Brian M. Ratzer, RPSGT, REEGT, RST

NO WORRIES!47 Year Old Female with Insomnia, Depression,

Fears and Obsessive Worries

NO WORRIES!

BACKGROUND

47 Year old, right-handed female with insomnia and depression. Following a hysterectomy,

she began to experience a very low mood and “crying spells”, subsequently placed on

various mood stabilizers. Her family history is significant for depression, addictions and

both learning and conduct problems. She is a non-smoker, avoids caffeine, rarely drinks

alcohol and has no significant history of trauma/neglect.

NO WORRIES!

PRESENTING SYMPTOMS

Insomnia

Anxiety

Depression

Obsessive Worries

Crying

Hallucinations

NO WORRIES!

PREVIOUS MEDICATIONS

Citalopram

Paxil

Prozac

Tentrellix

Zoloft

NO WORRIES!

PSYCHOTHERAPY

One month

January 2017 (6 months prior)

5 sessions

Helpful

NO WORRIES!

Baseline Testing

Qik CPT

Performance Index = 90

Accuracy Index = 145

NO WORRIES!

Baseline Testing

SYMPTOM TRACKER: (20=185)

Difficulty Falling Asleep

Difficulty Maintaining Sleep

Distractibility

Poor Sustained Attention

Unmotivated

Crying

Lack of Social Interest

Anxiety

Depression

Fears

Lack of Pleasure

Mood Swings

Obsessive Negative Thoughts

Obsessive Worries

NO WORRIES!What I Did… 57 Sessions 2Ch ILF HD

& 33 2Ch Synchrony

APPROACH

FIRST WEEK = Assessment & Sessions>1-4 (F, M, T, W, F)

TRIPLE SESSION WEEKS = S>5-24 (M, W, F)

DOUBLE SESSION WEEKS = S>25-48 (M & F)

SINGLE SESSION WEEKS = S>49-52 (W)

OTHER = S>53-57

NO WORRIES!

What I Did… 57 Sessions 2Ch ILF HD & 33 2Ch Synchrony

FIRST WEEK (F-M-T-W-F)Modes of NF = AMP, Dreamscapes, Particle World, HyperPongSTARTING SITE = T4-P4

S0> 0.5 mHz ↓ 0.1 mHz = Calmer/more relaxed, No Xanax & slept well all night with 3 vivid dreamsS1> 0.1 mHz ↓ 0.05 mHz = Calm/relaxed, seemed sleepy for awhile, but later “pepped up” No anxiety,

however, she did not sleep as well despite taking her Xanax & AmbienS2> 0.05 mHz ↓ 0.01 mHz = Added T3-T4 slight headache (alleviated in session) & T4-P4 @ 15 minutes each

slept 4 hours, “tingling/burning on the back of my arms and neck”S3> 0.01 (lowest at time) = T3-T4 @ 10 min for slight headache (alleviated again in session) & T4-P4 @ 20 min

feeling “clear headed and relaxed”, “Best night sleep in a long time”S4> T3-T4 @10 min, T4-P4 @ 20 min = Burning sensation returned yesterday, but alleviated with Xanax.

Not having the troubling thoughts she has been “plagued with”

“Following training, I don’t feel normal, not in a bad way, just not the way I am used to feeling”

“I can feel my brain getting better”

NO WORRIES!What I did… 57 Sessions 2Ch ILF HD

& 33 2Ch SynchronyTRIPLE SESSION WEEKS (M-W-F)

S5-7> T4-P4 0.01 mHz = a little tired after sessions, ↓ Anxiety, ↓ Sadness, ↓ Xanax, ↑ Sleep, ↑ Social activity“I’m feeling normal for the first time in a long time”

S8&9> T4-P4 & T4-Fp2 0.01 mHz = ↑ Anxiety, ↑ Worry (not sleeping), ↑Sadness, ↑ Depression, (½ Xanax usage)S10-13> T4-P4 0.01 mHz ↓ 0.005 mHz = ↓ Sleep, ↑ Tiredness and a general “numb” feeling. *Needs more calmingS14&15> T4-Fp2 (8 min) & T4-P4 (32 min) = 6.5 hours of Sleep, ↑ Anxiety and light “tingling in back of arms”

“One thought after another”

S16> T4-P4 = ↓ Sleep, ↑ Anxiety, ↑ Worry (pre-frontal training), “thoughts-thoughts-thoughts” Ambien ∆→ LunestaS17> 2Ch Synchrony AFZ-PZ (10Hz & 40Hz @ 5 min each) T4-P4 (30 min)

= Sleepy, napped, ↓ Sleep, ↑ Anxiety

S18-20> T4-P4 & Re-optimize to 0.003 mHz = ↑ Anxiety, ↓ Sleep -client “exhausted”, ↑ Xanax ↑ LunestaREASSESSMENT: Qik CPT = PI ↓81 (90) & AI ↓88 (145) *SLEEP DEPRIVED

Symptom Tracker = 138 (185) ↓ 25%

S21&22> T4-P4 Continue Re-optimizing to 0.001 mHz = ↓ Sleep, exhaustion, ↑ Anxiety, ↑ Xanax, Lunesta ∆→ AmbienS23-25> T4-Fp2 & T4-P4 (15 minutes each) = Dr. “M” recommends Somniresenance, Actigraphy & ↑ physical activity

NO WORRIES!What I did… 57 Sessions 2Ch ILF HD

& 33 2Ch SynchronyDOUBLE SESSION WEEKS (M & F)

S26&27> 2Ch Synchrony AFZ-PZ (10Hz & 40Hz @ 5 min each), T4-Fp2 & T4-P4 @15 min each= Feels “different” after Synchrony, ↑ Sleep (≈19 hours in 3 days), ↑ Focus, ↑ Resiliency

“I feel like the training really helps me deal with this stressful client”S28-41> 2Ch Synchrony AFZ-PZ (10 min @ 9.5 Hz), T4-Fp2 & T4-P4 @ 15 min each

* ↑ Daily Physical Activity, Sleep ↑ & ↓, ↑ Social Activity, “Little lows” upon waking, “I have to pull myself out of it”*Addressed Sleep Hygiene specifically and established a regular bedtime routine (warm bath, breathing exercises,

Xanax 1 hour prior to Lights Out and Ambien at Lights Out)* Actigraphy demonstrated an average of 6.5 hours of sleep per night

“I’m doing more alone and caring for others again” “I was better able to change my negative thoughts”“I am very pleased with my progress”

REASSESSMENT 2> Qik CPT = PI ↑ 95 (81) (90) & AI ↑ 106 (88) (145)Symptom Tracker = 89 (185) ↓ 52%

S42> 2Ch Synchrony AFZ-PZ (10 min @ 9.5 Hz), T4-Fp2, *T3-T4, T4-P4 @ 10 min each (*goal= left pre-frontal) ½ Xanax, “more good days than bad”

S43-48> 2Ch Synchrony AFZ-PZ (10 min @ 9.5 Hz), T3-Fp1, T3-T4, T4-Fp2, T4-P4 @ 8 min each“felt funny” NO LOWS! ↑ social activity, ↑ resilience

“I feel more in control and have more focus” “I just had the best week I’ve had all year”

NO WORRIES!What I Did… 57 Sessions 2Ch ILF HD

& 33 2Ch SynchronySINGLE SESSION WEEKS (W)

S49> 2Ch Synchrony AFZ-PZ (10 min @ 9.5 Hz), T3-Fp1, T3-T4, T4-Fp2, T4-P4 @ 8 min each½ Xanax at night, ½ Ambien at Lights Out, Other ½ Ambien at 02:00

S50> 2Ch Synchrony AFZ-PZ (10 min @ 9.5 Hz), T3-Fp1, T3-T4, T4-Fp2, T4-P4 @ 8 min each½ Xanax at night, NO Ambien at Lights Out, ½ Ambien at 02:00

“A very good week… I could place my thoughts more” “I laughed more than I have in a long time… in fact, my aunt said she hasn’t seen me laugh that much in years”

S51> 2Ch Synchrony AFZ-PZ (10 min @ 9.5 Hz), T3-Fp1, T3-T4, T4-Fp2, T4-P4 @ 8 min each ½ Xanax at night, ½ Ambien at Lights Out Doing so well she has moved her mom back into her house where she is taking care of her again

S52> 2Ch Synchrony AFZ-PZ (10 min @ 9.5 Hz), T3-F,p1, T3-T4, T4-Fp2, T4-P4 @ 8 min each NO Xanax, ½ Ambien at Lights Out “My lows are different now, they seem very slight and a whole lot

better than they used to be” “My husband commented on my improvement”

NO WORRIES!What I Did… 57 Sessions 2Ch ILFHD

& 33 2Ch SynchronyOTHERBIWEEKLYS53> 2Ch Synchrony AFZ-PZ (10 min @ 9.5 Hz), T3-Fp1, T3-T4, T4-Fp2, T4-P4 @ 8 min each

NO AMBIEN! Sleeping “really good”, “Doing more”, “I have a better perspective on life”

S54> 2Ch Synchrony AFZ-PZ (10 min @ 9.5 Hz), T3-Fp1, T3-T4, T4-Fp2, T4-P4 @ 8 min eachNo Ambien, No lows, No AnxietyDebated on coming in since she has been “feeling and doing so well”

S55> 2Ch Synchrony AFZ-PZ (10 min @ 9.5 Hz), T3-Fp1, T3-T4, T4-Fp2, T4-P4 @ 8 min each 25 days (Jan 16th) = called in… ↓ Focus “Falling asleep right away” sleeping well and feeling rested”

S56> 2Ch Synchrony AFZ-PZ (10 min @ 9.5 Hz), T3-Fp1, T3-T4, T4-Fp2, T4-P4 @ 8 min each 7 weeks (Mar 5th) = called in… ↑ Focus, ↑ Exercise, “Sleeping very well” “My focus has been strong”

S57> 2Ch Synchrony AFZ-PZ (10 min @ 9.5 Hz), T3-Fp1, T3-T4, T4-Fp2, T4-P4 @ 8 min each 6 weeks (Apr 19th) = called in… “I think my focus may be off just a little bit and I think I need a quick session for

a tune up”

NO WORRIES!

REASSESMENT = June 4, 2018 (52 Weeks)

SYMPTOM TRACKER: (20=13) ↓93%

Difficulty Falling Asleep 0

Difficulty Maintaining Sleep 0

Distractibility 1

Poor Sustained Attention 1

Unmotivated 0

Crying 1

Lack of Social Interest 0

Anxiety 0

Depression 1

Fears 0

Lack of Pleasure 0

Mood Swings 1

Obsessive Negative Thoughts 1

Obsessive Worries 0

Slide Number 1Slide Number 2Slide Number 3Slide Number 4Slide Number 5Slide Number 6Slide Number 7Slide Number 8NO WORRIES!�What I Did… 57 Sessions 2Ch ILF HD & 33 2Ch SynchronyNO WORRIES!�What I did… 57 Sessions 2Ch ILF HD � & 33 2Ch SynchronyNO WORRIES!�What I did… 57 Sessions 2Ch ILF HD & 33 2Ch SynchronyNO WORRIES!�What I Did…57 Sessions 2Ch ILF HD & 33 2Ch SynchronyNO WORRIES!�What I Did… 57 Sessions 2Ch ILFHD & 33 2Ch SynchronySlide Number 14Slide Number 15Slide Number 16