Attention Deficit Hyperactivity Disorder
"Sometimes the most brilliant and intelligent minds do not shine in standardised tests because they do not have standardised minds."
- Diane Ravitch (Historian of Education)
There are so many factors that come into play with ADD/ADHD. Children and adults who are easily distracted, inattentive, hyperactive, impulsive and/or have trouble completing tasks are given the ADD/ADHD ‘label’. They are also often given medication to counteract their ‘disorder’. Sure, medications are sometimes necessary and can assist with changing behaviour, but the results last only as long as the medication is taken. Major studies show there is no correction of the problem long-term. This is because there is no rewiring of the brain. Neurofeedback is different.
Neurofeedback actively helps you to regulate the parts of the brain responsible for your symptoms. It reorders the brain through systematic training. Functional patterns replace dysfunctional patterns. The result is greater focus, increased calm and consequently, a far higher rate of following tasks through to conclusion.
The Brain Training Centre provides safe, gentle and non-invasive treatment to children and adults labeled with ADD/ADHD. We have seen many, many life-changing results with this condition. Adults and parents with children who had previously felt overwhelmed with their challenges can now enjoy their lives with peace of mind.
Neurofeedback and ADHD
Children diagnosed with ADHD tend to have an excess of low frequency (theta) brain waves and fewer high frequency (beta) waves in certain regions of the cortex, as detected by EEG (Figure 1). Therefore, neurofeedback training for ADHD attempts to minimise the occurrence of lower frequency theta waves and enhance the occurrence of higher frequency beta waves. This is done by rewarding the children each time they demonstrate beta waves during neurofeedback training. Through the process of operant conditioning, the children intuitively learn to promote beta waves and suppress theta waves (Figure 1).
Interestingly, studies have shown that neurofeedback training as a therapy for ADHD may be even more effective than the standard medication (Methylphenidate/Ritalin) used to treat this disorder. This was shown in 2002 by Vincent Monastra and colleagues at the FPI Attention Disorders Clinic in New York, who studied 100 children diagnosed with ADHD (Figure 2). All of the kids were prescribed Ritalin, while approximately half of them also participated in NFB training. The children who participated in NFB training in addition to taking Ritalin showed greater improvements in focus and a significant decrease in hyperactive/impulsive behaviour. Furthermore, only those children who underwent neurofeedback training showed promising changes in patterns of brain activity associated with increased focus. Even more striking was that these behavioral and neurological improvements persisted even after medication was stopped. This was not true of those children who took Ritalin but did not participate in the NFB treatment, suggesting that brain training has the potential to induce long-term changes in the brain.
Figure 1. Neurofeedback as a treatment for attention-deficit hyperactivity disorder (ADHD). Children diagnosed with ADHD, who struggle to focus their attention, tend to display lower levels of high frequency beta waves and higher levels of low frequency theta waves, while children without this diagnosis show the opposite pattern (left). This observation suggests that beta waves are associated with an enhanced ability to focus. Neurofeedback training thus seeks to elevate the magnitude of beta waves and suppress the magnitude of theta waves using operant conditioning paradigms (right). During training, the patient receives feedback about their own brain activity, sometimes in the form of a game.
Figure 2. Clinical trial reveals that neurofeedback training outperforms medication in treatment of ADHD. This figure schematizes the experimental setup and outcome of the study conducted Monastra et al., in 2002. One hundred children diagnosed with ADHD were enrolled in the study. For one year, all of them were treated with medication (Ritalin), while half had their treatments supplemented by neurofeedback training. Immediately after the 1-year treatment period, the Ritalin-only group showed moderate improvement in the behavioral symptoms of ADHD while showing no improvement in patterns of brain activity associated with the ability to focus attention. By contrast, children treated with medication and neurofeedback training showed significant improvements in both behavior and brain activity patterns. Interestingly, one-week post-treatment, the beneficial effects of the neurofeedback-supplemented regimen persisted, while that of medication alone did not.
The Medication Question
Medication is the most common form of ADHD "treatment". While this may help some individuals with ADHD in the short term, the symptoms often remain despite the drugs, or return once medication is stopped. Stimulant medication can have lasting negative consequences which affect many people for life. Some people do not benefit from medication at all.
A recent study, published in the JAMA Psychiatry, investigated the effect of stimulant ‘ADHD’ drugs on the brains of children and young adults. The results of the randomized, double-blind, placebo-controlled trial, the ‘gold standard’ for evidence in academic medicine, indicate that methylphenidate (Ritalin) has a distinct effect on children that may lead to lasting neurological changes.
“Because maturation of several brain regions is not complete until adolescence, drugs given during the sensitive early phases of life may affect neurodevelopmental trajectories that can have more profound effects later in life,” the study authors warn. “Indeed, the most comprehensive trial on the long-term effects of ADHD, the Multimodal Treatment Study of Children With ADHD (Full Text), reported that six years after enrollment, medication management was associated with a transient increase in the prevalence of anxiety and depression.”
This study provides the first evidence that the use of ADHD drugs in children can alter
the brain’s development in significant and potentially lasting ways.
Even when medications help, they do not solve the core problem in ADHD – reduced activity in the brain’s attention networks. That is why people with the condition may need to continue to take the medications every day, probably for the rest of their lives. But most people do not continue medication long term. More than 75% of teens refuse to take their medication. Sadly, adolescence is the time when they need help the most: Academic demands increase. Risks from impulsivity grow dramatically. Impulsive aggression at recess is one thing: poor impulse control while driving or dating is a much more serious risk.
While medication may provide temporary relief from the symptoms of ADHD, when you use neurofeedback for ADHD, you get to the root of the problem by training the brain’s attention networks to function better. We know from many studies that the brain is capable of enormous change and reorganization through practice. Neurofeedback provides massive practice to strengthen attention networks so that you can sustain attention where needed and disengage where required.
Neurofeedback for ADHD is a natural and safe option without medication.
Can ADHD Be “Cured”?
Stimulant medication and behaviour therapy are the most often applied and accepted treatments for Attention-Deficit/Hyperactivity-Disorder (ADHD). In a recent study published just this year, 2020, researchers conducted two meta-analyses to examine how the non-pharmacological clinical intervention of neurofeedback fits on the continuum of empirically supported treatments. The studies compared APA-recommended treatments (medication and behaviour therapy) with neurofeedback to examine the efficacy of treatment as well as remission rates. The study revealed that,
"standard neurofeedback protocols in the treatment of ADHD can be considered as well-established and ‘efficacious and specific’, with medium to large effect sizes and 32–47% remission rates and sustained effects as assessed after 6–12 months."
This means that up to almost one half of ADHD sufferers no longer met the criteria for ADHD diagnosis following standard neurofeedback protocols. Patient’s core ADHD symptoms were resolved and did not return even after a year. This sort of improvement is unheard of with standard treatments: remission seemingly cannot be attained through medication and behavioural therapy alone.
ADHD is a multifaceted condition with both neurobiological and environmental underpinnings. This means that ADHD is not solely a brain-based disorder but is an emergent phenomenon of the complex interaction of nutrition, sleep, family and social dynamics, media consumption, exposure to molds/toxins, microbiome health, genetic predisposition and epigenetic expression, and many other factors.
Neurofeedback alone cannot resolve every issue contributing to this condition, but it can dramatically improve upon the neurological disregulation occurring in the ADHD brain. When behavioural reactivity and impulse control issues are resolved through self-regulation, then amending the environmental factors which contribute to the condition becomes a much more manageable task.
At the Brain Training Centre we take an holistic approach to ADHD. We strive to support our clients and their families to better understand the dynamics of this condition and how individuals can come to be their optimal selves. It is our philosophy that the ADHD brain, when functioning well, can be an incredible gift.
ADHD: Gift or Curse?
The ADHD brain is a highly sensitive organ. Imagine having a massive radar dish collecting an abundance of information which most other people don’t even notice. People with ADHD have exquisitely sensitive nervous systems - the result, it seems, of a genetic predisposition. This makes ADHD individuals highly empathic and thus able to detect subtleties in non-verbal exchanges, unexpressed emotions, artistic impressions, logical connections, and creative possibilities. Unfortunately, sometimes the vast amount of information coming in from the highly sensitive and broadband antenna that is the ADHD brain becomes overwhelming and it is hard to know how to process all of this information.
This is where Neurofeedback can confer enormous benefit. By training the brain to more effectively parse information we can prevent the system from becoming overloaded (we all know what it’s like to blow a fuse!). When the cognitive and limbic systems are brought into harmonious balance, the sensitivity that distinguishes the ADHD brain can be harnessed as the true gift that it is. When the limbic system is being properly regulated, the creativity, ingenuity, exuberance, leadership, empathy, and joy that truly characterises ADHD individuals can be brought forth!
Recommended by Leading Doctors:
'With neurofeedback the child is exercising the nerve pathways that control attention and mental processing. As these neural pathways are exercised, children develop a sense of what concentration feels like, and they get excited about it. After practicing these exercises over a period of time, the pathways involved in attention and learning seem to work more efficiently. This enhanced brain activity becomes a natural part of the child's functioning.'
- William Sears, M.D., Associate Clinical Professor of Pediatrics at the University of California, Irvine, School of Medicine and practicing pediatrician for more than three decades.
Contact our office today to discuss how we can assist you to live your life with more focus and ease.
EVIDENCE-BASED RESEARCH FOR THE EFFECTIVENESS OF NEUROTHERAPY FOR ADD/ADHD, LEARNING AND DEVELOPMENTAL DISABILITIES, AND ACADEMIC COGNITIVE ENHANCEMENT.
Albert, A.O, Andrasik, F, Moore, J.L & Dunn, B.R. (1998). Theta/beta training for attention, concentration and memory improvement in the geriatric population. Applied Psychophysiology and Biofeedback,23(2), 109. Abstract.
Alhambra, M.A, Fowler, T.P, & Alhambra A.A. (1995). EEG biofeedback: A new treatment option for ADD/ADHD. Journal of Neurotherapy,1(2), 39-43.
Arns, M., Kleinnijenhuis, M., Fallahpour, K., & Bretler, R. (2007). Golf performance enhancement and real-life neurofeedback training using personalized event-locked EEG profiles. Journal of Neurotherapy, 11(4), 11-18.
Arns, M., Clark, C.R., Trullinger, M. et al. (2020). Neurofeedback and Attention-Deficit/Hyperactivity-Disorder (ADHD) in Children: Rating the Evidence and Proposed Guidelines. Appl Psychophysiol Biofeedback.
Barabasz, A, & Barabasz, M. (1996). Neurotherapy and alter hynosis in the treatment of attention deficit disorder. Chapter in Lynn, Kirsch, Rhue (EDs.), Casebook of Clinical Hypnosis. Washington D.C: American Psychological Association Press, pp. 271- 292.
Barabasz, A & Barabasz, M. (2000). Treating AD/HD with hypnosis and neurotherapy. Child Study Journal,30 (1),25-42.
Bazanova, O.M., Aftanas, L.I. (2010).Individual EEG alpha activity analysis for enhancement neurofeedback efficiency: Two case studies. Journal of Neurotherapy 14(3), 244 – 253.
Beauregard, M & Levesque, J (2006). Functional magnetic resonance imaging investigation of the effects of neurfeedback training on the neural bases of selective attention and response inhibition in children with attention-deficit/hyperactivity disorder. Applied Psychophysiology & Biofeedback, 31(1) 3-20.
Becerra, J., Fernndez, T., Harmony T., Caballero M.I, Garcia F., Fernandez-Bouzas A., Santiago-Rodriguez E, Prado-Alcala R.A. (2006) “Follow-up study of Learning Disabled children treated with Neurofeedback or placebo.” Clinical EEG & Neuroscience, 37(3), 198-203.
Boyd, W.D & Campbell, S.E. (1998) EEG biofeedback in schools: The use of EEG biofeedback to treat ADHD in a school setting. Journal of Neurotherapy, 2(4), 65-71.
Breteler, M. H. M., Arns, M., Peters, S., Giepmans, I., & Verhoeven, L. (2010). Improvements in spelling after
QEEG-based neurofeedback in dyslexia: A randomized controlled treatment study. Applied Psychophysiology & Biofeedback, 35(1), 5-11.
Budzynski, T.H. (1996). Braining brightening: Can neurofeedback improve cognitive process? Biofeedback, 24(2), 14-17.
Carmody, D. P., Radvanski, D. C., Wadhwani, S., Sabo, J. J., & Vergara, L. (2001). EEG biofeedback training and attention-deficit/hyperactivity disorder in an elementary school setting. Journal of Neurotherapy, 4(3), 5-27.
Carter, J. L., & Russell, H. L. (1991). Changes in verbal performance IQ discrepancy scores after left hemisphere frequency control training: A pilot report. American Journal of Clinical Biofeedback, 4(1), 66-67.
Cunningham, M., & Murphy, P. (1981). The effects of bilateral EEG biofeedback on verbal, visuospatial and creative skills in LD male adolescents. Journal of Learning Disabilities, 14(4), 204-208.
Drechsler R, Straub M, Doehnert M, Heinrich H, Steinhausen H, Brandeis D. (2007). Controlled evaluation of a neurofeedback training of slow cortical potentials in children with ADHD. Behavioral & Brain Functions, 3, 35.
Egner, T., & Gruzelier, J. H. (2001). Learned self-regulation of EEG frequency components affects attention and event-related brain potentials in humans. NeuroReport, 12, 4155-4159.
Egner, T., & Gruzelier, J. H. (2004).EEG biofeedback of low beta band components: Frequency-specific effects on variables of attention and event-related brain potentials.Clinical Neurophysiology, 115(1), 131-139.
Fehmi, L. G. (2007). Multichannel EEG phase synchrony training and verbally guided attention training for disorders of attention. Chapter in J. R. Evans (Ed.), Handbook of Neurofeedback. Binghampton, NY: Haworth Medical Press, pp. 301-319.
Fehmi, L. G., & Selzer, F. A. (1980). Biofeedback and attention training. Chapter in S. Boorstein (Ed.), Transpersonal Psychotherapy. Palo Alto: Science and Behavior Books.
Fehmi, L. G. (1978). EEG biofeedback, multichannel synchrony training, and attention. Chapter in A. A. Sugarman & R. E. Tarter (Eds.), Expanding Dimensions of Consciousness. New York: Springer.
Fernandez, T., Herrera, W., Harmony, T., Diaz-Comas, L., Santiago, E., Sanchez, L., Bosch, J., Fernandez-Bouzas, A., Otero, G., Ricardo-Garcell, J., Barraza, C., Aubert, E., Galan, L., & Valdes, P. (2003). EEG and behavioral changes following neurofeedback treatment in learning disabled children. Clinical Electroencephalography, 34(3), 145-150.
Fleischman, M. J., & Othmer, S. (2005). Case study: Improvements in IQ score and maintenance of gains following EEG biofeedback with mildly developmentally delayed twins. Journal of Neurotherapy, 9(4), 35-46.
Foks, M. (2005).Neurofeedback training as an educational intervention in a school setting: How the regulation of arousal states can lead to improved attention and behaviour in children with special needs. Educational & Child Psychology, 22(3), 67-77.
Fox, D. J., Tharp, D. F., & Fox, L. C. (2005). Neurofeedback: An alternative and efficacious treatment for attention deficit hyperactivity disorder. Applied Psychophysiology & Biofeedback, 30(4), 365-274.
Fritson, K. K., Wadkins, T. A., Gerdes, P., & Hof, D. (2007). The impact of neurotherapy on college students’ cognitive abilities and emotions. Journal of Neurotherapy, 11(4), 1-9.
Fuchs, T., Birbaumer, N., Lutzenberger, W., Gruzelier, J. H., & Kaiser, J. (2003). Neurofeedback treatment for attention deficit/hyperactivity disorder in children: A comparison with methylphenidate. Applied Psychophysiology and Biofeedback, 28, 1-12.
Gani C, Birbaumer N & Strehl U. (2008). Long term effects after feedback of slow cortical potentials and of theta-beta amplitudes in children with attention-deficit/hyperactivity disorder(ADHD). International Journal of Bioelectromagnetism, 10(4), 209-232.
Hansen, L. M., Trudeau, D., & Grace, L. (1996). Neurotherapy and drug therapy in combination for adult ADHD, personality disorder, and seizure. Journal of Neurotherapy, 2(1), 6-14.
Hirshberg, L. M. (2007). Place of electroencephalographic biofeedback for attention-deficit/hyperactivity disorder. Expert Review of Neurotherapeutics, 7(4), 315-319.
Jackson, G. M., & Eberly, D. A. (1982). Facilitation of performance on an arithmetic task as a result of the application of a biofeedback procedure to suppress alpha wave activity. Biofeedback & Self-Regulation, 7(2), 211-221.
Jacobs, E. H. (2005). Neurofeedback treatment of two children with learning, attention mood, social, and developmental deficits. Journal of Neurotherapy, 9(4), 55-70.
Kaiser, D. A., & Othmer, S. (2000). Effect of Neurofeedback on variables of attention in a large multi-center trial. Journal of Neurotherapy, 4(1), 5-15.
Kirk, L. (2007). Neurofeedback protocols for subtypes of attention deficit/hyperactivity disorder. Chapter in J. R. Evans (Ed.), Handbook of Neurofeedback. Binghampton, NY: Haworth Medical Press, pp. 267-299.
Kotwal, D. B., Burns, W. J., & Montgomery, D. D. (1996). Computer-assisted cognitive training for ADHD: A case study. Behavior Modification, 20(1), 85-96.
Kropotov, J. D., Grin-Yatsenko, V. A., Ponomarev, V. A., Chutko, L. S., Yakovenko, E. A., & Nikishena, I. S. (2007). Changes in EEG spectograms, event-related potentials and event-related desynchronization induced by relative beta training in ADHD children. Journal of Neurotherapy, 11(2), 3-11.
Kropotov, J. D., Grin-Yatsenko, V. A., Ponomarev, V. A., Chutko, L. S., Yakovenko, E. A., Nildshena, I. S. (2005). ERPs correlates of EEG relative beta training in ADHD children. International Journal of Psychophysiology, 55(1), 23-34.
Kwon, H., Cho, J., Lee, E. (2009). EEG asymmetry analysis of the left and right brain activities during simple versus complex arithmetic learning. Journal of Neurotherapy 13(2), 109 – 116.
Leins, U., Goth, G., Hinterberger, T., Klinger, C., Rumpf, M., & Strehl, U. (2007). Neurofeedback for Children with ADHD: A Comparison of SCP and Theta/Beta Protocols. Applied Psychophysiology & Biofeedback, 32
Levesque, J., Beauregard, M., & Mensour, B. (2006). Effect of neurofeedback training on the neural substrates of selective attention in children with attention-deficit/hyperactivity disorder: a functional magnetic resonance imaging study. Neuroscience Letters, 394(3), 216-221.
Linden, M., Habib, T., & Radojevic, V. (1996). A controlled study of the effects of EEG biofeedback on cognition and behavior of children with attention deficit disorder and learning disabilities. Biofeedback & Self-Regulation, 21(1), 35-49.
Loo, S., & Barkley, R. (2005). Clinical utility of EEG in attention deficit hyperactivity disorder. Applied Neuropsychology, 12(2), 64-76.
Lubar, J. F. (1985). EEG biofeedback and learning disabilities. Theory into Practice, 26, 106-111
Lubar, J. F. (1995). Neurofeedback for the management of attention-deficit/hyperactivity disorders. Chapter in M. S. Schwartz (Ed.), Biofeedback: A Practitioner’s Guide. New York, Guilford, 493-522.
Lubar, J. F. (2003). Neurofeedback for the management of attention deficit / hyperactivity disorders. Chapter in M. S. Schwartz & F. Andrasik (Eds.), Biofeedback: A Practitioner’s Guide Third Edition. New York, Guilford, 409-437.
Lubar, J. O., & Lubar, J. F. (1984). Electroencephalographic biofeedback of SMR and beta for treatment of attention deficit disorders in a clinical setting. Biofeedback & Self-Regulation, 9, 1-23.
Lubar, J. F., & Shouse, M. N. (1976). EEG and behavioral changes in a hyperactive child concurrent with training of the sensorimotor rhythm (SMR): A preliminary report. Biofeedback & Self-Regulation, 1(3), 293-306.
Lubar, J. F., & Shouse, M. N. (1977).Use of biofeedback in the treatment of seizure disorders and hyperactivity. Advances in Clinical Child Psychology, 1, 204-251.
Lubar, J. F., Swartwood, M. O., Swartwood, J. N., & O’Donnell, P. H. (1995). Evaluation of the effectiveness of EEG neurofeedback training for ADHD in a clinical setting as measured by changes in T.O.V.A., scores, behavioral ratings, and WISC-R performance. Biofeedback & Self-Regulation, 20(1), 83-99.
Lutzenberger W, Elbert T, Rockstroh B, Birbaumer N. (1982) Biofeedback produced slow brain potentials and task performance. Biological Psychology, 14, 99-111.
McKnight, J. T., & Fehmi, L. G. (2001). Attention and neurofeedback synchrony training: Clinical results and their significance. Journal of Neurotherapy, 5(1-2), 45-62.
Monastra, V. J., (2005). Electroencephalographic biofeedback (neurotherapy) as a treatment for attention deficit hyperactivity disorder: Rationale and empirical foundation. Child & Adolescent Psychiatric Clinics of North America, 14(1), 55-82.
Monastra, V. J., Lynn, S., Linden, M., Lubar, J. F., Gruzelier, J., & LaVaque, T. J. (2005). Electroencephalographic biofeedback in the treatment of attention-deficit/hyperactivity disorder. Applied Psychophysiology & Biofeedback, 30(2), 95-114.
Monastra, V. J., Monastra, D. M., & George, S. (2002). The effects of stimulant therapy, EEG biofeedback, and parenting style on the primary symptoms of attention-deficit/hyperactivity disorder. Applied Psychophysiology & Biofeedback, 27(4), 231-249.
Mulholland, T. Goodman, D., & Boudrot, R. (1983). Attention and regulation of EEG alpha-attenuation responses. Biofeedback & Self-Regulation, 8(4), 585-600.
Nash, J. K. (2000). Treatment of attention-deficit hyperactivity disorder with neurotherapy. Clinical Electroencephalography, 31(1), 30-37.
Norris, S. L., Lee, C-T., Burshteyn, D., & Cea-Aravena, J. (2001). The effects of performance enhancement training on hypertension, human attention, stress, and brain wave patterns: A case study. Journal of Neurotherapy, 4(3), 29-44.
Norris, S. L., Lee, C., Cea, J., & Burshteyn, D. (1998). Performance enhancement training effects on attention: A case study. Journal of Neurotherapy, 3(1), 19-25.
Orlando, P. C., & Rivera, R. O. (2004). Neurofeedback for elementary students with identified learning problems. Journal of Neurotherapy, 8(2), 5-19.
Othmer, S., Othmer, S. F., & Kaiser, D. A. (1999). EEG biofeedback: Training for AD/HD and related disruptive behavior disorders. Chapter in J. A. Incorvaia & B. F. Mark-Goldstein, & D. Tessmer (Eds.), Understanding, Diagnosing, & Treating AD/HD in Children and Adolescents. New York: Aronson, 235-297
Patrick, G. J. (1996). Improved neuronal regulation in ADHD: An application of 15 sessions of photic-driven EEG neurotherapy. Journal of Neurotherapy, 1(4), 27-36.
Perreau-Linck, E., Lessard, N., Lévesque, J., Beauregard, M.(2010).Effects of neurofeedback training on inhibitory capacities in ADHD children: A single-blind, randomized, placebo-controlled study. Journal of Neurotherapy 14(3), 229 – 242.
Pratt, R. R., Abel, H., & Skidmore, J. (1995). The effects of neurofeedback training with background music on EEG patterns of ADD and ADHD children. International Journal of Arts Medicine, 4(1), 24-31.
Pulvermuller, F., Mohr, B., Schleichert, H., & Veit, R. (2000). Operant conditioning of left-hemispheric slow cortical potentials and its effect on word processing. Biological Psychology, 53, 177-215.
Putnam, J. A., Othmer, S. F., Othmer, S., & Pollock, V. E. (2005). TOVA results following interhemispheric bipolar EEG training. Journal of Neurotherapy, 9(1), 37-52.
Rasey, H. W., Lubar, J. E., McIntyre, A., Zoffuto, A. C., & Abbott, P. L. (1996). EEG biofeedback for the enhancement of attentional processing in normal college students. Journal of Neurotherapy, 1(3), 15-21.
Rockstroh, B., Elbert, T., Lutzenberger, W., & Birbaumer, N. (1990). Biofeedback: Evaluation and therapy in children with attentional dysfunction. Chapter in A. Rothenberger (Ed.), Brain and Behaviour in Child Psychiatry. Berlin: Springer Verlag, pp. 345-357.
Rossiter, T. R. (2004). The effectiveness of neurofeedback and stimulant drugs in treating AD/HD: Part I. Review of methodological issues. Applied Psychophysiology & Biofeedback, 29(2), 135-140.
Rossiter, T. R. (2005). The effectiveness of neurofeedback and stimulant drugs in treating AD/HD: Part II.Replication. Applied Psychophysiology & Biofeedback, 29(4), 233-243.
Rossiter, T. (2002). Neurofeedback for AD/HD: A ratio feedback case study. Journal of Neurotherapy, 6(3), 9-35.
Rossiter, T. R. (1998). Patient directed neurofeedback for ADHD. Journal of Neurotherapy, 2(4), 54-63.
Rossiter, T. R., & La Vaque, T. J. (1995). A comparison of EEG biofeedback and psychostimulants in treating attention deficit/hyperactivity disorders. Journal of Neurotherapy, 1, 48-59.
Russell, H. L., & Carter, J. L. (1997). EEG Driven Audio-Visual Stimulation Unit for Enhancing Cognitive Abilities of Learning Disordered Boys: Final Report. Washington, D.C.: U.S. Department of Education (SBIR), Contract number RA94130002.
Scheinbaum, S., Zecker, S., Newton, C. J., & Rosenfeld, P. (1995 ). A controlled study of EEG biofeedback as a treatment for attention-deficit disorders. In “Proceedings of the 26th Annual Meeting of the Association for Applied Psychophysiology and Biofeedback” pp. 131-134.
Sheer, D. E. (1975). Biofeedback training of 40-Hz EEG and behavior. Chapter in N. Burch & H. I. Altshuler (Eds.), Behavior and Brain Electrical Activity. New York: Plenum.
Sheer, D. E. (1977). Biofeedback training of 40-Hz EEG and behavior. Chapter in J. Kamiya et al., Biofeedback and Self-Control 1976/1977. An Annual Review. Chicago: Aldine.
Shin, D. I., Lee, J. H., Lee, S. M., Kim, I. Y., & Kim, S. I. (2004). Neurofeedback training with virtual reality for inattention and impulsiveness. Cyberpsychology & Behavior, 7(5), 519-526.
Shouse, M. N., & Lubar, J. F. (1979). Operant conditioning of EEG rhythms and Ritalin in the treatment of hyperkinesis. Biofeedback & Self-Regulation, 4(4), 299-311.
Stankus, T. (2008). Can the brain be trained? Comparing the literature on the use of EEG biofeedback/neurofeedback as an alternative or complementary therapy for attention deficit disorder (ADHD). Behavioral & Social Sciences Librarian, 26(4), 20-56.
Strehl, U., Leins, U., Goth, G., Klinger, C., Hinterberger, T., and Birbaumer, N. (2006). Self-regulation of slow cortical potentials: A new treatment for children with attention-deficit/hyperactivity disorder. Pediatrics, 118, 1530-1540.
Surmeli, T., & Ertem, A. (2010). Post WISC-R and TOVA improvement with QEEG guided neurofeedback training in mentally retarded: A clinical case series of behavioral problems. Clinical EEG & Neuroscience, 41(1), 32-41.
Surmeli, T., & Ertem, A. (2007). EEG neurofeedback treatment of patients with Down Syndrome. Journal of Neurotherapy, 11(1), 63-68.
Swingle, P. G. (2001). Parameters associated with rapid neurotherapeutic treatment of common ADD (CADD). Journal of Neurotherapy, 5(4), 73-84.
Swingle, P. G. (1996). Sub threshold 10-Hz sound suppresses EEG theta: Clinical application for the potentiation of neurotherapeutic treatment of ADD/ADHD. Journal of Neurotherapy, 2(1), 15-22.
Tansey, M. A. (1984). EEG sensorimotor rhythm biofeedback training: Some effects on the neurological precursors of learning disabilities. International Journal of Psychophysiology, 3, 85-99.
Tansey, M. A. (1985). Brainwave signatures–An index reflective of the brain=s functional neuroanatomy: Further findings on the effect of EEG sensorimotor rhythm biofeedback training on the neurologic precursors of learning disabilities. International Journal of Psychophysiology, 3, 85-89.
Tansey, M. A. (1990). Righting the rhythms of reason: EEG biofeedback training as a therapeutic modality in a clinical office setting. Medical Psychotherapy, 3, 57-68.
Tansey, M. A. (1991). Wechsler (WISC-R) changes following treatment of learning disabilities via EEG biofeedback in a private practice setting. Australian Journal of Psychology, 43, 147-153.
Tansey, M. A. (1993). Ten-year stability of EEG biofeedback results for a hyperactive boy who failed fourth grade perceptually impaired class. Biofeedback & Self-Regulation, 18, 33-44.
Tansey, M. A., & Bruner, R. L. (1983). EMG and EEG biofeedback training in the treatment of 10-year old hyperactive boy with a developmental reading disorder. Biofeedback & Self-Regulation, 8(1), 25-37.
Thompson, L., & Thompson, M. (1998). Neurofeedback combined with training in metacognitive strategies: Effectiveness in students with ADD. Applied Psychophysiology & Biofeedback, 23(4), 243-263.
Thornton, K. E., & Carmody, D. P. (2005). Electroencephalogram biofeedback for reading disability and traumatic brain injury. Child & Adolescent Psychiatric Clinics of North America, 14(1), 137-162.
Tinius, T. P., & Tinius, K. A. (2001). Changes after EEG biofeedback and cognitive retraining in adults with mild traumatic brain injury and attention deficit disorder. Journal of Neurotherapy, 4(2), 27-44.
Vachon-Presseau, E., Achim, A., Benoit-Lajoie, A. (2009). Direction of SMR and beta change with attention in adults. Journal of Neurotherapy 13(1), 22 – 29.
Valdez, M. (1985). Effects of biofeedback-assisted attention training in a college population. Biofeedback & Self-Regulation, 10(4), 315-324.
Vernon, D., Egner, T., Cooper, N., Compton, T., Neilands, C., Sheri, A., & Gruzelier, J. (2003). The effect of training distinct neurofeedback protocols on aspects of cognitive performance. International Journal of Psychophysiology, 47, 75-85.
Wadhwani, S., Radvanski, D. C., & Carmody, D. P. (1998). Neurofeedback training in a case of attention deficit hyperactivity disorder. Journal of Neurotherapy, 3(1), 42-49.
Walker, J. E., & Norman, C. A. (2006). The neurophysiology of dyslexia: A selective review with implications for neurofeedback remediation and results of treatment in twelve consecutive patients. Journal of Neurotherapy, 10(1), 45-55.
Warner, D.A., Barabasz, A., & Barabasz, M. (2000). The efficacy of Barabasz’s alert hypnosis and neurotherapy on attentiveness, impulsivity and hyperactivity in children with ADHD. Child Study Journal, 30(1), 43-49.
Williams, J. (2010).Does neurofeedback help reduce attention-deficit hyperactivity disorder?Journal of Neurotherapy 14(4), 261-279.
Xiong, Z., Shi, S., & Xu, H. (2005). A controlled study of the effectiveness of EEG biofeedback training on children with attention deficit hyperactivity disorder. Journal of Huazhong University of Science & Technology, 25(3), 368-370.
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