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Interventional Psychiatry Β· EEG-Guided Neurofeedback

PRISM for PTSD

An FDA-cleared, medication-free PTSD therapy that doesn't require you to retell your trauma. Using an EEG headset and an interactive computer simulation, you learn a personal mental strategy to calm the brain's overactive stress response β€” a skill you can carry into everyday life.

FDA-clearedAdjunct therapy for PTSD
15 sessionsOver about 8 weeks
~45 minPer session
No medicationNon-trauma-based
Illustration: a patient wearing an EEG headset watches an on-screen waiting-room scene that responds to their brain activity

Overview

What is PRISM?

PRISM is a neurofeedback therapy developed by GrayMatters Health and cleared by the FDA in 2023 as an adjunct to standard care for PTSD. It's designed to target the amygdala, the brain region that drives fear and the fight-or-flight response, which tends to be overactive in PTSD.

Unlike exposure-based therapies, PRISM doesn't ask you to revisit traumatic memories. Instead, you practice regulating your brain's stress signal directly, with real-time feedback showing you when it's working.

Why PRISM

At a glance

  • No medication and no trauma narrative required
  • Non-invasive EEG headset β€” nothing is implanted or stimulated
  • Builds a self-regulation skill you keep using after treatment
  • Works alongside your existing therapy and medications
  • Mild side effects, such as fatigue or headache, if any
Diagram: the PRISM feedback loop, where the headset reads a stress signal, the screen reacts, and the patient adjusts their mental strategy1Your stress signalamygdala-related activity2EEG headset reads itin real time3The scene reactscalmer or more agitated4You adjust yourpersonal mental strategyEach sessionstrengthens the skill
PRISM is a feedback loop: you see your brain's stress signal in real time and learn what calms it.

What to Expect

Inside a PRISM session

  1. Put on the EEG headset. A lightweight headset reads your brain activity. It only records β€” it doesn't send any current into the brain.
  2. Watch the simulation. You see an animated waiting-room scene on screen. The scene grows more agitated or calmer depending on your amygdala-related brain signal.
  3. Find your mental strategy. You experiment with a personal approach β€” a memory, image, feeling, or thought β€” that calms the scene. Over sessions, you learn which strategy works best for you.
  4. Practice and strengthen. Each roughly 45-minute session reinforces that strategy so your brain learns to downshift its stress response more easily.
  5. Apply it in daily life. Between and after sessions, you use the same strategy when PTSD symptoms flare. Booster sessions are available if needed.

Candidacy

Who may benefit

  • Adults with chronic PTSD who want a non-medication option
  • People who couldn't tolerate or didn't benefit enough from trauma-focused therapy
  • Patients who prefer not to retell traumatic experiences
  • Those wanting to add a skills-based tool to their current treatment

Evidence

What the research shows

FDA clearance was based on a multi-center study of adults with chronic PTSD. Most participants completed the full program, and a majority showed clinically meaningful improvement on standard PTSD measures in the months after treatment, with improved sleep reported as well. Side effects were mild and resolved on their own.

PRISM is cleared as an add-on to standard PTSD care, not a replacement. Individual results vary, and your psychiatrist will help you decide whether it fits your plan.

The Program

Time commitment

Sessions

15 total

Delivered over about eight weeks, roughly two sessions per week at first, then tapering.

Each Visit

About 45 minutes

No recovery time and no restrictions afterward β€” you can drive and go straight back to your day.

Afterward

Ongoing skill

Follow-up with your psychiatrist tracks progress. Booster sessions are available if symptoms return.

Mindspring Health is self-pay and does not bill insurance β€” see the Fees page for current pricing. We can provide a superbill for possible out-of-network reimbursement, but reimbursement isn't guaranteed.

Chart: 15 PRISM sessions spread over about eight weeks, with optional booster sessionsWk 1Wk 2Wk 3Wk 4Wk 5Wk 6Wk 7Wk 8Booster15 sessions Β· about 45 minutes each
A typical program of 15 sessions over about eight weeks.

Physician-Led Care

Overseen by a board-certified psychiatrist

Dr. A. Umair Janjua, M.D., FAPA, founded Mindspring Health and oversees its interventional psychiatry program. Every interventional treatment is reviewed with you by a psychiatrist before it becomes part of your plan, and monitored and adjusted the same way the rest of your care is.

Double Board-CertifiedGeneral & Forensic PsychiatryEmory-TrainedFAPA
Meet Our Providers

Common Questions

Frequently Asked Questions

Is PRISM FDA-cleared?

Yes. PRISM received FDA 510(k) clearance in 2023 as an adjunct to standard-of-care treatment for PTSD.

Do I have to talk about my trauma?

No. PRISM is non-trauma-based. You practice regulating your brain's stress response without revisiting traumatic memories.

Does the headset stimulate my brain?

No. The EEG headset only reads brain activity. Nothing is sent into the brain.

How long does the program take?

Fifteen sessions of about 45 minutes each, over roughly eight weeks.

Are there side effects?

Most people have none. Some report mild fatigue or headache, which typically resolves on its own.

Can I continue therapy and medications?

Yes. PRISM is designed to be added to your existing PTSD treatment.

Can I drive after a session?

Yes. There's no medication or sedation, so you can drive and return to normal activities right away.

Does insurance cover PRISM?

Mindspring Health is self-pay and does not bill insurance. Most insurers don't currently cover PRISM. We can provide a superbill on request.

Find out if you're a candidate

Every interventional treatment at Mindspring Health starts with a comprehensive psychiatric evaluation by a board-certified psychiatrist.