Here is some additional info: I mentioned that NF practitioners specializing in tx of attention disorders have an approach somewhat like the psychiatrists in that we try to see if there is a mood disorder, concussion at play or "pure ADD". In eegNF, there have been similar approaches, one author coming up with types of attention disorders coming from different brain regions (temporal lobe, prefrontal, limbic), or connectivity vs amplitude issues in the reward frequencies (theta-beta in classic frontal , or issues with alpha -- common with traumatized individuals). So the eegNF protocols will look for a stabilizing protocol, and after an extensive eval, target the brain region or Eeg behavior thought to be producing the attention issues. ADD/ADHD is one of the most validated of the targets of eegNF If there are concussions or prefrontal issues, a less "involved' form of Neurofeedback, using an infrared camera to measure the heat production from that area of the cortex, can be very useful.
This form of NF can help in a lot of psychiatric conditions because of the regulatory effect of the prefrontal cortex on the rest of the brain (kind of like how stimulants don't JUST improve performance in patients with "real" attention issues. Being able to shift to a dominant prefrontal cortex can help with conditions involving over-reactivity. This NF is excellent for migraines specifically for this issue. Here is my description of pirHEG from my website. I am so enthusiastic about it because of how much I've seen it help so many of my patients, including patients with trauma and borderline personality disorder/traits (helps with the reactivity). Anyone experiencing this feedback will notice it's benefit also to learning mindfulness, because the training involves shifting attention on demand from a movie to "quiet mind". It's easy to administer and not an expensive or as sharp a learning curve as eegNF. EEGNF on the other hand provides the ability to target OTHER regions of the brain. and specific frequencies and connectivity. I hope these summaries are useful and intriguing to you! Enjoy spring!! Hogan Pesaniello, MD
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