Friday, April 28, 2017

Functional GI Disorders: Gut-directed hypnotherapy (GHT) for irritable bowel syndrome (IBS)




Gut-directed hypnotherapy (GHT) in individual sessions is highly effective in the treatment of irritable bowel syndrome (IBS). This study aimed to assess the long-term effect of GHT in group sessions for refractory IBS.


METHODS:
A total of 164 patients with IBS (Rome-III-criteria) were screened, and 100 refractory to usual treatment were randomized 1:1 either to supportive talks with medical treatment (SMT) or to SMT with GHT (10 weekly sessions within 12 weeks). The primary end point was a clinically important improvement on several dimensions of daily life (assessed by IBS impact scale) after treatment and 12-month follow-up. The secondary end point was improvement in general quality of life (QOL; Medical Outcome Study Short-Form-36), psychological status (Hospital Anxiety Depression Scale) and reduction of single IBS symptoms. Analysis was by intention to treat.

RESULTS:
A total of 90 patients received allocated intervention. After treatment, 28 (60.8%) out of 46 GHT patients and 18 (40.9%) out of 44 SMTs improved (absolute difference 20.0%; 95% confidence interval (CI): 0–40.2%; P=0.046); over 15 months, 54.3% of GHT patients and 25.0% of controls improved (absolute difference 29.4%; 95% CI 10.1–48.6%; P=0.004). GHT with SMT improved physical and psychological well being significantly more than SMT alone (P<0.001). Gender, age, disease duration and IBS type did not have an influence on the long-term success of GHT.

CONCLUSIONS:
GHT improves IBS-related QOL, is superior to SMT alone, and shows a long-term effect even in refractory IBS.

WORD FROM HIRO KOO:
We offer gut-directed hypnotherapy for IBS in Hypnosis Specialist Centre (Hypnosis Integrative Hub) @ Life Care Diagnostic Medical Centre (Bangsar South, Malaysia). Feel free to whatsapp us for more info (+60167154419).


Source:
http://www.nature.com/ajg/journal/v108/n4/full/ajg201319a.html
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Sunday, April 23, 2017

[Event] Mood Management Workshop @ Life Care Diagnostic Medical Centre





Mood Management Workshop Module 1 - Brainwaves Analysis 

This workshop was led by registered clinical hypnotherapist and psychologist Hiro Koo. We have explored various techniques and strategies to best manage mood and stress issue.

This workshop also emphasize approaches for managing mood and brain arousal level. We have discussed a range of brainwaves pattern and how they relate to our emotion and stress level. 

Module 1 is also meant for the first step of healing:
Make your subconscious mind (brainwaves) conscious, so you can control your mood and life.

Friday, April 14, 2017

You May Be Able To Train Your Brain To Be Fearless - Neurofeedback Malaysia

A developing treatment called neurofeedback may help people suffering from anxiety and PTSD.


All your fears, stresses and anxieties have one thing in common. They are sensed by a pair of pea-sized patches of neurons, called the amygdala, sitting deep inside your brain. So what if you could control your amygdala? What if you could change your brain and become calmer and braver?
That idea has a particular appeal for people suffering from depression, anxiety and post-traumatic stress disorder. But it’s easier said than done. The amygdala is an old part of the brain that does its job automatically, without much care for commands from more conscious parts of the mind. You can’t just tell an oversensitive amygdala to quiet down.
But a brain training technique known as neurofeedback might help people find a way to change such involuntary and automatic brain processes. In recent years, the technique is being developed and refined to address mental health issues. The treatment involves monitoring a person’s brain activity in real time using electroencephalography (EEG) or functional MRI brain scans, and showing those patterns of activity to the person so they can try to boost or reduce them ― basically, changing how their brain functions.
In a new study published last month in Biological Psychiatry, researchers set up a series of experiments to use neurofeedback to teach several dozen people how to regulate their amygdala activity.
“People were able to use this new EEG model to learn how to control their brain activity in a deeply located brain area, the amygdala,” said Dr. Talma Hendler, a psychiatrist and neuroscientist at the Tel Aviv Center for Brain Functions in Israel. 

Reading brain signals from deep parts of the brain is difficult, especially with a cheap and accessible method. Functional MRI, or fMRI, can access these areas, but the device is a complex, gigantic magnet that you can’t just set up at home, even if you could afford it.
EEG, on the other hand, is cheaper and simpler. It mainly involves a few electrodes placed on the scalp. The downside of EEG is that it can’t accurately zoom in on structures deep in the brain.
So, the researchers combined the two methods. They used the detail provided by fMRI to tease out the amygdala’s signal from the electrical activity picked up by the EEG.
“[This method] enables home-based imaging that [targets] brain regions relevant for our mental health,” Hendler said. “It opens a wide horizon of treatment possibilities for the mentally ill, but also for everyone on a daily basis as an empowering tool for mental activity and well being.”
For the experiments, Hendler and her colleagues asked the volunteers to listen to a sound. They were then instructed to lower the volume of the sound by “exercising mental strategies.”
It sounds like a vague instruction. What are the mental strategies that can, seemingly telepathically, control the volume of a sound? No one really knows, and that’s sort of the point. People have to try many different ways of thinking ― thereby changing their brain activity ― until they stumble upon a desired activity pattern.
What the participants didn’t know was that the volume of the sound was programmed to change based on the electrical activity of their own amygdala, and it would lower if the participants managed to dial down that activity. In other words, they were listening to their own amygdala’s firing, disguised in a sound.
A series of tests afterward showed that this game seemed to help participants become more capable of regulating the activity of their amygdala. In response to viewing a series of images, for example, the participants’ amygdalas seemed less sensitive compared to those of people in another group given a fake neurofeedback treatment.
The participants in this study were healthy. But Hendler believes that people with mental health problems, too, would respond to training with neurofeedback.
“We already have indication for this (unpublished yet) that people suffering from depression, chronic pain and post traumatic disorders are able to learn and greatly benefit from such training,” Hendler said.
If the method proves useful in treating mental health conditions in the future, this low-cost, personalized treatment could be used at home to complement and sometimes substitute medications, Hendler said. 

Source:http://www.huffingtonpost.com/entry/neurofeedback-mental-health_us_57fbee6fe4b0b6a43034b431