In-Home Remote Training

As all of us who live in the Puget Sound region know that traffic, transportation and distance can be a real problem when treatment involves two or more trips a week, possibly for several months. We are often asked if there is a way to do neurofeedback and other methods without coming to the office. We have tried a couple of methods of in-home remote training over the last few years, but we have not been satisfied with results. In early 2018, we identified some methods that are easy to use, yet reliable and resistant to glitches.  After testing them ourselves, we will be making these available for clients for whom trips to the office aren’t practical.

Who can Benefit

There are two methods we believe are reasonable for in-home remote training, but they have their limitations.* One group of potential clients are those for whom a single channel of EEG biofeedback, or peripheral biofeedback, are recommended.  The client will be trained to use the equipment and software and provided the equipment along with written instructions and a training schedule. This method uses a small amplifier and software that is installed on a PC.  Data from training sessions are sent to us via the internet and we can make any needed changes remotely.

The second group are those for whom a two-channel “surface” (also known as “amplitude”) training is recommended.  This is often the case with problems such as attention, depression and anxiety (but not always the case – talk to us about whether this would be true for you).  The method involves the client taking an all-in-one PC, neurofeedback amplifier, electrodes and supplies home.  We train you in how to do the hook-ups, how to get started and then the PC software takes over from there.  We pre-load the protocols – the software does not allow anyone but a clinician to make changes.  In most respects, it is just like a training session in the office, except you are at home!  The data from the session are sent to us via the internet and we can make any needed changes remotely.  The system also allows a clinician to run the session remotely with communications handled via remote desktop.

* The in-home systems are currently unable to provide 19-channel training or sLORETA training for deeper brain structures.  Neither are they capable of slow cortical potentials/infralow frequency training.

Arrangements and Costs

We think of the use of in-home remote training as a substitute for in-office training consistent with our assessment results and treatment plan.  The purpose is to save travel time for clients who live too far from our office for regular appointments.  We do require that a client complete the in-office assessment process and has had enough in-office training sessions so that we are confident that the recommended training protocol is proceeding as expected before transitioning to in-home remote training.  We also expect the client to come into the office periodically for an in-office review and undergo a QEEG to assess progress.

The costs for in-home remote training will be similar to in-office training.  While the single session cost will be lower, there will be clinician time assessed for periodic review of the data and modification of the protocol.  Training sessions are purchased in advance for the number of sessions to be conducted between the in-office reviews.

The client will also be required to place a deposit to cover replacement costs of the equipment in the event of loss or damage, as well as to sign a written contract covering the terms of use. The deposit can be covered by a credit card in advance.  We do not accept prepaid credit cards, cash or checks for deposit.  We also recommend the purchase of equipment protection insurance.