Using Neurofeedback to Lower Anxiety Symptoms Using Individualized qEEG Protocols: A Pilot Study


  • Stephanie M Dreis The University of Texas at San Antonio
  • Angela M Gouger The University of Texas at San Antonio
  • Edward G Perez The Department of Texas at San Antonio
  • G. Micheal Russo The University of Texas at San Antonio
  • Michael A Fitzsimmons The University of Texas at San Antonio
  • Mark S. Jones The University of Texas at San Antonio



anxiety, anxiety symptoms, qEEG guided amplitude neurofeedback, neurofeedback


Introduction: Anxiety disorders affect approximately 40 million Americans ages 18 and over (NIMH, 2015). Although qualitative and small-scale quantitative neurofeedback (NF) studies show reduction in anxiety symptoms, large-scale studies and quantitative electroencephalogram (qEEG) driven protocols are non-existent. This retrospective pilot study intended to assess whether qEEG guided amplitude NF is viable in symptom reduction of anxiety. Methods: Nineteen clients were assessed for anxiety, 14 were included in the data. Demographics include age ranges from 11–61 (M = 31.71, SD = 16.33), 9 male and 5 female; six identified as Caucasian, five as Hispanic/Latino, and three Caucasian/Hispanic ethnicity. Pre- and post-assessments included the Zung Self-Rating Anxiety Scale, Screen for Child Anxiety Related Disorders (SCARED), and the Achenbach System of Empirically Based Assessment (ASEBA). Clients received 30-min qEEG guided NF treatment sessions, twice a week. The range of attended session was 7–28 (M = 12.93, SD = 6.32). Results: Enhancement in clients’ well-being was evidenced by statistically significant improvement in symptom measures scores. Although improvements for the two most anxiety-related categories on the ASEBA were not significant, other anxiety-related categories did show significant improvement. Yet, qEEG findings were not statistically significant. Directions for future research are discussed.

Author Biography

Mark S. Jones, The University of Texas at San Antonio



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