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A woman looks at a map with a photo of a brain. In the background a maze leads to various treatments, rTMS, neurofeedback, PEMF, QEEG

Which Treatment Should I Try?

June 12, 20264 min read

"The goal isn’t to fit you into a treatment. It’s to fit the treatment to you."

rTMS, Neurofeedback, PEMF, qEEG: How Do They All Fit Together?

If you’ve been looking into what we do at Sano State, you’ve probably noticed we don’t just offer one type of treatment.

We use:

  • rTMS (Exomind)

  • Neurofeedback

  • PEMF (Bellabee)

  • qEEG brain mapping

And alongside those, we also incorporate other supports like talk therapy, photobiomodulation, and biofeedback when they make sense.

At first glance, that can feel like a lot.

Are these all doing the same thing?

Do you need all of them?

Or is one better than the others?

The reality is, each one plays a different role.

qEEG: Understanding the Brain First

Before getting into treatments, it’s important to start here, with qEEG. That’s how we’re doing things at our clinics.

Importantly: qEEG is not a treatment, it is an assessment tool.

It allows us to measure brain activity and see how different areas are functioning. That gives us insight into patterns related to things like:

  • Mood

  • Focus

  • Regulation

  • Overactivity or underactivity in certain regions

Instead of guessing, we’re working from actual data. Everything else we do is built on top of that.

A woman navigating a maze with a map. The maze is brain colored. QEEG

Neurofeedback: Training the Brain

Neurofeedback is about helping the brain learn. It’s a training process.

We monitor brain activity in real time and give feedback that helps the brain move toward more optimal patterns.

Over time, the brain starts to regulate itself better.

This is often useful when:

  • There are long-standing patterns that need to change

  • Regulation is inconsistent

  • You’re looking for more stable, long-term improvements

It’s not the fastest kind of treatment, but it builds and lasts.

A smiling man with sensors on his head. A computer in the background shows a brain lifting weights. EEG Neurofeedback

rTMS: Stimulating the Brain

rTMS takes a different approach.

Instead of training the brain, it stimulates specific areas directly using magnetic pulses.

That stimulation can help:

  • Activate underperforming regions

  • Shift brain activity more quickly

  • Create movement when things feel stuck

With the Exomind system, this is done in a way that is much more comfortable than older rTMS approaches.

rTMS can be a strong option when:

  • Progress has stalled

  • Symptoms feel more “locked in”

  • Or a more direct intervention is needed

A smiling man with one large sensor over his head. On the computer in the background an excited brain leaps. rTMS.

PEMF (Bellabee): Supporting the System

PEMF works a bit differently from both neurofeedback and rTMS.

It uses pulsed electromagnetic fields to support cellular and nervous system function. These are given at a power far, far lower than rTMS.

Rather than targeting one specific brain region, it works more broadly to:

  • Support regulation

  • Improve recovery

  • Reduce stress on the system

This can make it a useful complement to other treatments. Or it can be used to help achieve specific states, like a state of meditation, focus, or sleep. In many cases, it helps the brain and body become more receptive to change.

Three gears connect in the background. The aura of a calm cross-legged person glows in the front. The person has a headband on. PEMF. Bellabee.

How These Work Together

This is where most people get tripped up.

These are not competing treatments. They’re different tools that can be used in different ways.

For example:

  • qEEG helps us understand what’s going on

  • rTMS can help create change in targeted areas

  • Neurofeedback can help train and stabilize those changes

  • PEMF can support the system overall

And when needed, we layer in other supports like counselling or biofeedback to address the psychological and physiological side of things.

Depending on the person, we might use:

  • One approach

  • A combination

  • Or a sequence over time

Why We Don’t Take a One-Size-Fits-All Approach

There are standardized protocols for many of these treatments, and those are important.

But the challenge is that people don’t all have the same brain patterns. We often find that two people can have the same diagnosis and very different underlying brain activity.

That’s why we start with assessment and build from there.

The goal isn’t to fit you into a treatment. It’s to fit the treatment to you.

So… Which One Do You Actually Need?

That depends on your brain.

In general:

  • If you want to understand what’s going on → qEEG

  • If the brain needs training → neurofeedback

  • If the brain needs more direct activation → rTMS

  • If the system needs support and regulation → PEMF

But most people don’t fall into just one category.

That’s why having multiple options matters.

The Bottom Line

These aren’t competing approaches. They’re different ways of working with the same system.

We take pride in our ability to provide a multifactor approach. The key is knowing when and how to use each one.


If you're interested in one, or all, of our treatments, the easiest way to learn more is to reach out. Send us a text. Give us a call. Pop into the closest office. We are happy to arrange time to explain in detail and find the best fit for you.

587-333-6349

info@sanostate.com

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Dr. Blake Ausmus

Dr. Blake Ausmus is a Registered Psychologist in Alberta. He is the owner of Sano State Health Clinic and he practices in Calgary and St. Albert.

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