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  9. IASIS TECHNOLOGIES MCN Installation guide

IASIS TECHNOLOGIES MCN Installation guide

TRAINING
MANUAL
1
Table of
Contents
Guidelines of Care...............................1
Instruction Manual ..............................6
Neuroscience and EEG Background ............16
Areas of the Brain and Their Functions .........29
IASIS Certified Provider Final Exam.............31
Acknowledgments ............................31
IASIS Final Exam ..............................32
Guidelines of Care
©All rights reserved: IASIS Technologies, Inc.
Why Guidelines of Care
. In order to maintain the pinnacle of care in
performing IASIS MCN Micro Current Neurofeedback(c),
and to establish appropriate and sound measures of
protocol, site and cycle selection, and the duration of
a session, it is essential that all IASIS Certified Providers
(ICP) understand, consider and follow the Guidelines of
Care established by IASIS Technologies. The Guidelines
of Care are not meant to stifle individual provider skills
and choices; rather to clearly state what IASIS deems
safe, prudent and ecacious in performing IASIS
MCN, as well as what is not under any circumstances
recommended or suggested.
As an ICP, you will have your own interpretation of one’s
level of fragility versus hardiness of their Central Nervous
System (CNS) through your skillful initial assessment, as
well as at the beginning of every subsequent session.
Appropriate selection of IASIS protocols (I-1 through I-6),
as well as the choice of the number of site pairs and ex-
posures and cycles for each session will be determined
by these guidelines, and must always be considered,
and carefully applied in theory and practice, in order to
insure the safest and most prudent and effective IASIS
intervention outcomes leading to “Enduring Sustain-
ability” (of IASIS).
Adherence to the principles of the IASIS Guidelines of
Care are prerequisite to maintaining safety and remain-
ing an ICP in good standing. IASIS Technologies reserves
the right to revoke ICP privileges should it come to the
attention of IASIS Technologies that an ICP is operating
irresponsibly outside the Guidelines of Care, or by di-
vulging any IASIS Technologies proprietary copyrighted
information. While we cannot and do not wish to force
such compliance to our Guidelines of Care, we are en-
trusting ICP’s to hold them to the highest standard,
that will assist their patients/clients in reaching their
fullest potential and quality of life.
All Materials & Teaching are Proprietary
. IASIS Technologies Guidelines of Care, as well as
all documents and training videos located on the ICP’s
Member Area on the IASIS Technologies website, along
with Level I IASIS Trainings, are copyright protected and
are the privilege of all ICP’s in good standing.
Additionally, all Advanced Training Videos and IASIS
ICP’s Forum discussions are also proprietary in nature
and may not be shared with any non-ICP’s, and may
result in the loss of ICP’s rights and privileges such as
listing on the IASIS Technologies website Provider Area,
access to the IASIS Member Area and online monthly
IASIS Forum.
IASIS is Not Symptom/Issue Based
. IASIS MCN is not a symptom/issue based modality.
With this in mind, refrain from making inquiries as
to which protocol we suggest for certain issues or
conditions. It is also suggested that in response to such
questions by patients/clients, the response be in the
realm of, “IASIS MCN is not a symptom/issue based
modality, rather a means of supporting the CNS in self-
regulation.” It is an approach that has been found by
University California San Diego and The Veterans Ad-
ministration to support the Central Nervous System
in neuroregulation. Nor is IASIS considered a medical
treatment.
It utilizes an EEG unit that is registered with the FDA
and is perceived to distract the brain and CNS from it’s
fixed patterning, the net result of which appears to be
that IASIS seems to help reverse issues connected to
dysregulation of the brain and nervous system (believed
by many doctors today to be the cause of disease).
IASIS uses language such as “perceived to be,” and
“seems,” because conclusive evidence has yet to be es-
tablished proving the mechanism of action of IASIS.
To be clear, while certain information has been made
available to ICP’s, which was compiled by doctors and
clinicians stating that they believe certain sites may be
helpful for certain conditions or issues, IASIS does not
insist one must utilize these various sites in order to
achieve the suggested outcomes. We therefore do not
assert that we are healing anyone with any condition
ever.
1
23
IASIS merely shares this data for your information as
food for thought and judicious consideration of the
appropriate 10/20 site pairings (however many or few
site pairings depending upon one’s level of “perceived
reactivity,” or the number of sessions the patient/client
has received).
The 10/20 May be Sucient
. In fact, it is the perception of IASIS along with
many ICP’s, doctors, clinicians and researchers, that the
standard 10/20 site pairings, and in most cases, fewer
site pairings, may be completely sucient in achieving
equal or greater benefit than the full 10/20 site pairings,
or the specific additional site pairings offered in the
Advanced Training. The decision to utilize such site
pairings are situational and based on appropriateness,
when Advanced IASIS Protocols may be used following
the basic site pairs being utilized. It’s all about training,
knowledge and critical discernment.
Less is Way More
. Additionally, in the initial session and earlier sessions
to follow, fewer site pairs are utilized to ensure that one
is suitable (according to what we refer to as “Measures of
Reactivity”) for additional site pairs and higher potency
protocols.
At 3 picowatts of power, or three trillionths of a watt or
one millionth (or so) of a cell phone, the gentle energy
emanating from the IASIS EEG C-2 unit is consid-
ered nano-energy, nearly homeopathic in nature. To
remember the frequency of the signal to the patient,
add the frequency plus the offset (dominant frequency
is 10 hertz, and the offset is 4 hertz, the frequency is 14
hertz).
Julie Onton, Ph.D., has stated the latest evidence shows
that IASIS energy isn’t even penetrating the brain, and
is likely mediating its effects via pathways in the superfi-
cial moist tissues beneath the skin that effectively trans-
port the micro signal from IASIS.
We suspect a person needs more stimulation when
they don’t feel the effects as strong or the effects are
not lasting as long as they had been.
First Things First
. Have every patient/client complete and sign a
consent and arbitration form. This is urged to help you
protect yourself and to establish a safe container for
your patient/client. It also gives you ample information
to assist you before you choose a protocol and goes a
long way to educate your patient/client, and additionally
helps in establishing appropriate expectation from your
initial session onward.
Crucial Verbal Intake
. Conduct the IASIS verbal intake for each patient/
client noting fragility vs hardiness for each element (1
head, 2 gut, 3 sleep, 4 hyper-acousis, 5 photo-phobia,
and all additional (6-?) remarkable symptoms). Do so
prior to commencing with an IASIS session each and
every time before starting. (Again, looking deeply at
“Measures of Reactivity,” which will inform our decisions
as to how to choose the appropriate protocol based on
our Guidelines of Care.) Three qualities to assess before
administering MCN: sensitivity, reactivity and hardiness.
Areas of Intake: diagnosis/symptoms, medication/sup-
plements, history of seizure, concussion, headache or
migraine, family history, genetics.
Measures of reactivity related to intake: head, gut, sleep,
hyper-acousis/photo phobia, anxiety, depression, illness.
Self-Observation: Subjective Reality as Measurement
. Have the patient/client offer (in that moment) a
numeric value to the remarkable symptoms they’re
aware of and mention between 0-10. In this way, it
will be possible to make mention of the percentage of
change from pre- to post-IASIS that day. This is crucial
for “buy-in” from your patient/client.
In the Beginning
. Always begin the first session with the “Genesis”
protocol even if your verbal intake has led you to believe
your patient/client to be hardy. Due to the fact that
there are some who are “late reactors,” we must use
extreme care (to the best of our ability) to not bring
about a reaction.
There are numerous, seeming contradictions here. For
example, “A sub-set of every reaction is a response.”
While we believe this to be true, we never intend to
bring about a reaction (an unfavorable outcome); rather
to support the occurrence of a positive response result-
ing in the perceived experience for a patient/client of a
reduction in symptoms (toward “enduring sustainabil-
ity”).
Brainwave frequency ranges:
delta 0-4 hz sleep
theta 4-8 hz half awake, half sleep
alpha 8-12 hz relaxed, alert
beta 12-20 hz active thinking
gamma 20-60 hz (varies) integrating brain function
Increasing Protocol Level
. Knowing that less is more, keep in the front of
your mind that once you have a response, that you
need not increase your protocol selection.
Should you not observe any signs of reactivity you
may choose to increase your protocol during the next
session. In some instances, where according to the
measures of reactivity you observe and believe the
patient/client to be suciently hardy, you may choose
to increase the protocol in the same session, but never
on the first session, and rarely prior to the fifth or sixth
session. You must track your patient/client over at least
this period of time to ensure their hardiness and CNS
stability to endure such an inner-session shift. To do so
earlier would be highly imprudent and irresponsible. In
assessing the number of exposures to administer during
the initial session, give exposures until client or clinician
sees a shift; or a fixed number as an upper response
(anticipating a delayed response). If during an initial
session one feels very relaxed, stop to avoid overstim.
If a client comes in stating they felt no effect, review the
observation sheet results and assess behavior via assess-
ment from the time of the last session.
The Cumulative Nature of IASIS
. Share with patients/clients that IASIS is cumulative
and over time may lead to enduring sustainability.
It’s essential that you set up reasonable, realistic,
measurable and achievable goals. This is where your
faith in the technology is of paramount importance.
Without it, you’re going nowhere. Explain that the
number of sessions is relative to numerous factors; that
everyone’s brain and CNS is extremely different.
The factors that distinguish stronger from weaker
protocols are: off-set, changes in signal complexity, and
the strength of the stimulation.
Benefits of MCN:
a) posture
b) smiling
c) alert, energized
d) sitting still, quieter
e) deeper voice
f) deep breath
g) vision sharper or brighter
h) tingling, warmth
i) headache lessening
j) non-specific (“movement”, “shifting”,
“opening”, feeling “grounded”)
Conditions for which IASIS MCN has been found helpful:
1. emotional
a) anxiety: including PTSD, addiction, autism,
OCD
b) depression: unipolar/ bipolar
2. cognitive—ADD, cognitive decline of the el-
derly, TBI
3. eruptive—anger, h/a, seizures, autism, Tou-
rettes, tics
45
4. traumatic—TBI, stroke, surgery
5. fibromyalgia--chronic pain, chronic fatigue
6. insomnia
7. peak performance
8. misc: Parkinsons and other tremors
Setting Apropos Expectation
. Assist clients in establishing appropriate expecta-
tions for the session, that it is a process. Help them real-
ize that situational occurrences like a death of a loved
one, or a traumatic brain injury or illness or emotion-
al trauma that’s recently occurred, may be swifter to
resolve, while longer standing issues may take time.
The Essential Observation Sheet
. Always urge the criticalness and explain the
significant value of the “Observation Sheet.” The patient/
client must commit to being a participant in their own
healing process. Without this they will look to you for
only one reason: to fix them.
Show Them You “See” Them
. Review their Observation Sheet results at the
beginning of each and every session to reward them for
being a participant in their own process, and showing
a commitment to their healing. It shows them your
support and helps them feel “seen” and empathically
understood. Be their “cheerleader and inspiration,” after
all, they chose you for that reason ultimately.
The Initial Assessment
. Always refer back to the initial assessment in
order to choose the appropriate protocol. While their
symptoms are reducing, and their CNS is permanently
very different from session to session, we don’t want to
overestimate the patient/client’s system and progress
when contraindicated.
The 10/20 Site Pairing
. In 90% of the cases you treat, expect to utilize
various site pairs from the 10/20 site pairing on the
“Genesis” Protocol on the first session. The more
challenging discussion here is what to do and when
to do so for the remaining 10%. While the following
breakdown is open to some interpretation which we
welcome you to discuss with us when in doubt, as a
set of Standards of Care, we request that you carefully
follow these guidelines.
Choosing from the 10/20 Site Pairings
. Measures of Reactivity in Selecting Protocols and
Site Pairings on session #1 (When the measures of
reactivity indicate definite issues):
• 0-1 issues of concern of the measures of re-
activity: 4-5 of the 10/20 site pairing on Genesis
• 2 issues of concern of the measures of
reactivity: utilize 4 of the 10/20 site pairing on
Genesis (depending on acuity; the higher the
acuity, the lower number of site pairs, especially
in the case of seizure potential)
• 3
is-
sues
of
concern
of the
measures
of reactiv-
ity: utilize 3-4
of the 10/20 site
pairing on Genesis
(depending on acuity;
the higher the acuity,
the lower number of site
pairs, especially in the case
of seizure potential)
• 4+ issues of concern of the
measures of reactivity: utilize 1-3
of the 10/20 site pairs on Genesis
(depending on acuity; the lower num-
ber of site pairs, especially in the case of
seizure potential)
If a person is overstimulated: mildly – reduce by ½;
significantly – reduce by 2/3 or more.
. Seizure Potential
IASIS does not lead to seizures in patients without
a seizure history. If there is any potential to trigger a
seizure in someone with uncontrolled seizures, IASIS
should not be done. There is a difference between
true seizures and pseudo-seizure but most clinicians
including MDs can’t tell the difference. Only epilep-
tologists have the expertise to do so, and it is firmly in
the IASIS Guidelines of Care that patient/clients with
epilepsy be exclusively under the care of highly trained
medical professionals.
. When in Doubt – DON’T
Even if you think you should do something different
because of what a patient/client has told you; and
especially if the patient/client has said, “Hey, look,
this isn’t moving as quickly as I’d like it to, so can we
please move it along and make it stronger?” We say,
“no we cannot, we have Guidelines of Care that are
designed to keep you safe and proceed accordingly.
You wouldn’t want to take a chance, would you? I will
not.”
Examples of overstim: tired, wired, spacey, headache,
nausea, or the exacerbation of symptom(s). Be par-
ticularly careful with spaciness when one must drive
after sessions as this may present danger when driving.
This is our strongest tenet of our Guidelines of Care.
While IASIS is not considered by most as a medical
treatment, we still hold as our highest goal and
boundary, “harm to none.”
IASIS MCN is working on the parasympathic and sym-
pathetic nervous system, sometimes referred to as the
“accelerator” and the “brake”.
Differences between IASIS MCN and traditional neu-
rofeedback: micro stimulation versus feedback, dis-
entrains versus trains the brain, passive versus active.
Working with Fragile/Reactive Patients
. After the initial session, if one site pair was
utilized, and from the Observation Sheet, little to no
measures of reactivity were reported, a second site pair
may be added. Again, with each additional session, you
may choose to add additional site pairs, so long as no
significant measures of reactivity are reported. Keep in
mind that if four or five site pairs or more are getting a
positive response, there may be no reason to increase
the number of site pairs of cycles. More is not better.
After the Initial Session
. Subsequent IASIS sessions after the initial session
for potentially fragile/reactive patients/clients will vary
widely depending on the feedback you receive as to
how an individual responds/reacts.
As sessions continue and Observation Sheet reports
roll in demonstrating diminished anxiety, reactivity and
impulsivity, numerous other issues are lessened and
better regulated sleep may be reported (for example),
one may increase the number of site pairs, still cogni-
zant of the initial assessment. Remember the constitu-
tion of the patient/client. Use great caution not to be
falsely lulled into imagining that because of a reduction
in symptoms, they’ve developed a hardy CNS.
Remember to look at their constitution and posture
and body language. Be sure you remind them to have
food and water before coming in since it’s believed neu-
rotransmitter changes are occurring and they may be
a bit more relaxed than normal. They may wish to have
someone drive them in fact. Other family members
often notice the greatest changes.
Also keep in mind that the greatest changes occur when
one is deepest down the rabbit hole of their condition.
Again, for some, fewer site pairings may be just right.
Less is always more as with homeopathic remedies.
Remind your patients/clients that an effective IASIS ex-
perience is dependent on “reach and frequency” – the
ability of IASIS to mediate its effects on the CNS over
a period of time. In many cases it took years for the
person to get to their current state. It stands to reason it
may take a while to see a turnaround in their condition.
It’s ultimately a serious endeavor, a balance that is part
art, and part science.
Hormesis in Daily Life
. Several articles describe evidence supporting
hormesis as a mechanism responsible for the health
benefits of a variety of lifestyle and environmental
factors. This is best documented for exercise which
increases the resistance of musculoskeletal and car-
diovascular systems to injury and disease (Kojda and
Hambrecht, 2005). But moderate regular exercise also
benefits other tissues including the nervous system
(Gomezi-Pinilla, 2007) and digestive system (Bi and
Triadafilopoulos, 2003). Zsolt Radak and Fernando
Gomez-Pinilla cover the current state of knowledge of
the hormetic effects exercise on muscle and nerve cells
(Gomez-Pinilla, 2007; Radak, 2007).
The public in industrialized countries is bombarded
with a bewildering array of information on the effects
of dietary factors on health (Satia-About a et al., 2002).
However, the only well-established means of improv-
ing health through diet is maintaining a relatively low
caloric intake, as described previously (Masoro, 2005;
Martin et al., 2006). An article in this issue of ARR de-
scribes the involvement of hormesis mechanisms in the
beneficial effects of dietary energy restriction on health,
and also highlights emerging evidence supporting a
role for hormesis in the health-promoting actions of
several widely-studied chemicals in fruits and vegeta-
bles (Mattson, 2007).
Accumulating evidence suggests that the reason that
regular engagement in intellectual activities is benefi-
cial for the brain (Scarmeas and Stern, 2003) is that it
activates hormetic pathways in neurons. Similar to the
changes that occur in muscle cells during exercise,
neurons engaged in challenging activities are sub-
jected to repeated bouts of calcium influx, free radical
production and moderate (aerobic) energetic stress
(Mattson et al., 2002; Serrano and Klann, 2004). As a
result, transcription factors such as cyclic AMP response
element binding protein (CREB) and nuclear factor kB
(NF-kB) are activated (Carlezon et al., 2005; Mattson
and Meffert, 2006), and the expression of several major
classes of cytoprotective proteins is increased including
neurotrophic factors, heat-shock proteins and others
(Lazarov et al., 2005).
As with other organ systems, exposure of the cells in
the nervous system to mild and transient bouts of
stress may increase their resistance to the adversities
of ageing. Suresh Rattan reviews the role of hormesis
mechanisms in modifying the ageing process in this
issue of ARR (Rattan, 2007).
Hormesis Article Nih: https://www.ncbi.nlm.nih.gov/
pmc/articles/PMC2248601/pdf/nihms39393.pdf
Micro Dose Protocol
.The following protocol is to be considered where
extreme reactivity or significant potential fragility in the
CNS exists.
• Protocol = Genesis
• Site Pairs = 3 (F3/F4, F7/F8, NZ/OZ)
• 5 seconds system on and operating; 2 seconds off,
(3 exposures at a 5 second duration per Site Pair)
Barry Bruder - IASIS Technologies, Inc.
© 2013-2019
67
Welcome
Instruction Manual
Welcome to IASIS Micro Current Neuro feedback. This
manual will guide you through installation, preparation
and use of the system and the selection of client proto-
cols. The manual, naturally, does not replace the need
for professional training.
The Science Behind IASIS MCN
IASIS MCN consists of narrow pulses, approximately 120
ns (nano-seconds) in Duration, and 150 mv (milli-volts)
in Amplitude.
Pulses are both positive and negative, so the tiny current
flows in both directions.
The total amount of stimulation is calculated by adding
the Dominant Brain wave frequency (Delta) to the offset
pre-selected by the software.
IASIS MCN Functional Overview
IASIS MCN is a type of brain wave based bio feedback
(referred to in the Pilot Study with UCSD & The VA as
LIP-tES electrical, Low-Intensity Pulses using Transcra-
nial Electrical Stimulation) that has shown promise of
clinical ecacy in addressing the symptoms of Trau-
matic Brain Injury(TBI), Post-Traumatic Stress Disorder
(PTSD), Post-Concussive Syndrome, Anxiety, Depres-
sion, and Attention Deficit issues (AD/HD). Although it
may seem contradictory, it can be calming, energizing
and mood-lifting simultaneously. Head pain often
dissipates quickly. Foggy thinking and confusion typi-
cally give way to clear thinking and a more even, more
elevated, and less edgy (less reactive), mood.
While it may take 12-24 sessions, sometimes more.
for effects to become lasting, the client often begins
to notice the improvement with the first session,
often before getting out of the chair. Sometimes this
improvement is dramatic. At the completion of the
set of training sessions, improvement is expected to
continue on its own.
The system tracks the brainwaves (EEG, or electro
encephalograph), and sends directly back to the brain
tiny, imperceptible, ultra-low power signals that result
in changes toward a more highly functioning brain
wave pattern. In this way, the brain seems to learn new
patterns of behavior and becomes de-habituated from
“stuck” patterns that represent suboptimal processing,
reorganizing itself naturally into a healthier and more-
flexible way of being.
As the brain learns to function in this more ecient
manner, it becomes accustomed to this higher-func-
tioning way of being, and the effects last longer and
longer. It’s as though the brain recognizes the reflection
of itself, in its own language, and makes the appropri-
ate adjustments, forming new habits in the process.
Sessions require no conscious effort on the part of the
client.
These effects are independent of age, comprehen-
sion, or physical or mental capacity. The practitioner
will frequently notice immediate changes in the brain
wave patterns, and the client often notices the shift
that occurs during the session. A typical client percep-
tion is first relaxed (and/or sleepy), then, by the end of
the session, energized. Family and friends will likely
begin noticing the shift in mood and behavior in the
first 1-4 sessions, often on the ride home from the first
session. Behavioral changes are frequently noticed first
by family, then by the client.
While improved patterns of functioning can be tracked
and documented via EEG, the operation of the system
is not dependent upon EEG mapping of any kind.
IASIS MCN’s Ultra Low Power Neuro feedback
measures and tracks the electrical activity of the brain
and then sends back to the brain a very weak signal
containing information based on the just preceding
brain wave activity. The signal is so weak that it cannot
be felt. It is much, much less than the strength of a
AA cell battery placed against the head. The power in
the signal is estimated to be about 3 pW(pico watts,
or 10E-12 Watts). The power delivered in a similar way
by a AA cell is calculated to be 450 µW(micro watts, or
10E-6 Watts), or about 7 million times greater.
Even though the power in the signal is amazingly
small, the brain appears to be able to adapt its own
behavior based on this feedback, typically generating
patterns corresponding to even more useful (healthy)
behavior. It does so quickly, and the effects last even
longer as session time accumulates, until the brain is
not only able to sustain the gains in performance and
functioning, but to continue improving after sessions
are no longer needed.
Software Note
The IASIS MCN protocols are tailored to, and supplied
only for, the specific IASIS MCN EEG interface supplied.
Software
Your computer is preloaded with the IASIS Technolo-
gies, 6.0 software.
Activate
Install four fresh AA alkaline batteries in the IASIS Tech-
nologies EEG interface device, observing polarity, and
plug it into a USB port on the computer. The USB port
must support at least USB 2.0.
Running a 2-Channel Feedback Session
. To start a feedback session, hook up both A and B
channels as follows:
a. Attach the Ground (center pin connector)
EEG lead somewhere on the back of the neck in
proximity to the spinal column, roughly an inch-
above C7 (the felt “bump” low on the neck).
b. Connect A- to the mastoid process behind
the left ear. Connect B- to the right mastoid
process.
c. A+/B+ connections: Hook up in pairs, gener-
ally contra-laterally, or contra-frontally (i.e. front/
back mirror image pairs), as described above.
Suggestion: Generally start with F3/F4.
Note onsite preparation: 91% isopropyl alcohol, Nihon
Kohden’s conductive paste (Elefix), and pre-cleanser
(skinPure) are recommended. For all non-hair sites,
clean oil off skin with alcohol. Scrub each site gently
but thoroughly with cotton swap dipped in skinPure
abrasive gel. Wipe off excess, leaving skin prepped and
moist. Apply Elefix paste directly to site, and rub in.
Press EEG contact into Elefix, squeezing out excess, and
leaving contact with only a very thin layer of Elefix paste
under it. (FIG. 1)
. Make sure the IASIS MCN EEG USB connector is
plugged into a suitable USB port on the computer and
launch the IASIS MCN software via the appropriate
IASIS MCN icon, typically either on the desktop or the
quick-launch bar (double-click desktop icon, single-click
task bar/quick-launch icon). You should see the startup
screen below. (FIG. 2) Do not be concerned the very first
time following installation or update if the background
does not look like this (may be solid). That is normal,
depending on configuration, for the first time.
Impedance Test
. EEG leads should now be attached to the desired
International 10-20 System scalp sites. The screen shot
FIGURE 4 illustrates site selection F3 and F4. Select
Audio ON by clicking the speaker icon in the left hand
control panel to enable a chime at the end of each site
protocol, if desired.
. Click the SELECT PROTOCOL on the top menu.
Then click the PROTOCOL button from main screen
above to begin.
. This brings up the Protocol Window. Select Micro
Current Technology and then Start. (FIG. 3) This action
will bring up the first screen,
(FIG. 2)
(FIG. 3)
(FIG. 1)
89
. Click to select the 10-20 site for the active
electrode(+)and click VERIFY SIGNALS to go to the next
screen on the A+ box. (FIGURE 5)
or at least Yellow in all four bar charts (green is best).
Re-prep with 91% alcohol, skinPure and Elefix paste as
necessary for low impedance.
. Confirm that the Battery Level voltage indicator
at the bottom of the screen is green, as shown below.
Yellow means Replace Soon. Red means Replace Now.
There is little or no useful battery life remaining at the
red level.
Verify that the two EEG signals are correct, and go to the
next screen, SETTINGS:
You have the option of changing these settings at any
time.
The next screen allows you to SELECT PROTOCOLS.
(FIGURE 6)
. (Optional) Repeat above for the B channel.
. Make sure impedance is Green (10 KOhm or less),
FeedbackProtocols
Applicability
These protocols are intended for the express purpose
of training the brain. They have not completed peer-
review clinical trials to as certain and/or compare their
ecacy for any specific intended purpose. Please
interpret any possible suggestions within this document
with these facts in mind. Likewise, any “observation”
or “suggestion” offered here is purely subjective, and
not backed by formal study. Therefore, no claims are
being made, nor should any be implied or construed,
regarding the ecacy of these protocols for any specific
health purpose.
I-1.
Manual Offsets
This protocol schedule produces 30 seconds of active
resonant signal with minimal background (like 5 out
of 6 of these protocol schedules, feedback is enabled
100% of the time, including lead change), which tends
to result in very low reactivity. Clinician chooses offset,
which defaults to10 Hz.
Suggestions: An excellent starting protocol for new
clients or for clients known or suspected to be reactive.
Note: Habituation can be evident in the 3-6 second
(FIG. 4)
(FIG. 5)
(FIG. 6)
range following a change in offset (by clinician,
manually, via FB Offset Hz, up -or down- arrow). This is
likely to be the very gentlest schedule.
I-2.
Genesis: Random Offsets 1
This is also a very good, gentle starting point for
individuals, as well as a good general-purpose protocol
schedule. Beginning with 14 Hz, it produces 5 second
intervals of 3.3, 6.6, 10, and 7 Hz offsets. Feedback signal
tracks 100% of the time.
I-3.
Balanced Energy: Random Offsets 2
This calming, yet energizing schedule provides 13
varied offset frequencies that change at 2-second
intervals. Active feedback is provided continuously,
including during the hookup time. This schedule may
be useful for a broad range of client, including those
with inflammation. 11Hz lead-change offset. Feedback
signal tracks 100% of the time.
I-4.
Activation: Ups and Downs
Activation Ramp Up is intended to be a relatively
aggressive, “pull-out-the-stops” protocol schedule. It
produces 22 seconds of changing active EEG dominant
tracking signal, starting with several seconds each of
medium offsets, followed by stepping 5-14 Hz. It may
be useful for attention issues. It can be both activating
and mood lifting. It has a 7 Hz lead-change offset.
Feedback signal tracks 100% of the time.
I-5.
Activation Plus: Full Ramp Up
This schedule is a ramp variation, producing 20 seconds
(only) of increasing offset active EEG dominant tracking
signal. It maybe even more activating than I-4, above.
The offset changes every second. This is intended to
be a relatively aggressive protocol, useful especially in
situations in which the other schedules have resulted
in insucient activation. It is the only protocol that
does not provide brain wave tracking signal during
lead change, which may be quite activating for certain
clients.
I-6.
NEUROBLAST: Full Ramp Down
Neuro Blast tends to be a more activating variation of
I-5. It produces 20 seconds of decreasing offset, active
EEG dominant tracking, signal, against a background
of 7 Hz offset during lead change. The offset is
automatically “ramped” (stepped) down every second,
from 20 to 1 Hz. Suggestions: For clients insuciently
responsive to I-5. This is intended to be avery aggressive,
“pull-out-the-stops” protocol. This also may be useful
for activation and mood lifting. Feedback signal tracks
100% of the time.
Pulse Width %
Occasionally, one may want to try increasing Pulse
Width % from the default value (10), to enable a high
repetition rate signal source. Some clients may notice
a difference.
Choose a protocol.
Click on one of the orange buttons on the left side of the
screen to begin a protocol.
This starts a protocol. A protocol includes pauses to give
you the opportunity to CHANGE electrode sites, or EXIT
or to make other adjustments in SETTINGS.
Protocols are divided into LOOPS of frequency offsets.
Each loop has a fixed number of frequency offsets, and
each loop ends in a post-loop PAUSE, where you can
CHANGE sites or EXIT or modify SETTINGS.
The first protocol screen is the LIVE HISTORY screen. It
looks like this (FIGURE 7):
Remember that the protocol is now set up to run. If it is
not yet running, click on the bottom horizontal button,
‘Click here to activate recording’. (FIGURE 8)
If you want to abort at any time, press the red EXIT
button, then press EXIT on the top menu. (FIGURE 9)
(FIG. 7)
(FIG. 8)
(FIG. 9)
Some protocols start immediately, while others PAUSE.
For those that pause, activate the horizontal ‘Click here
to activate recording’ button.
Note that the STIMULUS GENERATOR is OFF in
the beginning.
10 11
After a short pause it will turn RED and indicate that
STIM GENERATOR is ON. (FIGURE 10)
The displays are active when you activate the recoding
mode, which should begin automatically.
In any protocol, if it is paused, you will always see the
“Click Here to activate recording” bar. Proceed to the
feedback session when the signal has stabilized and
looks like an EEG, and there is no evidence of 60 Hz
in the Frequency Spectrum display for either active
channel.
The Progress bar at the bottom of the screen tracks
progress through each of the sequence of sites, while
the unprocessed EEG signal is displayed in the lower
left and upper right panels.
NEW Site Selection
When the Task Schedule has completed for a pair of
sites, the “Select New Site” screen will display the site
selection head outline, and an EEG pattern display for
each channel to aid in assuring connections are secure.
(FIGURE 11)
Ready to proceed? You have two options:
. Proceed as before: Select ‘Click here to activate
recording” (FIGURE 12)
The program will pause again after the next loop has
ended.
. Don’t need to pause anymore? Before proceeding
click the down arrow to zero.
The screen will automatically change and will begin
another recording loop. However you will no longer
be able to PAUSE at this screen for all the rest of the
session.
In either scenario, you can still stop the session at any
time by pressing the EXIT button found on the LIVE
RECORDING screen.
However, if you run a protocol to the end, you will be
instructed to EXIT and save the data. (FIGURE 13)
Select a previous client’s name or click on New
Subject. Add your client’s name here and the SAVE TO
DATABASE button fills in, indicating it is now ready to
save the data.
(FIG. 10)
(FIG. 11)
(FIG. 12)
(FIG. 13)
Click on EXIT and this window pops up: (FIGURE 14)
(FIG. 14)
New Client? Click and another window pops up:
(FIGURE 15)
The Excel spreadsheet will automatically come up and
automatically fill with the data from the session and
it will then be saved to the Excel default save folder,
with a name derived from the specified client name.
You may see the Excel spreadsheet being filled in the
screen. Be sure to save the spreadsheet to a new file
and folder, or it will not be saved when you exit EXCEL.
Note that Microsoft Excel or Oce must be installed
and licensed to be able to export to Excel.
Save To Database and the protocol exits back to the
main menu.
From the main menu, select Review/Archive Recorded
Data. (FIGURE 17)
The Data Review screens will be populated as soon as
you select the client name and session date.
Remember to HIGHLIGHT a session date, then click
VIEW. (FIGURE 18-19)
(FIG. 15)
Fill in at least the first two letters of the First and Last
name fields as illustrated in the window above, and
click OK. For increased privacy, enter only the first two
letters of each name, using a third letter or number
only for disambiguation (uniqueness) where required.
Note that for full down stream processing compatibility
reasons, client names entered here may have no special
characters, like apostrophe, space, or dash. When you
have completed as much of this form as desired or
appropriate, click OK. The first two letters of both First
and Last names are required for the data base function.
Research Options:
Want to export to Excel? This is the purpose of theEx-
port Dialog box .
First Save To Database. Then click on EXPORT. The
Export Dialogue Box comes up. (FIGURE 16)
(FIG. 16)
Exporting data requires making sure the Export Type is
EXCEL, and that the Target file is specified in advance.
Once set, these settings will remain the same (except
that the auto increment value will increase). Be sure to
select Sample Rate under Update sample times, and
Average Only under Output.
When you exit by pressing OK, the data will fill an EXCEL
spreadsheet.
(FIG. 17)
(FIG. 18)
(FIG. 19)
The data screen pop up. There are two screens in this
version:
By default, the data sceen provides only basic data:
Click on the Task Bar button and expand the graph by
speading out the Faster Graph button
12 13
Finally, you may wish to adjust the signal range on
the graphs. First, click anywhere on a graph to target
these changes. Then click on the Gain Up / Gain Down
buttons to adjust the signal on the graph. (FIGURE 22)
(FIG. 22)
If it does not work, inactivate the AutoGain override:
(FIGURE 23)
to
(FIG. 23)
Review:
• What protocol did you record?
• Protocols are numbered 1 through 6. Click on
the Task Bar button.
• Spread out the graph to uncover the protocol
number
• This will also reveal the Stim Offset
Frequencies.
Graph does not fill screen?
• Take the graph off of automatic mode: , click
on GAIN UP /GAIN DOWN icons.
• Adjust the graph up or down
SCREEN SHOTS – Additional program needed.
Want to include a screen shot in a report, PowerPoint or
in another print format?
You will need to find a way of taking a screen shot and
including it in your presentation.
There are several available. A free screen shot add-on is
an option. It is called Greenshot.
http://getgreenshot.org/
Other programs will also provide a screen shot option.
Notes on cleaning:
. Always clean EEG contacts (and anything touching
the client) with an antimicrobial solution at least
once between clients. This is critical to avoid passing
microbes between clients. Recommended: Cleaning
with 91% isopropyl alcohol as leads are removed from
the client. An additional cleaning before application
is a good double-check. Certainly, never attach an
uncleaned contact to a client.
. If using disposable “Wae” Silver/Silver Chloride
EEG contacts on disposable leads, these leads may not
be soaked in saline solution (salt water) between uses to
remove paste (doing so will corrode the crimp contact
from wire lead to plate contact). These lead sets are
relatively inexpensive, and their light weight simplifies
and speeds hook-up. Clean with 91% isopropyl alcohol
using cotton pad. Do not soak.
. If using the durable “Spider” Silver/Silver Chloride
EEG lead sets, these leads maybe soaked in saline
solution (salt water) or 91% isopropyl alcohol between
uses to remove paste and help assure cleanliness. These
lead sets are cost effective and their durability, light
weight, and superior conduction properties simplify
and speed hook-up.
Clinical Notes
1. First some planning and philosophy: Generally
speaking, the client will likely do best when starting and
ending on site pairs believed to be relatively healthy,
moving to sites exhibiting issues, e.g., high standard
deviation, very high amplitudes, or frequencies or
frequency deviations quite different from the norm,
and then ending up back on relatively healthy sites.
until you see the details of the protocol text emerge on
the bottom rows: (FIGURE 20)
(FIG. 20)
For example, this segment shows that this data is from
the 5th protocol, and this segment covers offsets from
2 to 5. (FIGURE 21)
(FIG. 21)
2. Although one occasionally may be guided by a map
as discussed above, without obvious indications to do
otherwise, work generally front-to-back-to-front.
Such a full 9 (or 10) site-pair session might look like the
following (A/B):
F3/F4, C3/C4, P3/P4, O1/O2, T5/T6, Fz/Pz, FPz/Cz, FP1/
FP2, F9/F10 (target soft spot just below F7/F8) and
ending with F9/F1 or F9/FPO2.
3. Always begin gently, working up to longer periods
of time as indicated by assessing the individual client.
Remember that clients are likely to become less reactive
a. as sessions continue (i.e., they have had more
exposure),
b. as they are exposed to the infrared energy from a
Nano Beam 940
For example: Studies on narrow band infrared (IR)
show it helps to reduce inflammation, to promote
blood flow, and to increase ATP (cellular energy),
thus promoting wound healing. It can be a great
aid in autonomic balancing.
4. Some clients may respond quite well to being hit
relatively “hard”, and then feeling better than ever, very
much like a Herxheimer reaction. A reaction may be,
and often is, a good sign. Remember to prepare the
client for this possibility, explaining that the amount of
feedback will be adjusted appropriately as the comfort
level of any such reactions is reported. Although we
aim to minimize reactions, they typically indicate that
a. help of this type was needed
b. that the neuro -feedback is working.
5. Chronically inflamed clients are likely to be reactive.
Fibromyalgia (FMS), chronic fatigue (ME/CFS), Lyme
and migraine presenters are very likely to have chronic
inflammation. Joint and limb pain may also be
indicators of inflammation.
Where to Start
A single pair starting point might be F3/F4. For sensitive
clients, focus on frontal, prefrontal and central sites
before including temporal, parietal and occipital sites.
For potentially reactive clients (or practitioners),
remember to unplug the EEG leads during initial
hookup, between sites, and after the chime at the
end of each feedback site (audio must be ON to hear
it.) Typically use lower numbered protocols with such
clients (those appearing in the top half of the list).
14
The Impact Of Trauma
By: Dudley Chewning EdD, LMFT, ICP
Childhood trauma can take 20 years of a person’s life.
People can be consumed with fear and faint. Steven
the disciple appears to go to sleep right before he was
stoned to death. We can say now, that was probably a
Vagal reaction, fainting instead of sleep.
The Polyvagal Theory ties heart rate viability (HRV) with
the autonomic nervous system; plus it tells us about
three switches (reactions) now instead of only the two
(flight and freeze ). Dr Porges’ Polyvagal Theory, tells us
the vagus nerve and autonomic nervous system has a
master switch called “social engagement”, this lead
switch hands reactions over to the Autonomic nervous
system (ANS) if the vagus interprets (fear), unknown to
thought processes. Then it activates the sympathetic
nervous system (SNS) to activate flight or fight, a “danger
response”. If the vagus senses “life threat” the third
switch activates the parasympathetic Nervous System
(PSNS) and shutdown begins. Caution your clients that
they can also vacillate between the two SNS and PSNS.
This happens a lot in therapy and in social interactions.
So we can see which of the two ANS they are struggling
with. Are they a tiger, turtle or a snapping turtle? The
answer is “Yes”.
Now we can see that having a “gut feeling” bares more
truth than we thought. The second brain, the longest
nerve in the body, the vagus nerve tells the brain stem
to take action by passing thought processes. The vagus
can react quicker than the”mind”. The ANS’s’ job is to
allow one to enjoy life and to keep you alive, a program
loaded on your hard drive before birth.
If fear exists you have the Vagus Nervous System (VNS)
causing social disengagement, flight, or shutdown
but with safety (trust) social engagement you have
community not disengagement, play not fight, and
relaxation not shutdown by the ANS. So we should fear
“fear”.
As a marriage and family therapist and former combat
vet, I started to focus on trauma in the combat PTSD
families or how the family is contaminated by the
behavior of a trauma person’s-unknown vagus ANS
reactions. Something a person is not aware of via the
frontal cortex. In other words, the trauma memory sets
up a persons behavior and they don’t know “what or
why”. Like a wolf, they bark at the family, not knowing
the cause.
This led me to the ACE survey, a childhood trauma
assessment. Those significantly traumatized can
develop biological problems and lose twenty years
of life. I connected the dots by studying Dr. Porges’
Polyvagal Theory. Insight therapy, my career field was
coming to a standstill, my clients and I were stagnating
in PTSD recovery. I soon validated insight therapy was
detrimental to helping most forms of trauma clients.
The release of cortisol can be easily activated because
the brain is sensitized by trauma and each new trauma
event has a larger adverse reaction to the next trauma
event. It seems the cortisol faucet is not shut down or
we have a damaged neuro system. Trauma Memory
(TM) behavior can be activated by thought/insight
quickly.
Treating childhood trauma ( Dr. Van der Kolk uses the
term development trauma disorder), unfortunately
it is not adopted into DSM yet. There are two issues
needing correction: Neuro damage and negative
reality development, the child learns to accept abuse
as normal.
If you use the ACE Survey to assess children, you will
likely run into having to notify the authorities. But
utilizing the ACE on an adult, you can detect his or her
trauma history which leads to the sensitization of the
brain neuro system.
Treating a vet who thought he had combat PTSD,
had me convinced, but after assessing all his combat
situation he was devastated by finding out about his
wife’s affair while he was deployed. Thus the cultural
form of combat trauma, was highjacked by relationship
trauma. It appeared as if the horror of war took a back
seat to his relationship trauma but cortisol doesn’t
care. The requirement to stay on high alert takes it’s
toll (stress), while addressing other life matters. Thus
constant stress can lead to an event that causes TBI, but
the event by itself wouldn’t necessarily seem to have
that much impact.
Now my theory is the social engagement switch can
be called the “faith or trust” switch. When we lose hope,
faith, and or trust, where are we? Victims of rage and
gut issues.
Fortunately for me, a former PTSD/TBI client directed
me to IASIS. My understanding is IASIS can do the
detoxing, thank goodness, and some therapy will
be required to reset reality in DTD, and change the
hierarchy in chaotic families.
As IASIS cleans out some hormone contaminated
neuro pathways, it helps reset the CNS and it’s sub
systems. Our journey appears to be how can we assist
and treat the damage that the high octane cortisol
has left behind? I think frequencies do the scrubbing
to clean the damaged neuro endocrine system. They
are using modulated music to correct those with ear
muscle dtysfunctioning (autism) and IASIS could be
doing the same.
Relationships sustain life when they are functional.
Adrenaline keeps us alive when events or relationships
give us danger or life threat.
My research pointed to the Polyvagal therapy instead of
talk therapy. Yoga, Feldenkrasis, relaxation techniques,
deep breathing, Emotion Freedom techniques
(tapping), acupuncture, cold water exposure, throat
vibrations (singing, gargling, Mongolian throat singing),
praying and others are bypassing thought processes
and assisting the vagus nerve reset and control what
“fear” (the automatic reaction trigger) sets in motion, so
social engagement, trust needs to be addressed. It’s my
belief IASIS can do this quicker but these homework
tools can supplement IASIS just as the IR light therapy.
Case study: I helped a child correct most of his behavior
problems, even after PTSD therapy from another source
failed. I was tasked to restore faith in therapy gone
wrong, another form of trauma. It didn’t take long
to realize he was trapped in a chaotic environment
of no trust and understanding, my pleas to suspend
corporate punishment went unheard. I assessed the
clients environment, using the ACE survey and the
Global Assessment of Relational Functioning (GARF).
This addresses systemic change measures instead of
just behavioral change. I tasked the guardian to contact
the school to determine if they assess for trauma and
do they know how to interact with a trauma child. The
negative answer led to switching to a school that treat
trauma children differently. The child went from failing
all classes to some “A”s in the new school.
Caution: As providers we must realize that our facial
expressions are signaling the client to be fearful or not,
their trust factor is contaminated. It’s not only what
we say, sometimes it is “how we say it”, that sets the
therapeutic process in motion. Everyone’s ANS reads
another’s facial expressions, but we don’t see our own
facial expression, it is set by our ANS. Our duty face
maybe disturbing to the client but our compassion
face, offers hope.
First responders and IASIS providers can create hope
in someone by expressing compassion in their face,
Don’t let the client’s trauma face, body language set
your facial reaction, note it and watch their body, face
language changes during your treatments. I see the
change about halfway through the IASIS session. It is
worth helping someone feel better and live longer. To
see a child’s face turn flat from trauma to a thankful
grin is truly priceless. Helping a parent is helping a
child that becomes a parent one day that builds trust
in another child.
Should we look into family required treatment? I
trained our juvenile courts to accept this challenge. Will
they? I was only able to point to the pathway, the culture
usually resist a homeostasis change. Something else
to chew on. Correcting the hierarchy in dysfunctional
trauma families is another story that needs to be told
but let’s chew and digest this first. Collaboration among
Iasis providers will bring improved practices.
dudley[email protected]
Dudley Chewning EdD, LMFT, ICP
16 17
OUTLINE
 Neuron anatomy and neurophysiology
 EEG generation and some research ndings
 Overview of non-invasive neurostimulation
 IASIS basics and protocols
 Some pilot data from IASIS treatment
electrical properties of Neurons
Neurons send electrical signals down their axons to communicate with
other neurons through neurotransmitter release.
They are able to do this by maintaining a negative resting potential
relative to the extracellular space.
Synapse propagation
Action potentials propagate
via voltage-gated Na+ and K+
channels that cause depo-
larization and repolarization,
respectively.
Concentration gradient is
restored by a Na+/K+ pump
which pushes 3 Na+ out and 2
K+ ions in.
Ionic concentrations in neurons
K+ is in equilibrium due to opposing forces that balance
out at resting membrane potential
Na+
Na+K+ K+
K+
Neurons are highly interconnected
Along each axon and at each synapse is a delicate balance of
electrical charge and current
Disrupting this balance will result
in altered communication between
neurons
18 19
Ionic concentrations in neurons
Generalities
Awake: outward focus
Asleep
OR concentration
Awake: inward focus
Sleepy, spaced out
10 20
Dynamic changes
in frequency
power over time
Frequency (H z)
Power (dB)
Eyes open
Complexity of on-going EEG spectral power
EEG is generated by synchronous patches
EEG sources can be separated mathematically
Independent
component
analysis
(ICA)
separates
mixed EEG
signals at
the
scalp into
temporally
independent
time
courses
Makeig & Onton,
“ERP Features and
EEG Dynamics: An ICA
Perspective” in
Oxford Handbook of Event-
Related Potential Components
theta (4-7 Hz) is a normal frequency for frontal
midline region
20 21
theta increases with working memory load
independent (co-)modulators of eeg
Onton, J., & Makeig, S. (2009). High-frequency broadband modulations of
electroencephalographic spectra. Frontiers in human neuroscience, 3.
im distribution shifts with emotional state
COMPASSION ANGER
IMx weight distribution
Trial Weights (IMx)
im weights for different emotions
im activity during emotional imagery
22 23
inter-subject emotion space
Independently-rated
“Emotion Space”
EEG “Emotion
Space”
Multi-dimensional
scaling
g IMs (all subjects)
valence-correlation-weighted dipole density
(gamma IMs)
electrical circuits
Current ow
for tACS is
alternating
Basic circuit
R ~ skin-electrode contact
(impedence)
transcranial direct current stimulation
tDCS appears to be safe (Bikson et al., 2009)
and eective for depression (Boggio et al.,
2008), chronic pain (Fenton et al., 2009;
Fregni et al., 2006), stroke (Baker et al.,
2010), and alcohol craving (Boggio,
et al., 2008)
transcranial magnetic stimulation
TMS has shown clinical ecacy
for depression (Loo & Mitchell,
2005), hallucinations (Aleman
et al., 2007), drug craving (Barr
et al., 2011) and PTSD (Karsen
et al., 2013; Osuch et al., 2009),
while also having a very low in-
cidence of unwanted side eects
(Rossi et al., 2009).
penetration of current into the brain
CURRENT DISTRIBUTION IN THE BRAIN
Most of the current is shunted through the skin
Current density (A/m2)
Skin: 1.7
CSF: 0.38
Brain: 0.1
24 25
current distribution in the brain
comparison of ECT, TMS, Tdcs and IASIS
Induced current
density (A/m2)
ECT: 225
TMS: 3
tDCS: 0.3 – 0.8
IASIS: 0.0056
Applied Amps (mA)
ECT: 800
tDCS: 1-2
AA battery: 0.3
IASIS: 0.02
Also, IASIS is only on for brief
bursts, amounting to only ~0.03
seconds per session, whereas
tDCS is on continuously.
Electric field (V/m)
tDCS: 0.4
TMS: >100 (capable of trigg e r-
ing action po-
tentials)
Peak Power
IASIS: ~2
mWatts
AA battery: ~450
mWatts
impedance check
CHOOSE PROTOCOL
wait for signal to stabilize
10-20 MEASUREMENTS
Subject 1, Session 1
26 27
Subject 1, Session 2
Subject 1, Session 3
Subject 1 Life quality changes across sessions
Figure legend explanation
Colored lines on the following slides refer to dierent
locations of the stimulation electrodes.
e progression from Blue to Red is also a progres-
sion over time during the session, in addition to
representing dierent stimulation locations.
Pre and Post rest had no stimulation
Subject 1, Session 2 Left occipital channel
~9.75 Hz
alpha to
start
Decreasing
alpha power,
increasing
alpha frequency
over the session
(technical issues
prevented further
recordings during
this session
Frequency (Hz)
Power (dB)
Stimulation areas
Subject 1, Session 3 Left occipital channel
Healthy
~10 Hz
alpha to
start
Alpha frequency
already healthy,
but alpha power
still decreases
over the session.
Frequency (Hz)
Power (dB)
Stimulation areas
Subject 2, Session 1 Left occipital channel
Already
high (11Hz)
alpha
Alpha frequency
already healthy,
but alpha power
decreases over
the session.
Frequency (Hz)
Power (dB)
Subject 1, Session 1 Left occipital channel
~9.5 Hz
alpha to
start
Decreasing
alpha power,
increasing
alpha frequency
over the session
Power (dB)
Stimulation areas
Frequency (Hz)
28 29
Subject 3, Session 1 Right frontal channel *
~8.75 Hz
alpha to
start
Decreasing
alpha power,
increasing
alpha
frequency
over the
session
Frequency (Hz)
Power (dB)
* left occipital channel had technical
issues, trends were comparable on both
Right occipital channelSubject 4, Session 1
Already
healthy
(~10Hz) alpha
Alpha frequency
already healthy,
but alpha power
decreases over
the session.
Power (dB)
OUTLINE
 Neuron anatomy and neurophysiology
 EEG generation and some research ndings
 Overview of non-invasive neurostimulation
 IASIS basics and protocols
Some pilot data from IASIS treatment
Areas of the Brain
and Their Functions
One of the brain’s primary jobs is to protect us. Some-
times there are events in our lives, one or more or even
a string that sends our brains into “lock-down mode” to
protect us. Sometimes our brains stay in that protected
mode, also called a negative feedback loop. When that
happens, we can develop problems with basic func-
tions like sleep and memory, and our ability to manage
our emotions, relationships and our normal thought
processes.
IASIS is a form of neurofeedback where a device gently
stimulates the nerves in the brain to “reboot” or “rewire”
itself out of this negative feedback loop to a calmer,
more normal state. (Examples of these disruptive events
include: abuse as a child, a bad business deal or legal
situation, an abusive relationship, a concussion or trau-
matic brain injury and Post Traumatic Stress Disorder.)
The IASIS device emits an incredibly small electric
current through the skull to the nerves of the brain.
These small currents are close to being harmonious
with our own brain nerves. These pulsing currents act
to re-awaken the nerves that are stuck in protect mode
and enable the brain to rewire itself to a normal, func-
tioning state.
It was once thought, not too long ago, that the brain
could not change itself. The IASIS device has stimulated
research in major neuroscience labs around the world
and is rapidly changing that old school of thought. (The
U.S. Department of Veterans Affairs has demonstrated a
keen interest in the IASIS technology and are seeing im-
pressive benefits using it to treat the country’s wounded
warriors.)
IASIS Advanced Protocols
(Use after completing the full 10-20 sites unless other-
wise indicated.)
Activating F3/F7 T3/FP1
Academic
Performance F3/F4 O1/O2 T5/T6 T3/T4 FP1/FP2
ADD/ADHD CZ C3/C4 O1/O2 FP1/FP2
Addiction FZ C3/C4 PZ/FPZ
Anxiety T3/T4 T4/P4
Balance
(Nervous
System
and
Emotion) CZ T3/T4
Bipolar D/O C5/C6
Body
Awareness T4/P4
Chronic
Pain
(Ache) C3/T3
Core Stability C5/C6
Depression F3/F4 O1/O2 T3/T4 FP1/FP2 F3/F7
Depression
(Treatment
Resistant) P4/FPO2 F3/F7 CZ/FZ/FP1
x 10 x 10-20
mins. mins.
Emotional
Arousal F7/F8
Emotional
Resilience A1/T3
Executive
Function O1/O2 T3/T4 F7/F8 F9/F10 FP1/FP2
Fear(Decrease)/
Safety
(Increased) T4/P4 A2/T4
Fibromyalgia T4/C4
Impulsivity F3/F4 O1/O2 T3/T4 FP1/FP2 T3/FP1
Migraine T3/T4 T4/P4 FPO2/P4
Motivation
(Increase) FZ/C3/C PZ/FPZ
Names (Recall) O1/O2 T3/T4 F9/F10 FP1/FP2
OCD F3/F4 O1/O2 T5/T6 T3/TT3/T4 FP
Oppositional
Behavior/
Stuck
Behavior FZ/C3/C4 P4/FPZ FP1/FP2
Pain (Chronic) C3/T3
Pain (Sharp) C4/T4 P4/FPO2
PTSD T4/P4 FPO2
Reactive
Attachment
D/O F3/F4 O1/O2 T3/T4 FP1/FP2 T4/P4
Seizure CZ/C3/C4 T3/T4 F3/F7
Self-Esteem
(Increase) A2/T4
Sleep C3/T3 CZ/C3/C4
x 5-10
mins.
Social/
Emotional
Awareness
(Increase) F8/T6 T4/P4
Tinnitus C3/C4 T3/T4
Trigeminal
Neuralgia/
Varicella
Zoster F3/FPZ C4/T4
30 31
Associated Site Behaviors
(Potential)
Prefrontal and Frontal Lobes
Behaviors and Symptoms: Oppositional defiant and an-
tisocial behaviors. Clients with excessive fear resulting
from trauma, anxiety and neglect. Dysfunction dem-
onstrates as irresponsible behavior, lack of appropriate
affect, euphoria in some and incorrect expectation in
others. Look for clients appearing to be in a fog, unable
to concentrate. They get into trouble in school or with
community authorities, have diculty with ethical or
moral issues, lack empathy and/or social skills. Have dif-
ficulty completing administrative tasks; unmotivated,
disconnected, negative, depressed or anxious.
Sensory Motor Cortex
Behaviors and Symptoms: Stroke, epilepsy, paralysis,
ADHD, and disorders of sensory motor integration.
Clients have diculty seeing the logical sequence of
cognitive tasks.
Temporal Lobes
Behaviors and Symptoms: Diculties keeping up a con-
versation, episodic memory loss for functional tasks like
paying the bills and misplacing keys or glasses; possibly
angry or aggressive behavior; anxiety or panic displays.
Parietal Lobes
Behaviors and Symptoms: Clients may have diculty
seeing both sides of the visual field. This may mean
more car accidents, diculty playing computer games,
drawing complete pictures and following directions;
failure to recognize a simple tune or a friend’s face; gets
lost easily.
Occipital Lobes
Behaviors and symptoms: Diculty with visual memo-
ries and accurate reading; inability to perceive and draw
complete objects or to see multiple objects at the same
time. Possible problems with the physical act of writing,
cannot trace the outline of an object; diculty coloring
and with other visual spatial activities.
Deeper Brain Structures
and Their Functions
Limbic System
Sets the emotional tone; controls motivations and drive;
holds emotional memories.
Hypothalamus
Primarily manages homeostasis. Regulates hunger,
thirst, pain response, pleasure, sex drive and the Periph-
eral Nervous System.
Amygdala
Provides emotional affect to language, intonation and
sound of voice, and evaluates fear and sadness. Dysfunc-
tion displays as social disinhibition.
Hippocampus (beneath the temporal lobes)
Short- and long-term auditory and visual memory (LH).
Sound-voice intonation memory, and spatial-facial
memory (RH).
Septal Nucleus
Acts in conjunction with the hypothalamus and hip-
pocampus to regulate internal inhibition and to quiet
arousal and Limbic System function.
Cingulate Gyrus (FPZ, FZ, CZ, PZ)
Controls the ability to shift attention from one subject
to another and to adapt to changing circumstances;
manifests cooperative behavior in a social context.
Anterior Cingulate Gyrus
Helps oversee motivation, the social self and personality;
facilitates mental flexibility, attention and cooperation.
Posterior Cingulate Gyrus
Shares in the memory-making process, provides orien-
tation in space and eye and sensory monitoring.
Left Hemisphere of the Brain Right Hemisphere of the Brain
• Analyzes
• Thinks sequentially
• Thinks linguistically
• Thinks logically
• Synthesizes
• Thinks spatially and holistically
• Perceives, comprehends and
expresses visual and auditory social cues
• Experience and express emotion
Thank you from the bottom of my heart to these
individuals without whom IASIS would not exist:
Acknowledgments
Thalamus
Connects sensory organs to areas of primary sensory
processing. Sets the overall tone or excitation level for
the entire cerebral cortex.
Reticular Activating System
This is the center of the brain; it’s hypothesized that
this is the brain’s center for motivation and the key to
“turning on the brain.”
Gamma Brainwaves
Assist the brain in processing and binding information
from different areas of the brain
• Laura Bruder, IASIS Co-founder
• Ruby Bruder
• Skyler Bruder
• Harriett Ta, ICP
• Greg Gillispie, ICP
• Bob Rosen, MD, ICP
• David Carrasquillo, ICP
• Miche LaMarche, L.Ac., ICP
• eresa Horab, RN, ICP
• Susan Rohr, RN, ICP
• Linda Edwards, RN, ICP
• Carol Oliveira, ICP
• Frank Shallenberger, MD
• Jennifer McCallum, PhD, JD, ICP
• Mingxiong Huang, PhD
• Roland Lee, MD, ICP
• Annemarie Angeles, ICP
• Ashley Robb ICP
• David Dubin, MD
• Charles Adams, MD
• Julie Onton, PhD.
• Phil Sukel, DDS, ICP
• Rich Fisher, DDS, ICP
• Mahdis Keshavarz
• Shaahin Cheyenne
• Coleen Fisher, ICP
• Diana Durnell
• Steven Cavallero
• Gil Jansky
• Sean Pakbaz, MD, ICP
• Hugh Bruder, ICP
• Bob Levitan
• Rajean Moseley-LaRue, PA-C
• Dietrich Klinghart, MD
• Debbie Floyd
• Larry & Debbie Wedekind, ICP’s
• Ryan McWhorter, MD
• Wally Taylor, MD
• Greg Evans, LPC
• Beau Armistead, LPC
• Heather Parker, LPC
• Hugh Bruder, ICT, ICP
• Dudley Chewning, LPC
• Gloria Duke, RN, ICP, Research
• Gary Duke, LPC, ICP, Research
Barry Bruder
IASIS Chief Operating Ocer and co-founder
32
IASIS FINAL EXAM
. Any cell or organism that shows a more favorable biological response from a low dose than a higher one is
known as?
. What must be established before we begin each session?
. What is the ultimate goal of IASIS MCN?
. What are the four measures of reactivity?
. What does LIP-tes mean?
. What are two ways to reduce impedance?
. What is the main change that occurs within each protocol?
. Of the five leads used on the four channel IASIS MCN system, which are the active leads?
. What is essential to patient/client success?
. What brain waves are most effected by physical and emotional traumas?
. What is the body’s neurological response to slow delta waves?
. How is the IASIS flow rate determined?
. What is the IASIS Mantra, hint…HORMISIS?
. What is the most important tool used to track and have patient/client buy-in?
. What are three factors that distinguish stronger from weaker protocols?
IASIS Technologies, Inc.
All Rights Reserved
© 2013-2019

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