Archive for the ‘ADHD – Drake Institute’ Category

Multiple Exposures to Anesthesia May Increase the Risk of ADHD in Young Children

Monday, June 27th, 2011

I have always felt that it is beneficial and anxiety reducing to help parents understand what may have caused or contributed to their child’s ADD / ADHD or learning disability. I have seen many times how this information helps parents to stop blaming themselves for the child’s neuro-physiologic disorder. Additionally, this information can reduce their anxiety about the unknown and the future.
For many years I have communicated to the parents of patients that my own personal belief, based on treating thousands of patients, is that exposure to prolonged anesthesia at an early age, may be toxic to a young child’s developing brain and lead to developmental disorders. My belief was based on clinical experience and medical intuition.Now, at the annual meeting of the International Anesthesia Society in Vancouver, B.C., reported by Yahoo-Medical and News-Medical.Net, new research data suggests that infants and young children may experience higher rates of cognitive difficulties and learning disabilities if they are exposed to anesthesia. This is another example of how research can validate clinical discovery or observation.
Randall Flick, M.D., of the Mayo Clinic, reported at the conference on their findings that “multiple exposures to anesthesia before the age of two are a significant risk factor for the development of ADHD.” The age of the child at the time of exposure, the duration of the exposure, and the number of anesthetics were all key factors. He stated that a single exposure did not seem to have an effect. I would disagree and think that a single exposure for an extended duration could have an effect. Children under four years old, who were under anesthesia for two or more hours, had at least two times a higher risk.The practice of Medicine always has to weigh “risk vs. benefit” with any treatment procedure. Postponing necessary surgery could cause children more harm. At this recent conference, it was suggested that physicians should minimize the length of time a young child is exposed to anesthesia as well as the number of exposures to anesthesia.With this growing evidence that multiple exposures to anesthesia may have harmful effects on developing brains, it would be prudent to consider postponing surgery when possible until the child is four years old, as long as postponing surgery does not cause harm to the child. Many times, however, surgery cannot be delayed.On a hopeful note at the conference, the University of California, Department of Anesthesia, reported that in lab animals the anesthesia induced cognitive injury could be overcome with intervention which gives more hope to the human model.
Finally, to maximize a child’s healthydevelopment, it is important to remember that every year is impactful in  developing their foundation for the future, and the effect of each year is cumulative. As was stated in the article “every year counts”.

 

Advantages of neurofeedback treatment over drugs for ADHD

Wednesday, June 30th, 2010

Why would a parent of an ADHD child choose brain map guided neurofeedback (EEG biofeedback) over drugs as the treatment of choice? There are 3 obvious answers.

The First ,of course, would be that neurofeedback used properly does not cause adverse side effects unlike drugs. The second, and even more compelling reason of why more and more parents are choosing brain map guided neurofeedback over drugs,  is that neurofeedback treatment facilitates the brain developing to more normalized functioning for long term improvement, whereas drugs can only temporarily suppress symptoms until  the afternoon when the drugs  wear off (just when it is time to do homework).

And the third compelling reason is that brainmap guided neurofeedback can restore the child’s self esteem more fully than a temporary drug effect can. ADHD children lack the neurologic resources to succeed and this leads to low performance in school and in many areas of their life. The child’s self esteem, which can become a lifetime self identity, forms day by day, year by year.   Many ADHD children  may say to themselves  “I’m not smart” though often they have higher than average IQ’s. For some ADHD children, using drugs to improve grades further weakens their self view. Drake’s treatment helps children develop the neurologic resources and  tools necessary to succeed, thus enabling them to immediately begin reversing the downward spiral of their self esteem.

Neurofeedback does not produce harmful side effects, unlike drugs, which can cause loss of appetite, weight loss, growth suppression, sleeping problems, mood swings, suppression of spontaneity, lowering seizure thresholds, and the potential for raising blood pressure and heart rate. Because most of the ADHD drugs are amphetamines or amphetamine class drugs, there is the potential for abuse and building up tolerance to the dosages.. Once tolerance is built up ,  the symptoms start increasing again; then the dosages may need to be further increased which can then result in more harmful side effects. Often in 2 to 3 years the drug will lose its effectiveness in suppressing symptoms and it is as if the ADHD child has not been treated at all..

To understand why brain map guided neurofeedback typically does not produce side effects and can produce long term improvements, unlike drugs, you first have to understand what ADHD or ADD is. The diagnosis of ADHD or ADD is simply describing a cluster of symptoms that are disrupting the child’s life. The diagnosis of ADHD or ADD does not tell you what region or neurophysical system in the brain the symptoms may be coming from. That can only be understood by studying brain functioning in real time, providing a snapshot of specific dysfunction.

These symptoms are a result of specific neurophysiologic systems of the brain deregulating or misfiring. .For example If the  frontal region of the brain is deregulating, then the child can have difficulty with concentration, executive functioning,expressive language, and short term working memory. If the right frontal region of the brain is misfiring or deregulating, then the child is likely to have difficulty with impulse control.

ADHD or ADD is at its core, a neurologic disorder. It is unfortunate that the conventional evaluation of ADHD or ADD usually does not involve studying brain functioning. If the symptoms are coming from the brain, then wouldn’t you want to look at brain functioning ? If a patient is experiencing chest pain and shortness of breath, the first act the physician does is obtain an electrocardiogram (EKG) of the patient. Not to do so would be medically negligent.

Comparatively, a qEEG brainmap for an ADHD patient is as important as an EKG is for a cardiac patient. The more information the physician has on which regions of the patient’s brain the symptoms are coming from, then the more effective the targeted neurofeedback protocols are likely to be.

Unlike drugs, where “one size fits all” (except for the dosages), brainmap guided neurofeedback treatment protocols are unique or “custom tailored” for each patient. The individualized neurofeedback protocols are developed from linking the patient’s symptoms or complaints to the matching abnormal regions on the qEEG brainmap. The regions or neurophysical systems of the brain that are working normally are not treated with neurofeedback. Unfortunately, this is not the case with drugs for ADHD which stimulate even the areas of the brain that are already working normally, thus causing negative side effects because these regions are now overstimulated..

A physician could review 100 brainmaps of 100 children with similar ADHD  symptoms and the imbalances on each child’s brainmap will be different resulting in individualized neurofeedback protocols for each patient. Because the child is actively participating in his / her developing self regulation with neurofeedback to improve his / her brain functioning, he/she can become empowered as new capacities are develped. This leads to more success and self confidence in his / her day to day life which ultimately restores his/her  self esteem.

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Don’t Do the Wrong Thing With Your Hyperactive Kids

Monday, June 21st, 2010

Please visit Dr. Laura’s Blog page on ADHD.  Excerpt below:

http://www.drlaurablog.com/category/adhd/

When I was a child in school, my parents were called in each and every year to have a conference with the principal about my inattention, underachievement, and disruption of the class because I talked too much – all the things that would have me doused in Ritalin today.

I get way too many calls from mothers that their local school is threatening to drug their child (usually a son) with Ritalin to cure his ADHD, and thereby control his behavior.  I always tell them:  NO.  There are numerous reasons why children (and especially boys) won’t sit still and won’t pay attention.  Sometimes they’re bored, sometimes there is so much turmoil at home that they’re acting out, and sometimes they just have so much energy that they can’t sit still.  Schools have virtually thrown out recess breaks and physical education.  Sometimes, too, they’re just the sort of kids who need more one-on-one attention in order to keep focused.  Of course, there’s also the possibility that there are other problems.

“Dr. Laura’s Blog » ADHD.” Dr. Laura’s Blog. Web. 21 June 2010. <http://www.drlaurablog.com/category/adhd/>.