Willow Street Wellness & Neurofeedback

09/24/2025

Maybe it’s time to learn some biofeedback? Optimize breath and stress resilience further ?

HRV stands for “Heart Rate Variability”. HRV Biofeedback optimizes the normal variation of the heart rate with the breath rate. (HRV can deteriorate with stress, age, lack of fitness, etc, but improve with biofeedback.)

Improved HRV—a measure of heart rhythm in cardiology, medicine, and biofeedback — is correlated with improved all-cause morbidity. AND a relatively easy, nontoxic intervention that can much reduce stress and strain on the body and mind— as well as benefits for meditation, spirituality through quieting of the mind, improved brain ( and other end-organ) perfusion.

Easy to introduce you, we’d just need an hour and a sensor for you to give it to yourself frequently.

Sometimes helpful w arrhythmias. Generally helpful w stress related medical conditions like stress headaches, irritable bowel, stress-exacerbated skin diseases, asthma, etc.

Just reminding you of options. Even those of us who’ve tried every modality and mastered lots of skills can benefit further from this neglected modality.

For more information check out our website: https://drhoganpesaniello.wixsite.com/willow-street-wellne

Schedule your appointment today!

Contact us at 667-661-2024 or 757-894-3118

Experience the transformative power of neurofeedback and biofeedback services tailored to elevate your performance, resilience, and emotional well-being. Our educational offerings enhance your mental and physical capacities for a harmonious life.

09/15/2025

Are you thinking of purchasing a "Direct-Consumer Neurofeedback Device"? Well, think again!! Here is a link to some food for thought on these devices.

A patient recently forwarded a device she found online that was direct to consumer neurofeedback and asked my thoughts. This is a general opinion until I am given reason to change it. I and it seems to me most clinically based NF providers are concerned about "one size fits all” home devices -- ev...

06/10/2025

Do you know about your “heart brain”? Check out this article and pictures describing the heart’s electromagnetic waves — that extend two meters out from the heart!

Might this be why improving our HRV can change the atmosphere in the room?
https://drhoganpesaniello.wixsite.com/home/hrv-biofeedback

https://www.linkedin.com/posts/lanson-burrows-jones-jr-49161651_neurocardiology-heartbrain-peerreviewedscience-activity-7331674765822226433-mHw2/?fbclid=IwY2xjawK1J7RleHRuA2FlbQIxMABicmlkETFySkdnbW8xMUZUcFlNYTZCAR6Yx_cuDEhHbXI4Ht6poI17Xz4fPFLJXevrWLE9affD1ma0PKerGyJuasWyag_aem_8PhTUIGbMgDT1fjArRuOX

Science just proved your heart holds memory—Measured. Peer-reviewed. Biological fact.The human heart contains an intrinsic neural network, emits a structured, coherent electromagnetic field, and demonstrates synaptic, biochemical, and geometric mechanisms for encoding information—comparable to m...

06/03/2025

Check out the latest interview of Jeff Carmen, who developed one of our neurofeedback offerings (the pirHEG) we have at Willow Street.

He developed it for Tx of migraine pain and frequency, and it is terrific for that, , but it is also useful after concussion, for attention and mood regulation:

This is an interview by Saul Rosenthal, PhD, current president of AAPB, one of our national neurofeedback and biofeedback societies.

Quickly and easily listen to Healthy Brain Happy Body for free!

05/13/2025

We are participating in the Health and Wellness Fair tomorrow. Stop by our table to see some of our equipment and what we have to offer.

04/16/2025

and and Disease

I just came across an old article I cut out from a psychiatric journal about 17 years ago: Depression and Heart Disease: a Curious Relationship,
by the then APA President Carolyn Rabinowitz,MD and Charled Nemeroff MD, PhD

These MD’s highlight the interaction between heart disease and depression, pointing out the interrelated elevation in inflammatory cytokines and the platelet clotting cascade and platelet aggregation.

One of their statements caught my eye:
“Decreased heart-rate-variability, a well-documented risk for MI, has repeatedly been found in patients with major depression “

This was 2008, right after I learned to train HRV, and was already bewildered that other physicians were ignoring this powerful use of biofeedback, especially in psychiatry.

I recently asked my cardiologist—a Johns Hopkins-trained rhythm guy, who I see for my PVC’s— about HRV, and he said absolutely HRV correlates with morbidity (medical problems) from all causes!

(HRV is one of the physiologic measures cardiologists can follow to see which patient is more likely to deteriorate next.)

Most docs( including my own cardiologist) may “give a nod” to the importance of HRV. However, very rarely have I seen any sustained attempts by clinicians to include HRV —or handwarming biofeedback or neurofeedback, similarly evidence-based tools— in their patient care.

My aim in creating a community-facing center for neurofeedback and biofeedback
(Willow Street Wellness and Neurofeedback) is innovate in modelling increased access to these modalities in wellness and in the care for stress-related conditions.

Patients can learn to train their HRV on their own with wellness tools. (I prefer tools such as Heart-Math’s Inner Balance sensor and app, over the aura ring or Apple Watch, for a variety of reasons, including sampling rate and focused practice/feedback method).

It’s my observation — and supported by research in wellness — that people are more likely to actually use personal wellness feedback tools and strategies if introduced, educated, accompanied, coached, and choose to arrange even brief appointments for accountability with another person.

At Willow Street Wellness and Neurofeedback, after personalized assessment and planning session (s), We can arrange teaching, coaching and practice to fit the preferences, symptom level or performance goals on an individual basis, from training 1:1 with Dr Pesaniello, or with the tech, or advancing to more independence, self training with our equipment with close or minimal supervision.

Home devices otherwise may be underutilized.

Our goal is effective use and generalization of skills so eventually the need for the feedback to refresh skills is infrequent or rare — due to strong acquisition of skill.

This low risk, nontoxic alternative can improve wellness, resilience, and performance. In a comprehensive approach to symptom reduction — biofeedback and neurofeedback can help improve stress related conditions, possibly help with de-prescribing or avoiding medications.

Call us at Willow Street or contact Dr. Pesaniello, our come to one of our learning sessions if you desire more info.

02/10/2025

Dr. Pesaniello is happy to announce, she will be holding an open house at her Willow Street Wellness and Neurofeedback location this Wednesday, February 12th from 6-8pm.

She will be showing the new space and demonstrating the modalities she has available for biofeedback and neurofeedback.

Anyone interested please come out and join her!

The address is 111 Willow St. Snow Hill, MD

02/06/2025

Dr. Pesaniello will be holding an open house at her Willow Street Wellness and Neurofeedback location this Saturday, February 8th from 10am-12pm.

She will be showing the new space and demonstrating the modalities she has available for biofeedback and neurofeedback. Anyone interested please come out and join her!

The address is 111 Willow St. Snow Hill, MD.

02/04/2025

Dr. Pesaniello is now scheduling open house presentations for groups such as but not limited to sports coaches, educators, EMS/first responders, pastoral care groups, professionals, educators, behavioral health providers, physicians, PTAs, and medical professionals. She is excited to show you what the modalities she has to offer for overall wellness and optimal performance and supervise some experiential learning.
If your group is interested in scheduling a presentation, please contact us at 757-894-3118 or email: dr.hoganpesaniello@pesaniellooffice.com

02/04/2025

Willow Street Wellness and Neurofeedback

This is a satellite of my existing business (Kimberly Hogan Pesaniello, MD) in Snow Hill. The mission of Willow Street Wellness and Neurofeedback is three:

1. To provide neurofeedback and biofeedback services to include assessment and trainings for purposes across the spectrum of optimum performance (school, sports, work, the performing arts) to stress resilience (improve stress-related symptoms such as irritable bowel or migraines), to improving mood stability and emotional regulation. There are also applications for improving cognitive control and flexibility, attention strength, reduced impulsivity. All these have potential to raise performance and wellness.
As opposed to the 1:1 neurofeedback and biofeedback services Dr. Pesaniello offers in her office on Washington Street, services at Willow Street Wellness and Neurofeedback will include options to be trained by technicians, or even to self-train (under tech supervision) after Dr. Pesaniello has provided assessment and instruction and initial sessions. Some of these modalities can be self-admistered using the equipment at Willow Street. The goal is accessibility and off-hours options so those whose work or school schedules have extended as well as lower cost options for accessing these modalities.

2. To provide education, presentations, and group learning about neurofeedback, biofeedback as well as learning wellness and optimum performance-related skills. (The neurofeedback and biofeedback can be used in conjunction with therapies or education/coaching to strengthen the results of learning and practice) Possible Themes: eating disorders, improving pain conditions, improving emotional regulation, addressing mood and cognitive issues associated with concussion recovery, yoga instruction, mindfulness and meditation, improving sleep, improving stress resilience, relaxation trainings. Other wellness and community offerings may include facilitating support groups, connecting with others to exercise, drum, practice yoga, or meditate, having a bartering bulletin board, organizing or facilitating small groups for discernment, focus, or brainstorming.

3. Art gallery: The Snow Hill Zoo, a zoological garden in miniature, complete with zoo train, will be on display initially for limited hours, when the other services are not active. Along with this, art from the community will be encouraged along the themes of exotic animal art, and wellness themes that will change with the seasons. Artists will have the opportunity to submit their art, including poetry or video, which will be displayed as agreed upon with Dr. Pesaniello.

Overall, the aim is to demonstrate a model by which neurofeedback, biofeedback, and wellness services can be facilitated by a physician, in a creative, affordable, community-facing way