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This article describes the use of heart rate variability biofeedback (HRV) in the practice of psychotherapy, including the emergence of psychological trauma. A model for understanding this phenomenon based on attentional state will be proposed. In addition techniques for transforming this “side effect” into a therapeutic opportunity will be described. The clinical case of DG, a successful business executive who was able to significantly improve his level of function, will be used to illustrate critical points.

Keywords: heart rate variability biofeedback; trauma; psychotherapy; attention; physiological state
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Copyright: Association for Applied Psychophysiology & Biofeedback

Contributor Notes

Correspondence: D. Eric Chamberlin MD, 49 Welles St. Suite 202, Glastonbury, CT 06033, email: Eric@ChamberlinNeuroscience.com.