Remediation of PTSD in a Combat Veteran: A Case Study

Authors

  • George Louis Lindenfeld, Ph.D., A.B.P.P. RESET Therapy Professional Institute, LLC
  • George Rozelle, Ph.D., BCN, Senior Fellow, Diplomate in MindSpa Integrative Wellness Center, Sarasota, FL 34233.
  • John Hummer, Ph. D., BCN James H. Quillen VA Medical Center, Johnson City, Tennessee
  • Michael R. Sutherland, Ph.D. Univ. of Mass., Amherst, MA
  • James C. Miller, Ph.D., Senior Research Physiologist, U Senior Research Physiologist, U.S. Air Force Research Laboratory (retired), Corpus Christi, TX.

DOI:

https://doi.org/10.15540/nr.6.2.102

Keywords:

posttraumatic stress disorder, trauma, memory reconsolidation, binaural sound, neuronal network of PTSD

Abstract

Publication Note: On 07-10-2019 an inadvertent typesetting error for Figures 6 and 7 was discovered and corrected; on 07-10-2019 (at 9:30pm PST) the article PDF was modified to correct the images of Figures 6 and 7; no content in the article text was changed or modified.

The posttraumatic stress disorder (PTSD) condition is a systemic neuroinflammatory state that emanates from a failure to recover from traumatic occurrence(s).  Major complications associated with PTSD include problems with impulse control and issues related to verbal and physical outbursts of anger and rage.  The Veteran’s Administration (VA) projects a post–9/11 veteran population of around 3.5 million by 2019.  Emotional problems are prevalent among combat service members and veterans with about half of the group suffering from various symptoms of PTSD.  Three in four among them report they are reliving traumas in the form of flashbacks and nightmares.  Current mental health treatments have not fully remediated the negative impact that results from PTSD.  We present a case study of a novel and transformative treatment approach called Reconsolidation Enhancement by Stimulation of Emotional Triggers (RESET) Therapy.  The intervention uses binaural sound to unlock the memory reconsolidation process, thereby releasing the emotional component of experienced trauma.  RESET Therapy offers a compelling therapeutic adjunct to the practicing biofeedback/neurofeedback clinician, who is under constant pressure to deliver interventions that are rapid, tolerable, and cost-effective.  Additionally, the treatment spares the therapist from repeated exposures to the raw limbic activity of traumatized patients, thereby minimizing the potential for vicarious traumatization.  

References

Agbu, J.-f. O. (2015). Management of negative self-image using rational emotive and behavioural therapy and assertiveness training. ASEAN Journal of Psychiatry, 16(1), 57–68.

American Addiction Centers. (2019). Post-traumatic stress disorder symptoms, causes and effects. Retrieved from https://www.psychguides.com/guides/post-traumatic-stress-disorder-symptoms-causes-and-effects/

Bam, M., Yang, X., Zumbrun, E. E., Zhong, Y., Zhou, J., Ginsberg, J. P., … Nagarkatti, M. (2016). Dysregulated immune system networks in war veterans with PTSD is an outcome of altered miRNA expression and DNA methylation. Scientific Reports, 6, 31209. https://doi.org/10.1038/srep31209

Bangel, K. A., Buschbach, S., Smit, D. J. A., Mazaheri, A., & Olff, M. (2017). Aberrant brain response after auditory deviance in PTSD compared to trauma controls: An EEG study. Scientific Reports, 7(1), 16596. https://doi.org/10.1038/s41598-017-16669-8

Beauchene, C., Abaid, N., Moran, R., Diana, R. A., & Leonessa, A. (2017). The effect of binaural beats on verbal working memory and cortical connectivity. Journal of Neural Engineering, 14(2), 026014. https://doi.org/10.1088/1741-2552/aa5d67

Beckers, T., & Kindt, M. (2017). Memory reconsolidation interference as an emerging treatment for emotional disorders: Strengths, limitations, challenges, and opportunities. Annual Review of Clinical Psychology, 13, 99–121. https://doi.org/10.1146/annurev-clinpsy-032816-045209

Bergstein, B. (2014, June 17). The promise and perils of manipulating memory. MIT Technology Review. [Internet Blog]. Retrieved from https://www.technologyreview.com/s/528156/the-promise-and-perils-of-manipulating-memory/

Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379–1391. https://doi.org/10.1037/pas0000254

BrainMaster Discovery 24E [Apparatus]. Bedford, OH: BrainMaster Technologies, Inc.

Brenner, L. A. (2011). Neuropsychological and neuroimaging findings in traumatic brain injury and post-traumatic stress disorder. Dialogues in Clinical Neuroscience, 13(3), 311–323.

Bressler, S. L., & Menon, V. (2010). Large-scale brain networks in cognition: Emerging methods and principles. Trends in Cognitive Science, 14(6), 277–290. https://doi.org/10.1016/j.tics.2010.04.004

Buckley, T. C., & Kaloupek, D. G. (2001). A meta-analytic examination of basal cardiovascular activity in posttraumatic stress disorder. Psychosomatic Medicine, 63(4), 585–594. https://doi.org/10.1097/00006842-200107000-00011

Cannon R. L., Baldwin D. R., Shaw T. L., Diloreto, D. J., Phillips, S. M., Scruggs, A. M., & Riehl, T. C. (2012). Reliability of Quantitative EEG (qEEG) measures and LORETA current source density at 30 days. Neuroscience Letters, 518(1), 27–31. https://doi.org/10.1016/j.neulet.2012.04.035

Cannon, R., Lubar, J., Thornton, K., Wilson, S., & Congedo, M. (2004). Limbic beta activation and LORETA: Can hippocampal and related limbic activity be recorded and changes visualized using LORETA in an affective memory condition? Journal of Neurotherapy, 8(4). https://doi.org/10.1300/J184v08n04_02

Chalmers, J. A., Quintana, D., Abbott, A., & Kemp, A. H. (2014). Anxiety disorders are associated with reduced heart rate variability: A meta-analysis. Frontiers in Psychiatry, 11, 80. https://doi.org/10.3389/fpsyt.2014.00080

Colzato, L. S., Barone, H., Sellaro, R., & Hommel, B. (2017). More attentional focusing through binaural beats: Evidence from the global–local task. Psychological Research, 81(1), 271–277. https://doi.org/10.1007/s00426-015-0727-0

Dahlgaard, J., Jørgensen, M. M., van der Velden, A. M., Sumbundu, A., Gregersen, N., Olsen, R. K., & Mehlsen, M. Y. (2019). Mindfulness, health, and longevity. In S. I. S. Rattan & M. Kyriazis (Eds.), The Science of Hormesis in Health and Longevity (pp. 243–255). New York, NY: Academic Press/Elsevier. https://doi.org/10.1016/B978-0-12-814253-0.00022-X

Davidson, R. J., & Hugdahl, K. (1996). Brain Asymmetry. Cambridge, MA: The MIT Press.

Dennis, P. A., Dedert, E. A., Van Voorhees, E. E., Watkins, L. L., Hayano, J., Calhoun, P. S., … Beckham, J. C. (2016). Examining the crux of autonomic dysfunction in posttraumatic stress disorder: Whether chronic or situational distress underlies elevated heart rate and attenuated heart rate variability. Psychosomatic Medicine, 78(7), 805–809. https://doi.org/10.1097/PSY.0000000000000326

DiSabato, D. J., Quan, N., & Godbout, J. P. (2016). Neuroinflammation: The devil is in the details. Journal of Neurochemistry, 139(52), 136–153. https://doi.org/10.1111/jnc.13607

Domingo-Fernandez, D., Provost, A., Kodamullil, A. T., Marin-Llao, J., Lasseter, H., Diaz, K., … Haas, M. (2019). PTSD Biomarker Database: Deep dive meta-database for PTSD biomarkers, visualizations, and analysis tools. BioRxiv, 547901. Advance online publication. https://doi.org/10.1101/547901

Dudai, Y., Karni, A., & Born, J. (2015). The consolidation and transformation of memory. Neuron, 88(1), 20–32. https://doi.org/10.1016/j.neuron.2015.09.004

Dunkley, B. T., Sedge, P. A, Doesburg, S. M., Grodecki, R. J., Jetly, R., Shek, P. N., ... Pang, E. W. (2015). Theta, mental flexibility, and post-traumatic stress disorder: Connecting in the parietal cortex. PLoS ONE, 10(4), e0123541. https://doi.org/10.1371/journal.pone.0123541

Dunsmoor, J. E., Niv, Y., Daw, N., & Phelps, E. A. (2015). Rethinking extinction. Neuron, 88(1), 47–63. https://doi.org/10.1016/j.neuron.2015.09.028

Ecker, B., Ticic, R., & Hulley, L. (2012). Unlocking the emotional brain: Eliminating symptoms at their roots using memory reconsolidation. New York, NY: Routledge. https://doi.org/10.4324/9780203804377

Electro-Cap system [Apparatus]. Eaton, OH: Electro-Cap International, Inc.

Engdahl, B., Leuthold A. C., Tan, H.-R. M., Lewis S. M., Winskowski, A. M., Dikel, T. N., & Georgopoulos, A. P. (2010). Post-traumatic stress disorder: A right temporal lobe syndrome? Journal of Neural Engineering, 7(6), 1–8. https://doi.org/10.1088/1741-2560/7/6/066005

Engels, A. S., Heller, W., Mohanty, A., Herrington, J. D., Banich, M. T., Webb, A. G., & Miller, G. A. (2007). Specificity of regional brain activity in anxiety types during emotion processing. Psychophysiology, 44(3), 352–363. https://doi.org/10.1111/j.1469-8986.2007.00518.x

Falconer, E., Bryant, R., Felmingham, K. L., Kemp, A. H., Gordon, E., Peduto, A., … Williams, L. M. (2008). The neural networks of inhibitory control in posttraumatic stress disorder. Journal of Psychiatry & Neuroscience, 33(5), 413–422. http://jpn.ca/vol33-issue5/33-5-413/

Flanagan, D. A., & Kerin, A. (2017). How is intraoperative music therapy beneficial to adult patients undergoing general anesthesia? A systematic review. Anesthesia EJournal, 5, 5–13. Retrieved from https://anesthesiaejournal.com/index.php/aej/article/view/62

Foster, D. S., & Thatcher, R. W. (2015). Surface and LORETA neurofeedback in the treatment of post-traumatic stress disorder and mild traumatic brain injury. In R. W. Thatcher & J. F. Lubar (Eds.), Z score neurofeedback: Clinical applications (pp. 59–92). Waltham, MA: Academic Press. https://doi.org/10.1016/B978-0-12-801291-8.00004-2

Fourrier, C., Singhal, G., & Baune, B. T. (2019). Neuroinflammation and cognition across psychiatric conditions. CNS Spectrums, 24(1), 4–15. https://doi.org/10.1017/S1092852918001499

Frueh, B. C., Grubaugh, A. L., Yeager, D. E., & Magruder, K. M. (2009). Delayed-onset post-traumatic stress disorder among war veterans in primary care clinics. The British Journal of Psychiatry, 194(6), 515–520. https://doi.org/10.1192/bjp.bp.108.054700

Gálvez, G., Recuero, M., Canuet, L., & Del-Pozo, F. (2017). Short-term effects of binaural beats on EEG power, functional connectivity, cognition, gait, and anxiety in Parkinson’s Disease. International Journal of Neural Systems, 28(5), 1750055. https://doi.org/10.1142/S0129065717500551

Garcia-Argibay, M., Santed, M. A., & Reales, J. M. (2017). Binaural auditory beats affect long-term memory. Psychological Research, 1–33. Advance online publication. https://doi.org/10.1007/s00426-017-0959-2

Gieselmann, A., Aoudia, M. A., Carr, M., Germain, A., Gorzka, R., Holzinger, B., … Pietrowsky, R. (2019). Aetiology and treatment of nightmare disorder: State of the art and future perspectives. Journal of Sleep Research, e12820. Advance online publication. https://doi.org/10.1111/jsr.12820

Giustino, T. F., Fitzgerald, P. J., & Maren, S. (2016). Fear expression suppresses medial prefrontal cortical firing in rats. PLoS ONE, 11(10), e0165256. https://doi.org/10.1371/journal.pone.0165256

Golkar, A., Tjaden, C., & Kindt, M. (2017). Vicarious extinction learning during reconsolidation neutralizes fear memory. Behaviour Research and Therapy, 92, 87–93. https://doi.org/10.1016/j.brat.2017.02.004

Greene, E., & Greene, A. (1977). Beyond biofeedback. New York, NY: Dell Press.

Harnes, J. M. (2010, August 27). Rapid resolution therapy [Internet Blog]. Retrieved from https://www.army.mil/article/44335/rapid_resolution_therapy

Health, P. B. (2010, June 15). PTSD in veterans linked to dementia in later life [Internet Blog]. Retrieved from https://www.promisesbehavioralhealth.com/trauma-ptsd/ptsd-in-veterans-linked-to-dementia-in-later-life/

Helpman, L., Marin, M.-F., Papini, S., Zhu, X., Sullivan, G. M., Schneier, F., … Neria, Y. (2016). Neural changes in extinction recall following prolonged exposure treatment for PTSD: A longitudinal fMRI study. NeuroImage: Clinical, 12, 715–723. https://doi.org/10.1016/j.nicl.2016.10.007

Herrington, J. D., Heller, W., Mohanty, A., Engels, A. S., Banich, M. T., Webb, A. G., & Miller, G. A. (2010). Localization of asymmetric brain function in emotion and depression. Psychophysiology, 47(3), 442–454. https://doi.org/10.1111/j.1469-8986.2009.00958.x

Isik, B. K., Esen, A., Büyükerkmen, B., Kilinç, A., & Menziletoglu, D. (2017). Effectiveness of binaural beats in reducing preoperative dental anxiety. The British Journal of Oral and Maxillofacial Surgery, 55(6), 571–574. https://doi.org/10.1016/j.bjoms.2017.02.014

Kaiser, D. A. (2006). What is quantitative EEG? Journal of Neurotherapy, 10(4), 37–52. https://doi.org/10.1300/J184v10n04_05

Kaplan, D. M., Smith, T., & Coons, J. (1995). A validity study of the subjective unit of discomfort (SUD) score. Measurement and Evaluation in Counseling and Development, 27(4), 195–199. Retrieved from https://eric.ed.gov/?id=EJ506232

Kibler, J. L. (2009). Posttraumatic stress and cardiac disease risk. Journal of Trauma & Dissociation, 10(2), 135–150. https://doi.org/10.1080/15299730802624577

Krystal, J. H., Davis, L. L., Neylan, T. C., Raskind, M. A., Schnurr, P. P., Stein, M. B., … Huang, G. D. (2017). It is time to address the crisis in the pharmacotherapy of posttraumatic stress disorder: A consensus statement of the PTSD Psychopharmacology Working Group. Biological Psychiatry, 82(7), e51–e59. https://doi.org/10.1016/j.biopsych.2017.03.007

Laird, A. R., Fox, P. M., Eickhoff, S. B., Turner, J. A., Ray, K. L., McKay, D. R., … Fox, P. T. (2011). Behavioral interpretations of intrinsic connectivity networks. Journal of Cognitive Neuroscience, 23(12), 4022–4037. https://doi.org/10.1162/jocn_a_00077

Lake, J. (2015). The integrative management of PTSD: A review of conventional and CAM approaches used to prevent and treat PTSD with emphasis on military personnel. Advances in Integrative Medicine, 2(1), 13–23. https://doi.org/10.1016/j.aimed.2014.10.002

Lande, R. G., Williams, L. B., Francis, J. L., Gragnani, C., & Morin, M. L. (2010). Efficacy of biofeedback for post-traumatic stress disorder. Complementary Therapeutic Medicine, 18(6), 256–259. https://doi.org/10.1016/j.ctim.2010.08.004

Lanius, R. A., Frewen, P. A., Tursich, M., Jetly, R., & McKinnon, M. C. (2015). Restoring large-scale brain networks in PTSD and related disorders: A proposal for neuroscientifically-informed treatment interventions. European Journal of Psychotraumatology, 6(1), 27313–27324. https://doi.org/10.3402/ejpt.v6.27313

Lawlis, F. (2006). About the BAUD [Website]. Retrieved from http://www.baudtherapy.com/about.html

Lawlis, F. (2010). An international clinical study of the sonic disruption of sympathetic arousal principle as designed in the BAUD device. Unpublished manuscript. Retrieved from http://www.baudenergetics.com/images/study%20for%20sonic%20disruptor%20in%20int'l%20study.pdf

Lawlis, F., (2011). The PTSD Breakthrough: The Revolutionary, Science-Based Compass RESET Program. Naperville, IL: Sourcebooks.

LeCron, L. M. (1964). Self-Hypnotism: The technique and its use in daily living. New York, NY: Penguin Books, Ltd.

Levine, P. A., & Frederick, A. (1997). Waking the tiger: Healing trauma (1st ed.). Berkeley, CA: North Atlantic Books.

Lindenfeld, G., & Bruursema, L. R. (2015). Resetting the fear switch in PTSD: A novel treatment using acoustical neuromodulation to modify memory reconsolidation. Unpublished manuscript. Retrieved from https://www.academia.edu/12532059/Resetting_the_Fear_Switch_in_PTSD_A_Novel_Treatment_Using_Acoustical_Neuromodulation_to_Modify_Memory_Reconsolidation

Lindenfeld, G., & Rozelle, G. (2015). PTSD: Brain on fire. A RESET Therapy (QEEG) brain map analysis case study of an Afghanistan combat veteran. Unpublished manuscript. Retrieved from https://www.academia.edu/19524765/PTSD_Brain_On_Fire

Lindenfeld, G., Rozelle, G., Soutar, R., Hummer, J., & Sutherland, M. (2019, Winter). Post-traumatic stress remediated: A study of eight combat veterans. New Mind Journal. Retrieved from http://nmindjournal.com/post-traumatic-stress-remediated-a-pilot-study-of-8-combat-veterans/

Lipov, E., Tukan, A., & Candido, K. (2018). It is time to look for new treatments for posttraumatic stress disorder: Can sympathetic system modulation be an answer? Biological Psychiatry, 84(2), e17–e18. https://doi.org/10.1016/j.biopsych.2017.07.026

Logue, M. W., van Rooij, S. J. H., Dennis, E. L., Davis, S. L., Hayes, J. P., Stevens, J. S., … Morey, R. A. (2018). Smaller hippocampal volume in posttraumatic stress disorder: A multisite ENIGMA–PGC study: Subcortical volumetry results from posttraumatic stress disorder consortia. Biological Psychiatry, 83(3), 244–253. https://doi.org/10.1016/j.biopsych.2017.09.006

Luo, Y., Fernández, G., Hermans, E., Vogel, S., Zhang, Y., Li, H., & Klumpers, F. (2018). How acute stress may enhance subsequent memory for threat stimuli outside the focus of attention: DLPFC-amygdala decoupling. NeuroImage, 171, 311–322. https://doi.org/10.1016/j.neuroimage.2018.01.010

Maren, S., & Holmes, A. (2016). Stress and fear extinction. Neuropsychopharmacology, 41(1), 58–79. https://doi.org/10.1038/npp.2015.180

Martone, G. (2019). Can taming inflammation help reduce aggression? Current Psychiatry, 18(2), 49–50.

McGaugh, J. L. (2000). Memory: A century of consolidation. Science, 287(5451), 248–251. https://doi.org/10.1126/science.287.5451.248

McGilchrist, I. (2009). The master and his emissary: The divided brain and the making of the western world. New Haven, CT: Yale University Press.

McLeay, S. C., Harvey, W. M., Romaniuk, M. N. M., Crawford, D. H. G., Colquhoun, D. M., Young, R. M., … Lawford, B. R. (2017). Physical comorbidities of post-traumatic stress disorder in Australian Vietnam War veterans. The Medical Journal of Australia, 206(6), 251–257. https://doi.org/10.5694/mja16.00935

Mellon, S. H., Gautam, A., Hammamieh, R., Jett, M., & Wolkowitz, O. M. (2018). Metabolism, metabolomics, and inflammation in posttraumatic stress disorder. Biological Psychiatry, 83(10), 866–875. https://doi.org/10.1016/j.biopsych.2018.02.007

Menon, V., (2015). Salience network. In A. W. Toga (Ed.), Brain mapping: An encyclopedic reference (Vol. 2, pp. 597–611). New York, NY: Academic Press/Elsevier. https://doi.org/10.1016/B978-0-12-397025-1.00052-X

Merabet, L. B., & Pascual-Leone, A. (2010). Neural reorganization following sensory loss: The opportunity of change. Nature Reviews Neuroscience, 11, 44–52. https://doi.org/10.1038/nrn2758

Miller, J. C., & Lindenfeld, G. (2017, May). Auditory stimulation therapy for PTSD. Conference presentation presented at the 88th Annual Scientific Meeting of the Aerospace Medical Association, Denver, CO. Retrieved from https://www.academia.edu/32861964/Auditory_Stimulation_Therapy_for_PTSD

Miller, M. W., Lin, A. P., Wolf, E. J., & Miller, D. R. (2018). Oxidative stress, inflammation, and neuroprogression in chronic PTSD. Harvard Review of Psychiatry, 26(2), 57–69. http://dx.doi.org/10.1097/HRP.0000000000000167

Monfils, M.-H., Cowansage, K. K., Klann, E., & LeDoux, J. E. (2009). Extinction-reconsolidation boundaries: Key to persistent attenuation of fear memories. Science, 324(5929), 951–955. https://doi.org/10.1126/science.1167975

Monson, C. M., & Shnaider, P. (2014). Concise guides on trauma care book series. Treating PTSD with cognitive-behavioral therapies: Interventions that work. Washington, DC: American Psychological Association.

Moore, J. P., Trudeau, D. L., Thuras, P. D., Rubin, Y., Stockley, H., & Diamond, T. (2000). Comparison of alpha-theta, alpha, and EMG neurofeedback in the production of alpha-theta crossover and the occurrence of visualizations. Journal of Neurotherapy, 4(1), 29–42. https://doi.org/10.1300/J184v04n01_04

Nagpal, M. L., Gleichauf, K., & Ginsberg, J. P. (2013). Meta-analysis of heart rate variability as a psychophysiological indicator of posttraumatic stress disorder. Journal of Trauma & Treatment, 3, 182. https://doi.org/10.4172/2167-1222.1000182

National Institute of Mental Health (NIMH; 2019). Post-traumatic stress disorder [Website]. Retrieved from https://www.nimh.nih.gov/health/topics/post-traumatic-stress-disorder-ptsd/index.shtml

NeuroGuide Deluxe [Computer software]. (n.d.). Largo, FL: Applied Neuroscience, Inc.

Noohi, S., Miraghaie, A. M., Arabi, A., & Nooripour, R. (2017). Effectiveness of neuro-feedback treatment with alpha/theta method on PTSD symptoms and their executing function. Biomedical Research, 28(5), 2019–2027. Retrieved from https://pdfs.semanticscholar.org/a07b/8c71fe8556abdca86ede93b3179f30f8e220.pdf

Orr, S. P., Metzger, L. J., Lasko, N. B., Macklin, M. L., Peri, T., & Pitman, R. K. (2000). De novo conditioning in trauma-exposed individuals with and without posttraumatic stress disorder. Journal of Abnormal Psychology, 109(2), 290–298. https://doi.org/10.1037/0021-843X.109.2.290

Orr, S. P., Meyerhoff, J. L., Edwards, J. V., & Pitman, R. K. (1998). Heart rate and blood pressure resting levels and responses to generic stressors in Vietnam veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 11(1), 155–164. https://doi.org/10.1023/A:1024421502881

Othmer, S., Othmer S. F., & Kaiser, D. A. (1999). EEG biofeedback: An emerging model for its global efficacy. In J. R. Evans & A. Abarbanel (Eds.), Introduction to quantitative EEG and neurofeedback, (1st ed., pp. 243–310). San Diego, CA: Academic Press.

Pascual-Marqui R. D., Lehmann, D., Koukkou, M., Kochi, K., Anderer, P., Saletu, B., … Kinoshita, T. (2011). Assessing interactions in the brain with exact low-resolution electromagnetic tomography. Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences, 369(1952), 3768–3784. https://doi.org/10.1098/rsta.2011.0081

Peniston, E. G., & Kulkosky, P. J. (1989). Alpha-theta brainwave training and beta-endorphin levels in alcoholics. Alcoholism: Clinical & Experimental Research, 13(2), 271–279. https://doi.org/10.1111/j.1530-0277.1989.tb00325.x

Peniston, E., & Kulkosky, P. (1991). Alpha-theta brainwave neuro-feedback for veterans with combat-related post-traumatic stress disorder. Medical Psychotherapy, 4, 47–60.

Peniston, E. G., Marrinan, D. A., Deming, W. A., & Kulkosky, P. J. (1993). EEG alpha-theta brainwave synchronization in Vietnam theater veterans with combat-related post-traumatic stress disorder and alcohol abuse. Advances in Medical Psychotherapy, 6, 37–50.

Penix, E. A., Kim, P. Y., Wilk, J. E., & Adler, A. B. (2019). Secondary traumatic stress in deployed healthcare staff. Psychological Trauma: Theory, Research, Practice, and Policy, 11(1), 1–9. https://doi.org/10.1037/tra0000401

Pfitzer, B. E. (2008). A step towards a broader understanding of complex traumatization in victims of crime (Doctoral dissertation). Retrieved from https://digital.library.adelaide.edu.au/dspace/bitstream/2440/56420/8/02main.pdf

Polak, A. R., Witteveen, A. B., Denys, D., & Olff, M. (2015). Breathing biofeedback as an adjunct to exposure in cognitive behavioral therapy hastens the reduction of PTSD symptoms: A pilot study. Applied Psychophysiology and Biofeedback, 40(1), 25–31. https://doi.org/10.1007/s10484-015-9268-y

Posner, M. I., & Raichle, M. E. (1994). Images of mind (1st ed., Scientific American Library). New York, NY: W. H. Freeman & Co.

Psychological Health Center of Excellence (PHCoE; 2018). Biofeedback for posttraumatic stress disorder. [Website]. Retrieved from https://www.pdhealth.mil/sites/default/files/images/docs/biofeedback_for_ptsd.pdf

Putnam, J. (2000). The effects of brief, eyes-open alpha brain wave training with audio and video relaxation induction on the EEG of 77 Army reservists. Journal of Neurotherapy, 4(1), 17–28. https://doi.org/10.1300/J184v04n01_03

Pyne, J. M., Constans, J. I., Wiederhold, M. D., Gibson, D. P., Kimbrell, T., Kramer, T. L., … McCune, T. R. (2016). Heart rate variability: Pre-deployment predictor of post-deployment PTSD symptoms. Biological Psychology, 121(A), 91–98. https://doi.org/10.1016/j.biopsycho.2016.10.008

Rastegar, N., Dolatshahi, B., & Dogahe, E. R. (2016). The effect of neurofeedback training on increasing sustained attention in veterans with posttraumatic stress disorder. Journal of Practice in Clinical Psychology, 4(2), 97–104. https://doi.org/10.15412/J.JPCP.06040204

Rauch, S. L., Shin, L. M., & Phelps, E. A. (2006). Neurocircuitry models of posttraumatic stress disorder and extinction: Human neuroimaging research—Past, present, and future. Biological Psychiatry, 60(4), 376–382. https://doi.org/10.1016/j.biopsych.2006.06.004

Rosenthal, M. (2015). The science behind PTSD symptoms: How trauma changes the brain [Internet Blog]. Retrieved from https://psychcentral.com/blog/the-science-behind-ptsd-symptoms-how-trauma-changes-the-brain/

Ryder, A. L., Azcarate, P. M., & Choen, B. E. (2018). PTSD and physical health. Current Psychiatry Reports, 20(12), 116. http://dx.doi.org/10.1007/s11920-018-0977-9

Schaefer, M. T., & Olson, D. H. (1981). Assessing intimacy: The PAIR inventory. Journal of Marital and Family Therapy, 7(1), 47–60. https://doi.org/10.1111/j.1752-0606.1981.tb01351.x

Schmidt, L. J., Belopolsky, A. V., & Theeuwes, J. (2015). Attentional capture by signals of threat. Cognition and Emotion, 29(4), 687–694. https://doi.org/10.1080/02699931.2014.924484

Schroyens, N., Beckers, T., & Kindt, M. (2017). In search for boundary conditions of reconsolidation: A failure of fear memory interference. Frontiers in Behavioral Neuroscience, 11, 65. https://doi.org/10.3389/fnbeh.2017.00065

Sewak, R., & Spielholz, N. I. (2018). Relapse prevention: Using sound to reduce the probability of recidivism and suffering following detoxification. Medical Hypotheses, 118, 84–91. https://doi.org/10.1016/j.mehy.2018.06.023

Smith, W. D. (2008). The effect of neurofeedback training on PTSD symptoms of depression and attention problems among military veterans (Doctoral dissertation). Retrieved from https://search.proquest.com/openview/8e2d34de1edc5f3d730134cff05d6698/1?pq-origsite=gscholar&cbl=18750&diss=y

Soares, J. M., Marques, P., Magalhães, R., Santos, N. C., & Sousa, N. (2014). Brain structure across the lifespan: The influence of stress and mood. Frontiers in Aging Neuroscience, 6, 330. https://doi.org/10.3389/fnagi.2014.00330

Soutar, R. (in press). Holistic neurointegration: The new mind model—A bio-psycho-social qEEG guided neurofeedback method. Roswell, GA: New Mind Academy.

Soutar, R., Hopson, J., & Longo, R. (2016, Winter). Correlating oxidative stress and qEEG. New Mind Journal. Retrieved from www.nmindjournal.com/oxidative-stress-qeeg/

Speer, K., Upton, D., Semple, S., & McKune, A. (2018). Systemic low-grade inflammation in post-traumatic stress disorder: A systematic review. Journal of Inflammation Research, 11, 111–121. https://doi.org/10.2147/JIR.S155903

Sporns, O. (2010). Networks of the brain. Cambridge, MA: The MIT Press.

Sumner, J. A., Chen, Q., Roberts, A. L., Winning, A., Rimm, E. B., Gilsanz, P., … Kubzansky, L. D. (2017). Cross-sectional and longitudinal associations of chronic posttraumatic stress disorder with inflammatory and endothelial function markers in women. Biological Psychiatry, 82(12), 875–884. https://doi.org/10.1016/j.biopsych.2017.06.020

Sung, H.-C., Lee, W.-L., Li, H.-M., Lin, C.-Y., Wu, Y.-Z., Wang, J.-J., & Li, T.-L. (2017). Familiar music listening with binaural beats for older people with depressive symptoms in retirement homes. Neuropsychiatry, 7(4), 347–353. https://doi.org/10.4172/Neuropsychiatry.1000221

Swingle, P. G. (2008). Biofeedback for the brain: How neurotherapy effectively treats depression, ADHD, autism, and more. New Brunswick, NJ: Rutgers University Press.

Tan, G., Dao, T. K., Farmer, L., Sutherland, R. J., & Gervitz, R. (2011). Heart rate variability (HRV) and posttraumatic stress disorder (PTSD): A pilot study. Applied Psychophysiology and Biofeedback, 36(1), 27–35. https://doi.org/10.1007/s10484-010-9141-y

Tan, G., Wang, P., & Ginsberg, J. (2013). Heart rate variability and posttraumatic stress disorder. Biofeedback, 41(3), 131–135. https://doi.org/10.5298/1081-5937-41.3.05

Tanielian, T., & Jaycox, L. H. (Eds., 2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA: RAND Corporation. Retrieved from https://www.rand.org/pubs/monographs/MG720.html

Thatcher, R. W. (2011). Neuropsychiatry and quantitative EEG in the 21st Century. Neuropsychiatry, 1(5), 495–514. https://doi.org/10.2217/npy.11.45

Thatcher, R. W., North, D., & Biver, C. (2005). Evaluation and validity of a LORETA normative EEG database. Clinical EEG and Neuroscience, 36(2), 116. https://doi.org/10.1177/155005940503600211

Todder, D., Levine, J., Abujumah, A., Mater, M., Cohen, H., & Kaplan, Z. (2012). The quantitative electroencephalogram and the low-resolution electrical tomographic analysis in posttraumatic stress disorder. Clinical EEG and Neuroscience, 43(1), 48–53. https://doi.org/10.1177/1550059411428716

van der Kolk, B. A., McFarlane, A. C., & Weisaeth, L. (Eds., 1996). Traumatic stress: The effects of overwhelming experience on mind, body, and society (1st ed.). New York, NY: Guilford Press.

Wahbeh, H., & Oken, B. S. (2013). Peak high-frequency HRV and peak alpha frequency higher in PTSD. Applied Psychophysiology and Biofeedback, 38(1), 57–69. https://doi.org/10.1007/s10484-012-9208-z

Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). [Assessment]. Available from http://www.ptsd.va.gov

White, E. K., Groeneveld, K. M., Tittle, R. K., Bolhuis, N. A., Martin, R. E., Royer, T. G., & Fotuhi, M. (2017). Combined neurofeedback and heart rate variability training for individuals with symptoms of anxiety and depression: A retrospective study. NeuroRegulation, 4(1), 37–55. https://doi.org/10.15540/nr.4.1.37

Widholm, J. J. (2010). Extinction learning as a model of drug treatment and relapse: A behavioral overview. The Open Addiction Journal, 3(1), 57–62. https://doi.org/10.2174/1874941001003010057

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2019-06-26

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