How Can I Earn Continuing Education Credits By Reading Articles?

BCIA is proud to offer you the opportunity to earn quality continuing education (CE) hours for recertification by reading journal articles written by leaders in the field and passing brief quizzes. We believe this is one of the best ways to enhance your knowledge and stay current with the latest research available.

Please note: While the Biofeedback articles are free, other journals may charge a fee if you are not a member or do not have a subscription.

How It Works

Each quiz/article is worth 1 hour of continued education. To get CE credit, you must purchase a link to the quizzes. You may select as many articles as you find interesting, and when you are ready to take those quizzes, you must log into the CE Exam Area using your BCIA login and password. If you do not have that information, contact BCIA and we will send it to you.

Once logged in, select the exams – as many or as few as you wish – one at a time or in multiples and purchase the password ($15 per quiz). Use the credit card payment option and BCIA will process your request, sending you a link to the quizzes you have purchased within 48 hours.

BCIA will periodically add new articles to this list. We hope that you will enjoy this low-cost alternative to enhancing your professional knowledge. Let us know if you find articles that you believe should be included in this reading list.

New in 2015  -  Open Access Articles

Frontiers is a community-oriented open-access academic publisher and research network.  Their grand vision is to build an Open Science platform that empowers researchers in their daily work and where everybody has equal opportunity to seek, share and generate knowledge. BCIA has been very limited in locating new articles in an open access format and we are pleased to bring you the following articles.  As with all other CE articles,downloading and reading the article is free.  To earn 1 hour of CE credit to be used for BCIA recertification, you must first read the article and purchase a link to the online exam. Upon completion of the exam, you will be asked to enter your name into a text box and print that last page out as your CE certificate.  Thank you to these authors who contributed the materials and generously donated the exam items.

AAPB publishes Biofeedback as a benefit for their members.  We thank them for making this very important article available at no charge to the biofeedback community.
Infection Risk Mitigation for Biofeedback Providers by Dave Hagedorn, PhD, BCN - Fall 2014, Vol 42, Issue 3
Biofeedback providers make contact with patients or clients using sterile and non-sterile instruments and sensors. Many providers lack the aseptic technique training that is common to licensed medical providers.  This article reviews the essential principles and procedures of infection risk mitigation.

BCIA recently updated and revised our Professional Standards and Ethical Principles of Biofeedback (PSEP). This document outlines the role of certification and how it works within the framework of licensing boards that govern the use of any modality to treat a diagnosed disorder. Everyone should read this document, even if only for updated information.

Frontiers in Psychology

Heart rate variability biofeedback: How and why does it work? by Paul M. Lehrer, PhD, BCB and Richard Gevirtz, PhD, BCB.

A healthy heart is not a metronome: An integrative review of the heart's anatomy and heart rate variability by Fredric Shaffer, PhD, BCB, Rollin McCraty, PhD, and Christopher L. Zerr.

Frontiers in Human Neuroscience is a first-tier electronic journal devoted to understanding the brain mechanisms supporting cognitive and social behavior in humans, and how these mechanisms might be altered in disease states.  BCIA selected neurofeedback-relevant articles from this journal, both dealing with ADHD.

Differential effects of theta/beta and SMR neurofeedback in ADHD on sleep onset latency by Martijn Arns, MSc, BCN, Ile Feddema, and J. Leon Kenemans


We've arranged the articles by topic and included their links.


Courtney, R. (Summer 2008). Strengths, weaknesses, and possibilities of the Buteyko breathing method. Biofeedback, 36(2), 59-63.

Ritz, T., Meuret, A. E., Wilhelm, F. H., & Roth, W. T. (2009). Changes in pCO2, symptoms, and lung function of asthma patients during capnometry-assisted breathing training. Applied Psychophysiology and Biofeedback, 34(1), 1-6.

Van Dixhoorn, J. (Summer 2008). Whole-body breathing. Biofeedback, 36(2), 54-58.


Neblett, R., & Perez, Y. (Summer 2010). Surface electromyography biofeedback training to address muscle inhibition as an adjunct to postoperative knee rehabilitation. Biofeedback, 38(2), 56-63.

Shaffer, F., & Neblett, R. (Summer 2010). Practical Anatomy and Physiology: The Skeletal Muscle System. Biofeedback, 38(2), 47-51.


Biofeedback Certification International Alliance (2015).  Professional Standards and Ethical Principles of Biofeedback.

Hagedorn, D. (Fall 2014).  Infection risk mitigation for biofeedback providersBiofeedback, 42 (3), pp. 93-95.

Striefel, S. (Summer 2009). Ethical treatment of traumatic brain injury. Biofeedback, 37(3), 88-91.

Striefel, S. (Winter 2008). The case for clinical practice guidelines for neurofeedback and general biofeedback. Biofeedback, 36(4), 121–125.

Striefel, S. (Summer 2008). Ethical issues in breathing and yoga treatment techniques. Biofeedback, 36(2), 46-48.

Striefel, S. (Spring 2008). Ethical aspects of heart rate variability biofeedback. Biofeedback, 36(1), 5-8.

Striefel, S. (Summer 2007). Ethical practice issues in treating pain. Biofeedback, 35(2), 44-47.

Striefel, S. (Winter 2006). Uncertainties in daily practice. Biofeedback, 34(4), 123-126.

Striefel, S. (Spring 2006). Boundaries and scope of practice issues in treating pelvic floor disorders. Biofeedback, 34(1), 3-6.

Heart Rate Variability

Aubert, A. E., & Verheyden, B. (Spring 2008). Neurocardiology: A bridge between the brain and the heart. Biofeedback, 36(1), 15-17.

Gevirtz, R., & Dalenberg, C. (Spring 2008). Heart rate variability biofeedback in the treatment of trauma symptoms. Biofeedback, 36(1), 22-23.

Peper, E., Harvey, R., Linn, I.-M., Tylova, H., & Moss, D. (Summer 2007). Is there more to blood volume pulse than heart rate variability, respiratory sinus arrhythmia, and cardiorespiratory synchrony? Biofeedback, 35(2), 54-61.

Karavidas, M. (Spring 2008). Heart rate variability biofeedback for Major Depression. Biofeedback, 36(1), 18-21.

Lagos, L., Vaschillo, E., Vaschillo, B., Lehrer, P., Bates, M., & Pandina, R. (Fall 2008). Heart rate variability biofeedback as a strategy for dealing with competitive anxiety: A case study. Biofeedback, 36(3), 109-115.


Cannon, R., Lubar, J., & Baldwin, D. (2008). Self-perception and experiential schemata in the addicted brain. Applied Psychophysiology and Biofeedback, 33(4), 223-238.

Chabot, R. J., di Michele, F., & Prichep, L. (2005). The role of quantitative electroencephalography in child and adolescent psychiatric disorders. Child and Adolescent Clinics of North America, 14(1), 21-53.

Collura, T. F. (Winter 2008). Neuronal dynamics in relation to normative electroencephalography assessment and training. Biofeedback, 36(4), 134-139.

Gruzelier, J., & Egner, T. (2005). Critical evaluation studies of neurofeedback. Child and Adolescent Clinics of North America, 14(1), 83-104.

Hammond, D. C. (2005). Neurofeedback with anxiety and affective disorders. Child and Adolescent Clinics of North America, 14(1), 105-123.

Hammond, D. C. (Fall 2006). Quantitative electroencephalography patterns associated with medical conditions. Biofeedback, 34(3), 87-94.

Hirshberg, L.M., Chiu, S., & Frazier, J. A. (2005). Emerging brain-based interventions for children and adolescents: Overview and clinical perspective. Child and Adolescent Clinics of North America, 14(1), 1-19.

Monastra, V. J. (2005). Electroencephalographic biofeedback (neurotherapy) as a treatment for attention deficit hyperactivity disorder: Rationale and empirical foundation. Child and Adolescent Clinics of North America, 14(1), 55-82.

Saab, M. (Winter 2008). Basic concepts of surface electroencephalography and signal processing as applied to the practice of biofeedback. Biofeedback, 36(4), 128-133.

Schummer, G. J. (Winter 2008). The dysconnection syndrome. Biofeedback, 36(4), 157-162.

Sokhadze, T.M., Cannon, R. L., Trudeau, D. L. (2008). EEG biofeedback as a treatment for substance use disorders: Review, rating of efficacy, and recommendations for further research. Applied Psychophysiology and Biofeedback, 33(1), 1-28.

Thornton, K. E., & Carmody, D. P. (2009). Traumatic brain injury rehabilitation: QEEG biofeedback treatment protocols. Applied Psychophysiology and Biofeedback, 34(1), 59-68.

Trudeau, D. L. (2005). Applicability of brain wave biofeedback to substance use disorder in adolescents. Child and Adolescent Clinics of North America, 14(1), 125-136.


Geisser, M. E. (Spring 2007). Surface electromyography and low back pain. Biofeedback, 35(1), 13-16.

Gevirtz, R. (Summer 2006). The muscle spindle trigger point model of chronic pain. Biofeedback, 34(2), 53-56.

Glaros, A. G. (2008). Temporomandibular disorders and facial pain: A psychophysiological perspective. Applied Psychophysiology and Biofeedback, 33(3), 161-171.

Neblett, R. (Spring 2007). Correcting abnormal lumbar flexion surface electromyography patterns in chronic low back pain subjects. Biofeedback, 35(1), 17-22.

Nestoriuc, Y., Martin, A., Rief., W., & Andrasik, F. (2008). Biofeedback treatment for headache disorders: A comprehensive efficacy review. Applied Psychophysiology and Biofeedback, 33(3), 125-140.

PMD Biofeedback - Elimination Disorders & Pelvic Pain

Dickinson, R. (Spring 2006). What you wanted to know about urodynamics but were afraid to ask. Biofeedback, 34(1), 17-19.

Glazer, H. (Spring 2006). Intravaginal surface electromyography in the diagnosis and treatment of vulvovaginal pain disorders. Biofeedback, 34(1), 12-16.

McGee, D. (Spring 2006). Laboratory Evaluation of Anorectal Function and the Relationship to Biofeedback. Biofeedback, 34(1), 25-33.

Sherman, R. (Spring 2006). Behavioral assessments and treatments for many pelvic floor problems are effective and simple to perform. Biofeedback, 34(1), 8-11.

Sherman, R. (Spring 2006). Behavioral treatment of urinary incontinence among healthy young women. Biofeedback, 34(1), 34-36.

Striefel, S. (Spring 2006). Boundaries and scope of practice issues in treating pelvic floor disorders. Biofeedback, 34(1), 3-6.


Smith, J. C. (Fall 2007). The new psychology of relaxation and renewal. Biofeedback, 35(3), 85-89.

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