ADD: The 20-Hour Solution by Mark Steinberg & Siegfried Othmer

Author:Mark Steinberg & Siegfried Othmer [Steinberg, Mark]
Language: eng
Format: epub
Publisher: Robert D. Reed Publishers
Published: 2013-02-03T18:30:00+00:00

Modified Rorschach assessment shows that ambiguity and reality-testing are problems for Elizabeth. She has trouble interpreting the messages from others and their intents. Given this problem and her predisposition to instability, it is no wonder that she overreacts. Medications seem to apply a temporary damper.

Her memory and modality scores (visual and auditory processing) are average. Her neuropsychological screening measures are normal. She seems to warm up slightly during the one-to-one assessment, though she offers comments meant to provoke reaction (“I think most teachers and parents are sick!”)

EEG baseline

Elizabeth’s EEG is unremarkable. Though our EEG baseline is not a medical clinical study, we know better than to expect a “signature” in the EEG for diagnosing specific disorders. The amplitudes of her EEG are somewhat low; this could just be a characteristic of her neurophysiology.

She is taking some heavy-duty medications. It is unclear whether they are changing her brainwaves. Regardless, we will be able to use the EEG neurofeedback to modify her functioning through operantly training her EEG.

Her symptomatology and history strongly suggest that she get a medical EEG study. We are going to recommend a Quantitative EEG (QEEG) to rule out seizure activity and to assist with developing and testing hypotheses about how best to help Elizabeth.

EEG Neurofeedback protocols

We prescribe a training regimen of 30 minutes of inter-hemispheric training at 9-12 Hz at sites T3 minus T4. This protocol is often helpful in stabilizing the brain, and can be instrumental in relieving mood instabilities and emotional lability. Elizabeth’s profile of mood swings, acting out, emotional impropriety, and normal cognitive processing suggest that her problem is more a disregulation of emotion than one of executive function (the ability of the brain to pay attention and maintain focus and vigilance. Elizabeth is disregulated and displays many of the classic ADD symptoms, but her brain stability and balance calls for a slightly different approach.

We expect a person with Elizabeth’s particulars to respond very rapidly to neurofeedback. We will probably see some improvement in her mood and attitude within one to three sessions. If not, we will adjust the protocol. People like Elizabeth are typically quite sensitive; this usually reflects in rapid response to neurofeedback.

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