I want you to remember what youre doing now so you can tell me at the end of the session. You can only go up so far before you have to start going down. Situation 3 - The patient seems frustrated or appears to be trying too hard. Remember, I told you that this is a very difficult response to get. If it was easy, you wouldnt need me or the machines.
Lets take a break.
You may want to think of yourself as a scientist, who dispassionately tests theories and tosses them in or out depending on whether or not they work. As a rule, we would suggest that coaching be done in a limited basis, as this will help to generalize the response to the real world, for in everyday situations patients do not have a therapist accompanying them. It is imperative for the therapist to convey as enthusiastically as possible to the patient that he or she is doing well in the biofeedback session. EMG is to use it in situations which generally initiate headaches. In this way, maintained muscle tension is minimized, while appropriate low levels of muscle activity is reinforced.