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Neural Feedback Training as Therapy for ADHD?
"If you haven't heard of it, the idea is that by attaching sensors to the head, brainwaves can be measured, and by providing visual feedback, you can actually train your brain to regulate its activity. An ADHD person supposedly has a brain which isn't very good at keeping itself in 'concentration' mode. In a child, the feedback takes the form of a game or in the case of an infant, a pleasing pattern on the screen (an infant would probably be treated for sleep disorders, not ADHD, in case you were wondering). When the brainwaves are in the 'right' state, the game proceeds or the patterns get prettier. When the brainwaves are erratic, it all slows down.
Because it is a trendy new thing, it's been put forward as a possible treatment for many other things including sleeplessness, epilepsy and other disorders, but one of the better successes has been in the treatment of ADHD.
The whole thing sounds quite plausible, but it is also quite expensive. All of the stuff I've read has been either from the suppliers of the treatment, or from people trying to discredit it."
I am borderline ADHD, and I only found out several years ago afte I began having trouble with class and general management of time while in college.
/. to research it.
My mom had a friend who had recently gotten certified in using this type of therapy on her daughter (who was severely ADHD), and they arranged for me to show up at their house knowing that because I was a computer science major and a geek, that I would be extremely interested in the whole setup. I walk in, express interest, and they offer to hook me up, and while they're explaining what's going on, they run a quick diagnostic which shows I could use some work on the machine (and that my brain waves are "sloppy").
To make a long story short, I went through three months of training using the machine, the whole time believing it was a placebo, but my entire family noticed the difference. I also began noticing that I was sleeping better and could work for periods of time longer than 30 minutes without feeling like i HAD to take a break.
To sum up, this is a very groundbreaking type of therapy that does work, and I encourage anyone on
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I love the line about Einstein. We can say all kinds of theories about the dude because he's now dead, projecting anything on to him.
Proper treatment of ADD is *not* just enough pills to "calm them down". Proper treatment of ADD is a variety of coping mechanisms, with stimulants being one of them.
In fact, having ADD and being prescribed Ritalin, I have accomplished far greater things than I would have were I to not have been medicated. Now that I am on my own, I still have found it to be beneficial, both for work, and for play.
Ritalin is a stimulant. "Speed" is used by people to basically mean anything that stimulates the brain chemicals. In the case of someone who has ADHD, they lack a certain brain chemical. Ritalin replaces that brain chemical to normalize the level in the brain and help with ADHD. In the case of a child without ADHD (they have a normal balance of the chemical) the excess amount causes stimulation in the same way that "speed" causes you to become blitzed. Perhaps you had a low-grade or nonexistant ADHD and the Ritalin was excessive, causing you to be wired when medicated as a kid. I don't know the name of this chemical, and I'm too lazy to Google for it (damn ADD.) Ooh look, a butterfly!
By the way, this is from someone who took Ritalin and Depakote for 10 years, and now takes Lithium and Effexor.
Although I sympathize with your bad experience, I tend to want to stay away from generalizations. My wife was diagnosed with ADHD about 12 years ago. She took ritalin in college and she went from a c-d student to a b student. Much of this has to do with concentration and focus. She describes her thoughts as a flashing from one subject to another all with equal/high priority, and she is able to focus on one task, one though with the help of ritalin. She does not take it currently, because she is nursing our third daughter, but she wishes she could because of the focus and clarity if gives to her. Our oldest daughter likely has ADHD. She is struggling in school. We remind her that school is not the most important thing in life. I agree that mindless conformity is bad. It reminds me of how some Native American tribes "honored" androgenous people as a special type of person. Where our society has in the past and currently doesn't know what to do with such people. We tried to "make" them one sex or another just so they could conform. I think ritalin can help some people. As with any narcotic substance, caution surely is advised.
It is dangerous to be right on a subject on which the established authorities are wrong. - Voltaire
I would steer clear of anyone with such a vehement position on this issue, as it is a serious one. To deny someone the benefits of proper medication is to bar them from realizing the full potential of their intellect. Yet be cautious, do your research, and examine other alternatives if undesirable side-effects overwhelm the benefits.
You may want to look into Strattera, as it lacks the addictive properties of other ADHD drugs. My only noticable side-effect on it has been a focused mind - something I've coveted for a long time.
I suffered from ADHD as a child as well, and believe I still do suffer from it in some form as an adult, although I have many of the problems under control through conditioning and strong willpower. I disagree very strongly with your statement that it is not a disease.
I also do not believe those stimulants (none of which I take) are a hindrance. As a child, I was on ritalin, and I was still in the gifted and talented program. In Kindegarten, I had ADHD issues so severely, I was originally suspected to be suffering from a mild form of mental retardation (ADHD didn't cross their minds at the time). As a result of this suspicion, I was given an IQ test. I was discovered to have a high IQ (~145 range at the time in Kindegarten), which ruled out mental retardation, and brought up suspicion of ADHD.
I couldn't sit still in class, I couldn't focus, I couldn't pay attention, I couldn't learn. What good is intelligence if one can't manage to focus long enough to learn how to read and write? What good is intelligence or brilliance without an educational foundation and the ability to focus and employ one's abilities?
Ritalin was a godsend for myself and my parents - I could finally focus in class, and my mother wasn't being driven crazy by an overactive 5 year old. I was in the gifted and talented program in elementary school, and began reading material well beyond my grade level.
Now, that is not to say I believe Ritalin is a wonder drug. I am merely stating my experience with it during my childhood. Misdiagnoses of ADHD IS a problem. Treatment of correct diagnoses is not.
You can listen to what this person has to say, not treat your daughter, and put her school years at risk of being wasted time. Or you can seek treatment for your daughter.
- MaineCoon
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I spent three years in my graduate school days (which was now a decade ago... yikes!) administering the hardware/software for the Autogenics system in our community mental health center at Nova Southeastern University under Doil Montgomery, Ph.D. Neural feedback is also referred to as EEG biofeedback. Not only is there some good research in this area, but it's a nice, non-invasive and non-drug way to treat this disorder (which should be especially interesting to teens and children, where medications are less tested and proven).
Some basic positive empricial results supporting the use of EEG biofeedback in the treatment of ADHD from MEDLINE:
Neurofeedback treatment for attention-deficit/hyperactivity disorder in children: a comparison with methylphenidate. in Appl Psychophysiol Biofeedback. 2003 Mar;28(1):1-12.
Fuchs T, Birbaumer N, Lutzenberger W, Gruzelier JH, Kaiser J.
Institute of Medical Psychology and Behavioral Neurobiology, Eberhard-Karls-University, Gartenstr. 29, 72074 Tubingen, Germany.
Clinical trials have suggested that neurofeedback may be efficient in treating attention-deficit/hyperactivity disorder (ADHD). We compared the effects of a 3-month electroencephalographic feedback program providing reinforcement contingent on the production of cortical sensorimotor rhythm (12-15 Hz) and betal activity (15-18 Hz) with stimulant medication. Participants were N = 34 children aged 8-12 years, 22 of which were assigned to the neurofeedback group and 12 to the methylphenidate group according to their parents' preference. Both neurofeedback and methylphenidate were associated with improvements on all subscales of the Test of Variables of Attention, and on the speed and accuracy measures of the d2 Attention Endurance Test. Furthermore, behaviors related to the disorder were rated as significantly reduced in both groups by both teachers and parents on the IOWA-Conners Behavior Rating Scale. These findings suggest that neurofeedback was efficient in improving some of the behavioral concomitants of ADHD in children whose parents favored a nonpharmacological treatment.
The effects of stimulant therapy, EEG biofeedback, and parenting style on the primary symptoms of attention-deficit/hyperactivity disorder. in Appl Psychophysiol Biofeedback. 2002 Dec;27(4):231-49.
Monastra VJ, Monastra DM, George S.
FPI Attention Disorders Clinic, 2102 E. Main Street, Endicott, New York 13760, USA. poppidoc@aol.com
One hundred children, ages 6-19, who were diagnosed with attention-deficit/hyperactivity disorder (ADHD), either inattentive or combined types, participated in a study examining the effects of Ritalin, EEG biofeedback, and parenting style on the primary symptoms of ADHD. All of the patients participated in a 1-year, multimodal, outpatient program that included Ritalin, parent counseling, and academic support at school (either a 504 Plan or an IEP). Fifty-one of the participants also received EEG biofeedback therapy. Posttreatment assessments were conducted both with and without stimulant therapy. Significant improvement was noted on the Test of Variables of Attention (TOVA; L. M. Greenberg, 1996) and the Attention Deficit Disorders Evaluation Scale (ADDES; S. B. McCarney, 1995) when participants were tested while using Ritalin. However, only those who had received EEG biofeedback sustained these gains when tested without Ritalin. The results of a Quantitative Electroencephalographic Scanning Process (QEEG-Scan; V. J. Monastra et al., 1999) revealed significant reduction in cortical slowing only in patients who had received EEG biofeedback. Behavioral measures indicated that parenting style exerted a significant moderating effect on the expression of behavioral symptoms at home but not at school.
Treatment of attention deficit hyperactivity disorder with neurotherapy. in Clin Electroencephalogr. 2000 Jan;31(1):30-7.
Nash JK.
Behavioral Medicine Associates,
Perhaps you ought to try alternatives to chemical therapy regimens before you discount them.
I was diagnosed with Attention Deficit in the 4th Grade, and after that diagnosis, my teachers worked with me to accomodate the issue. I went from barely passing to very nearly acing my classes, without a change in class difficulty.
Unfortunately for me, the information was lost in a move from one state to another, or never forwarded. I've been on chemical therapy in the past, and frankly, I got more comments about how the medication seemed to be working well after a week or two off of it than I did when I was on it. (This doesn't even BEGIN to mention the fact that someone with a tendency to absentmindedness is particularly unsuited to a regimen that requires they remember to take a drug to remember incidentals.)
I have to agree with the previous poster. Anything that affects the better part of 20% of the world's population isn't properly classified as a disorder. Medicating us is not the answer. Working with us to make sure we adapt to the society that the other 80% have created is where we should be going. As it is, far too many kids get medicated these days because their parents don't want to take the time to raise them properly, and the prevalence of Ritalin for "hyperactivity" is one of the main causes of this.
If parents and educators looked at this as a "Leadership Challenge", as the military would call it, and not a disease or flaw, then more people would be well-adjusted individuals without a need for prescription medications.
You thought that this sig was what you think that I thought you wanted me to think. I think.
Let me start off by saying thank you to the poster for not settling for a drug treatment. I am a very very outspoken anti-drugs for ADD person. As a child (starting at 4) I was diagnosed as ADHD (1982, so not in the middle of the 'every kid has ADD' phase). I would only sleep for a couple hours a night and the rest of the time I'd just rummage around my room, tearing off wallpaper, throwing things around or generally harassing my parents.
... just think of it as being amortized over the life of your child ... just pennies a day!
They put me on ritalin when I was about 6 after giving up on training me, and found it didn't work - it actually made me more hyper.
Thats when they moved me to Dexadrine. For the americans out there, it's the same drug some people use to lose weight. It immediately worked, helping me focus and not be so wired.
The downside was, I was moody and depressed. I was anti-social and angry a lot. but I was 8 and people didn't care really. They wrote it off as depression because my parents broke up. But when they took me off the pills for the summer, life was grand again. I was energetic to a fault and had lots of friends. Come school time, back on the drugs and back to quiet, boring, socially acceptable me.
Fast forward to highschool and I'm still on the stupid things. September was great, I'd start taking the pills and wouldn't eat for a weak (about the only upside to em, great weight loss). But around that age you start to become more self aware and I realized that I hated myself because I wasn't really me. I took these stupid pills every morning and I became who my parents and teachers wanted me to be, but I wasn't really me. I didn't laugh as much, I didn't talk as much, but I got good grades.
Around grade 11 I said 'fuck this' and started to not take the pills. Then my parents started threatening me and grounding me if I didn't take them. So I'd pop them in my mouth then spit them out. Then they started to check my mouth to make sure I swallowed them. So I found a new trick - you could pull apart the gel caps and all the little balls of medicine inside would fall out. So I'd quickly dump them on the floor or sink then take the pill. That worked well and I started to feel more like myself.
Except then my grades started slipping.
So thats when I turned to the psycho babble they'd been teaching me at my semi montly sessions. They called it 'coping strategies' and taught me how to recognize when I wasn't behaving well or focusing like I should. Instead of just throwing pills at the problem, they put me in control of my life and said 'these are the tools to make things better for you, but you need to do them'. They made me responsible for my behaviour and grades.
So I started with them. At this point I can't identify what I do, but my friends will notice when I *click* in and out of focus now. Apparently I'm much better and I can recognize when I'm having ADD moments. Sometimes I have ADD days. I've learned to work with instead of against the ADD. I now run dual monitors on my PC so I can do more than one thing easily. my desk has lots of distractions on it, but they're all little. I can jump from work to a distraction for 30 seconds to give my brain a break then back to work. I can focus much better now that I've learned these skills, and I dno't need pills to make me work well.
So, the moral of this story is that pills aren't necessary. They inhibit your mental and social and emotional growth by turning you into a little robot. I found that I could actually feel myself in a little tunnel when I took them and things seemed duller. Teaching coping skills is, I think, the key. Teaching your child how to recognize when they're not paying attention is the first step, then teaching them how to focus when needed, and let their mind go when not needed. If this Neural Feedback Training does that (and it sounds like it does), then go for it! Don't spare any expense
We emerge from our mother's womb an unformatted diskette; our culture formats us. - Douglas Coupland
Hello,
First, let me start off by saying that I have in fact taken this "feedback" therapy, or, more accurately known as EEG/EMG biofeedback therapy.
A little background information on ADHD... trust me, I've done my homework on this as I have the condition. The strongest medical explaination of ADHD (which encompasses the former ADD... more later) is a rapid decline of oxygen metabolism in the prefrontal lobe during periods of thought requiring concentration. This kind of conditition can lead to two forms of ADHD: inattentive and overactive... I happen to fall into the former category. Basically, EEG waves can be measured through the skull/scalp in the picovolt range by use of an amplifier connected to a small probe stuck to the scalp by use of electrolytic gel similar in consistancy to vaseline. When EEG signals are filtered, they can be separated into waves in the .1 second duration and .5 second duration. ADHD individuals show a marked amount of "slow" wave amplitude over "fast" wave amplitude.
Someone mentioned earlier in the post that he was unable to alter his brain function in a short period of time; a just statement. I attended therapy for nearly 3 weeks after diagnosis before seeing any kind of large changes in brain activity while concentrating. The excercises used started off with concentrating on an object in a video monitor to mentally "push" it along... and later was changed to academic study of exceedingly boring material. As my scores improved, so did the quality and depth of the notes I wrote during a timed interval of study.
Now, coming down to it. ADHD is usually a male-dominant trait, passed from father to son... explaining the vastly larger amount of males with the condition.
I specifically did NOT choose drug therapy as it would have prevented me from service in the Marine Corps. Simply put, I'm a rock in a traditional education environment, but continue to score in the 130 range with reputable IQ tests. My doctor in fact was the person who encouraged me to satisfy my "thrill seeker" personality (which is somewhat common in ADHD individuals). Since my diagnosis, I continue to be a United States Marine, having endured training such as aircrew school and SERE, and now get to fly around in KC-130 tactical aerial refueling aircraft as a Crewchief/Flight Mechanic. I have also attained my private pilot's license, parachute jump license, and have started racing a stock RX-7 in autocross. Major "Pappy" Boyington of the Black Sheep squadron was also of the ADHD personality. What can I say? It feels good to go fast.
It is my firm belief that your daughter does NOT need stimulant therapy, and would benefit from the somewhat unconventional EEG biofeedback therapy. If you contact me privately at my email address, I will be happy to converse with you over the phone about my doctor and how to contact him for more information.
Hope this clears up any doubts you had about this somewhat unconventional therapy method
CheersThe prevalence of myopia is about 25% among the adult population in the USA.
Does that mean it's not a disorder, that instead of wearing glasses we should have the other 75% be restricted to a minimum font size of 48pt (or preferably 96pt given my own ability to read my CRT from inches)?
Sure, one can argue whether it's better to view the ADHD or myopic population as falling inside one tail of a bell curve rather than having a qualitatively different 'disorder', but either way -- if there are treatments to improve the quality of life for those people, where's the problem in that?
Both myself and my S.O. have been diagnosted with ADHD and find that the "your just":
...
A. Undiciplined
B. Lazy
C. Just different
D. All of the above
(take your pick) explination really fustrating. You really don't know what it's like until you've been in our headspace.
Now as for medication. I agree in a perfect world being intellegent and ADHD would be great. We could be the thinkers, excentric scientists and artists. Unfortunately we live in a world that demands that we "stay focused" and have great "organizational skills", so the practical considerations must be taken into account.
That being said I belive there is an over diagnosis in children (hey kids are a real PITA and can be hard to manage) and an under diagnosis in adults. I wasn't diagnosed until I was 31 since I have found many ways to cope and be successful.
Oh look something shiny
(couldn't resist that one)
Most modern thinking in ADHD is that AAD ( Attention Abnormality Disorder ) would have been a better term. The point is that people with ADHD ( myself being one of them ) can't choose for themselves what they will concentrate on. In fact, when something like a video-game gets my concentration it is almost impossible for me to let it go. Even if I shut the game off my brain will keep trying to play. It's hard to describe and very frustrating. At least ADHD is better than MBD ( Minimal Brain Dysfunction ) which is what they used to call it.
XML is the best data format; unless your data needs to be read or written by a human or a computer.
I think this hits at the heart of the problem, and the real reason such drugs are being overused nowadays: 5 year olds are supposed to be overactive. From the time they can walk, all non-human mammals are running around, playing/fighting with one-another, etc; this is extremely important, as those that don't get regular exercise and learn precise muscular control will soon become prey.
21st-century humans, however, are being put in school at extremely young ages. When they're supposed to be running around, getting exercise, and having fun, they're forced to sit in classroom and stare at a book. Naturally, the teacher can't do her job when the kids won't sit still, so the school will pressure the parents into giving these drugs to their kids.
Damn right 5-year-olds get distracted, and why shouldn't they?
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"That being said I belive there is an over diagnosis in children"
And this is why, I think, there are so many of the comments you hear... because there are so many 'problem' children who are just labelled as having ADHD to explain disobedience.
My parents were foster parents for many years while I lived with them, and they were often sent the 'problem' children as they were seen to be excellent in handling them. I remember one girl in particular who came to us labelled as having ADHD and a 'handful' and unable to focus or be handled.
Within ONE WEEK my parents had her happily ensconsed reading books, playing with toys etc. for ages at a time with no drugs, no fancy methods... just good old parenting, and a firm hand where required. (I don't mean physically a hand as such, I mean sticking to your ground when you say things like "No, you can't have that" or such things... not giving in to demands etc.)
So very many cases are like this, and it's THOSE cases that cause you the grief... I can't help but have the same feelings about most ADHD diagnosed kids because just so many of them have nothing wrong, it's just a convenient out for parents... which is wrong of me as there are real issues at hand here, but until doctors stop throwing the label about willy nilly, the stigma will remain.