SlideShare a Scribd company logo
1 of 19
Download to read offline
NEUROFEEDBACK for ADHD

• Rationale for Assessment and Treatment

• Elizabeth McCrann
 Senior Clinical Psychologist
Mater CAMHS, James Joyce St., Dublin 1
01-8034793 email: emccrann@mater.ie
ADHD in Ireland
• 3-5% children have ADHD
• 30-40% children ref to CAMHS ADHD
• Co-Morbid conditions :anxiety(34%), learning
  difficulties(70%), oppositional defiant
  disorder(40%); conduct
  disorder(14%);Tics(11%);Mood Disorder(4%)
• Outcome poor if early intervention does not take
  place e.g early school leaving, RTA, substance
  abuse etc.
• 50%children with ADHD not receiving treatment
Assessment of ADHD
• Clinical Interview
• Behaviour Rating Scales –Conners Parent
  and Teachers Forms
• High false positives
• Continuous performance tests –TOVA and
  IVA+Plus
• QEEG- Quantitative EEG
  (neurophysiological measure of attention)
QEEG Assessment
• QEEG helps assess “cortical slowing” seen in
  children with ADHD during academic tasks
• Baseline
• Silent Reading Task
• Listening Task
• Drawing or Working Memory task
• Attention Index (AI) calculated based on norms
  published by Monastra and Lubar
Case Studies using QEEG
• John aged 8 years attending Mater
  CAMHS. Referred for QEEG to confirm
  presence or absence of ADHD

• High IQ but difficulty paying attention
• Conners parent and Teachers in clinical
  range suggestive of a diagnosis
• Results of QEEG did not confirm ADHD
QEEG assessment
Mark aged 15 years
Attending Mater CAMHS since 2000
Average IQ + Language difficulties +ADHD
Attended Special School for EBD
Mainstream + Resources +Medication
Results of QEEG confirm diagnosis of
  ADHD-Inattentive Type
Neurofeedback treatment offered
EEG Bandpasses

• What does your EEG look like?
• Age Dependant
• EEG slowing in ADHD (Excess Slow
  Wave
• Evidence Based Studies
• Can you help children change their
  experience of alertness?
Brain Waves - Description of EEG band passes/frequencies
EEG Neurofeedback Session
Elizabeth McCrann neurofeedback for adhd
Clinical Neurofeedback session
• Electrodes placed on scalp
• Video type games linked to client’s EEG as
  measured by the software
• Gain control of attention through control of EEG
  and rewards through instant feedback of “fast”
  waves “.
• “Slow” waves are inhibited and games pause.
  Child learns quickly through real time feedback
  of EEG how he is progressing and gains control
  of attention.
How does Neurofeedback Work
• Strengthens Neural Connections-
• Helps child experience alertness “what it feels
  like” to pay attention
• Real Time Feedback using latest technology
  provides information to client – Self regulation
• Interactive nature of multimedia technology
• Based on positive psychology model-
• Building on child’s strengths not an “illness”
  model. Empowering children and increasing
  motivation to succeed
Elizabeth McCrann neurofeedback for adhd
Elizabeth McCrann neurofeedback for adhd
Elizabeth McCrann neurofeedback for adhd
Multimodal Treatment of ADHD
•   Medical and Psychological Treatments
•   Medication
•   Neurofeedback
•   Parenting Techniques/Behaviour Modification
•   Support Groups& Education about ADHD
•   Individual Psychotherapy
•   Family Therapy
•   Exercise
•   Nutrition
OUTCOME STUDIES
• Monastra et al 2002 . “The Effects of Stimulant Therapy, EEG
  Biofeedback & Parenting Style on the Primary Symptoms of ADHD”

• Monastra and Lubar (2001) The Development of QEEG scanning
  process for ADHD. Reliability and Validity Studies.
  Neuropsychology.

• Arns, M., De Ritter, D., Strehl, U., Breteler, M., Coenen, A. (2009).
  Efficacy of neurofeedback treatment in ADHD: The effects on
  inattention, impulsivity and hyperactivity: A meta-analysis. Clinical
  EEG and Neuroscience, 40(3), 180-189.
• Gevensleben et al (2009)
Outcome studies
• EEG biofeedback(Lubar et al, 1995);Rossiter
  & La Vaque 1995; Linden, Habib &
  Radojevic, 1996; Thompson & Thompson,
  1999; Monastra et al, 2001) are reporting
  positive outcomes :-

•   * reduction in behavioural symptoms of ADHD
•   * improvement in the T.O.V.A.
•   * improvements on tests of intelligence
•   * reduced cortical slowing on QEEG
•   * maintenance of clinical improvement when
    medication is withdrawn
Future Applications
• Further Training in Biofeedback and
  Neurofeedback :
• www.bfe.org (Biofeedback Foundation of
  Europe)
• www.aapb.org (Applied Psychophysiology
• www.isnr.org (International Society of
  Neurofeedback Research)
• Email: emccrann@mater.ie

More Related Content

What's hot

Magnetoencephalography
MagnetoencephalographyMagnetoencephalography
MagnetoencephalographyNeurologyKota
 
Basics of electroencephalography
Basics of electroencephalographyBasics of electroencephalography
Basics of electroencephalographyNeurologyKota
 
The neural correlates of executive function
The neural correlates of executive functionThe neural correlates of executive function
The neural correlates of executive functionOzella Brundidge
 
Neurobiology of Memory
Neurobiology of MemoryNeurobiology of Memory
Neurobiology of MemoryParth Goyal
 
EEG in neurology and psychiatry
EEG in neurology and psychiatryEEG in neurology and psychiatry
EEG in neurology and psychiatrykkapil85
 
Cerebellum its function and releveance in psychiatry
Cerebellum its function and releveance in psychiatryCerebellum its function and releveance in psychiatry
Cerebellum its function and releveance in psychiatryHarsh shaH
 
Trans cranial magnetic stimulation - Diagnostic & Therapeutic application
Trans cranial magnetic stimulation - Diagnostic & Therapeutic applicationTrans cranial magnetic stimulation - Diagnostic & Therapeutic application
Trans cranial magnetic stimulation - Diagnostic & Therapeutic applicationNeurologyKota
 
Executive Function of Brain
Executive Function of Brain Executive Function of Brain
Executive Function of Brain Rooban Thavarajah
 
Spindles and transients - Sleep Phenomena, Mechanisms and Substrates
Spindles and transients - Sleep Phenomena, Mechanisms and SubstratesSpindles and transients - Sleep Phenomena, Mechanisms and Substrates
Spindles and transients - Sleep Phenomena, Mechanisms and SubstratesRahul Kumar
 
The prefrontal cortex
The prefrontal cortexThe prefrontal cortex
The prefrontal cortexMatt Roberts
 
Update on cognitive remediation
Update on cognitive remediationUpdate on cognitive remediation
Update on cognitive remediationNajib Alwi
 
fNIRS and Brain Computer Interface for Communication
fNIRS and Brain Computer Interface for CommunicationfNIRS and Brain Computer Interface for Communication
fNIRS and Brain Computer Interface for CommunicationInsideScientific
 
Brain Stimulation & Neuromodulation September 2016 - BH Summit
Brain Stimulation & Neuromodulation September 2016 - BH SummitBrain Stimulation & Neuromodulation September 2016 - BH Summit
Brain Stimulation & Neuromodulation September 2016 - BH SummitJay Yeomans
 

What's hot (20)

Magnetoencephalography
MagnetoencephalographyMagnetoencephalography
Magnetoencephalography
 
qeeg Neuroshow
qeeg Neuroshowqeeg Neuroshow
qeeg Neuroshow
 
Review of brain plasticity
Review of brain plasticityReview of brain plasticity
Review of brain plasticity
 
Basics of electroencephalography
Basics of electroencephalographyBasics of electroencephalography
Basics of electroencephalography
 
The neural correlates of executive function
The neural correlates of executive functionThe neural correlates of executive function
The neural correlates of executive function
 
Brain plasticity
Brain plasticity Brain plasticity
Brain plasticity
 
EEG Generators
EEG GeneratorsEEG Generators
EEG Generators
 
Neurobiology of Memory
Neurobiology of MemoryNeurobiology of Memory
Neurobiology of Memory
 
EEG in neurology and psychiatry
EEG in neurology and psychiatryEEG in neurology and psychiatry
EEG in neurology and psychiatry
 
Cerebellum its function and releveance in psychiatry
Cerebellum its function and releveance in psychiatryCerebellum its function and releveance in psychiatry
Cerebellum its function and releveance in psychiatry
 
Trans cranial magnetic stimulation - Diagnostic & Therapeutic application
Trans cranial magnetic stimulation - Diagnostic & Therapeutic applicationTrans cranial magnetic stimulation - Diagnostic & Therapeutic application
Trans cranial magnetic stimulation - Diagnostic & Therapeutic application
 
Executive Function of Brain
Executive Function of Brain Executive Function of Brain
Executive Function of Brain
 
Spindles and transients - Sleep Phenomena, Mechanisms and Substrates
Spindles and transients - Sleep Phenomena, Mechanisms and SubstratesSpindles and transients - Sleep Phenomena, Mechanisms and Substrates
Spindles and transients - Sleep Phenomena, Mechanisms and Substrates
 
Executive function
Executive functionExecutive function
Executive function
 
The prefrontal cortex
The prefrontal cortexThe prefrontal cortex
The prefrontal cortex
 
Update on cognitive remediation
Update on cognitive remediationUpdate on cognitive remediation
Update on cognitive remediation
 
fNIRS and Brain Computer Interface for Communication
fNIRS and Brain Computer Interface for CommunicationfNIRS and Brain Computer Interface for Communication
fNIRS and Brain Computer Interface for Communication
 
15. neuroplasticity
15. neuroplasticity15. neuroplasticity
15. neuroplasticity
 
fMRI Study Design
fMRI Study DesignfMRI Study Design
fMRI Study Design
 
Brain Stimulation & Neuromodulation September 2016 - BH Summit
Brain Stimulation & Neuromodulation September 2016 - BH SummitBrain Stimulation & Neuromodulation September 2016 - BH Summit
Brain Stimulation & Neuromodulation September 2016 - BH Summit
 

Viewers also liked

A Preliminary Exploration For The Benefits Of Neurofeedback Ppt[1]
A Preliminary Exploration For The Benefits Of Neurofeedback Ppt[1]A Preliminary Exploration For The Benefits Of Neurofeedback Ppt[1]
A Preliminary Exploration For The Benefits Of Neurofeedback Ppt[1]jcollin2
 
Utilização do eletroencefalograma quantitativo (QEEG) para avaliar o tratamen...
Utilização do eletroencefalograma quantitativo (QEEG) para avaliar o tratamen...Utilização do eletroencefalograma quantitativo (QEEG) para avaliar o tratamen...
Utilização do eletroencefalograma quantitativo (QEEG) para avaliar o tratamen...yeda lopes nogueira
 
Introduction to CT Brain: The Basic Principles
Introduction to CT Brain: The Basic PrinciplesIntroduction to CT Brain: The Basic Principles
Introduction to CT Brain: The Basic PrinciplesWan Najwa Zaini
 
QEEG Digital Business Proposal
QEEG Digital Business ProposalQEEG Digital Business Proposal
QEEG Digital Business ProposalDavid Ioli
 
Aula introdução à disciplina de mecanoterapia
Aula introdução à disciplina de mecanoterapiaAula introdução à disciplina de mecanoterapia
Aula introdução à disciplina de mecanoterapiaJaqueline Mancini
 
Fisioterapia mecanoterapia
Fisioterapia mecanoterapiaFisioterapia mecanoterapia
Fisioterapia mecanoterapiaJosé Wilton
 

Viewers also liked (11)

Neurofeedback Oct 2016
Neurofeedback  Oct 2016Neurofeedback  Oct 2016
Neurofeedback Oct 2016
 
A Preliminary Exploration For The Benefits Of Neurofeedback Ppt[1]
A Preliminary Exploration For The Benefits Of Neurofeedback Ppt[1]A Preliminary Exploration For The Benefits Of Neurofeedback Ppt[1]
A Preliminary Exploration For The Benefits Of Neurofeedback Ppt[1]
 
Neurofeedback
NeurofeedbackNeurofeedback
Neurofeedback
 
Neurofeedback neuro quê?
Neurofeedback  neuro quê?Neurofeedback  neuro quê?
Neurofeedback neuro quê?
 
Utilização do eletroencefalograma quantitativo (QEEG) para avaliar o tratamen...
Utilização do eletroencefalograma quantitativo (QEEG) para avaliar o tratamen...Utilização do eletroencefalograma quantitativo (QEEG) para avaliar o tratamen...
Utilização do eletroencefalograma quantitativo (QEEG) para avaliar o tratamen...
 
Introduction to CT Brain: The Basic Principles
Introduction to CT Brain: The Basic PrinciplesIntroduction to CT Brain: The Basic Principles
Introduction to CT Brain: The Basic Principles
 
QEEG Digital Business Proposal
QEEG Digital Business ProposalQEEG Digital Business Proposal
QEEG Digital Business Proposal
 
Neurofeedback-neuro quê?
Neurofeedback-neuro quê?Neurofeedback-neuro quê?
Neurofeedback-neuro quê?
 
Aula introdução à disciplina de mecanoterapia
Aula introdução à disciplina de mecanoterapiaAula introdução à disciplina de mecanoterapia
Aula introdução à disciplina de mecanoterapia
 
Fisioterapia mecanoterapia
Fisioterapia mecanoterapiaFisioterapia mecanoterapia
Fisioterapia mecanoterapia
 
Mecanoterapia
MecanoterapiaMecanoterapia
Mecanoterapia
 

Similar to Elizabeth McCrann neurofeedback for adhd

NON PHARMACOLOGICAL TREATMENT PROTOCOL OF ADHD
NON PHARMACOLOGICAL TREATMENT PROTOCOL OF ADHD NON PHARMACOLOGICAL TREATMENT PROTOCOL OF ADHD
NON PHARMACOLOGICAL TREATMENT PROTOCOL OF ADHD Hussein Abdeldayem
 
EFFECTIVE THERAPEUTIC ENHANCEMENTS TO ABA
EFFECTIVE THERAPEUTIC ENHANCEMENTS TO ABAEFFECTIVE THERAPEUTIC ENHANCEMENTS TO ABA
EFFECTIVE THERAPEUTIC ENHANCEMENTS TO ABADeborah Merritt
 
The ABC’s of Autism
The ABC’s of AutismThe ABC’s of Autism
The ABC’s of AutismSemel Admin
 
Autism, dr amit vatkar, pediatric neurologist
Autism, dr amit vatkar, pediatric neurologistAutism, dr amit vatkar, pediatric neurologist
Autism, dr amit vatkar, pediatric neurologistDr Amit Vatkar
 
What your right wrist knows that your left wrist does not: Autism, Electroder...
What your right wrist knows that your left wrist does not: Autism, Electroder...What your right wrist knows that your left wrist does not: Autism, Electroder...
What your right wrist knows that your left wrist does not: Autism, Electroder...Frank Kelly
 
Integrated Behavioral Health: Neuropharmacology Biopsychosocial Approaches to...
Integrated Behavioral Health: Neuropharmacology Biopsychosocial Approaches to...Integrated Behavioral Health: Neuropharmacology Biopsychosocial Approaches to...
Integrated Behavioral Health: Neuropharmacology Biopsychosocial Approaches to...Michael Changaris
 
طب نفسي الأطفال للأخصائيين النفسيين
طب نفسي الأطفال للأخصائيين النفسيينطب نفسي الأطفال للأخصائيين النفسيين
طب نفسي الأطفال للأخصائيين النفسيينSaudi German Hospitals Group
 
ElevateBrainTraining Neurofeedback Overview Sept 2023.pptx
ElevateBrainTraining Neurofeedback Overview Sept 2023.pptxElevateBrainTraining Neurofeedback Overview Sept 2023.pptx
ElevateBrainTraining Neurofeedback Overview Sept 2023.pptxelevatebraintraining
 
ADHD: Biopsychosocial Approaches to Treatment of ADHD in Children and Adults
ADHD: Biopsychosocial Approaches to Treatment of ADHD in Children and AdultsADHD: Biopsychosocial Approaches to Treatment of ADHD in Children and Adults
ADHD: Biopsychosocial Approaches to Treatment of ADHD in Children and AdultsMichael Changaris
 
ADHD - Myth or Clinical Reality?
ADHD - Myth or Clinical Reality?ADHD - Myth or Clinical Reality?
ADHD - Myth or Clinical Reality?Mahendra Perera
 
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'Fundación Ramón Areces
 
WCBCT 2016 - Leigh's amendments - Blue Version
WCBCT 2016 - Leigh's amendments - Blue VersionWCBCT 2016 - Leigh's amendments - Blue Version
WCBCT 2016 - Leigh's amendments - Blue VersionDr Tania Pietrzak
 
Interactive Metronome for Autism
Interactive Metronome for AutismInteractive Metronome for Autism
Interactive Metronome for AutismBricole Reincke
 
ABCT 2013 poster--Factor
ABCT 2013 poster--FactorABCT 2013 poster--Factor
ABCT 2013 poster--FactorPerry Factor
 
Neurofeedback_BACAMH 2014-ppt-adv.ppt
Neurofeedback_BACAMH 2014-ppt-adv.pptNeurofeedback_BACAMH 2014-ppt-adv.ppt
Neurofeedback_BACAMH 2014-ppt-adv.pptMOK wahedi
 
Behaviuoral disorder in children by Birhanu Al.
Behaviuoral disorder in children by Birhanu Al.Behaviuoral disorder in children by Birhanu Al.
Behaviuoral disorder in children by Birhanu Al.Birhanu Alehegn
 

Similar to Elizabeth McCrann neurofeedback for adhd (20)

NON PHARMACOLOGICAL TREATMENT PROTOCOL OF ADHD
NON PHARMACOLOGICAL TREATMENT PROTOCOL OF ADHD NON PHARMACOLOGICAL TREATMENT PROTOCOL OF ADHD
NON PHARMACOLOGICAL TREATMENT PROTOCOL OF ADHD
 
EFFECTIVE THERAPEUTIC ENHANCEMENTS TO ABA
EFFECTIVE THERAPEUTIC ENHANCEMENTS TO ABAEFFECTIVE THERAPEUTIC ENHANCEMENTS TO ABA
EFFECTIVE THERAPEUTIC ENHANCEMENTS TO ABA
 
The ABC’s of Autism
The ABC’s of AutismThe ABC’s of Autism
The ABC’s of Autism
 
Autism, dr amit vatkar, pediatric neurologist
Autism, dr amit vatkar, pediatric neurologistAutism, dr amit vatkar, pediatric neurologist
Autism, dr amit vatkar, pediatric neurologist
 
What your right wrist knows that your left wrist does not: Autism, Electroder...
What your right wrist knows that your left wrist does not: Autism, Electroder...What your right wrist knows that your left wrist does not: Autism, Electroder...
What your right wrist knows that your left wrist does not: Autism, Electroder...
 
Integrated Behavioral Health: Neuropharmacology Biopsychosocial Approaches to...
Integrated Behavioral Health: Neuropharmacology Biopsychosocial Approaches to...Integrated Behavioral Health: Neuropharmacology Biopsychosocial Approaches to...
Integrated Behavioral Health: Neuropharmacology Biopsychosocial Approaches to...
 
Effective Approaches for Promoting Prosocial Behavior and Reducing Disruptive...
Effective Approaches for Promoting Prosocial Behavior and Reducing Disruptive...Effective Approaches for Promoting Prosocial Behavior and Reducing Disruptive...
Effective Approaches for Promoting Prosocial Behavior and Reducing Disruptive...
 
طب نفسي الأطفال للأخصائيين النفسيين
طب نفسي الأطفال للأخصائيين النفسيينطب نفسي الأطفال للأخصائيين النفسيين
طب نفسي الأطفال للأخصائيين النفسيين
 
ElevateBrainTraining Neurofeedback Overview Sept 2023.pptx
ElevateBrainTraining Neurofeedback Overview Sept 2023.pptxElevateBrainTraining Neurofeedback Overview Sept 2023.pptx
ElevateBrainTraining Neurofeedback Overview Sept 2023.pptx
 
ADHD: Biopsychosocial Approaches to Treatment of ADHD in Children and Adults
ADHD: Biopsychosocial Approaches to Treatment of ADHD in Children and AdultsADHD: Biopsychosocial Approaches to Treatment of ADHD in Children and Adults
ADHD: Biopsychosocial Approaches to Treatment of ADHD in Children and Adults
 
ADHD - Myth or Clinical Reality?
ADHD - Myth or Clinical Reality?ADHD - Myth or Clinical Reality?
ADHD - Myth or Clinical Reality?
 
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'
 
WCBCT 2016 - Leigh's amendments - Blue Version
WCBCT 2016 - Leigh's amendments - Blue VersionWCBCT 2016 - Leigh's amendments - Blue Version
WCBCT 2016 - Leigh's amendments - Blue Version
 
Moulding_HA_ECND_update
Moulding_HA_ECND_updateMoulding_HA_ECND_update
Moulding_HA_ECND_update
 
Interactive Metronome for Autism
Interactive Metronome for AutismInteractive Metronome for Autism
Interactive Metronome for Autism
 
ABCT 2013 poster--Factor
ABCT 2013 poster--FactorABCT 2013 poster--Factor
ABCT 2013 poster--Factor
 
Neurofeedback_BACAMH 2014-ppt-adv.ppt
Neurofeedback_BACAMH 2014-ppt-adv.pptNeurofeedback_BACAMH 2014-ppt-adv.ppt
Neurofeedback_BACAMH 2014-ppt-adv.ppt
 
Neurofeedback_BACAMH 2014-ppt-adv.ppt
Neurofeedback_BACAMH 2014-ppt-adv.pptNeurofeedback_BACAMH 2014-ppt-adv.ppt
Neurofeedback_BACAMH 2014-ppt-adv.ppt
 
ADHD Weigel 20150612
ADHD Weigel 20150612ADHD Weigel 20150612
ADHD Weigel 20150612
 
Behaviuoral disorder in children by Birhanu Al.
Behaviuoral disorder in children by Birhanu Al.Behaviuoral disorder in children by Birhanu Al.
Behaviuoral disorder in children by Birhanu Al.
 

More from Investnet

Grainne Flynn , Blood Sugar Trampoline:Patient Speaker
Grainne Flynn , Blood Sugar Trampoline:Patient SpeakerGrainne Flynn , Blood Sugar Trampoline:Patient Speaker
Grainne Flynn , Blood Sugar Trampoline:Patient SpeakerInvestnet
 
Dr Neil Black , Consultant Physician
Dr Neil Black , Consultant PhysicianDr Neil Black , Consultant Physician
Dr Neil Black , Consultant PhysicianInvestnet
 
Gerald Tomkin , Director of the Diabetes Institute Beacon Hospital
Gerald Tomkin , Director of the Diabetes Institute Beacon HospitalGerald Tomkin , Director of the Diabetes Institute Beacon Hospital
Gerald Tomkin , Director of the Diabetes Institute Beacon HospitalInvestnet
 
Dr. Ronan Canavan , Clinical lead of the National Clinical Programme for Diab...
Dr. Ronan Canavan , Clinical lead of the National Clinical Programme for Diab...Dr. Ronan Canavan , Clinical lead of the National Clinical Programme for Diab...
Dr. Ronan Canavan , Clinical lead of the National Clinical Programme for Diab...Investnet
 
Healthbridge
HealthbridgeHealthbridge
HealthbridgeInvestnet
 
Think Biosolution
Think BiosolutionThink Biosolution
Think BiosolutionInvestnet
 
Malcolm R. Kell, Breast Cancer Survivor
Malcolm R. Kell, Breast Cancer SurvivorMalcolm R. Kell, Breast Cancer Survivor
Malcolm R. Kell, Breast Cancer SurvivorInvestnet
 
Control Drink
Control DrinkControl Drink
Control DrinkInvestnet
 
Robert Kelly, Videodoc
Robert Kelly, VideodocRobert Kelly, Videodoc
Robert Kelly, VideodocInvestnet
 
Cathal Brennan , Medical Device Assessor- Human Products Authorisation and Re...
Cathal Brennan , Medical Device Assessor- Human Products Authorisation and Re...Cathal Brennan , Medical Device Assessor- Human Products Authorisation and Re...
Cathal Brennan , Medical Device Assessor- Human Products Authorisation and Re...Investnet
 
Anastasia Dedyukhina , Consciously Digital
Anastasia Dedyukhina , Consciously DigitalAnastasia Dedyukhina , Consciously Digital
Anastasia Dedyukhina , Consciously DigitalInvestnet
 
Sasha Oliver, Avloni
Sasha Oliver, AvloniSasha Oliver, Avloni
Sasha Oliver, AvloniInvestnet
 
Jemma Gatliff, Keregen
Jemma Gatliff, KeregenJemma Gatliff, Keregen
Jemma Gatliff, KeregenInvestnet
 
Darren Cunningham, Inflection Bio Sciences
Darren Cunningham, Inflection Bio SciencesDarren Cunningham, Inflection Bio Sciences
Darren Cunningham, Inflection Bio SciencesInvestnet
 
Phision Theraputics
Phision TheraputicsPhision Theraputics
Phision TheraputicsInvestnet
 
Niamh Malone , Brainey App
Niamh Malone , Brainey App Niamh Malone , Brainey App
Niamh Malone , Brainey App Investnet
 
Toby Basey-Fisher , CEO, Co Founder, Eva Diagnostics
Toby Basey-Fisher , CEO, Co Founder, Eva DiagnosticsToby Basey-Fisher , CEO, Co Founder, Eva Diagnostics
Toby Basey-Fisher , CEO, Co Founder, Eva DiagnosticsInvestnet
 
Ena Prosser, Fountain Healthcare Partners
Ena Prosser, Fountain Healthcare PartnersEna Prosser, Fountain Healthcare Partners
Ena Prosser, Fountain Healthcare PartnersInvestnet
 
Cathal Friel, Raglan Capital
Cathal Friel, Raglan CapitalCathal Friel, Raglan Capital
Cathal Friel, Raglan CapitalInvestnet
 
Kieran O’Connell , DIT Hothouse
Kieran O’Connell , DIT HothouseKieran O’Connell , DIT Hothouse
Kieran O’Connell , DIT HothouseInvestnet
 

More from Investnet (20)

Grainne Flynn , Blood Sugar Trampoline:Patient Speaker
Grainne Flynn , Blood Sugar Trampoline:Patient SpeakerGrainne Flynn , Blood Sugar Trampoline:Patient Speaker
Grainne Flynn , Blood Sugar Trampoline:Patient Speaker
 
Dr Neil Black , Consultant Physician
Dr Neil Black , Consultant PhysicianDr Neil Black , Consultant Physician
Dr Neil Black , Consultant Physician
 
Gerald Tomkin , Director of the Diabetes Institute Beacon Hospital
Gerald Tomkin , Director of the Diabetes Institute Beacon HospitalGerald Tomkin , Director of the Diabetes Institute Beacon Hospital
Gerald Tomkin , Director of the Diabetes Institute Beacon Hospital
 
Dr. Ronan Canavan , Clinical lead of the National Clinical Programme for Diab...
Dr. Ronan Canavan , Clinical lead of the National Clinical Programme for Diab...Dr. Ronan Canavan , Clinical lead of the National Clinical Programme for Diab...
Dr. Ronan Canavan , Clinical lead of the National Clinical Programme for Diab...
 
Healthbridge
HealthbridgeHealthbridge
Healthbridge
 
Think Biosolution
Think BiosolutionThink Biosolution
Think Biosolution
 
Malcolm R. Kell, Breast Cancer Survivor
Malcolm R. Kell, Breast Cancer SurvivorMalcolm R. Kell, Breast Cancer Survivor
Malcolm R. Kell, Breast Cancer Survivor
 
Control Drink
Control DrinkControl Drink
Control Drink
 
Robert Kelly, Videodoc
Robert Kelly, VideodocRobert Kelly, Videodoc
Robert Kelly, Videodoc
 
Cathal Brennan , Medical Device Assessor- Human Products Authorisation and Re...
Cathal Brennan , Medical Device Assessor- Human Products Authorisation and Re...Cathal Brennan , Medical Device Assessor- Human Products Authorisation and Re...
Cathal Brennan , Medical Device Assessor- Human Products Authorisation and Re...
 
Anastasia Dedyukhina , Consciously Digital
Anastasia Dedyukhina , Consciously DigitalAnastasia Dedyukhina , Consciously Digital
Anastasia Dedyukhina , Consciously Digital
 
Sasha Oliver, Avloni
Sasha Oliver, AvloniSasha Oliver, Avloni
Sasha Oliver, Avloni
 
Jemma Gatliff, Keregen
Jemma Gatliff, KeregenJemma Gatliff, Keregen
Jemma Gatliff, Keregen
 
Darren Cunningham, Inflection Bio Sciences
Darren Cunningham, Inflection Bio SciencesDarren Cunningham, Inflection Bio Sciences
Darren Cunningham, Inflection Bio Sciences
 
Phision Theraputics
Phision TheraputicsPhision Theraputics
Phision Theraputics
 
Niamh Malone , Brainey App
Niamh Malone , Brainey App Niamh Malone , Brainey App
Niamh Malone , Brainey App
 
Toby Basey-Fisher , CEO, Co Founder, Eva Diagnostics
Toby Basey-Fisher , CEO, Co Founder, Eva DiagnosticsToby Basey-Fisher , CEO, Co Founder, Eva Diagnostics
Toby Basey-Fisher , CEO, Co Founder, Eva Diagnostics
 
Ena Prosser, Fountain Healthcare Partners
Ena Prosser, Fountain Healthcare PartnersEna Prosser, Fountain Healthcare Partners
Ena Prosser, Fountain Healthcare Partners
 
Cathal Friel, Raglan Capital
Cathal Friel, Raglan CapitalCathal Friel, Raglan Capital
Cathal Friel, Raglan Capital
 
Kieran O’Connell , DIT Hothouse
Kieran O’Connell , DIT HothouseKieran O’Connell , DIT Hothouse
Kieran O’Connell , DIT Hothouse
 

Elizabeth McCrann neurofeedback for adhd

  • 1. NEUROFEEDBACK for ADHD • Rationale for Assessment and Treatment • Elizabeth McCrann Senior Clinical Psychologist Mater CAMHS, James Joyce St., Dublin 1 01-8034793 email: emccrann@mater.ie
  • 2. ADHD in Ireland • 3-5% children have ADHD • 30-40% children ref to CAMHS ADHD • Co-Morbid conditions :anxiety(34%), learning difficulties(70%), oppositional defiant disorder(40%); conduct disorder(14%);Tics(11%);Mood Disorder(4%) • Outcome poor if early intervention does not take place e.g early school leaving, RTA, substance abuse etc. • 50%children with ADHD not receiving treatment
  • 3. Assessment of ADHD • Clinical Interview • Behaviour Rating Scales –Conners Parent and Teachers Forms • High false positives • Continuous performance tests –TOVA and IVA+Plus • QEEG- Quantitative EEG (neurophysiological measure of attention)
  • 4. QEEG Assessment • QEEG helps assess “cortical slowing” seen in children with ADHD during academic tasks • Baseline • Silent Reading Task • Listening Task • Drawing or Working Memory task • Attention Index (AI) calculated based on norms published by Monastra and Lubar
  • 5. Case Studies using QEEG • John aged 8 years attending Mater CAMHS. Referred for QEEG to confirm presence or absence of ADHD • High IQ but difficulty paying attention • Conners parent and Teachers in clinical range suggestive of a diagnosis • Results of QEEG did not confirm ADHD
  • 6. QEEG assessment Mark aged 15 years Attending Mater CAMHS since 2000 Average IQ + Language difficulties +ADHD Attended Special School for EBD Mainstream + Resources +Medication Results of QEEG confirm diagnosis of ADHD-Inattentive Type Neurofeedback treatment offered
  • 7. EEG Bandpasses • What does your EEG look like? • Age Dependant • EEG slowing in ADHD (Excess Slow Wave • Evidence Based Studies • Can you help children change their experience of alertness?
  • 8. Brain Waves - Description of EEG band passes/frequencies
  • 11. Clinical Neurofeedback session • Electrodes placed on scalp • Video type games linked to client’s EEG as measured by the software • Gain control of attention through control of EEG and rewards through instant feedback of “fast” waves “. • “Slow” waves are inhibited and games pause. Child learns quickly through real time feedback of EEG how he is progressing and gains control of attention.
  • 12. How does Neurofeedback Work • Strengthens Neural Connections- • Helps child experience alertness “what it feels like” to pay attention • Real Time Feedback using latest technology provides information to client – Self regulation • Interactive nature of multimedia technology • Based on positive psychology model- • Building on child’s strengths not an “illness” model. Empowering children and increasing motivation to succeed
  • 16. Multimodal Treatment of ADHD • Medical and Psychological Treatments • Medication • Neurofeedback • Parenting Techniques/Behaviour Modification • Support Groups& Education about ADHD • Individual Psychotherapy • Family Therapy • Exercise • Nutrition
  • 17. OUTCOME STUDIES • Monastra et al 2002 . “The Effects of Stimulant Therapy, EEG Biofeedback & Parenting Style on the Primary Symptoms of ADHD” • Monastra and Lubar (2001) The Development of QEEG scanning process for ADHD. Reliability and Validity Studies. Neuropsychology. • Arns, M., De Ritter, D., Strehl, U., Breteler, M., Coenen, A. (2009). Efficacy of neurofeedback treatment in ADHD: The effects on inattention, impulsivity and hyperactivity: A meta-analysis. Clinical EEG and Neuroscience, 40(3), 180-189. • Gevensleben et al (2009)
  • 18. Outcome studies • EEG biofeedback(Lubar et al, 1995);Rossiter & La Vaque 1995; Linden, Habib & Radojevic, 1996; Thompson & Thompson, 1999; Monastra et al, 2001) are reporting positive outcomes :- • * reduction in behavioural symptoms of ADHD • * improvement in the T.O.V.A. • * improvements on tests of intelligence • * reduced cortical slowing on QEEG • * maintenance of clinical improvement when medication is withdrawn
  • 19. Future Applications • Further Training in Biofeedback and Neurofeedback : • www.bfe.org (Biofeedback Foundation of Europe) • www.aapb.org (Applied Psychophysiology • www.isnr.org (International Society of Neurofeedback Research) • Email: emccrann@mater.ie