Everyone experiences stress, and not all stress is bad. Individuals who experience acute episodic or chronic stress are at increased risk for developing stress-related health problems. Research supports the idea that exercise can improve the way the body handles stress, and it can provide a time-out from stressors. Exercise programs meeting the current recommendations for health included within a stress management program can be effective in stress reduction. However, it is important to consider the client’s stressors and physical activity barriers, activities the client will enjoy, and the exercise setting. Prescribing exercise for clients seeking stress management is recommended, but fitness professionals should recognize that some clients will need additional assistance for managing stress and major life stressors.

These two tracks entrain the brain to specific frequencies in the lower regions of Beta brainwaves, beneath 20 Hertz. Most people are operating in a stressful brainwave frequency above 20Hz during their days, so listening to these tracks while you work, commute, run errands or anything else during your waking day will help you maintain a calm, yet active state of mind.
Some research suggests that the benefits from brainwave entrainment can last a lot longer, and still be seen for some time after you've stopped using it.  Study participants have still maintained improved test scores a few weeks after the stimulation had ceased.  Research on the long-term benefits has so far been minimal though, so how long the effects last is still up for debate.
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You probably already know that sex is a great tension reliever, but have you officially thought of it as a stress-relieving practice? Perhaps you should. The physical benefits of sex are numerous, and most of them work very well toward relieving stress. Sadly, many people have ​less sex when their stress levels are high. Learn how to avoid this trap.
Cortisol is the principle hormone (although not the only hormone) tied to our innate “flight-or-fight” response, which is how the body reacts to acute stress by either helping us run from the situation or stick around and fight our way through. When short spikes in cortisol/adrenaline happen over and over again nearly every day, they cause wear and tear on the body and speed up the aging process.
When you're having a hell of a day—good or bad—checking out for 10-15 minutes is revitalizing. Find a place where you can be alone (and definitely ditch the cell phone)—the attic, the bathroom, a quiet cafe, a big oak tree—and wipe the slate clean for a few minutes. Do whatever it is that relaxes you: Meditate, read a novel, sing or sip tea. It's crucial to take just a few minutes everyday to de-stress. It's not how much time you allot, but being consistent that's important.
Theta waves are associated with ➤ Increased sense of inner peace and emotional stability ➤ Deep relaxation ➤ Improved memory ➤ Heightened intuition and inspiration ➤ Calms the chatter of your mind ➤ Increased psychic abilities and sense of spiritual connection ➤ Speed healing, improved physical healing ➤ More restful sleep ➤ Release beneficial hormones related to health and longevity ➤ Reduce mental fatigue ➤ Reduction of anxiety and stress
The body responds in essentially the same way to made-up imagery as it does to real experiences. Positive, relaxing images can be an effective tool for relieving stress. Try it for yourself with this Guided Imagery podcast from our Founder and Director Dr. James Gordon, or check out Dr. Gordon’s book Unstuck: Your Guide to the Seven-Stage Journey Out of Depression for dozens more techniques, including scripts for guided imagery exercises.

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... The goal of the study was to observe the effect of exposure to BB on working memory capacity. As suggested by many studies, BBs corresponding to alpha brain waves can positively influence cognitive processing, namely attention, auditory sequential memory, working memory, working memory storage, and reasoning ability (Carter & Russell, 1993;Cruceanu & Rotarescu, 2013;Foster, 1990;Kennerly, 1994;McMurray, 2006). The results show that a BB of the frequency of 9.55 Hz – which is a representation of the alpha frequency range of the brain activity – had a temporary positive effect on working memory capacity in our sample of healthy, adult university students. ...

Although there is a general stress response pattern, there can be variations in the response according to the characteristics of the stressor (10). Individuals tend to respond differently based on the familiarity of the stressor. For example, the perceived level of stress and physiological response when giving a presentation to a group of work colleagues will likely be less than when presenting to an unfamiliar group. The stress response also varies depending on the level of perceived control one has over the stressor (10). If there is a way for one to actively cope with the stressor that is reasonable, then the individual usually perceives more control over the situation. Consider an individual who has to take a certification examination for work and has 6 months to prepare. He can adjust his schedule to accommodate study time. However, waiting for medical test results that show whether one has a serious illness does not allow a sense of control over the stressor, and the individual passively endures the stressor or may try to avoid the stressor. With this uncontrollable type of stressor, there is a more negative reaction with greater productions of cortisol, which can have damaging health effects because of the suppression of immune function (10).

The brain will entrain to the strongest stimulus. If you combine binaural beats with isochronic tones, your brainwaves will entrain to the isochronic tones. If anything, when you combine the two I believe it makes the track less effective because it makes it harder for the brain to decipher between the two and synchronise to a single beat. There are lots of websites with compelling marketing about the benefits of combining the two together in some funky way, but I haven’t seen any research or lots of anecdotal feedback even to suggest it’s effective to combine them.

4. Be hesitant committing to any BWE system making wild claims. Profit fueled marketers with little to no experience in the BWE field have created a slew of low-quality entrainment systems on the market. These products typically make outrageous promises such as permanently enhancing the brain within minutes of use. Although BWE is a powerful method to improve the mind, it’s not a magic bullet.
When your mind is all over the place, organizing your thoughts into a quick to-do list can help transfer the burden from your brain to paper. But for some people, seeing a long list of tasks can increase stress. Miller has another idea: a “stressor and action” sheet. “Fold a piece of paper in half length wise, and on the left column write ‘stressor’ and on the right hand column write ‘action,’” she says. “You will find as you write down thoughtful action steps to the things that are stressing you out, you regain authority over circumstance.” These are the signs you’re more stressed than you realize.
♥ I'm a tired law student always looking for a study boost. I like to put on the Alpha waves and mix this with classical music for research and writing. The "beats" help to drive the music and add a feeling of focus and energy even during slower/softer passages. If you get the levels matched properly, you never even hear them. Throw in a cup of coffee and you'll be ready to save the world. Cheers!
Everyone knows stress can cause you to lose sleep. Unfortunately, lack of sleep is also a key cause of stress. This vicious cycle causes the brain and body to get out of whack and only gets worse with time. Make sure to get the doctor-recommended seven to eight hours of sleep. Turn the TV off earlier, dim the lights, and give yourself time to relax before going to bed. It may be the most effective stress buster on our list.

“Stress” is a commonly used term, and it is often used with different meanings. The standard definition for stress that will be used in this article is the disruption of the body’s homeostasis or a state of disharmony in response to a real or perceived threat or challenge (8). The threatening or challenging situation is referred to as a “stressor.” When a person encounters a stressor, the body prepares to respond to the challenge or threat. The autonomic nervous and endocrine systems respond by producing the hormones epinephrine, norepinephrine, and cortisol. The result of this hormone production is a cascade of physiological reactions that make up the stress response. Epinephrine and norepinephrine are involved in the initial changes that take place to prepare the body to react and to prepare for a challenge. These responses include increases in heart and respiration rates, blood pressure, perspiration, and energy production (8). There also is a suppression of immune function, production of β-endorphin (the body’s natural pain killer), and increased acuity of the senses. These changes make up the fight-or-flight response, which prepares the body to cope with the stressor. If the stressor is perceived as negative or more as a threat than as a challenge, cortisol production is increased. Cortisol is involved in energy production but also suppresses immune function.

Ever wish a stress superhero could save you from the tension of traffic jams, chaotic meetings, arguments with your spouse, or a toddler’s tantrums? Well, you can be your own stress-busting superhero. Using your senses, you can tap into the power to reduce the impact of stress as it’s happening and stay in control when the pressure builds. Like any skill, learning how to ease stress in the moment takes time, experimentation, and practice- but the payoff is huge. When you know how to quickly relieve stress, you can stay calm, productive, and focused, €”no matter what life throws at you.
Delta brainwaves have the slowest frequencies, ranging between 0.1 and 4 hertz, and these are the brainwave states associated with deep sleep, trance states, and unconsciousness. Few people can remain awake during delta brainwaves states, although this state is recorded in awake infants between ages of three months and one year and also in babies just before birth. Delta waves are also linked with increased production of HGH, DHEA, and the neuro-transmitter serotonin.

Some people deny there is any such thing as “spiritual”. Atheists, secular humanists, etc., do not as a rule accept the concept of the existence of things “spiritual.” For them the benefits of meditation are largely physical and/or emotional in nature. It is not my intention to dispute or attempt to change their views here. What I can say is that they are free to skip over any mention of things spiritual and focus on the physical/emotional aspects. Meditation is a broad enough discipline to encompass all these areas of our existence.
To get a full answer you should really get in touch with the owner of the app, because it does really depend on how their track is constructed and how they intend it to work. I have one 50-minute sleep track which takes you down into delta (http://www.mindamend.com/shop/sleeping-and-dreaming/sleep-induction-isochronic-tones/) and that is designed to just get you to sleep, so you just let play until the end. If you played that track on repeat it might make you jump and wake you up, as the track begins at a higher frequency. I have another 8-hour sleep track which is meant to be played all throughout the night (http://www.mindamend.com/shop/sleeping-and-dreaming/deep-sleep-8-hour-sleep-cycle/). So it does depend on the individual track you are using.

♥ I've suffered from patches of insomnia throughout my life, extending from a few days to dragging on for several weeks, and no amount of the usual proper "bedtime ritual" normally recommended, calms me, as my brain is overactive. Layering combos of the Binaural/Bilateral sounds right before sleep effectively resets me, allowing me to sleep like a normal human. I can't express enough gratitude!
2. The other thing you cannot afford to do is evaluate whether or not a technique is having an effect based upon having (or not having) any of those superficial, irrelevant, distracting phenomena discussed above, like face flushing, seeing light swirls, having sensations of this, that or the other thing, etc. Those kinds of phenomena will just lead you down the wrong path and steer you away from the true benefits of meditation. If you’ve already fallen into the trap of this sort of conditioning, using something like the Release Technique, the Sedona Method, or even EFT can be helpful in breaking established conditioned associations.
Therefore we are very receptive to new technology products that promise to improve our lives, or solve previously difficult problems, because of some new scientific or technological advance. This has created, in a sense, a marketplace of consumers that expect to be dazzled with technobabble they don’t understand, backed by assurances of legitimacy by the citing of research and association with professionals or professional institutions, and offering significant benefits. We are all, in a sense, waiting for that next product to improve our lives, and many of us like to feel we are on the cutting edge – getting an advantage over others by being savvy early adopters.
Maybe a favorite popular song, a certain piece of Classical music, a raucous dance beat, the pulse of Reggae, Indian, or African drums, or the chanting of Gregorian or Tibetan monks, but you probably know how the sound of music, drumming, or chanting is capable of transporting you into an altered and joyous state of mind and uplifting your spirits.
Brainwave entrainment also happens with the use of pulsating light, and visual and auditory stimuli are sometimes combined for additional effect and visual stimuli is used alone. Using brainwave entrainment techniques is safe for almost everyone, the exception being pregnant women and people who have seizure disorders who should check with their physician before using these methods.
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Entrainment is like priming the pump of meditation. It doesn’t “cause” meditation any more than pouring that little bit of water into the pump initially “causes” water to appear in the well. The water was already there. The conditions for the pump to do its job just needed to be set up. What entrainment does is to create the conditions and the internal environment typically associated with meditation. You could get to that point without entrainment, certainly, but the entrainment allows you to get there quicker, more consistently, and to remain there for longer periods of time than you would ordinarily be capable of doing on your own.
Let’s face it, the stress we face today isn’t going anywhere, which is exactly why it’s more important than ever to find natural ways to bust stress that work well for us. If you’re up against large amounts of stress in your life (and who isn’t?), studies show you can greatly benefit from carving out more time in your busy schedule for things like regular exercise, meditation, spending time outdoors and keeping up with fun hobbies.
One of my habitual ways to unwind, get into an easy meditative state, and let the stress of the day melt away is by listening to binaural beats from these guys. So please do try them out! Their work is of the highest quality. (Note: yes, our website does earn affiliate commissions from them, but I only recommend them because I personally use their music to help relax my mind and reduce nervous tension – and it works!)
In fact just having a particular range of brainwaves running through our grey matter is also not “meditation”. Brainwaves are not the cause of the meditative state. They are only an indicator that we might be in a meditative state. And then again we might be in some other state as well. Those exact same brainwave frequencies are present during many different activities and states of consciousness, not just during meditation.
Years of scientific study combined with the personal testimony of thousands of people establish that using brainwave entrainment techniques positively affects the physical, mental, emotional, and spiritual well-being in a majority of users. You can easily take advantage of these powerful methods of personal self-help and self-improvement by downloading a variety of entrainment music right now.
Cortisol is an arousal hormone, stimulating alertness and attention. Cortisol levels rise and fall in connection to circadian rhythms—cortisol levels rise to their peak levels first thing in the morning, just in time for you to be active for the day. Too-high cortisol levels are associated with insomnia, as well as more time spent in light sleep, rather than deep sleep.
Our a grand mission and lifepurpose to raise the energy vibration of our planet and to make this world a more Loving - Peaceful and Joyful place for ALL life. To help and inspire YOU and the other millions of people listening to our audios to awaken to that awesome POWER we have within us. Prepare to open up the gates and let the pure lifeforce from YOUR HIGHER SELF flow through you NOW. Enjoy your journey.
A large dose of caffeine causes a short-term spike in blood pressure. It may also cause your hypothalamic-pituitary-adrenal axis to go into overdrive. Instead of coffee or energy drinks, try green tea. It has less than half the caffeine of coffee and contains healthy antioxidants, as well as theanine, an amino acid that has a calming effect on the nervous system.

Self-hypnosis incorporates some of the features of guided imagery and visualizations, with the added benefit of enabling you to communicate directly you’re your subconscious mind to enhance your abilities, more easily give up ​bad habits, feel less pain, more effectively develop ​healthier habits, and even find answers to questions that may not be clear to your waking mind! It takes some practice and training but is well worth it. Learn more about ​using hypnosis to manage stress in your life.

Whenever we become very relaxed and the usual chatter of the mind slows down a little bit, if we remain aware and do not slip into sleep or unconsciousness, we begin to perceive things that we had not noticed before. This is slightly different than the issue of “expectations” discussed previously, although a relationship to them can develop which will be discussed below. These have to do with the fact that in our typical state of consciousness our mind is racing so fast and so loud, and our body is so engaged with activity and physical tension, that we are unaware of some subtle perceptions that are there all the while, but which get buried beneath all the physical and mental noise.
So if you are interested in using brainwave entrainment music in your own recording, do so with the knowledge that it can only help to improve the quality of your work. But please don’t feel as though your recordings will be insufficient without it (some people do worry about this - unnecessarily). My advice is that if you ever find yourself in a situation where the music you love the most is not available with brainwave entrainment frequencies, don’t ignore your intuition and discard that music. When you find that piece of music that brings your recording to life, go with it whether it has brainwave entrainment frequencies or not. The quality and feel of the music itself are the most important factors.
Writing or talking about the things that prey on you—in a diary, with friends, in a support group or even a home computer file—helps you feel less alone and helpless. One study, published in The Journal of the American Medical Association, looked at people who had either rheumatoid arthritis or asthma— conditions known to be stress-sensitive. One group chronicled in a perfunctory manner the things they did each day. The other group was asked to write daily about what it was like, including fears and pain, to have their disease. What researchers found: People who wrote at length about their feelings had far fewer episodes of their illness.

When you hit a tuning fork, tuned to a particular sound frequency such as the note B, and hold it close to the strings of a guitar, you will notice that the B string on the guitar will vibrate because it has entrained on to the same frequency of the tuning fork. Interesting enough, the other strings will not vibrate. Only the one with the same tuning as the tuning fork.

Today, EEG machines are used for diagnosing epilepsy and sleep disorders, for determining dosages for anesthesia, and measuring the brain activity of people in comas or suffering from brain trauma. EEG machines also continue to play a role in researching and understanding brainwave entrainment and developing new and better methods for delivering the benefits of this form of brainwave modification. 

When two pure tones of slightly different frequencies are delivered simultaneously to the two ears, is generated a beat whose frequency corresponds to the frequency difference between them. That beat is known as acoustic beat. If these two tones are presented one to each ear, they still produce the sensation of the same beat, although no physical combination of the tones occurs outside the... [Show full abstract]
Resonant entrainment of oscillating systems is a well-understood principle within the physical sciences. If a tuning fork designed to produce a frequency of 440 Hz is struck (causing it to oscillate) and then brought into the vicinity of another 440 Hz tuning fork, the second tuning fork will begin to oscillate. The first tuning fork is said to have entrained the second or caused it to resonate. The physics of entrainment apply to bio-systems as well. Of interest here are the electromagnetic brain waves. The electrochemical activity of the brain results in the production of electromagnetic wave forms which can be objectively measured with sensitive equipment. Brain waves change frequencies based on neural activity within the brain. Because neural activity is electrochemical, brain function can be modified through the introduction of specific chemicals (drugs), by altering the brain's electromagnetic environment through induction, or through resonant entrainment techniques.
The Neuro Programmer website, as is typical, is full of testimonials and vague references to research. I tried to track down the research they referenced, but could not find anything published or peer-reviewed by the authors named or on the subjects indicated. For example, they cite one study by Thomas Budzynski, but the only thing published by him that is listed on Pub Med is a small study on biofeedback published in 1969. The 1999 study they reference is not listed. Also – Budzynski has connections to another company – Theta Technologies – which sells similar technology.  (The exact nature of his connection is not clear, he was at least a consultant. He is also listed as the director of research for another company, Synchromed, LLC.)  This looks like just another in-house worthless study to support the marketing of a product.
I have received many requests for live sessions and personal support via telephone and video chat (Skype or Facetime). I am proud to announce that you can now schedule your own appointments with me for personal consultations, hypnosis sessions or any general counseling, questions or concerns about your specific needs, life coaching, self-help issues, dream guidance, spiritual matters or just random questions about consciousness or reality in general. I look forward to speaking with you on the phone or video chatting via Skype or Facetime.

The I-Doser claims it can emulate prescription drug-like effects by listening to MP3's, to get stoned.[1] This is largely a moral panic by parents who flunked science fueled by the eternal quest by teenagers to get stoned, and stupid ones convincing their friends it works. It is really more of wishful thinking and making yourself disoriented by playing discordant sounds really damn loud. If you want to experience it yourself, you can always listen to Bjork Captain Beefheart dubstep.

The binaural-beat appears to be associated with an electroencephalographic (EEG) frequency-following response in the brain (3). Many studies have demonstrated the presence of a frequency-following response to auditory stimuli, recorded at the vertex of the human brain (top of the head). This EEG activity was termed "frequency-following response" because its period corresponds to the fundamental frequency of the stimulus (Smith, Marsh, & Brown, 1975). Binaural-beat stimulation appears to encourage access to altered states of consciousness.
Consider the following analogy. Imagine a ballroom full of people dancing together. When the music changes to a faster tempo, the dancers move faster in response to this. When a slower piece of music is played, the dancers’ rhythm slows down as well. In a similar way, the frequency of your brain will change in response to the frequency of the binaural beat that it is exposed to. For example, a person who is in a state of very deep meditation may have a dominant brainwave frequency of 5 hertz, so by listening to a binaural beat with a frequency of 5 hertz you can entrain your own brainwaves to a similar state.
Several adaptogenic herbs and essential oils have been shown to improve anxiety symptoms by reducing the effects that stress and cortisol have on the body. Adaptogens (including ginseng, ashwagandga, maca, rhodiola, holy basil and cocoa) are a unique class of healing plants that balance, restore and protect the body and make it easier to handle stress by regulating hormones and physiological functions.

♥ I admit that I do not know much about brainwaves and can be swayed by suggestion (ah, the fickle subconscious), but since using this machine and sort of hiding the noise with other sounds or my own music so it is not so obvious to me, it has helped me get through my email correspondences and other online tasks with the focus that I need. Thank you so much for making this!
By simultaneously combining the sounds of two didgeridoos, a desired state of consciousness can be induced in the listener. For example, when one didgeridoo is played in the key of Bb (fundamental frequency of 58 Hz) and a second didgeridoo is played in the key of C (65 Hz), the difference between the frequencies is manifested as a subtle pulsing (in this case 7 Hz). The listener’s dominant brainwave state will sync with this pulsation in a frequency-following response known as brainwave entrainment.
Group exercise or encouraging stressed clients to find a workout partner is an excellent idea because it can provide a support network and accountability. However, there might be clients who find a group setting intimidating or competitive, which could be counterproductive in managing stress. In addition, those who report stress because of work or family obligations might enjoy the solitude of exercising alone. Using a variety of exercises or nontraditional exercises (e.g., exergaming, dance classes, yard work, or rock climbing) is a way to plan activities that are enjoyable to maximize adherence. Knowing your clients’ exercise barriers and stressors will help with planning an exercise program that can address these variables to maximize the benefits for health and stress management.
A simple spinal twist can help you get a better night's sleep. It alleviates tension that's built up in your lower back throughout the day. Sitting on your bed with legs crossed, place your right hand down on the bed behind you and rest your left hand on your right knee. Sit up straight and inhale for four to eight counts, lengthening your spine as you breathe. On your exhale, begin to twist toward your right hand (don't strain your neck). Hold this position for four more full breaths, lengthening your spine on the inhales and deepening your twist on the exhales, if it feels comfortable. Repeat yoga asanas on opposite side. (These stress-reducing yoga poses also help calm anxiety.)
While visual entrainment is more powerful than audio alone for inducing desired brainwave states, more caution is needed when using visual methods. Between 0.3 and 3 percent of the population is susceptible to having seizures from flickering light stimulation, and for other people, flickering visual stimuli simply makes them uncomfortable. People with epilepsy have a greater chance of having a seizure from exposure to flickering light stimulation.
♥ I've beeen training in self-hypnosis for a while (under supervision and for a reason) and found that the 8-4 Hz beats put me very quickly in a deeply relaxed state. Definitely the thing! With the timer, I can shut them for the real self-hypnosis. I haven't tried the other beat generators yet, but this one works much better than I expected and clearly does the job. In a few words: I'm impressed!
Gamma waves are the fastest brainwave frequency range. Gamma brain waves are believed to link and process information from all other parts of the brain. A high amount of gamma wave activity in the brain is associated with intelligence, compassion, focus and feelings of happiness. High levels of gamma brain waves have also been linked to improved memory and an increased sensitivity to sensory input. Low amounts of gamma brainwave activity have been linked to learning difficulties, poor memory and impaired mental processing.
Gamma waves are the fastest brainwave frequency range. Gamma brain waves are believed to link and process information from all other parts of the brain. A high amount of gamma wave activity in the brain is associated with intelligence, compassion, focus and feelings of happiness. High levels of gamma brain waves have also been linked to improved memory and an increased sensitivity to sensory input. Low amounts of gamma brainwave activity have been linked to learning difficulties, poor memory and impaired mental processing.
A word to the purist here. This binaural beat generator offers ten carrier frequencies, but humans only have two ears! Therefore, carriers on this generator will produce amplitude-modulated beating patterns inside each ear canal. This is not necessarily a bad thing, as it increases the perception of the overall beating pattern, and helps our brain catch up with the binaural beat. This explains why this generator produces stronger beats than any other available. If you are looking for a pure binaural beat generator instead - one without any intra-aural interference but a weaker stimulus - try our Harmonic Binaural Beat Generator; its carriers have been set to distant frequencies, in order to suppress any amplitude modulation between carriers.
These are just a few examples. This silly list literally goes on for pages and pages, and it is pure hogwash almost without exception. Unfortunately there are many people dealing with personal problems that read nonsense like this and want very badly for it to be true. Perhaps they don’t believe every word, but they believe or hope that at least some of it is accurate information. These hopes and beliefs contribute to the generation of false expectations, so that when listening to an entrainment frequency of 10.3Hz doesn’t clear up their stuffy sinuses they conclude entrainment doesn’t work. The digestion of such foolishness is an impediment to realizing the true value of entrainment.

What are some common experiences or thought patterns that can cause the body to feel stress, including some that you might never have associated with stress before? Things like financial pressure, a lack of sleep, emotional problems in your relationships, overtraining or doing too much exercise, and even dieting can all send signals to the body that it’s under stress.

A 2008 study at Hofstra University played two different binaural beats and a control sound (a babbling brook) to patients with high blood pressure. There was no difference between the groups. In one small study from Japan that was published in the Journal of Neurophysiology in 2006, they played various binaural beats to nine subjects, and observed the resulting EEGs. They found great variability in the results. Their conclusion was that listening to binaural beats can produce activity on the human cerebral cortex, however the cause was more likely a conscious auditory reaction and was not correlated to the frequency of the binaural beat. However, a 2005 study published in Clinical Neurophysiology found that they were able to induce a desired frequency in the EEG matching the phantom beat frequency encoded in a binaural beat, however this was with a single subject and was neither blinded nor controlled.
Controlled or pre/post studies of the effects of BWE using auditory or visual stimulation were eligible for inclusion, provided pulses of light or tone were delivered at frequencies hypothesised to have a beneficial effect or in line with a protocol addressing clinical outcomes. Studies were required to report clinical or psychological outcomes (measured using standard methods or as deemed appropriate by peer review) and to report statistical analysis. Studies of outcomes such as electroencephalogram (EEG) response or neurotransmitter levels were not eligible. Case studies were excluded.