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Clients learn how to make adjustments to make the signal change in the desired direction, by lowering the pitch of a tone or moving the line of a graph on a display. Biofeedback with children uses a game based interface.

The client makes these changes by applying stress management techniques they have learned. As they relax this eventually triggers biofeedback from the machine. This, and perhaps praise from the therapist is rewarding and reinforces the clients behaviour, making further success more likely.

Budzynski

Identified three main phases to biofeedback training

1. The client learns to become aware of their physiological response and how it can be adjusted in a desired direction.

3. Control of the response has to be transferred to everyday life, so the client practices in stressful situations rather than in the safety and comfort of a therapy room.

2. The client learns how to use various techniques to control the response.