Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive psychotherapy); 30 minutes
CPT4 code
Name of the Procedure:
Individual Psychophysiological Therapy incorporating Biofeedback Training with Psychotherapy (e.g., insight oriented, behavior modifying, or supportive psychotherapy); 30 minutes.
Summary
Individual psychophysiological therapy with biofeedback is a treatment combining biofeedback techniques and psychotherapy. It is a face-to-face session where the patient learns to control physiological functions to improve mental health and well-being.
Purpose
This procedure addresses psychological issues like anxiety, stress, and depression. The goal is to help patients gain better control over physiological responses and improve mental health through customized therapeutic interventions.
Indications
- Chronic stress or anxiety
- Depression
- Post-traumatic stress disorder (PTSD)
- Chronic pain conditions, like migraines
- Sleep disorders
- Behavior modification needs
Preparation
Patients should wear comfortable clothing. There are usually no dietary or medication restrictions unless specified by the healthcare provider. Prior assessment might include psychological evaluation and physical examinations.
Procedure Description
- Introduction: The therapist explains the procedure and answers any questions.
- Setup: Sensors are attached to the patient's skin to monitor physiological metrics like heart rate, muscle tension, and skin temperature.
- Biofeedback Training: The patient is guided through exercises to control these metrics by altering thinking patterns, breathing, or relaxation techniques.
- Psychotherapy Session: This integrates psychotherapeutic techniques tailored to the patient's needs, such as cognitive-behavioral therapy or supportive dialogue.
- Feedback: Visual or auditory feedback is provided to the patient based on their physiological data.
- Review: Progress and techniques are reviewed, with adjustments made as necessary.
Duration
The procedure typically lasts 30 minutes.
Setting
It is usually performed in an outpatient clinic or a specialized therapist's office.
Personnel
- Licensed psychotherapist (trained in biofeedback techniques)
- Clinical staff to assist with equipment setup (if necessary)
Risks and Complications
- Skin irritation from sensor adhesives
- Initial discomfort with sensor placement
- Experiencing emotional distress during therapy sessions Complications are rare, but persistent discomfort or emotional distress can be managed by adjusting the therapy approach.
Benefits
- Improved emotional regulation
- Reduction in anxiety and stress levels
- Better sleep patterns and pain management
- Enhanced self-awareness and coping skills Benefits may be noticed after several sessions, with progressive improvement over time.
Recovery
Post-procedure care typically involves continued use of learned techniques at home. There are minimal restrictions, and follow-up sessions may be scheduled for ongoing support.
Alternatives
- Medication (antidepressants, anxiolytics)
- Stand-alone psychotherapy
- Alternative relaxation techniques like yoga or meditation Each alternative varies in efficacy and may be selected based on individual patient needs and preferences.
Patient Experience
During the procedure, patients may feel initial discomfort from sensors but generally experience a non-invasive, instructive session. Post-session, they may feel relaxed and empowered to use new techniques for managing physiological responses. Any discomfort is typically mild and transient.