Posts Tagged ‘Mental Health’

The Uniqueness of the Drake Institute

Wednesday, June 30th, 2010

For 30 years the Drake Institute has made neurofeedback and biofeedback the centerpiece of its treament programs. It gives us a method to access brain functioning without any negative side effects and restore normalcy, thereby reducing or eliminating symptoms. It is not an “add on” to other therapies or medications in the Institute’s treatment programs. . It is the central treatment though we may provide adjunctive counseling or treatment of learning disorders secondarily..  Because it has been the central treatment for our patients for 30 years, it has enabled the Drake Institute to develop leading edge knowledge and clinical experience in its applications for ADHDAutism Spectrum Disorders, and stress related disorders or diseases. All of these disorders have one thing in common : at their core is irregular brain function.

There is a learning curve in developing clinical expertise in utilizing neurofeedback and biofeedback for many different disorders. Very simply, the more patients you help, then the moreclinical experience and expertise the clinicians acquire. The treatment programs at the Drake Institute have gone through many evolutions of development during the last 30 years as the Institute benefited from its relationships with other leading professionals in the world who helped pioneer this technology.

The Institute has continously acquired new “state of the art”  technology and integrated it into it’s treatment procedures. Being a medical facility enabled the Drake Institute to develop the applications of this technology through a medical practice. Having treated more than 11,000 patients has produced a level of knowledge and clinical competency that could not have been acquired in any other way.

In addition at the Drake Institute we feel that qEEG brain mapping is essential in being able to provide optimal neurofeedback treatment. The only exception has been in a younger Autistic child whom obtaining an accurate brain map on is rarely not possible. Brain mapping is preferably done “in house” as opposed to having an outside service come in and do it. It has been an enormous asset that Drake’s patients’ qEEG brainmaps are done by the clinic itself and interpreted by Drake’s doctors for developing the neurofeedback protocols. We feel this is far superior than if an outside service provided this without the benefit of Drake’s enormous clinical data base.

Another invaluable aspect of the Drake Institute is its extensive clinical experience in treating stress related disorders , including anxiety and depression, with stress biofeedback. Many adult ADHD patients and some adolescent ADHD patients need and benefit from Drake’s stress biofeedback treatment in addition to the brain map guided neurofeedback they receive.

It is important to have a physician overseeing a treatment program utilizing neurofeedback/biofeedback when there are patients taking medications. Medical case care is the most comprehensive view of the patient and at Drake, we understand the relationship between neurofeedback care and drug reduction. This is necessary as medications may need to be titrated down as the patient improves with neurofeedback. Having a physician directing the neurofeedback treatments and medication monitoring simultaneously with an understanding of the interaction between the two is preferable to having an outside physician monitoring medication who doesn’t understand the neurofeedback treatment.

Lastly, since 70% of ADHD patients have secondary learning disorders, the Drake Institute developed FullCare in order to provide comprehensive treatment for all of the patients’ needs not just their ADHD symptoms.  Once the attentional problems are helped, it is essential to improve or resolve the secondary learning or processing disorders. Otherwise, the patients will never develop to their full capacities to meet life’s challenges.

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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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