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2-Day Audio-visual Entrainment, Cranial-electro Stimulation, & tDCs

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Stimulation Technologies:  Audio-visual Entrainment, Cranio-electro Stimulation, and transcranial DC Stimulation – Physiology, Clinical Outcomes & Latest Research 
Dave Siever
Instructor: Dave Siever
Level: Intermediate to Advanced (some knowledge of brain function and anatomy as well as neuro-modulatory mechanisms is required).
Abstract:
Stimulation technologies, which include audio-visual entrainment (AVE), cranio-electro stimulation (CES) and transcranial DC stimulation (tDCS) are current treatment modalities that utilize both indirect and direct stimulation of the brain to regulate brain state, cognition and emotional wellbeing. These are forms of applied psychophysiology – a union of psychology and physiology. There are many research publications showing efficacy with ADD/ADHD, seizure disorders, substance abuse, autistic spectrum disorders, mild traumatic brain injury and post-traumatic stress disorder, depression, cognitive decline in seniors and academic improvements in college students, among others. Medical and psychological practitioners may, under the scope of their license, practice this intervention. It is essential that the practitioner gains full knowledge of the neuroanatomical and neurophysiological features of the brain sites being trained and understands the likely objective and subjective reactions. Medical professionals and psychologist will be brought to current knowledge about psychological and clinical implications of these technologies.
This course addresses the concepts of dysarousal, learning principles, best training protocols, and treatment plans for specific presentations for neurofeedback and neuromodulatory approaches. This course will also demonstrate EEG recording and training procedures with state of the art instrumentation and will prepare the clinician for providing neurofeedback in his practice.
References:
Collura, T. & Siever, D (2009). Chapter 8 – Audio-visual entrainment in relation to mental health and EEG. Quantitative EEG and Neurofeedback-2nd Edition, 195-220.
Kharrazian, D. (2013). Why my brain isn’t working. Elephant Press: Carlsbad, CA.
Siever, D. (2003). Audio-visual entrainment: I. History and physiological mechanisms. Biofeedback. 31, (2), 21-27.
Siever, D, (2014). All About Cranio-electro Stimulation.
Siever, D. (2009). Transcranial DC stimulation. NeuroConnections. January, 2009, 22-25.
Educational need:
Improved understanding of the psychological and physiological implications of the factors, which influence brain function. An understanding of brain stimulation and the technologies of AVE, CES and tDCS plus an understanding of the treatment protocols used with these technologies and an understanding of the outcomes produced.
8 Objectives:
  1. The attendee will gain a foundational knowledge of arousal, how it works and the myriad of influences that modulate it, particularly those influences which modulate it to our detriment.
  2. The attendee will gain a foundational knowledge of QEEGs and view pre and post results of a few cases using AVE and transcranial DC Stimulation.
  3. The attendee will gain a foundational knowledge of heart rate variability (HRV) and the way in which AVE enhances breath and heart.
  4. The attendee will gain a foundational knowledge of the underlying physiological mechanisms on which AVE, CES and tDCS act in bringing about their effectiveness in treatment.
  5. The attendee will gain a foundational knowledge of the history, development and relevant research relating to the emergence of AVE, CES and tDCS and the studies that have been completed in proving their efficacy.
  6.  The attendee will learn how AVE protocols are designed.
  7. View demonstrations of the various technologies and how they are employed in order to facilitate an understanding of the equipment, electronic and instrumentation concepts so they may use the equipment with confidence.
  8.  The attendee will be better prepared for handling clinical situations where simple, quick, effective and low cost methods may be employed in remediating cognitive and emotional challenges.
 Course Outline:
1.  8:30 AM. Dysarousal Part I (2 hours)
This section focuses on the general structure of the emotional brain, neuronal regulation and how, genetics, diet, pre-natal/childhood factors, environmental stressors cause dysregulation of the brain, its neurotransmitters, cerebral blood flow and behavior.

2.  Dysarousal Part II QEEG (1 hour)
This section is a condensed introduction into EEG and QEEG in particular. The intent of this webinar is to familiarize the student with enough basic knowledge of EEG and QEEG to understand the pre and post results following treatment with AVE.

3.  Matters of the Heart (30 minutes)
(Practice breathing to the heart beat from the DAVID device. -15 minutes). 
The heart is very sensitive to changes in thoughts and emotion. Heart rate variability is a biofeedback based method of measuring heart-breath rhythms and using them to teach relaxation and meditation. However, if a subject is over-aroused, HRV can be counterproductive as the client tries to establish a slowed (meditative) breath rhythm when his/her autonomic activation clearly will not allow it. AVE breaks through high arousal , mainly by clearing out racy, destructive thoughts, thus allow the subject to gain breath control and fast-track to a calm state of body and mind. 
    1 PM – 2PM Lunch

    4. Cranio-Electro Stimulation and Micro-current Electrotherapy (45 minutes)
    (ongoing practicum within attendees)
    This section of the course focuses on the effects of CES, its applications and how to use CES on the body (micro-current electro therapy) for treating pain. This section also addresses safety and potential side-effects from CES.
    5. Transcranial DC Stimulation (1 hours)
    (ongoing practicum within attendees)
    The student will learn the princilpes on which tDCS is based. You will learn several electrode placement montages for treating various maladies and enhancing cognitive functioning. This section addresses safety and side-effects of tDCS.
    6. Introduction to Audio-visual entrainment and History (30 minutes)
    This section introduces the student as to the evolution and historical milestones of audio-visual entrainment technology. It also covers how AVE can use as a prophylactic against maladies and how AVE enhances life in general.

    5PM Sign out a DAVID Delight Pro device to use overnight.

    5:30 Adjourn

    2nd Day

    7. 8:30 AM. Review and Q & A from Day 1 (45 minutes)
    Review important points from Day 1 and talk about attendee’s experiences from overnight use.

    8. Physiology of Audio-visual entrainment Technology (1 hour)
    This section involves being able to understand the effects that AVE has of brain physiology and its relevant effects on states of mind.

    9. Clinical Studies of Audio-visual Entrainment (1 hour)
    The section focuses on the effects of various AVE protocols and the effects they had on improving attention, IQ and behavior.

    12 – 1PM Lunch

    10. ADD/ADHD and Academic Performance Studies of AVE (1 hour)
    This section focuses on learning issues, AVE protocols and the effects that they have on improving attention, IQ, grade-point average and behavior.

    11. Application of Stimulation Technologies in Sports (30 minutes)
    This section involves understanding the elements involved in peak performance and the “zone,” and how AVE is used to enhance sports performance.

    12. AVE Protocol Design (1 hour)
    By reviewing what you have learned and experienced, you will learn how an AVE protocol is designed - which involves stimulation frequency, session length and colors used.

    13. OPTIONAL: Programming the DAVID (if attendee interest and time permitting) (45 minutes)
    Learn how to design a session in the DAVID Session Editor and transfer the session from the computer to a DAVID device.

    14. Q and A. (45 minutes)

    4 PM Course completed

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