Therapy Changes Welcomes Dr. Anke Reineke

Column Image

I am excited to join the Therapy Changes family and look forward to providing quality balanced care to our clients. I will provide services at the Point Loma location for teens, children, and adults.

I earned a Doctorate in Clinical Psychology with a Health emphasis from Alliant International University, after which I completed a post-doctoral internship at Rady Children’s Hospital.  I have worked with families at the hospital for the past 11 years.

I am grateful to have supported my clients through life challenges, to have gained their trust in helping them find ways to live happier and more fulfilling lives. As a clinician, I have learned much from my clients about strength, resilience, and overcoming the most challenging circumstances that life can throw at you. As a psychologist, I will help you find answers to your challenges and reach the goals that bring balance and joy to your life.

As a practicing psychologist, I have found that using Cognitive Behavioral Therapy (CBT) and biofeedback can effectively manage mental health concerns such as depression, posttraumatic stress and anxiety, as well as improving physical health or managing stress. Biofeedback, a treatment technique, trains people to improve their health by using signals from their own bodies. Through the signals, people gain insights into their internal responses and develop a sense about how to move them toward healthier ways.

When used with other therapeutic approaches, biofeedback shows effectiveness in treating a wide variety of health concerns including:

  • Migraines
  • Excessive stress
  • Anxiety
  • Fibromyalgia
  • Lower back pain
  • High blood pressure
  • Phobias
  • Obsessive compulsive behaviors
  • Rheumatoid arthritis
  • Posttraumatic stress
  • Physical injury
  • Raynaud’s syndrome

During a biofeedback session, a therapist attaches one or several electrical sensors to parts of the body that yield information about the nervous system.  The sensors convert the information into sound, pictures, or a flashing light – something that can be perceived directly. For example, a temperature sensor on the finger can translate skin temperature into an audible beep, wherein the higher the skin temperature is, the faster is the rate of beeping. With that audible “feedback” from the body, people can learn to warm their hands by raising the skin temperature. In doing this, they learn to consciously relax the pathways of the sympathetic nervous system that controls the “fight or flight response,” the body’s signal to constrict blood vessels when stress levels are high. The same pathways can also be used to control changes in the body that accompany any high-stress condition or response, ultimately resulting in an improved state of relaxation, calmness, or clarity.

Several biofeedback methods exist. Determining the right method for each client depends on your health problems and goals.

Biofeedback methods offered at Therapy Changes include:

  • Breathing
  • During respiratory biofeedback, bands are placed around the abdomen to monitor breathing pattern and respiration rate.
  • Heart rate
  • This biofeedback uses finger or earlobe sensors with a device called a photoplethysmograph using an electrocardiograph (ECG) to measure heart rate and heart rate variability.
  • Muscle
  • This method involves placing sensors over skeletal muscles with an electromyography (EMG) to monitor the electrical activity that causes muscle contraction.
  • Sweat glands
  • Sensors attached around the fingers or on the palm or wrist with an electrodermograph (EDG) measure the activity of your sweat glands and the amount of perspiration on your skin.

For more information on the effectiveness of biofeedback for specific health problems, visit the Association for Applied Psychophysiology and Biofeedback at


This entry was posted in Anxiety, Personal Improvement, Stress, Therapy. Bookmark the permalink.

Comments are closed.