Clinical Neurofeedback Treatment for PTSD in Malaysia 脑波反馈疗法治疗创伤后遗症

临床治疗工作中，时常会有经历创伤的客户。创伤不只是生理上的，也可以是心理层面的创伤。
或许医院里常见的大脑扫描仪器看不见那些心理层面所造成的创伤，但当我们用Brain Mapping技术去窥探时，却不难发现那些疑似被创伤间接或直接导致的大脑功能失调状况。或许大家熟知一些心理治疗技术可以改善创伤症状，但其实还有一种针对大脑来训练的疗法却不为人知。那就是临床脑电波反馈疗法Clinical Neurofeedback Training。

或许市场上有许多打着脑波反馈技术的“课程”，但不是每一种都可以拿来帮助创伤相关心理问题的。有者主要是对专注力的训练有所帮助，有者则是放松用途。而临床脑电波训练疗法则需要有经验的脑波反馈治疗师去探讨影响脑电波反馈疗法的因素（如食物，身心，家庭环境等）与应该训练大脑哪个部位，该强度，该深度与频率等等，都是非常考究经验与训练背景的。时时与supervisor探讨训练结果也是不可少的，临床脑电波反馈疗法绝对不是傻瓜技术，戴上去就可以自动训练的方法。

比方说以下的这篇学术研究，就发现了脑电波反馈疗法技术效果可以媲美主流最有影响力与有效性的心理治疗技术。然而我们需要更多学术论文的出现才可以帮助把这门技术推向主流创伤疗法技术里。很可惜，这门技术并没有得到很广泛的认识。脑波反馈疗法治疗师，我在大马认识的少过10位，更何况从事脑电波反馈疗法的研究人员呢？当然少之又少。在大马，这门技术虽然广为教育界所认识，很少人知道它对情绪与心理等问题的益处。真希望我有生之年可以推广这门技术进到学术界与临床疗法领域。

Twenty-four sessions of NF produced significant improvements in PTSD symptomatology in multiply traumatized individuals with PTSD who had not responded to at least six months of trauma-focused psychotherapy, compared to a waitlist control group that continued to receive treatment as usual. The effect sizes of NF in this study (d = -2.33 within, d = - 1.71 between groups) is comparable to the results reported for the best evidence based treatments for PTSD: Prolonged Exposure, CBT and EMDR, which, like this study, also generally have employed TAU control groups, and better than any published drug intervention for PTSD Read more: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0166752

Neurofeedback is an innovative treatment for post-traumatic stress disorder (PTSD) that is readily accessible to mental health therapists. As a widespread mental health concern with potentially devastating long-term consequences on psychosocial functioning, PTSD can also adversely impact biophysiological processes, particularly those related to the brain. Neurofeedback has shown promise in alleviating overall PTSD symptoms, including these underlying neurobiological consequences. Successful results have been found among clients with PTSD who have not been responsive to prior treatment modalities. https://journals.sagepub.com/doi/10.1177/1524838018781103