Many physicians encourage patients to find the right therapist for biofeedback. The Biofeedback Certification Institute of America (BCIA) certifies therapists throughout the United States. To receive certification, the therapist must be a licensed healthcare professional or work under the guidance of such a professional. These therapists are accustomed to dealing with patients and typically have a good bedside manner. If a BCIA-certified therapist is not available, a medical expert may be able to recommend a non-certified therapist.

If neurofeedback is to be employed, a quantitative electroencephalogram (QEEG) brain map is typically generated before biofeedback begins. This is used to evaluate the patient’s brain function and determine in a scientific, objective manner if brain wave patterns are significantly abnormal and whether the patient is a good candidate for neurofeedback training. It also allows the therapist to individualize training much more precisely.

QEEG  takes about 90 minutes. A snug cap is placed on the head. This cap contains electrodes to measure the electrical patterns of the brain. No current is delivered to the brain. Brainwave pattern is recorded and compared to that of a healthy and mentally normal person who is the same age as the patient.