Who Should Avoid Brainwave Entrainment?

The short answer

People with epilepsy or a seizure history should check with a doctor before trying light-based brainwave entrainment, because the NHS lists flashing lights among the things that might trigger a seizure. Anyone with a heart condition, a serious mental health condition or a pregnancy, and anyone taking psychoactive medication, should also ask a doctor first. The benefits of audio tracks are unproven.

Key points

  • The NHS lists flashing lights among the things that might trigger a seizure.
  • Ask a doctor first if you are pregnant or have heart or mental health conditions.
  • Check with a professional if you take medication that affects brain chemistry.
  • Start with short, low-volume sessions and stop if you feel unwell.
  • Gentle alternatives include mindfulness, breathwork and quiet nature sounds.
Illustration of an older man with a hand on his forehead, a red brain shown inside his head and wavy lines on both sides
Contents (12)

Introduction to Brainwave Entrainment

Brainwave entrainment might sound like science fiction, but it is a method of using rhythmic sounds, lights or vibrations to try to guide your brain into specific states. The idea is that your brain synchronizes its electrical activity with the external stimulus and matches the same frequency as the rhythmic input. People use it for relaxation, focus, sleep and meditation.

What is Brainwave Entrainment?

At its core, brainwave entrainment means syncing your brain’s electrical activity with an external stimulus, such as binaural beats or flashing lights. This alignment of your brain’s electrical patterns with outside rhythms is called neural entrainment or brainwave synchronization. The hope is that it can help shift you into states such as deep relaxation or heightened alertness.

How Brainwave Entrainment Works

Your brain produces electrical patterns, called brain waves, that change depending on your mental state. These patterns are a form of oscillatory activity generated by neurons. By providing consistent auditory or visual cues, entrainment aims to influence these patterns. It targets specific frequencies within a frequency range associated with a desired mental state. For example, slow beats are used with the aim of encouraging a meditative state, while faster rhythms are used with the aim of supporting focus.

Understanding Brain Waves

Brain waves, also known as neural oscillations, are the rhythmic electrical impulses produced by the brain. They are measured in Hertz (Hz) and reflect how the brain communicates within itself. Each brain wave operates within a specific frequency range and is linked with different mental states, such as alertness, relaxation or deep sleep. Understanding them is useful for anyone interested in brain entrainment techniques like binaural beats, since these methods aim to influence the brain’s natural rhythms. Knowing the different types of brain waves and their usual roles can help you make more informed decisions about using entrainment.

Types of Brain Waves (Alpha, Beta, Theta, Delta, Gamma)

The human brain produces five main types of brain waves, each with its own frequency range and associated mental state:

  • Alpha waves (8-12 Hz): Most prominent when you are awake but relaxed, such as during meditation or quiet reflection. Relaxation and meditation techniques often target alpha waves in the hope of promoting calm.
  • Beta waves (13-30 Hz): Linked with active thinking, problem-solving and focused attention. They dominate when you are alert, engaged or even mildly anxious. Beta binaural beats are sometimes used with the aim of supporting concentration.
  • Theta waves (4-8 Hz): Appear during light sleep, deep relaxation and meditative states. They are associated with creativity, intuition and emotional processing, which makes them a popular target for people seeking deeper meditation.
  • Delta waves (0.5-4 Hz): The slowest brain waves, most common during deep sleep. Audio entrainment aimed at sleep often focuses on this range.
  • Gamma waves (30-100 Hz): The fastest, involved in higher-order functions such as working memory, attention and sensory processing. Gamma entrainment is a topic of interest in some research and product design.

Knowing the frequency range and function of each wave can help you choose binaural beats, isochronic tones or other methods for the state you want, whether that is relaxation, sleep or focus.

Role of Brain Waves in Mental and Physical Health

Brain wave activity changes with sleep, alertness and mood. Entrainment products such as binaural beats, isochronic tones and audio visual entrainment are marketed with the aim of guiding the brain toward more relaxed patterns. Many people find these noninvasive methods pleasant, and some say they feel calmer or sleep better. These are personal reports, though, and the evidence is mixed. A 2023 systematic review of 14 binaural beat studies found five with results in line with brainwave entrainment, eight with contradictory results and one with mixed results. It is important to approach entrainment mindfully, especially if you have an underlying health concern.

Common Types of Brainwave Entrainment Techniques

  • Binaural Beats: Binaural beats are created when two tones of slightly different frequencies are presented separately to each ear, one tone to the left ear and a different tone to the right ear, through headphones. The brain perceives a third tone, the binaural beat, at the frequency difference between the two. The carrier frequency and base frequency of the tones can vary. Monaural beats, in contrast, are produced by combining two frequencies before they reach the ears. People experiment with different beat frequencies to aim for relaxation, focus or meditation.
  • Isochronic Tones: Regular beats that are evenly spaced and do not require headphones.
  • Visual Entrainment: Using flashing lights to influence brain waves.

The Benefits and Risks of Brainwave Entrainment

Potential Benefits for Mental Health and Focus

Some users report better concentration and cognitive benefits, less stress and better sleep patterns. Certain frequencies are said to stimulate creativity or promote relaxation. These are reported experiences. As the review above shows, the research on whether entrainment changes brain activity is inconsistent, and individual responses vary. Entrainment is not a medical treatment for any condition.

Known Side Effects and Risks

Despite the hoped-for benefits, some people report dizziness, headaches, irritability or overstimulation with brainwave entrainment. For certain groups, extra caution is advisable.

Who Should Avoid Brainwave Entrainment?

People with Epilepsy or Seizure Disorders

The NHS epilepsy page lists flashing lights among the things that might trigger a seizure. Light-based entrainment, such as strobe goggles or flashing LED glasses, uses flashing light, so as a precaution people with epilepsy or a seizure history should check with their doctor before trying it.

Why Flickering Lights and Certain Sounds Need Caution

Light-based entrainment relies on flicker, which is the reason for the warning above. If you have a seizure disorder, speak to your doctor before trying any form of entrainment, including audio.

Individuals with Severe Anxiety Disorders

Many people use entrainment for relaxation, but responses differ. If you live with a severe anxiety disorder, ask your doctor or therapist before trying it, and stop if a track makes you feel more uneasy.

How Certain Frequencies Might Feel for Sensitive People

Some listeners find low-frequency or pulsing sounds unsettling, and sensitive people may notice disorientation or unease. If a track feels wrong, stop listening.

People with Heart Conditions

If you have a heart condition, ask your doctor before trying entrainment. Check with them if you have a pacemaker or other implanted device.

Heart Rate and Comfort

Keep sessions short and gentle at first, and stop if you notice a racing heart, chest discomfort or dizziness. Seek medical help for any symptom that worries you.

Pregnant Women

If you are pregnant, ask your doctor or midwife before trying brainwave entrainment.

Limited Information and Safety Concerns

This article cites no safety evidence for pregnancy, so the cautious route is to get personal medical advice first and to skip it if your provider recommends that.

Children and Adolescents

If a child or teenager wants to try entrainment, a parent or guardian should check with a doctor first.

Developing Brains and Caution

Because this article cites no safety evidence for young people, short sessions at low volume and medical advice are sensible precautions.

People with Schizophrenia or Severe Mental Illness

If you live with schizophrenia or another severe mental illness, talk to your psychiatrist or care team before trying entrainment.

Why Altered Perception Calls for Caution

Entrainment products are meant to change how you feel, and a person who is vulnerable to unusual perceptions should not experiment without professional guidance.

Individuals Sensitive to Sensory Stimuli

Some people are highly sensitive to repetitive sounds or lights and may want to avoid entrainment.

Overstimulation

If you tend to get migraines, nausea or strong discomfort from repetitive stimuli, treat entrainment with caution and stop if symptoms appear.

Those Taking Psychoactive Medications

If you take medication that affects brain chemistry, check with your prescriber before using entrainment.

Why Medication Needs a Check

This article cites no evidence on how entrainment and medication interact, so a doctor or pharmacist is the right person to ask. Do not change a prescribed medication because of any audio program.

As we age, our brain wave patterns may change, and so may the way people respond to entrainment techniques like binaural beats. For older adults, the effects may differ from those experienced by younger people, and benefits or risks may be shaped by age-related changes in brain function. If you or a loved one is considering binaural beats or other entrainment methods, consult a healthcare professional, especially if there are concerns about dementia, Alzheimer’s disease or other age-related health issues.

How Ageing May Affect Brainwave Responsiveness and Safety

Ageing may change how people respond to binaural beats and other forms of entrainment. Some older people may be more sensitive to these techniques, which could lead to unexpected reactions or discomfort. The presence of medical conditions or the use of certain medications may also matter. Because this article cites no research on entrainment in older adults, it is wise to proceed with caution and seek professional guidance. More research is needed before clear safety guidelines can be given for older adults who are interested in exploring these techniques.

Safe Alternatives for At-Risk Individuals

Gentle Meditation and Mindfulness Practices

Deep breathing, guided meditation and mindful observation are simple, low-tech ways to relax.

Nature Sounds and Soft Ambient Music

Many people find these soothing, and they do not use rhythmic beats or flashing lights.

Breathwork and Relaxation Exercises

Simple breath control and relaxation exercises are easy to learn and need no equipment.

How to Use Brainwave Entrainment Safely

Consult a Healthcare Professional First

Get medical advice before starting if you have any health conditions.

Start with Short, Low-Intensity Sessions

Ease in gradually to see how your body responds.

Monitor Physical and Mental Reactions

If you notice discomfort, stop immediately and reassess.

Conclusion

Brainwave entrainment is a tool some people enjoy for relaxation, focus and creativity, but it is not for everyone. People with epilepsy, severe mental health issues, heart conditions or other risk factors should either avoid it or proceed under professional guidance. When in doubt, mindfulness, breathwork and quiet nature sounds are other ways to unwind.

Frequently asked questions

Can brainwave entrainment cause permanent brain changes?

Long-term effects are not established. If you notice lasting problems, speak to a doctor.

Is it safe to use brainwave entrainment daily?

Safety for daily use is not established here. Start with short, gentle sessions, and ask a doctor first if you have a health condition.

Can I use brainwave entrainment while sleeping?

Only if you do not fall into a risk group, and with low-volume, gentle tracks. If you have epilepsy or another condition, ask a doctor first.

Are binaural beats and isochronic tones the same?

No. Binaural beats require headphones, while isochronic tones do not.

How do I know if brainwave entrainment is working for me?

You may feel more relaxed, focused or energized, but these are personal impressions, not measured results.