Last modified: August 26, 2021
CFC: Cross-Frequency Coupling and Neurofeedback:
I think an important discovery is being overlooked. In 2010, I predicted that a new type of neurofeedback would up-
regulate adaptability and insight. I created a specific neurofeedback instrument to train simultaneous ‘ups and downs’ in
the amplitudes of 2 different frequency bands (CFC). For starts I investigated CFC primarily of theta, alpha and gamma
EEG. Because CFC is an essential component of global broad band synchronization, I called the process TAG Sync.
Five years later my same instrument was independently discovered to measure fluid intelligence  through CFC of
theta and gamma.
General References for this page:
 Pahor A, et al (2014) - Theta–gamma cross-frequency coupling relates to the level of human intelligence.
Intelligence 46 (2014) 283-290.
 Ray S, et al (2015) - Structural and functional connectivity of the human brain in autism spectrum disorders and
attention-deficit hyperactivity disorder - Rich club organization. Hum Brain Mapp. Dec; 35(12): 6032-6048. p. 11.
 Chapin TJ, et al (2014) - Neurotherapy and Neurofeedback: Brain-Based Treatment for Psychological and
Behavioral Problems. Routledge. pp 144.
 Florin E, et al (2015) - The brain's resting-state activity is shaped by synchronized cross-frequency coupling of
neural oscillations. NeuroImage 111, 26-35
 Aru J, et al (2015) - Untangling cross-frequency coupling in neuroscience. Current Opinion in Neurobiology,
 Ulrich G (2013) – The Theoretical Interpretation of Electroencephalography. BMed.
 Varela F, et al (2001) - The brainweb - Phase synchronization and large-scale integration. Nature Reviews
Neuroscience, Vol 2, April 2001, p229.
 Karlsson MP, et al (2012) - Network resets in medial prefrontal cortex mark the onset of behavioral uncertainty.
Science Vol 338, 5 Oct 2012.
 Engel AK, et al (2013) - Intrinsic Coupling Modes - Multiscale Interactions in Ongoing Brain Activity. Neuron 80, Nov
 Kaminski J, et al (2011) - Short-term memory capacity (7 ± 2) predicted by theta to gamma cycle length ratio.
Neurobiology of Learning and Memory 95; 19-23
 Khalid A, et al (2016) - Gamma oscillation in functional brain networks is involved in the spontaneous remission of
depressive behavior induced by chronic restraint stress in mice. BMC Neurosci (2016) 17:4.
 Aru J, et al (2015) - Untangling cross-frequency coupling in neuroscience. Curr Opin Neurobiol. 2015 Apr;31:51-61.
 Siebenhühner F, et al (2016) - Cross-frequency synchronization connects networks of fast and slow oscillations
during visual working memory maintenance. eLife. 2016; 5: e13451.
 Dimitriadis SI, et al (2015) - A novel biomarker of amnestic MCI based on dynamic cross-frequency coupling
patterns during cognitive brain responses. Front Neurosci. 2015; 9: 350.
 Wang J, et al (2017) - Enhanced Gamma Activity and Cross-Frequency Interaction of Resting-State
Electroencephalographic Oscillations in Patients with Alzheimer's Disease. Front Aging Neurosci. 2017; 9: 243.
TAG Sync Cross Frequency Coupling Envelopes Instrument:
Above you can investigate my instrument # 4, the CFC envelopes instrument showing the coupling over time of the
amplitudes of rewards 1 and 2 (which are filtered from the sum of EEG channels 1 and 2). This might be a simple case
of amplitude-amplitude coupling except for the fact that amplitudes also reflect the synchronous behavior near the
electrode(s). The 10-20 sites used in the TAG Sync General Adaptation Protocol (GAP) include the midline (Fz, Pz)
and regions of the right and left fronto-parietal networks (F3,P3 and F4,P4). I call this the “DMN/FPN kernal” but the
associated cortical hubs also represent the so-called “rich club” . Please examine instrument #4 which simply
displays the amplitude envelopes of rewards 1 and 2, e.g., theta and gamma, over a period of around 6 seconds.
Now please look at a similar envelopes instrument adapted from Figure 3 of Pahor & Jaušovec 2014 .
In the above graph Pahor & Jaušovec 2014  show the correlation (r = 0.51) between theta and gamma envelopes
generated when cognitively intact individuals solve a difficult challenge - Ravens progressive matrices. At rest there is
little correlation (r = 0.16) and during a simple RAPM the CFC increases to r = 0.33.
Note the gray area in the above graph. An identical appearance (sudden large simultaneous increase) was noted to be
accompanied by clinically important insight in my first two alpha-theta synchrony (CFC) patients in 2010. Following a
number of initially large synchronous alpha and theta neuronal avalanches, the general coupling between theta and
alpha increased throughout the recording. This makes sense because of the 1/f power law distribution of neuronal
avalanches. Clinicians with whom I shared this information began observing that general increases of CFC under task
(i.e., NFB) are associated with increasing intelligence and maturity. This was described in several TAG Sync case
studies in a recent Routledge textbook on neurofeedback .
Below, I will address some issues regarding my early use of envelopes to promote self-regulation of broad-band
The Hailing Channel: My earliest 2010 observations included the fact that it was often necessary to find and “open” a
narrow communications channel between two hubs. This frequency was often with 1-2 Hz of the frequency in the
spectral display showing the highest amplitude in a particular band. This phenomena appears to have been addressed
recently by Florin et al 2015 . Further confirmation that CFC NFB may require individualized treatment was stated
earlier this year by Aru et al (2015) who state “... adaptive rather than fixed bandwidths might be necessary when
scanning the modulating frequency in explorative analyses." They continue, “... if the bandwidth of the higher frequency
component (F2) does not include the side peaks produced by the lower frequency (F1), then CFC cannot be detected
even if it is present. "
Cross-Frequency Coupling Neurofeedback - Protocol Selection:
You may want to consult some of the literature below as you implement CFC in your neurofeedback protocols. I prefer
not to use the word protocol. I regard the technology-assisted exploration of state changes to be personal and dynamic
and work best in what I call a brain-computer-brain interface with a skilled operator. Constant attention is paid to the
appearance of paroxysmal fast activity, appearance or disappearance of drowsy or dissipated states , as well as shifts
in the “hailing frequencies” which we learn to adjust in order to promote awake, adaptive and restorative states. My
Nexus and Infiniti Screens include HRV, GSR, Temp & EMG biofeedback during sessions. TAG Sync (as a methodology)
carries the cross-frequency coupling all the way to delta, to the 0.1 Hz Mayer wave, to the ultra-low frequencies around
0.01 Hz that are shared with resting state networks. TAG Sync techniques may be applicable to all cortical sites, or those
known to be dysfunctional or disconnected through clinical investigations.
Here are some clinical reports that may be useful in developing an individual plan.
Aging/memory loss - Pinal D, et al (2015) - Stuck in Default Mode - Inefficient Cross-Frequency Synchronization May
Lead to Age-Related Short-Term Memory Decline
Alzheimer’s Disease - Ittner AA, et al (2014) - p38 MAP kinase-mediated NMDA receptor-dependent suppression of
hippocampal hypersynchronicity in a mouse model of Alzheimer’s disease. Acta Neuropathologica Communications,
Arithmetic Task Processing - Palva JM, et al (2005) - Phase synchrony among neuronal oscillations in the human
cortex. The Journal of Neuroscience, April 13, 2005, 25(15):3962-3972.
Autism - Khan S, et al (2013) - Local and long-range functional connectivity is reduced in concert in autism spectrum
disorders. Proc Natl Acad Sci U S A. 2013 Feb 19;110(8):3107-12. Berman JI, et al (2015) - Alpha-to-Gamma Phase-
Amplitude Coupling Methods and Application to Autism Spectrum Disorder. Brain Connect. Apr;5(2):80-90.
Depression - Khalid A, et al (2016) This article shows how the EEGs of traumatized mice change as they
spontaneously recover from depression. The brain’s natural treatment for depression appears to be re-immersion in
complexity/uncertainty accompanied by global broad band synchronization with primary resolution of delta and gamma
CFC [SBeh]. See also Zheng C, et al (2015) - Synaptic plasticity-related neural oscillations on hippocampus-prefrontal
cortex pathway in depression. Neuroscience. Feb 12.
Epilepsy - Guirgis M, et al (2015) - Defining regions of interest using cross-frequency coupling in extratemporal lobe
epilepsy patients. J Neural Eng. Mar 13;12(2):026011,
Intelligence / memory - Pahor A, et al (2014) - Theta–gamma cross-frequency coupling relates to the level of human
intelligence 46 (2014) 283-290. Roux F, et al (2014) - Working memory and neural oscillations - alpha–gamma versus
theta–gamma codes for distinct WM information. Trends in Cognitive Sciences, January 2014, Vol 18, No 1. Xu X, et al
(2013) - Reduction in LFP cross-frequency coupling between theta and gamma rhythms associated with impaired STP
and LTP in a rat model of brain ischemia. Frontiers in Computational Neuroscience, 05 April.
Motivation / Emotion - Schutter DJLG, et al (2011) - Cross-frequency coupling of brain oscillations in studying
motivation and emotion. Motiv Emot.
Near Death Experience / Hospice environment - Borjigin J, et al (2013) - Surge of neurophysiological coherence
and connectivity in the dying brain. Proc Nat Acad Sci, Aug 14, 2013. . The EEG exhibits CFC of theta, alpha and
gamma plus increased efficiency and directed connectivity.
Parkinson’s Disease - Gong R, et al (2020) - Spatiotemporal features of β-γ phase-amplitude coupling in Parkinson's
disease derived from scalp EEG. Brain. Nov 30. Swann NC, et al (2015) - Elevated synchrony in Parkinson disease
detected with electroencephalography. Ann Neurol. 2015 Aug 20. Herz DM, et al (2014) - Levodopa reinstates
connectivity from prefrontal to premotor cortex during externally paced movement in Parkinson's disease. NeuroImage
Vol 90, 15 April, Pages 15-23. Lopez-Azcarate J, et al (2010) - Coupling between Beta and High-Frequency Activity in
the Human Subthalamic Nucleus May Be a Pathophysiological Mechanism in Parkinson's Disease. The Journal of
Neuroscience, May 12; 30(19):6667– 6677.
Obsessive-Compulsive disorder - Velikova S, et al (2010) - Dysfunctional brain circuitry in obsessive-compulsive
disorder - Source and coherence analysis of EEG rhythms. Neuroimage 49; 977-983.
Reward/Punishment processing - Cohen MX, et al (2009) - Good Vibrations - Cross-frequency Coupling in the Human
Nucleus Accumbens during Reward Processing. J Cogn Neurosci. May;21(5):875-89.
Schizophrenia – Allen EA, et al (2011) - Components of Cross-Frequency Modulation in Health and Disease. Frontiers
in Systems Neuroscience; 5:59.
Sickness Behavior - Khalid A, et al (2016) - This article shows how the EEGs of traumatized mice change as they
spontaneously recover from sickness behavior due to chronic restraint stress. The brain’s natural treatment for
depression appears to be re-immersion in complexity/uncertainty accompanied by global broad band synchronization
with primary resolution of delta and gamma CFC [SBeh].
Social Anxiety Disorder - Miskovic V, et al (2011) - Changes in EEG cross-frequency coupling during cognitive
behavioral therapy for social anxiety disorder. Psychological Science: 22;507. Knyazev GG (2011) - Cross-frequency
coupling of brain oscillations - An impact of state anxiety. Int J Psychophysiology. There is excessive CFC between delta
and beta at rest, often relieved by CBT and sometimes testosterone.
Tinnitus - Adamchic I, et al (2014) - Abnormal cross-frequency coupling in the tinnitus network. Frontiers in
Neuroscience, Sept 25.
Vascular Dementia - Xu X, et al (2015) - Effects of Hydrogen Sulfide on Modulation of Theta-Gamma Coupling in
Hippocampus in Vascular Dementia Rats. Brain Topogr. Mar 14.
More on CFC and EEG Biofeedback:
The phrase “cross-frequency coupling” first appears in the pubmed.gov database in 2002. The number of publications
each year dealing with CFC is shown below.
In 2010 I became convinced that it would be adaptive to the brain to be able to regulate alpha-theta phase synchrony
on demand in order to facilitate “valid cognition” . It was easy to observe that the larger neuronal avalanches were
associated with behavioral changes . With increased training and/or clinical improvement the amplitude envelopes of
delta, theta, alpha, and gamma became more correlated. The CFC envelopes instrument became an important part of
the feedback sessions. Some clients prefer to train on occasion simply by watching the envelopes instrument and
learning to couple the cross-frequency amplitude movements.
As we discussed, CFC is easily observed in nature, but can be complicated mathematically. Since, at this time, EEG
databases do not advise us with normative inter-site CFC values, we must depend upon theory to guide us.
Recently there has been discussion of the significance of such an envelopes instrument. For example, Engel et al
“We discuss evidence for two distinct types of intrinsic coupling modes which seem to reflect the operation of
different coupling mechanisms. One type arises from phase coupling of band-limited oscillatory signals, whereas
the other results from coupled aperiodic fluctuations of signal envelopes.”
“Several recent studies have applied correlation measures to the amplitude or power envelopes of the
recorded signals, rather than to the phase of the underlying oscillations (de Pasquale et al., 2010; Brookes et
al., 2011, 2012; Hipp et al., 2012). Analysis of such signal envelopes can be used to capture slow fluctuations
similar to what is provided by the BOLD imaging (Laufs et al., 2003; Tagliazucchi et al., 2012a). Both the
analysis of envelope correlations in electrophysiological signals and of correlated BOLD fluctuations yield
what we designate as envelope ICMs.” (ICM - Intrinsic Coupling Mode).
Kaminsky et al 2011 describe CFC in memory, “Envelope traces of those theta and gamma activity bands which had
the highest correlation.”  A search for cross-frequency coupling and amplitude envelope correlation provides a
wealth of discussion, much of it highly mathematical.