Setting up a Successful Remote Neurofeedback Practice: 6 Tips From Our Clinicians

Updated: Feb 23, 2021

Remote neurofeedback can allow you to increase the number of clients, while still providing personalized care and close monitoring to each patient. To set up a successful remote neurofeedback practice, you’ll need powerful software and a few strategies that you can learn from clinicians who already have established remote clinics.

We had a conversation with Dr. Melissa Neff, Dr. Robert Reiner, therapist Dev Patel, and Dr. Thomas van der Burg and asked them to share what they’ve learned during their home neurofeedback journey with Myndlift.

Myndlift product demo

“The greatest advantage is the ability to do neurofeedback whenever you want (under clinical supervision, which is an essential piece of the equation, in my opinion); just the knowledge that you have a tool in your emotion regulation toolbelt that you can use whenever you need it. The independence of the home system is empowering, especially for motivated clients who don't need an appointment to put on that headset and get to work on maximizing their potential,” says Dr. Melissa Neff.

How does the software work?

Myndlift's clinician dashboard allows you to customize protocols, deploy multi-protocol programs, monitor EEG in real-time, deploy EEG assessments and questionnaires, as well as create reports.

An overview of Myndlift's clinician dashboard

Your client gets an electrode that can be placed anywhere on the scalp, electrode conductive paste, a Muse headset, and a sleek case to store it all. Myndlift offers a user-friendly facing app for both iOS and Android, with neurofeedback games and videos, insights, and statistics.

“The best thing about Myndlift is the ease of use. The software is brilliant. Whoever wrote that software did a very good job,” said Dr. Robert Reiner, executive director and founder of Behavioral Associates.

A look inside the Myndlift App Myndlift provides a powerful solution for some of the major barriers in neurofeedback. But before you start your own remote neurofeedback journey, consider the following tips from other clinicians who have successfully implemented remote neurofeedback.

Tip #1: Define the logistics precisely

There are some technicalities you may want to pay attention to before you begin offering home neurofeedback training to your clients. Your team should think about the logistics around hardware, packaging, and payments.

The Myndlift Kit - a Muse headset, an electrode, electrode conductive paste, and a case. “I usually have clients order the Muse themselves, but I have amassed a hardware ‘store’ in my home office full of electrodes and paste and headset cinchers that are ready to go for new clients. Payments are handled electronically - I use Square, and I bill and send clients bills monthly over email. Zoom has been so helpful for our regular check-ins, especially as a way to troubleshoot logistical problems,” says Dr. Melissa Neff.

In some clinics, clients can rent Myndlift, “In the packages we sell now there are two options. Either people order their Muse, or we provide them the Myndlift toolbox by renting it,” explains Dr. Thomas van der Burg.

Tip #2: Prepare the clients

It’s important to set aside time to tell clients how the system works and let them know there might be some frustration in the beginning. Walking people through the first time they do neurofeedback at home can have a big impact on their compliance and overall results.

“I took some extra time to educate them on how the headset works and what steps they can take to self troubleshoot problems. This significantly cut down on client issues,” says Dev Patel.

According to Dr. Thomas van der Burg, roughly 90% of people had a smooth transition from onsite to online neurofeedback:

“I did a couple of online training sessions in which I used my Myndlift headset and showed them how to do it. They managed just fine.”

Tip #3: Combine tests

Some clinicians combine information from the initial consultation with results from psychological testing, such as the MMPI-2 personality test, as well as neuropsychological testing or qEEG brain mapping.

“I would insist on doing MMPI on every patient. The first three scales on the test measure neuroticism. Especially scales one and three: hysteria and hypochondriasis. It turns out that patients who have elevations on these two scales don't get better by using conventional medical procedures. These are the people who do not report feeling better, even if they have a surgical intervention. They are invested in their symptoms. But, they sometimes do well with neurofeedback,” explains Dr. Robert Reiner.

After the neurofeedback protocol is set up, clients can continue training in the comfort of their homes. In this sense, neurofeedback is more like daily homework closely monitored by a clinician than an intervention that requires the patient to physically visit the office.

“I love the option to alternate protocols. I usually create an endurance protocol and a strength protocol. That’s why the possibility to alternate programs or to give clients the option to choose a program works great for me,” says Dr. Thomas van der Burg.

Tip #4: Make sure they know you’re following their progress

Home neurofeedback doesn’t end with setting up the protocols. After each session, you can review your client’s progress using the web dashboard.

You can see when they did each session, which protocol they used, the percentage of noise, a Fast Fourier Transform analysis, and the average amplitude and threshold for each trained frequency band throughout the session. You also have the option to access home sessions remotely in real-time, allowing you to view the raw EEG as it is being recorded and make adjustments as needed.

A look inside the Live Monitoring, Data Analytics, and Reporting App section.

“Patients don’t want to think that there’s just a setup with a protocol and people forget about them. They need to know that someone is looking at their data periodically and makes modifications to the protocols. I think that’s very important. They want to know that someone is looking after them. I can’t overstate the importance of it,” says Dr. Robert Reiner.

Much needed support in uncertain times