A practical guide to the clinical use of biofeedback, integrating powerful mindfulness techniques.

• A definitive desk reference for the use of peripheral biofeedback techniques in psychotherapeutic settings, backed by a wealth of clinical research
• Introduces mindfulness and acceptance techniques and shows how these methods can be incorporated into biofeedback practice
• Step-by-step instructions provide everything a clinician needs to integrate biofeedback and mindfulness including protocols, exemplar logs for tracking symptoms, and sample scripts for mindfulness exercises
• Includes scientifically robust treatment protocols for a range of common problems including headaches, hypertension and chronic pain

Inna Khazan is a Clinical Instructor of Psychology at Harvard Medical School, USA, where she teaches biofeedback. A clinical psychologist specializing in health psychology and biofeedback, Dr. Khazan also maintains a private practice in Boston, working with clients presenting with various psychophysiological disorders, using both biofeedback and mindfulness-based approaches to psychotherapy.

List of Figures vii

List of Tables ix

Acknowledgments xi

Introduction xiii

Part I Foundations 1

1 Mindfulness and Acceptance Approach to Biofeedback 1

2 General Issues in Biofeedback 24

3 Biofeedback Equipment 29

Part II Assessment 33

4 Initial Evaluation 33

5 Psychophysiological Stress Profile 37

6 Psychophysiological Relaxation Profile 47

7 Evidence-Based Treatment Planning 57

Part III Biofeedback modalities 67

8 Breathing 67

9 Heart Rate Variability 97

10 Surface Electromyography 118

11 Temperature 157

12 Skin Conductance 165

Part IV Biofeedback application 172

13 Anxiety 172

14 Asthma 196

15 Migraine Headaches 204

16 Tension-Type Headache 215

17 Essential Hypertension 224

18 Irritable Bowel Syndrome 234

19 Raynaud’s Phenomenon 242

20 Temporomandibular Joint Disorders 250

21 Chronic Low Back Pain and Other Chronic Pain Disorders 261

22 Emerging Directions 276

Appendix I Meditation Scripts 285

Appendix II Client Logs 300

Index 326