeking alternative treatment for various conditions. In addition, these attributes are often what I go by when choosing a health care provider. 

1. Education 

In health care, an educated provider is necessary. This sounds silly to write. Unfortunately, there are providers who are practicing but have not been educated or do not have a health care license. You can simply inquire where the provider went to school and what degrees they have obtained. In addition, are they a LICENSED HEALTH CARE PROVIDER and are they BOARD CERTIFIED? And, if they are, find out what they are licensed as and the affiliation that has deemed them as certified. These are 2 VERY important attributes. I cannot stress this enough. The license they carry will come with a checks and balances system in which they are obligated to uphold. Also, each will uphold the provider to practice within the scope of their license. This is extremely important. Not only is it unethical to provide services in which one is not trained, it is not safe for the participant. In addition, being board certified will ensure a certain skill level. Both a license and a certificate will require the provider to stay current in the field and obtain continuing education units. 

I attended the University of North Carolina at Wilmington as an undergrad, receiving my B.S. in Communication Studies. I attended East Carolina University as a graduate student, receiving my M.S. in Recreation Therapy Administration. My thesis was a qualitative piece, focusing on the lived experience of survivors of Hurricane Floyd. After my graduate degree, I became licensed as a recreational therapist, and board certified in biofeedback and as a recreational specialist. I attended North Carolina State University as a continuing education student and completed courses needed for my license as a professional counselor. I attended East Carolina University for my PhD in the Department of Addictions and Rehabilitation Studies. My dissertation focused on how a protocol combining both biofeedback and neurofeedback techniques effected the working alliance between the therapist and client and the client’s overall treatment satisfaction.  

2. Experience 

Typically, a licensed health care provider has met the required supervision hours working under the care of another licensed professional. In addition, internships and research positions allow the provider to expand upon their skillset while under supervision. This allows the provider to gain an effective skillset and ensures the safety of the participant receiving services. Often, while under supervision, the provider in training will attain skills to work with specific populations. Identifying these populations will allow you to see if the provider has a skillset applicable for the condition you are experiencing. 

I enjoy looking back on my career path. When I started on my journey, I was not exactly sure of where I was headed, nor did I ever think I would end up where I am, but I am so grateful for the experiences I have had, the knowledge I have gained, and the practitioner I have become. I have had the opportunity to work in both clinical and research settings with a variety of conditions inclusive of all ages. I also have experience in an academic setting, reaching a larger audience to teach other students these skills and train more trainers. For more information, please visit my bio on my website as well as my experience working with specific conditions.    

3. Approach 

There are many approaches one may take when implementing biofeedback and/or neurofeedback into their practice. This typically is developed according to how the provider is trained and in which field have they obtained their degree. 

I use biofeedback and neurofeedback modalities as method, intervention, or adjunct to therapy. Therefore, when an individual is participating in training, there is a therapeutic process which involves educating the participant on the equipment, the physiological response to stress, and how these responses relate to real-life functioning and symptoms. In addition, the participant is coached on how to manipulate these responses to gain control over their physiology. During and after training, the participant is allowed the opportunity to make sense of the training experience. This is then discussed with the therapist and parallels are made between how the individual is engaging in training and how they are engaging in life. It is a process. A therapeutic, learning process. I have found that with this process and engagement, the participant can gain better control over stress responses and have little trouble generalizing this skillset to real-life situations. 

4. Attitude 

A quality provider will have the following:

1. The up-most positive regard for their patient

2. An attitude of ‘First do no harm’

3. The goal to help the individual find the best solution for what is needed at the time.

I may not understand the lived experience of each individual I work with; however, I can relate to physiology and the stress response. I see the stress response as universal. It does not discriminate. We all have our own stories that have shaped how we respond to stressors. I see it as my job to help you understand yours and change the response to be a healthier reaction, so that this reaction may not affect you as much or in the same way. In addition, I want the best for my participants. My wish for them is to gain the skills they need to be their best self and to function leading a healthy life with positive coping tools. With this attitude, participants will graduate out of the program when they are ready. To graduate, I look for 3 things; 1. Can you self-regulate? 2. Can you inter-regulate (phone a friend/use your coping tools in time of need) 3. Are you functioning better? Graduation is a success, on both our parts and I am not fearful of ‘losing’ patients. This is something to be celebrated.  

5. Accessibility 

Healthy boundaries are important. Providers are in a position to be a good example and implement a healthy lifestyle which includes appropriate boundaries.   

I have set hours where I can be reached by phone. During the business week I return phone calls within a 24-48 hour period. I am open to being interviewed by potential patients prior to signing up for services. I take the time needed to answer questions prior to, during, and after engaging in a training program. In addition, I appreciate a team approach. If you have been referred by a physician, and I have written consent to communicate with them, I will send training protocols, reports, and summaries when necessary. I also make myself available to speak with family members and/or have them in attendance when and if necessary. 

These are my professional opinions on how to choose a provider. If you are seeking services, I encourage you to review these guidelines and see if you agree or disagree. You may use these to form your own guidelines. Most of all, I encourage you to find a practitioner you feel comfortable with and who can provide what you are looking for. A healthy therapeutic relationship should be established to gain the most of your experience.


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Biofeedback & Neurofeedback Training of the Triangle, PLLC