ClinicalTrials.gg
Active, not recruitingNCT07812987RESYNC-BHUpdated Sep 16, 2026

Rapid Entrainment and Signal-guided Neuromodulation for Behavioral Health

An interventional study of AIP-Informed Integrative Psychotherapy and Transcutaneous Auricular Vagus Nerve Stimulation in Anxiety, PTSD and ADHD, sponsored by Tactical Mind Research Coalition, Inc.. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-09-16.

Primary conditionStress Disorders, Post-TraumaticRegistry: Anxiety DisordersReclassifiedWhy we changed it
Registry
Anxiety Disorders — the first condition term the registry derived for this study.
ClinicalTrials.gg
Stress Disorders, Post-Traumatic
Why
  1. The registry often attaches Anxiety Disorders to studies about something else, and this study's title and listed conditions do not name it.
  2. The study's listed conditions name Stress Disorders, Post-Traumatic.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Tactical Mind Research Coalition, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

RESYNC-BH is a research study evaluating a personalized, non-drug brain-and-body treatment approach for adults with ongoing behavioral health symptoms such as depression, anxiety, trauma-related symptoms, sleep problems, attention difficulties, or substance-use concerns. Rather than assigning treatment solely according to psychiatric diagnosis, treatment approaches are selected based on symptoms, physiologic measures, and clinical presentation. Treatment may include noninvasive neuromodulation, sensory stimulation, regulated breathing, and AIP-informed integrative psychotherapy.

The study will evaluate whether personalized treatment approaches produce rapid and sustained improvements in behavioral health symptoms and functioning, and whether treatment response is accompanied by measurable changes in neurophysiologic, autonomic, cognitive, inflammatory, and behavioral measures.

The study hypothesis is that meaningful clinical improvement is associated with measurable changes across brain, body, cognitive, and behavioral signals, and that early changes in these measures may help characterize treatment response and its durability. The long-term goal is to develop more objective and personalized methods for monitoring behavioral health treatment response.

Read the detailed description

RESYNC-BH is a prospective, adaptive, transdiagnostic behavioral health study evaluating a personalized intervention platform (PRESET-Rx) and multimodal measures of treatment response. The study examines rapid within-session changes and longitudinal changes in neurophysiologic, autonomic, cognitive, inflammatory, and behavioral measures.

Participants receive a personalized combination of noninvasive neuromodulation and AIP-informed integrative psychotherapy based on baseline symptoms, physiologic measures, and clinical presentation. Study interventions may include noninvasive brain or peripheral nerve stimulation, regulated breathing, sensory stimulation using light, sound or vibration, and related noninvasive techniques. Treatment assignment and adaptation occur according to prespecified study criteria.

Multimodal assessments include EEG/qEEG, fNIRS, heart rate and heart rate variability, cognitive testing, standardized behavioral health measures, and inflammatory biomarkers. Selected sessions include simultaneous clinician-participant physiologic recording to evaluate therapeutic dyad dynamics. Optional data from compatible personal wearable devices may also be collected to characterize sleep, activity, and related physiologic patterns outside the clinic.

The acute treatment phase consists of approximately six structured sessions over 4-6 weeks, followed by longitudinal assessments of treatment response and durability.

Some participants may independently receive ketamine as part of routine clinical care. Ketamine is not a study intervention and is not assigned, initiated, scheduled, administered, or modified by the study. Ketamine exposure is recorded as a concomitant clinical treatment and may be considered in study analyses.

02

Conditions studied

  • Anxiety
  • PTSD
  • ADHD
  • Depression Disorders
  • Post-traumatic Stress
  • Substance Use
  • Executive Function
  • Sleep Disturbance

Keywords

  • neuroplasticity
  • audiovisual entrainment
  • biomarkers
  • inflammation
  • cognition
  • neuromodulation
  • multisensory entrainment
  • transcranial electrical stimulation
  • auricular vagus nerve stimulation
  • EMDR
  • Adaptive Information Processing
  • Predictive processing
  • Heart rate variability
  • EEG
  • fNIRS
  • Dyadic synchrony
  • therapeutic alliance
  • digital phenotyping
  • autonomic regulation
  • precision mental health
  • adaptive intervention
  • SMART design
03

In context

Stress Disorders, Post-Traumatic Reclassified

2,682 studies on the registry are indexed under Stress Disorders, Post-Traumatic; 601 are open to participants now.

This study's planned enrollment of 240 is above the median of 69 across 2,196 interventional studies indexed under Stress Disorders, Post-Traumatic.

Browse Stress Disorders, Post-Traumatic studies →

Lead sponsor

This is the only study on the registry with Tactical Mind Research Coalition, Inc. as lead sponsor.

Compared within Stress Disorders, Post-Traumatic, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Anxiety Disorders. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 to 70 years at the time of consent
  • Able to understand the study and provide signed
  • Willing and able to comply with study procedures and follow-up assessments for approximately 12 months
  • Presence of behavioral-health symptoms and/or functional impairment in at least one of the following domains, as determined by clinical interview and standardized measures:
  • Depressive symptoms
  • Anxiety symptoms
  • Trauma- and stressor-related symptoms
  • Substance-related symptoms not requiring immediate detoxification
  • Attentional/impulsivity or executive-function symptoms
  • A formal diagnosis is not required if symptoms and impairment are clinically meaningful and appropriate for outpatient behavioral-health intervention
  • Medically stable, in the judgment of the investigator, for outpatient behavioral-health treatment and applicable noninvasive neuromodulation or multisensory entrainment
  • If taking psychotropic or other relevant medications, on a stable dose for at least 4 weeks before baseline, with no planned changes during the acute intervention phase except as clinically necessary
  • Sufficient proficiency in English or another IRB-approved language to understand study procedures and provide informed consent, with approved translated materials or interpreter support when available
  • If of , agrees to applicable pregnancy-prevention requirements during the acute intervention phase
  • Willing to follow study lifestyle and safety requirements, including restrictions on alcohol and substance use before study sessions and applicable post-session safety recommendations

Exclusion criteria

Exclusion Criteria:

  • History of seizure disorder or other condition that, in the investigator's judgment, would make exposure to stroboscopic or patterned light stimulation unsafe
  • Severe photosensitivity or light sensitivity that could be worsened by exposure to flashing or patterned light
  • Implanted electronic or other medical device that is incompatible with study neuromodulation procedures
  • Unstable or cardiovascular, neurologic, or other medical condition that could make study participation unsafe
  • Unstable or high-risk psychiatric condition, including:

    • Recent suicide attempt or current imminent suicide risk
    • Active psychosis
    • Uncontrolled mania or other acute psychiatric instability requiring a higher level of care
  • Pregnant or breastfeeding at screening or during participation
  • Acute intoxication or inability/unwillingness to comply with study safety restrictions regarding alcohol or non-prescribed/recreational substance use before study sessions
  • Unstable or rapidly changing psychotropic medication regimen at baseline
  • Concurrent participation in another interventional trial targeting behavioral health or neuromodulation that, in the investigator's judgment, would confound study outcomes or create a safety concern
  • Any other medical, psychiatric, cognitive, or behavioral condition that, in the investigator's judgment, would prevent safe participation or meaningful completion of study procedures
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
240 participants (estimated)

Study arms

  • Experimental
    Stack A - Autonomic Regulation + AIP-Informed Integrative Psychotherapy

    Participants assigned to Stack A receive a PRESET-Rx intervention emphasizing autonomic regulation, combined with AIP-informed integrative psychotherapy. The intervention may include noninvasive peripheral neuromodulation, regulated breathing, and related autonomic-regulation techniques, with treatment delivered according to prespecified protocol criteria. Physiologic and neurophysiologic measures are collected during study sessions.

    Behavioral: AIP-Informed Integrative Psychotherapy · Device: Transcutaneous Auricular Vagus Nerve Stimulation · Behavioral: Regulated Breathing and Autonomic Regulation · Behavioral: Breathwork-Based Auditory Driving Entropy Module (BADEM)

  • Experimental
    Stack B - Multisensory Entrainment + AIP-Informed Integrative Psychotherapy

    Participants assigned to Stack B receive a PRESET-Rx intervention emphasizing multisensory state modulation, combined with AIP-informed integrative psychotherapy. The intervention may include noninvasive visual, auditory, and vibroacoustic stimulation, delivered according to prespecified protocol criteria. Physiologic and neurophysiologic measures are collected during study sessions.

    Behavioral: AIP-Informed Integrative Psychotherapy · Device: Audiovisual Entrainment · Device: Vibroacoustic Stimulation · Behavioral: Breathwork-Based Auditory Driving Entropy Module (BADEM)

  • Experimental
    Stack C - Transcranial Electrical Stimulation + AIP-Informed Integrative Psychotherapy

    Participants assigned to Stack C receive a PRESET-Rx intervention emphasizing noninvasive cortical neuromodulation, combined with AIP-informed integrative psychotherapy. The intervention may include low-intensity transcranial electrical stimulation, delivered according to prespecified protocol criteria. Physiologic and neurophysiologic measures are collected during study sessions.

    Behavioral: AIP-Informed Integrative Psychotherapy · Behavioral: Breathwork-Based Auditory Driving Entropy Module (BADEM) · Device: Transcranial Electrical Stimulation

  • Active comparator
    Stack D - AIP-Informed Integrative Psychotherapy

    Participants assigned to Stack D receive AIP-informed integrative psychotherapy without active neuromodulation or multisensory stimulation. Study assessments and physiologic/neurophysiologic measurements are performed according to the same study procedures used across intervention arms. Stack D serves as the active psychotherapy comparator.

    Behavioral: AIP-Informed Integrative Psychotherapy

Interventions

  • BehavioralAIP-Informed Integrative Psychotherapy

    A structured psychotherapy approach based on the Adaptive Information Processing (AIP) model, incorporating EMDR-informed techniques and other evidence-based psychotherapeutic strategies as clinically appropriate. The intervention is delivered as part of PRESET-Rx sessions to support processing and integration.

    Also known as: EMDR, Adaptive Information Processing-informed psychotherapy

  • DeviceTranscutaneous Auricular Vagus Nerve Stimulation

    Noninvasive transcutaneous auricular vagus nerve stimulation delivered through cutaneous ear electrodes according to prespecified protocol and safety parameters.

    Also known as: TaVNS

  • BehavioralRegulated Breathing and Autonomic Regulation

    Structured breathing and related autonomic-regulation practices delivered according to prespecified protocol procedures.

  • DeviceAudiovisual Entrainment

    Noninvasive patterned visual and auditory stimulation delivered according to prespecified protocol procedures as part of PRESET-Rx sessions.

    Also known as: AVE, patterned light and auditory entrainment

  • DeviceVibroacoustic Stimulation

    Noninvasive mechanical vibration delivered through a vibroacoustic surface according to prespecified protocol procedures. This intervention may be used selectively based on protocol-defined clinical and safety considerations.

    Also known as: Vibroacoustic entrainment, tactile acoustic stimulation

  • BehavioralBreathwork-Based Auditory Driving Entropy Module (BADEM)

    A structured, time-limited breathwork and auditory stimulation procedure that may be used selectively according to prespecified protocol and safety criteria.

  • DeviceTranscranial Electrical Stimulation

    Noninvasive low-intensity transcranial electrical stimulation delivered through scalp electrodes according to prespecified protocol and safety parameters.

    Also known as: tES, transcranial electrical neuromodulation

06

What researchers measure

Primary outcomes

  1. Change in RESYNC Index Composite Score

    The RESYNC Index is a standardized, unitless multimodal composite score designed to summarize treatment-related change across prespecified clinical/behavioral, autonomic, neurophysiologic, cognitive, and biomarker measures. The outcome is change from baseline in RESYNC Index score during the acute treatment phase and longitudinal follow-up. The index is interpreted according to the prespecified scoring framework, with change in score representing the magnitude and direction of multimodal treatment response. Unit of Measure: Standardized unitless composite score

    Time frame: Baseline through 12 months

Secondary outcomes

  1. Clinician-Participant Heart Rate Variability Synchrony

    Physiologic synchrony between the participant and clinician is assessed using simultaneous heart rate and heart rate variability (HRV) recordings obtained during selected treatment sessions. The outcome is a unitless HRV synchrony coefficient representing the degree of physiologic coupling between clinician and participant; higher values indicate greater synchrony. Unit of Measure: Unitless HRV synchrony coefficient

    Time frame: Selected treatment sessions during the 6-week acute intervention phase

  2. Clinician-Participant EEG Synchrony

    Neural synchrony between the participant and clinician is assessed using simultaneous EEG recordings obtained during selected treatment sessions. The outcome is a unitless EEG synchrony coefficient representing the degree of inter-brain coupling between clinician and participant; higher values indicate greater synchrony. Unit of Measure: Unitless EEG synchrony coefficient

    Time frame: Selected treatment sessions during the 6-week acute intervention phase

  3. Clinician-Participant Electrodermal Activity Coupling

    Electrodermal coupling will be calculated from simultaneous participant and clinician electrodermal activity recordings during selected sessions using a prespecified time-series coupling metric. Unit of Measure: Unitless coupling coefficient

    Time frame: Selected treatment sessions during the 6-week acute intervention phase

  4. Correlation Between Clinician-Participant EEG Synchrony and Acute Change in RESYNC Index

    This outcome assesses the association between clinician-participant EEG synchrony measured during the acute treatment phase and change from baseline in the RESYNC Index at the end of acute treatment. The reported outcome is a correlation coefficient ranging from -1 to +1, where values farther from 0 indicate a stronger association and the sign indicates the direction of the relationship. Unit of Measure: Correlation coefficient

    Time frame: EEG synchrony assessed during prespecified dyadic sessions through Week 6; RESYNC Index assessed at baseline and Week 6.

  5. Change in Patient Health Questionnaire-9 Score

    Depressive symptom severity will be assessed using the Patient Health Questionnaire-9 (PHQ-9), a 9-item self-report measure. Total scores range from 0 to 27, with higher scores indicating greater depressive symptom severity. The outcome is change in PHQ-9 total score from baseline over the acute intervention phase and follow-up period. Unit of Measure: Points on the PHQ-9 scale

    Time frame: Baseline; prior to treatment sessions during Weeks 1-6; and follow-up at 1, 3, 6, and 12 months

  6. Change in Generalized Anxiety Disorder-7 Score

    Anxiety symptom severity will be assessed using the Generalized Anxiety Disorder-7 (GAD-7), a 7-item self-report measure. Total scores range from 0 to 21, with higher scores indicating greater anxiety symptom severity. The outcome is change in GAD-7 total score from baseline over the acute intervention phase and follow-up period. Unit of Measure: Points on the GAD-7 scale

    Time frame: Baseline; prior to treatment sessions during Weeks 1-6; and follow-up at 1, 3, 6, and 12 months

  7. Change in PTSD Checklist for DSM-5 Score

    Post-traumatic stress symptom severity will be assessed using the PTSD Checklist for DSM-5 (PCL-5), a 20-item self-report measure. Total scores range from 0 to 80, with higher scores indicating greater PTSD symptom severity. The outcome is change in PCL-5 total score from baseline over the acute intervention phase and follow-up period. Unit of Measure: Points on the PCL-5 scale

    Time frame: Baseline; prior to treatment sessions during Weeks 1-6; and follow-up at 1, 3, 6, and 12 months

  8. Change in Depression Anxiety Stress Scales-8 Score

    Global psychological distress will be assessed using the Depression Anxiety Stress Scales-8 (DASS-8), an 8-item self-report measure assessing depression, anxiety, and stress symptoms. Higher total scores indicate greater overall psychological distress. The outcome is change in DASS-8 total score from baseline over the acute intervention phase and follow-up period. Unit of Measure: Points on the DASS-8 scale

    Time frame: Baseline; prior to treatment sessions during Weeks 1-6; and follow-up at 1, 3, 6, and 12 months

Other outcomes

  1. Within-Session Change in EEG Spectral Power

    This outcome measures percent change in participant EEG spectral power from the pre-session recording period to the post-session recording period during each acute treatment session. EEG spectral power is derived from quantitative EEG recordings, with positive or negative values indicating the direction of change from the pre-session value. Unit of Measure: Percent change

    Time frame: Immediately before and immediately after each of the 6 acute treatment sessions, over approximately 6 weeks

  2. Within-Session Change in Heart Rate Variability

    This outcome measures change in participant heart rate variability (HRV) from the pre-session recording period to the post-session recording period during each acute treatment session. HRV is quantified using root mean square of successive differences (RMSSD) derived from heart-rate recordings; positive or negative values indicate the direction of change from the pre-session value. Unit of Measure: Milliseconds (RMSSD)

    Time frame: Immediately before and immediately after each of the 6 acute treatment sessions, once per week over approximately 6 weeks

  3. Within-Session Change in Electrodermal Activity

    This outcome measures change in participant electrodermal activity (EDA) from the pre-session recording period to the post-session recording period during each acute treatment session. EDA is measured as skin conductance in microsiemens (µS); positive or negative values indicate the direction of change from the pre-session value. Unit of Measure: microsiemens (µS)

    Time frame: Immediately before and immediately after each of the 6 (weekly) acute treatment sessions, over approximately 6 weeks

07

Study locations

1 site
  • Tactical Mind Research Coalition
    Tampa, Florida 33618, United States
08

References and documents

Publications

  • Chamberlin DE. The Predictive Processing Model of EMDR. Front Psychol. 2019 Oct 4;10:2267. doi: 10.3389/fpsyg.2019.02267. eCollection 2019. PubMed 31636594 ↗
  • FAA Mental Health ARC. (2024). MENTAL HEALTH ARC FINAL REPORT. Federal Aviation Administration
  • 11. VA Office of Mental Health and Suicide Prevention. (2024). NATIONAL VETERAN SUICIDE PREVENTION ANNUAL REPORT.
  • Carhart-Harris RL, Friston KJ. REBUS and the Anarchic Brain: Toward a Unified Model of the Brain Action of Psychedelics. Pharmacol Rev. 2019 Jul;71(3):316-344. doi: 10.1124/pr.118.017160. PubMed 31221820 ↗

Individual participant data

Plan to share: Undecided — This is currently a privately-funded study and unsupported by a private or Federal grant. Data sharing could change based on funding availability.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2026 (actual). Primary completion is estimated for Jun 2028, 22 months after the start.

Of 1,064 non-industry interventional studies with no phase under Stress Disorders, Post-Traumatic, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 53. This study's planned 22 months is below that.

Counting every sponsor, half of 1,092 studies reached it within 34 months; a quarter within 17 and three quarters within 53.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 11, 2025
First posted
Sep 10, 2026
StartActual
Aug 1, 2026
Primary completionEst.
Jun 30, 2028
CompletionEst.
Dec 31, 2028
Last update
Sep 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07812987
Lead sponsor
Tactical Mind Research Coalition, Inc.
Responsible party
Sponsor
First posted
Sep 10, 2026
Start date
Aug 1, 2026
Primary completion
Jun 30, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Sep 16, 2026

Study contacts

Brian Pinkston, MD, MPH
principal investigator · Tactical Mind Research Coalition
Cheryl Lowry, MD, MPH
principal investigator · Tactical Mind Research Coalition

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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