The programme: qEEG assessment and training

From first contact to independence: the practical steps of neurofeedback and biofeedback support at Centre Élan in Brétigny-sur-Orge, near Paris.

≈ 30sessions on average over the whole programmeCentre guideline
1 hper session, biofeedback and neurofeedback includedCentre guideline
1 to 2sessions a week, depending on your scheduleCentre guideline
19electrodes for the qEEG assessment, analysed with NeuroGuideCentre guideline

The programme at a glance

Every programme follows the same main stages, which are then adjusted to your goals. On average, a programme includes around thirty sessions: an initial qEEG assessment, about 15 training sessions, a comparative mid-point assessment, then about 15 adjusted sessions. This structure is in line with the one described by Institut Neurosens, where a second quantitative EEG is used to assess progress objectively after a first phase of around fifteen sessions.

Initial assessmentqEEG
≈ 15 sessions1st protocol
Mid-point assessmentcomparative
≈ 15 sessionsadjusted protocol
Independence

The typical programme, adjusted for each person at the mid-point assessment.

First contact: a conversation about your request.
The initial assessment: interview, questionnaires, quantitative EEG, postural observation.
The feedback session: the results explained, plus a written report.
The personalised protocol: what will be trained, and how.
Training sessions: one hour, once or twice a week.
The mid-point assessment: comparison and adjustments.
Independence: we decide together when the programme ends.

Step 1 – First contact

It all starts with a conversation, by phone, by message or via the contact form. We listen to your request, or your child’s, and check together whether the approach can address it. If a significant difficulty has never been assessed, we first refer you to the appropriate professionals: your GP (family doctor), a paediatrician or a specialist team. Parents can also get a first overview with our parent questionnaire. The assessment appointment can then be booked online or by phone.

Reception area at Centre Élan
The centre’s reception area in Brétigny-sur-Orge.

Step 2 – The initial assessment

The assessment draws on several sources of information to understand how you function as a whole; the quantitative EEG (qEEG) is only one part of it.

The in-depth initial interview

An in-depth interview: development, sleep, school or work, health, current support, and above all your priorities.

The questionnaires

Chosen to suit the person’s age and needs, they provide a baseline for measuring progress.

The quantitative EEG

A 19-electrode cap records brain activity at rest, first with eyes open, then with eyes closed.

Postural observation

Posture, weight distribution, muscle tone and breathing pattern (nose or mouth), which influence alertness, sleep and stress.

Fitting an EEG cap before the assessment recording
Fitting the EEG cap, which is painless, before the recording (illustration).

The questionnaires: a measurable baseline

Questionnaire What it covers Who completes it
SDSC 26 questions on sleep: falling asleep, night waking, breathing at night, sleepiness Parents, for children and teenagers
BAI 21 symptoms of anxiety, mainly physical The adult themselves
SNAP-IV Inattention, hyperactivity-impulsivity and oppositional behaviour (26-item version) Parents and, where possible, the teacher
Postural questionnaire Posture, balance, muscle tone, proprioception The person or their parents, depending on age

These tools have been validated in international research (Bruni et al., 1996; Beck et al., 1988; Bussing et al., 2008). They do not provide a diagnosis: they give a measurable starting point, which is then compared with the results of the mid-point assessment.

Quantitative EEG: what it is, and what it is not

The 19 electrodes are placed according to the international 10-20 system, which covers the whole scalp. The trace is first inspected visually, then cleaned of artefacts (eye blinks, clenched jaws), analysed with NeuroGuide software and compared with a normative database of people of the same age (Applied Neuroscience). The technical guidelines published in 2025 by the IQCB (International QEEG Certification Board) are a reminder that the reliability of a quantitative EEG depends first and foremost on the quality of the recording, the inspection of the trace and the handling of artefacts (Collura et al., 2025). The procedure is painless: the electrodes record without sending any current.

The qEEG assessment is not a medical EEG. A medical EEG is requested and interpreted by a doctor to make or rule out a diagnosis, for example of epilepsy. Our qEEG assessment is not intended for diagnosis: it describes how the brain functions and guides the training. It does not replace a doctor’s opinion, and we will refer you to a doctor when necessary.
How should I prepare for the assessment?
  • Come with clean, dry hair and no styling products: the conductive gel adheres better.
  • Tell us about any current treatment, but do not change it: it is useful context.
  • Plan to wash your hair after the appointment, to remove the gel.

To understand what the brain maps show, read our article qEEG assessment: procedure and brain mapping.

Step 3 – The feedback session and report

The data are then analysed and presented at a feedback session. We explain the results in plain language, relating them to your everyday experience: what is working well, what deviates from the reference values of the normative database and what can be trained. As Neurofeedback Luxembourg sums it up, the norm and normality should not be confused: a deviation from the average is not a problem in itself, and only takes on meaning in light of your daily life. You will receive a written report. The assessment does not provide a diagnosis: it describes how you function, without labelling.

Assessment feedback session: printed brain maps and a tablet
The feedback session: your brain maps explained step by step (illustration).
Reading the mapsWhat falls within the reference range for your age, and what deviates from it.
Linking to daily lifeSleep, attention, emotions: what is relevant to you.
Setting goalsConcrete and measurable: falling asleep faster, staying focused in class, recovering better.

Step 4 – A personalised protocol

The personalised protocol specifies the brain areas or networks to be trained, the biofeedback methods chosen and the lifestyle advice. For neurofeedback, there are two options: swLORETA Z-score neurofeedback, with a 19-electrode cap, or personalised two-channel neurofeedback, carried out with BioGraph Infiniti software (Thought Technology). Biofeedback is chosen according to your needs:

Cardiac coherence (pulse)Breathing (respiration belt)Muscle activity (EMG)Electrodermal activitySkin temperature

The overall rationale behind these tools is presented on the Integrative neurotherapy page.

Step 5 – What happens in a one-hour session

Each training session follows a consistent structure, adjusted as you progress:

WelcomeA check-in on your week: sleep, attention, emotions, notable events.
Set-upCap or electrodes for neurofeedback, finger sensors or a belt for biofeedback.
BiofeedbackSome breathing or cardiac coherence work to settle down and release tension.
NeurofeedbackA film, a sound or a game responds in real time and “rewards” the target state.
DebriefHow it felt, and a simple exercise to practise at home.

To motivate younger children and recognise their commitment, a points system lets them earn small prizes over the course of their sessions. The recommended pace is one to two sessions a week: regularity matters more than intensity. Neurofeedback Luxembourg also stresses that sessions spaced too far apart, especially at the start, slow down learning. Together, we build a schedule that fits around school, work and family life.

Step 6 – The comparative mid-point assessment

After around fifteen sessions, a new quantitative EEG is recorded under the same conditions as the first. Three sources are then compared to track progress objectively and adjust the protocol for the second phase of about 15 sessions:

Brain maps

Initial and mid-point assessments compared side by side.

The questionnaires

Completed again, to measure how the scores have changed.

How you feel

Your own day-to-day observations and those of the people around you.

Step 7 – End of the programme and independence

The aim is not to depend on sessions, but to gain independence. This is in line with the international definition of biofeedback adopted by the AAPB, the BCIA and the ISNR: learned changes may, over time, be maintained without the equipment. Throughout the programme, the person learns to recognise their own states (restlessness, fatigue, tension) and to use the techniques they have practised without help: breathing, cardiac coherence, breaks, sleep routines. The end of the programme is decided together, in light of the goals set at the feedback session. Soon, the Élan Minds app will make it possible to carry some of these reference points into everyday life.

Practical information. Fees for the initial assessment, sessions and follow-up assessment are set out on our Fees page. Any appointment cancelled less than 48 hours in advance is still payable.
Complementary support. The qEEG assessment and training do not replace a diagnosis, ongoing medical care or rehabilitation therapy. No current treatment should be changed or stopped without your doctor’s advice.

Frequently asked questions

How many sessions should I expect?

Around thirty on average, split into two phases of about 15 sessions either side of the mid-point assessment. This number varies depending on the person and their goals; it is reviewed at the mid-point assessment.

How often do I need to come?

One to two one-hour sessions a week. A regular pace supports learning; together, we build a schedule that fits around school, work and family life.

Is the qEEG assessment a medical EEG?

No. It is not used to make a diagnosis: it describes brain function at rest and guides the training. It does not replace a doctor’s opinion, and we will refer you to a doctor if necessary.

Is the qEEG assessment painful?

No. The cap is fitted with a conductive gel and the electrodes simply record. Come with clean, dry hair and no styling products.

Can I continue my other forms of support at the same time?

Yes, and it is actually encouraged. With your consent, we can liaise with the professionals who support you, or who support your child.

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