Reply To: 20 years of treatment failure: is there hope?

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Sounds like you’ve been through a lot. There is no good scientific evidence for long-term efficacy of drugs for ADHD. The NIH Multimodal Treatment of ADHD study showed this with follow-up as long as 16 years. No treatment effect (drugs or behavior therapy) at 3 year follow-up and later. I’ve been doing neurofeedback to improve focus and other executive functions using quantitative EEG analysis followed by qEEG-targeted neurofeedback since 1991, with very satisfying improvements. “qEEG-targeted” means we look at what you’re brain is actually doing at rest and during tasks. We don’t use standard “protocols,” which may or may not work for a given person. Look at the provider/certificant lists on the Biofeedback Certification International Alliance for Board Certified neurofeedback (BCN) providers and (even better) the Quantitative EEG Certification Board site for someone who does 19 channel qEEG competently, hopefully somewhere near you. I’d be careful and question deeply those practitioners who aren’t certified by one of these groups. Neurofeedback is no easy “fix” – it takes 20 – 40 sessions, twice weekly. Beware of the “miracle cure” folks who promise 6 session turnarounds. It is simply operant conditioning of the more functional states of the brain. The technology detects moments when your brain is more on top of it and lets you know. Being pleased about those moments reinforces the brain for doing it and gradually a skill develops. Kind of like learning a musical instrument (in this case, your brain) – but quite a bit easier. A competent provider will be a licensed mental health provider and will couple cognitive behavior therapy methods with neurofeedback. If neurofeedback just seems too strange, google “Bin He UMN quadcopter” and watch a movie of an undergraduate at the University of Minnesota flying a quadcopter with his brain waves.

Good luck

John K. Nash, Ph.D., L.P.
Sr. Fellow, BCIA, BCN
Diplomate, QEEG Certification Board