Introduction to biofeedback


“Every mental state change causes an, either conscious or unconscious, physiological state change. And vice versa: every physiological state change causes, an either conscious or unconscious, mental state change.” Green, Green & Walters (1970).
Biofeedback is a method to visualize this mind-body interaction.

In biofeedback physiological activity, like muscle tension, heart rate, respiration, skin conductance and hand temperature, is measured. By using these signals as real-time feedback, people can learn to become aware of usually unconscious processes and learn skills to control these signals.

The direct feedback offers the client ways to learn body awareness and self-regulation skills. Combined with homework assignments the client learns to generalize these skills to daily life.

Biofeedback, alone and in combination with other behavioral therapies, is effective in the treatment of a variety of disorders, like anxiety, headache, hypertension, insomnia, dysfunctional breathing, irritable bowel syndrome and repetitive strain injury.


Course description

During the course a combination of hands-on experience and theoretical background is offered.

The practical assignments are in small groups with a maximum of 3 participants. The work stations are equipped with the Nexus-10 multimodal biofeedback system of Mind Media (

Participants learn about the basic concepts of biofeedback, it’s working mechanisms and the mind-body interaction. They learn to use muscle tension (EMG), heart rate, respiration, skin conductance and hand temperature in assessment and training. A short introduction is offered for heart rate variability (HRV) and stress profiling.

Also covered is information about the working mechanisms of biofeedback, how to guide the patient during biofeedback training, what applications benefit from biofeedback, how to set up a biofeedback training and how to incorporate biofeedback into the clinical practice.

Class format

 Day 1 (9 am – 6 pm)

  • Welcome and introductions
  • Introduction to biofeedback
  • Electromyography (EMG)
  • Hand temperature
  • Homework: hand temperature

Day 2 (9 am – 6 pm)

  • Evaluation of homework
  • Respiration
  • Heart rate
  • Homework: respiration

Day 3 (9 am – 6 pm)

  • Evaluation of homework
  • Skin conductance
  • Stress profiling
  • Setting up a biofeedback training
  • Case examples

Learning objectives
After completing this course, the participant will be able to provide biofeedback training with the modalities muscle tension, heart rate, respiration, skin conductance and hand temperature in his/her own health care setting with the use of multimodal biofeedback equipment.

Who is this course for?

Professionals with a BA/BS degree in a clinical health care field, like psychology or physical therapy.


Number of participants



Mrs. Drs. D.M. (Daniëlle) Matto, psychologist, biofeedback therapist BCIA-BCB

BCIA Biofeedback certification program

This 3-day classroom training covers 24 hours of the 48-hour BCIA Biofeedback certification program. To complete the full BCIA biofeedback certification program the participants are offered the possibility to sign up for an e-learning program, covering the remaining 18-hour. If you are interested in the e-learning program, please send an email to


June 18-19-20, 2020, Amersfoort  Register