fbpx
Categories
DVAM neurofeedback Op-eds TBI

Why Neurofeedback

The Harris County Domestic Violence Coordinating Council consistently seeks to identify the gaps that create barriers for survivors to have access to safety and services, hold those who do harm accountable and prevent homicides related to domestic violence.

HCDVCC is on the cusp of establishing innovative programming, specific to neurofeedback therapy, to respond to IPV survivors unique needs and concerns and will be introducing a new Neurofeedback pilot program to address the affects of domestic violence on the survivor related to overall emotional wellness.

Why Neurofeedback?
According to the research by Dr. Huda “Shay” Shaikh, the volatile nature of intimate partner violence (IPV) can make survivors vulnerable to experiencing PTSD symptoms. The prevalence of PTSD symptoms among survivors of IPV is becoming a vast area of interest in the mental health field. Regarding the dynamics of IPV, researchers have asserted that IPV survivors are at a higher risk for PTSD and other mental health concerns such as depression. Given each IPV survivors needs, and concerns tend to be unique, alternative modalities in conjunction with trauma-focused therapeutic modalities are being utilized to respond to symptom reduction and care.

Neurofeedback is defined as a noninvasive, neurocognitive intervention that targets brain wave activity and focuses on training the brain to work towards self-regulation (Nooner et al., 2017). Alternative therapeutic modalities, such as NFB, are presently being introduced to special populations such as veterans across the United States by organizations such as Team Semper Fi and The Lone Survivor Foundation in response to traumatic brain injury (TBI) and PTSD symptoms. NFB therapy aims to train the brainwave patterns for the brain to work towards self-regulation (Nooner et al., 2017). Quantitative electroencephalogram (qEEG) guided NFB, otherwise known as brain mapping guided NFB, is the advised path for NFB therapy given its ability to offer a more personalized treatment plan (Wigton & Krigbaum, 2019).

Brain mapping is a process that captures the unique brainwave pattern of an individual undergoing the qEEG. Given that no two individuals will have the same brainwaves, a qEEG provides an exclusive look at an individual’s brain, as unique as their fingerprint. Based on the qEEG recording of the individual’s brainwaves, the clinician develops a treatment plan for that individual. Once the treatment plan is developed, the individual initiates NFB sessions based on the protocols detailed in their individualized treatment plan. Therefore, qEEG-guided NFB allows clinician to create a treatment plan specialized for that individual and their specific brain wave Patterns (Brown et al., 2019). While NFB has been utilized as an intervention for various disorders for four decades, its solidification as an evidence-based therapy for PTSD has yet to be established. However, research has been conducted supporting its helpfulness in mitigating PTSD symptoms. Utilizing NFB therapy to relieve PTSD symptoms is a growing scholarly field.


Dr. Huda “Shay” Shaikh is a Licensed Professional Counselor Supervisor, National Certified Counselor, Board Certified Neurofeedback Clinician, and Board Approved Neurofeedback Mentor. She graduated with a B.S. in Psychology from The University of Houston and earned a Master of Arts in Counseling from the University of Texas at San Antonio. Shay completed her doctoral program in Counselor Education and Supervision in September 2022. Her dissertation was focused on comparing the modalities, EMDR and NFB, in response to intimate partner violence survivor PTSD treatment. Given her passion for trauma work, in addition to being a Neurofeedback clinician, Shay is trained in EMDR therapy, is a CPT provider, trained in providing TF-CBT and well versed in play therapy strategies.

Having a passion for trauma and program management, Shay has worked with a diverse set of populations providing trauma therapy and neurofeedback therapy. Throughout her career, she has been instrumental in building trauma focused programs at different agencies. With a passion for working with combat veterans, Shay has also been a contracted Neurofeedback clinician with the Lone Survivor Foundation to serve those that served our nation. Formerly, with Region 4 Education Service Center, Shay led a trauma team in the Santa Fe District to implement systems and provide trauma-wellness counseling services to students and staff in the district in response to the May 18th mass violence tragedy at Santa Fe High School. Upon the completion of the trauma-focused project with Region 4, Shay worked with the Fort Bend County Women’s Center as their Neurofeedback Supervisor and Counselor to provide mental health services to survivors of domestic violence and sexual assault. Presently, she works with the Harris County Domestic Violence Coordinating Council (HCDVCC) as their Neurofeedback Program Manager/Clinician. Her main responsibility is to establish the neurofeedback therapy program in response to IPV survivor care.

About the Author

Neurofeedback Program Manager

Dr. Huda “Shay” Shaikh

Categories
Op-eds TBI

The Intersection of TBI and IPV in Harris County

Intersection of TBI and IPV in Harris County

According to the Brain Injury Association of America, approximately 67% of women who experience domestic violence also have symptoms of traumatic brain injury. It is important that programs screen for TBI and also encourage law enforcement and healthcare partners to do the same.

Our Senior Program Director, Abeer Monem shares below facts about traumatic brain injury:

TBI as a result of head injury(ies) and/or strangulation, suffered at the hands of the perpetrator, can be mild to severe and cause many detrimental effects that impede the pursuit of safety and economic stability. Examples of the devastating cognitive effects of TBI that would clearly be impediments to obtaining and/or maintaining employment and, thus, economic stability, are as follows:

– Decreased concentration, attention span

– Difficulties with executive functioning (goal setting, self monitoring, planning, ability to solve problems, learn and organizing tasks)

– Memory loss

– Difficulty displaying appropriate emotional/communication responses

– May appear disorganized and impulsive

– Difficulty spelling, writing, and reading

– Difficulty understanding written or spoken communication

– Difficulty feeling initiative, sustaining motivation

– Depression

There are also behavioral and physical effects that include:

– Changes in behavior, personality or temperament

– Increased aggression and/or anxiety

– Decreased or increased inhibitions

– Quickly agitated or saddened

– Changes in emotional expression (flat, non-emotional, inappropriate or overreactions)

– Avoidance of people, family, friends

– Difficulty sleeping

– Increased irritability or impatience

– Hearing loss

– Headaches, neck pain

– Nausea and vomiting

– Changes in vision

– Ringing or buzzing in ears

– Dizziness, difficulty balancing

– Decrease in, or loss of, smell or taste

– Decreased coordination

– Loss of bowel or bladder control

– Increased sensitivity to noise or bright lights

– Seizures

– Weakness or numbness

A woman with a TBI who enters the criminal justice or family law system may face additional challenges. She may appear to be disorganized, aggressive, temperamental or confused. If her behaviors are misunderstood or misdiagnosed as indicating a mental health disability, which often happens, she may have difficulty obtaining custody or being credible as a victim or reliable witness.

Maricopa County, Arizona (Phoenix area) has paved the way for our county to incorporate their innovative approach to Harris county’s law enforcement response to an IPV incident.

· Officers and detectives do not limit testing to strangulation or sexual assault cases but offer ConQVerge Near Point Convergence (NPC) testing to all IPV victims reporting head trauma.

· Social workers and advocates assumed a larger role in testing and guiding victims through the process.

· Concussion information will be given out at the scene by nurses, officers, advocates an social workers as a part of an awareness campaign on the dangers of TBI for IPV survivors.

Why can’t we do something similar in Harris County? What are the possibilities that can be reality and really address the impact of IPV in Harris County?

• Add TBI screen questions Strangulation supplement that officers already complete?

• Establish concussion protocol when law enforcement responds to an IPV incident? Use advocates or forensic nurses to conduct the concussion protocol?

• Develop neurofeedback program – the only evidence-based treatment option – for our survivors to give them a chance to truly recover from the debilitating impact of head trauma?

• Develop a coordinated care system so no matter where the touch point for a survivor is, they receive the care they need after head trauma resulting from IPV?

 

For more information, please contact Abeer Monem.

About the Author

Abeer Monem is the Director of Housing and Innovative Services for HCDVCC and has worked in the field of domestic violence for over 25 years in both Harris and Fort Bend counties as a domestic violence advocate, trainer and programs director.