High Performance Neurofeedback The Dubin Clinic

High Performance Neurofeedback ®

High Performance Neurofeedback

David Dubin, M.D. Medical Director The Dubin Clinic

HPN High Performance Neurofeedback is a pulsed, extremely low-strength electric current that is effective in reducing the symptoms of anxiety, depression, traumatic brain injury (TBI), post-traumatic stress disorder (PTSD), addiction and attention deficit disorder (ADD/ADHD).

High Performance Neurofeedback (HPN) sends a tiny, imperceptible signal to the brain that causes a slight fluctuation in brainwaves. This fluctuation allows the brain to get out of frozen, stuck patterns and reorganize itself. It’s like re- booting a frozen computer. The signal is very small. An AA battery held against the forehead is several thousand times more powerful. The signal is so much more effective than much stronger currents (cell phone, high tension wires) because it is not a pre-set frequency. Rather, the signal changes in real time as the brain changes and it “flies under the brain’s radar”. The “formula” is: Signal = Dominant Frequency plus an offset.

The percentage of patients that receive substantial benefit is upwards of 80%. Of those, the large majority experience initial improvement in the very first session. These initial improvements are temporary, lasting from a few hours to a few days. With further treatment the improvement endure longer and longer. An average of about 20 sessions is needed. Treatment does not need to continue on an ongoing basis. Although the range of conditions that improve have very different causes, they all have one common denominator: they are stuck in dysfunctional patterns. HPN causes a “disruption” of that pattern regardless of how it came about.

Anxiety and PTSD

HPN diminishes the “fight or flight” response. The nervous system is less reactive. PTSD consistently responds very well, and change is noticed in the very first session.

Depression: monopolar and bipolar

The under-aroused nervous system energizes—mood lifts, energy and motivation return.

Impulse control, panic attacks, and rage

With a less reactive nervous system, “eruptions” happen far less frequently and the patient is better able to control them.


Because so much of addiction is self-medication for anxiety and depression, and HPN is so effective for both, maintaining abstinent becomes much easier.

Concussions, strokes and other brain traumas

Headaches diminish, concentration returns, hypersensitivity lessens, the fog lifts.


With less distractibility and more concentration, organization improves and tasks are easier to complete.


Early clinical results have been so promising that several studies are in progress: UCSD is treating 20 former Marines who have either TBI or TBI and PTSD. We have begun a second study, which is a clinical case series of 30 former NFL players with post concussive syndrome.

The potential range of clients is enormous. Besides the conditions listed above (TBI, anxiety, depression, impulse control, ADD, addiction), HPN is also very helpful in autism. Anxiety, impulse control and an oversensitive and over reactive nervous system are problems that respond well to HPN. Also, anxiety doesn’t cause OCD but it “drives”. Reducing anxiety can help a great deal with OCD.

The applicability of HPN is very broad. It includes the military (for both TBI and PTSD), prisons, schools, addiction centers, stroke and rehab centers and so on. HPN has the potential to benefit millions of people.

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