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January 2012

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People often ask me if neurofeedback is an effective treatment for ADHD. Given that the expert consensus is “maybe” or “sometimes,” I try to answer along those lines, pointing out that many factors should be considered. For example:

  • How quickly do you need results (is a child about to fail a grade or an adult about to lose a job or relationship)?
  • How plentiful are your resources (if you try neurofeedback and it doesn’t work, is there money left in the budget for traditional treatment)?
  • What are the credentials and reputation of the clinician providing the neurofeedback?

Some people assume that neurofeedback is safer than medication, but the fact is that potential for its side effects has never been studied.

Thanks to David Rabiner,  Associate Research Professor at Duke University’s Department of Psychology  Neuroscience, I can share with you (below) a sophisticated analysis of the research.  Dr. Rabiner has long performed the excellent service of parsing the research around ADHD in his newsletter, Attention Research Update. You can subscribe to his free newsletter here, and read through the substantial archives once you are subscribed

As a layperson, I appreciate his clear writing style, but research terminology can be complex and this analysis might be “too much information” for some of us. Please consider that clear-cut answers aren’t always easy to give on complex subjects.

The bottom line, as Dr. Rabiner writes below:

“The research reviewed here indicates that if parents obtain high quality neurofeedback treatment for their child there is a reasonable basis for expecting that benefits will occur. The decision to do so should be made with the knowledge that medication treatment and behavioral therapy would be regarded as having stronger research support at this time.” Read the rest of this entry »

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Isn’t it great when psychiatrists publish websites or blogs that help you decide if they might be the right (or very wrong) choice for you? Isn’t it really great when their guest comments on other blogs provide an entirely different picture of their approach than you would get by reading the pro forma info on their websites?  Buyer beware!

Readers nationwide often write to me asking for referrals to psychiatrists or therapists in their area who are competent in treating ADHD.  I do my best to help, still emphasizing the importance of patients being pro-active. No matter how good the expert, it’s important to take a team approach. I routinely recommend a Google search for the professional’s website or blog to learn more about approach, training, and so forth. Even Yelp.com reviews might provide some inkling of a physician’s or therapist’s reputation.

Never have I seen such a clear case of “truth in advertising” about a psychiatrist’s approach to ADHD, however, than this blog post from a David Allen, MD (it’s unclear where he is practicing now but he received his medical degree at UCSF, a local medical school that will receive future attention in my blog).

To partially quote Allen’s manifesto at the top of his blog: Read the rest of this entry »

Last month I ran a guest post, One Man’s Rugged Reality of ADD, by Dylan Rosen. As the outpouring of supportive comments demonstrates, this first-person account of late-diagnosis ADD touched many minds and hearts among ADHD Roller Coaster blog readers. The ensuing comments are all well worth reading, but the one from “Brandy” stood out for me in particular, because this late-diagnosis adult and mother faced some hard realities that many might prefer to avoid.

I often hear from parents in distress and even angry about the school pointing out the red flags of ADHD in their child. They never saw the signs, these parents say; how dare the school suggest such a thing!  Of course it’s true that schools or teachers sometimes overstep their bounds and/or mis-perceive behavior as ADHD-related. In my experience as a longtime advocate, however, I more typically hear stories of schools denying the reality of ADHD. The first question I ask of the parents who write to me with such concerns: “Is it possible that you or your co-parent have ADHD, too? And maybe that’s why you didn’t realize that ADHD might be an issue for your child at school?” This question sometimes comes as a shock, and isn’t always well-received.  That’s why I so admired the compassionately courageous path of inquiry followed by Brandy, below, as explained in her comment on Dylan’s story: Read the rest of this entry »

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