ADHD (formerly known as ADD) stands for Attention-Deficit/Hyperactivity Disorder. This condition affects millions of children and usually continues into adulthood. ADHD involves a combination of problems such as difficulty paying attention, impulsive behavior, and hyperactivity. Complications can include relationship troubles, poor school performance, learning disorders, and low self-esteem.
The Brain Treatment Center Dallas Can Help!
For patients with ADHD, we offer a treatment modality called NeuroFeedback. Not only is it effective, but it is also non-pharmaceutical.
It is a treatment modality that has been used for decades and has scientific research backing its use. This treatment has shown great success for patients suffering from ADHD. Benefits achieved through NeuroFeedback include:
- Improved sleep
- More energy and motivation
- Improved concentration
- Improved focus
- More relaxed and calm
- Improvement in overall mood
- Reduces/eliminates the need for pharmaceuticals
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Some people do not outgrow ADHD, though symptoms can decrease with age in some. ADHD can also cause struggles for people stemming from academic failure and judgment by other people. ADHD kids can also have trouble interacting with their peers.
King’s College London: Neurobiology Animation of a Brain with ADHD
This new animation from King’s College London demonstrates the scientific basis for attention deficit hyperactivity disorder (ADHD). Based on currently available, peer-reviewed research, the animation aims to communicate visually the differences in brain structure and function of people with ADHD compared to those without the condition and allows people to ‘see’ what is happening in the brain and link this to what the patient experiences. “There are known genetic links associated with ADHD and, with advances in technology, it is now possible to demonstrate clear differences in the development and structure of the brain in patients with ADHD compared to those who do not have the condition. To date, evidence to show the neurobiological basis of ADHD has not always been collated and portrayed in a friendly format. This animation allows people to ‘see’ what is happening in the brain to link this to what the patient experiences and help dispel the myths around ADHD.” Dr Mitul Mehta Senior Lecturer at the Centre for Neuroimaging Sciences at the Institute of Psychiatry, King’s College London
Symptoms of ADHD
- Failure to pay attention to details can cause problems in school
- Having trouble focusing in general
- Failure to listen
- Lack of follow-through on schoolwork, chores, or other tasks
- Lack of organizational skills
- No interest in things that require focus
- Easily distracted
- Being fidgety or squirmy
- Hyperactivity and inability to be still
- Talks too much
- Interrupts others who are talking or engaged in other activities
- Difficulty learning because of poor attention span
Currently, there is no known cause for ADHD, however, research is ongoing. We do know that genetics may be involved, but the environment or problems with the central nervous system can also contribute.
Studies have been completed regarding the link between gut health and ADHD; preliminary research has shown that there is a connection between the two. Additionally, some studies indicate certain food preservatives or dyes can also contribute to attention disorders in children.
The classic triad of ADHD symptoms are inattention, impulsiveness, and hyperactivity or restlessness. Although ADD is a well-established brain disorder, the diagnosis remains controversial. Attention deficit disorder has been called a fad, not a legitimate diagnosis, but it is a well-established, well-documented, medical condition that can cause much suffering if left untreated. At one time we thought children would outgrow ADHD at puberty, but we now know that many will continue to have residual symptoms throughout adolescence and adulthood. If left untreated, ADHD can interfere with relationships, employment, and self-esteem.” – According to the NIH (National Institutes of Health)
What Exactly is NeuroFeedback and How Can it Help ADHD?
Neurofeedback is a treatment modality that offers a solution for patients wanting an alternative treatment other than medications.
It is a way of training an individual’s brain waves to respond to the individual’s own unique brain wave activity by the use of biofeedback. It addresses disorders of the brain by moderating brainwaves, thus alleviating symptoms of ADHD.
NeuroFeedback training has been used in clinical settings for over 50 years and is backed by numerous scientific studies as being effective in treating certain brain and central nervous system disorders.
What makes NeuroFeedback unique to each individual is that each patient undergoes a qEEG, or a “brain mapping” session before beginning their treatment, so that treatment is tailored specifically for the patient based on their own brain wave patterns. It is not a one-size-fits-all approach, which makes it significantly more effective in treating disorders of the brain and central nervous system. NeuroFeedback is also a way of treating ADHD without medication.
Conventional Treatment for ADHD
Stimulant medications are commonly prescribed for the treatment of ADHD. These seem to balance the levels of some neurotransmitters in the brain and can help improve symptoms. Amphetamines such as Dexedrine, Adderall, Vyvanse, along with Methylphenidates which include Concerta, Ritalin, and Focalin. These drugs do not cure ADHD, but they can help to ease symptoms. Some non-stimulant antidepressants are sometimes prescribed, however, these drugs work more slowly and also come with risk.
For example, stimulants can cause heart problems and psychiatric problems. Antidepressants, when taken by children or teens, also carry an increased risk of suicidal thinking.
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We Use the Most Technologically Advanced NeuroFeedback Equipment
At Brain Treatment Center Dallas, the NeuroFeedback that we offer is 19-Channel. There are different systems out there that offer a different number of channels, however, those usually result in a more narrow training. Ours is one of the most technologically updated systems available. It offers more visibility to the brain, allows a 3D image to be generated, and you can see the brain connections being made. It’s overall more comprehensive and allows for more in-depth reporting and more ways to train.
A NeuroFeedback session consists of what your brain should be doing and comparing it to what it is actually doing. A typical appointment uses a computer screen and is in the form of a video game, movie, or music. Because you will be wearing the EEG cap as the movie or video game plays on the screen, it is because you are approaching your brain’s desired state. When the screen stops, it means your brain is going in a different direction than the task at hand. Over time, your brain is “trained” to stay focused, relax, etc., so that it will automatically stay this way once the NeuroFeedback training sessions have been completed.
Once a patient goes through their scheduled number of sessions, the effects of the treatment are long-lasting, and because symptoms are alleviated, the need for medications is eliminated or significantly decreased.
There are no contraindications for anyone wishing to undergo NeuroFeedback training.
What is a qEEG (quantitative electroencephalography)?
A qEEG, or “Brain Map” is a painless assessment of the patient’s brain waves. The qEEG/brain map is the core of our evaluation and identifies brain dysregulation so that an individualized treatment plan can be customized for each person.
It involves the use of a rubber cap placed on the head so that brain wave activity can be measured. The qEEG measures brain waves and activity at 19 different locations on the scalp. It also shows how brain waves at one location communicate to those at other locations providing an accurate measure for power, consistency, and speed. It is used to provide data about how YOUR brain supports emotions and cognitive abilities and allows us to design a method to “train” your brain.
The qEEG measures the activity of all of the brain waves and compares them to a large database of what “normal” brain waves are supposed to look like. If brain waves of any category are abnormal, this causes dysregulation which translates into symptoms that you may be experiencing such as hyperactivity, inability to focus, inability to relax, and more. For example, too much Theta wave activity can indicate that a patient has ADHD.
Our Protocols for NeuroFeedback
While NeuroFeedback can be used to treat a variety of disorders associated with the brain and central nervous system, here at the Brain Treatment Center Dallas, we use the protocol to treat persons with ADHD, Sleeping Disorders, and for those who want to improve their focus and calm their minds.
We treat patients with these conditions who are 8 years and older.
The first step in the NeuroFeedback process is to have a clinical consultation with Dr. Spencer Miller, owner and managing medical director here at the Brain Treatment Center Dallas. This appointment usually takes about 45-minutes. He will go over the NeuroFeedback process, what to expect during a typical treatment plan, and help you determine if this is a recommended plan for you or your child based on your health needs and goals.
Your second appointment will be your qEEG/Brain mapping appointment which will last from an hour and a half to two hours. The qEEG does involve the use of a rubber cap with 19 leads to be placed on your head and will involve sessions of recording which require you to close your eyes some of the time and keep them open for other time periods while the qEEG is recording your brain waves. This is a completely painless test, and our technician will be with you the entire time to guide you through the process.
After undergoing your qEEG, we will be able to begin your treatment protocol. You will have an additional debriefing appointment with Dr. Miller approximately one week later, and then again at the end of your entire treatment process.
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Your Neurofeedback training sessions generally last from 45-minutes to 1-hour, and it is recommended that you attend your sessions twice a week to get the most out of your training.
Additionally, we require that you complete at least 20 training sessions with us. This is considered an “assessment period,” and you should start to realize some benefits of the NeuroFeedback at the end of this time period. In most cases, for the best and long-lasting results, it will take 30 to 40 sessions to complete your NeuroFeedback therapy.
If you are taking medications for your specific condition, it is advised that you keep your prescribing provider apprised of your progress, since in most cases, you will need less medication as you go through the NeuroFeedback training. It is extremely important that you advise us of all of the medications that you are taking before beginning your treatment protocols as well.
Your technician will be with you during your training sessions, and you will wear an EEG cap at each training session which will be plugged into the screen that you are watching. As you are able to follow the instructions on the screen, the system will “reward” you. If your attention starts to wane, the system will slow its operation or stop altogether, thus helping to “train your brain.” What makes this particularly effective is that YOU control what happens during your training session, and you will also be able to see the results in real-time.
The important thing to remember is that NeuroFeedback training is cumulative, with each session building on the last so your participation and commitment are required for the overall success of your therapy.
Patients may experience some side effects after going through a NeuroFeedback training session, but they are generally mild and last only a few hours. Side effects may include:
- Mild headache
- Impaired focus
- Heightened anxiety
These types of side effects are normal for patients going through any types of treatment that modulate the brain waves, and will generally lessen as the patient goes through more sessions.
Are you a candidate for NeuroFeedback?
If you are having problems focusing, experience hyperactivity, or have trouble relaxing and sleeping, then NeuroFeedback can be a very effective means of treatment for you. As you progress through your treatment sessions you will usually start to feel calmer at first, and then more focused as training continues.
You will start to notice a difference in your behavior and thought patterns in as little as 5 or 6 sessions. As you complete more sessions, you will notice that these benefits will last for a day or two. After about 20 sessions, benefits should last a week or more. After completing your recommended amount of training sessions specifically for your condition and individual case, treatment is long-lasting, and the need for medications drastically decreases or is eliminated altogether.
Guidelines and Recommendations for NeuroFeedback Training
While there are no contraindications for undergoing NeuroFeedback, there are things that can decrease its effectiveness, or the ability to get a clean qEEG. Based on this, we recommend the following:
- Disclose all medications that you are taking
- Do not use alcohol or marijuana within 24 hours of qEEG appointment
- Do not use excessive caffeine in the 3-4 hours prior to qEEG, and do not have a cigarette (if you smoke) within 1-hour of qEEG
- In preparation for making good connections with the scalp during qEEG and training sessions, please do not use hair gels, sprays, baby shampoos, or medical shampoos
- Eat a high-protein snack prior to your qEEG and prior to your training sessions, however, try to avoid turkey since this may interfere with your energy levels
- Avoid sweets or processed foods prior to qEEG and training sessions
- Do NOT use street drugs or marijuana while undergoing training as they will interfere with progress by as much as 50%
- Limit alcohol intake throughout treatment duration and do not drink on days of training sessions as alcohol can negatively affect sleep and slow down training progress
- Please advise of your complete medical history along with any symptoms that you are experiencing on your intake paperwork
We explore the concept that the brain can be treated by physical means that are not chemical. We believe that with the exploration of the relationship between cognition and neural activity, an innovative and informed approach to non-invasive neuromodulation is possible. Our dedicated team believes in delivering individualized treatment in order to achieve a healthier life.
Our evidence-based methodology is unique because we focus on the physiology of the brain. We are able to map and reveal communications in the brain’s neural networks. As a result, we’re able to take a personalized and targeted approach based on your brain rhythm, encouraging healthy brain communication activity. Our goal is to empower minds.
Dr. Miller and his talented team members are among the top in their field. They will do everything possible to achieve exceptional results for you.
Our specialist-trained team takes the greatest care with all of our patients. The entire team here at the Brain Treatment Center Dallas is extremely excited about the results we have been seeing as a result of the NeuroFeedback treatments that our patients have been receiving. With so many people and children that can benefit from this incredible technology, we are excited to serve as many people as we can.
Spencer O. Miller, M.D. is a Board-Certified Neurologist in Dallas, Texas. He received his medical degree from the University of Mississippi School of Medicine and has been in practice for 13 years, 5 of which were in the USAF, where he saw all types of brain injuries, including soldiers suffering from PTSD and TBI. He specializes in the treatment of ADHD, sleep disorders, traumatic brain injury, depression, post-traumatic stress disorder, dementia, autism, and multiple other brain disorders at his clinic, the Brain Treatment Center Dallas.
Our clinic offers Magnetic e-Resonance Therapy (MeRT) for conditions such as depression, autism, post-traumatic stress disorder, traumatic brain injury, dementia, and brain complication after-effects of COVID-19. We offer NeuroFeedback for those suffering from ADHD.
Unfortunately, we do not accept insurance, nor file it on your behalf. However, we can provide you with CPT codes and a billing breakdown that you may submit to your insurance for possible reimbursement. On occasion, individuals have been successful in receiving reimbursement for EEGs and clinical evaluations, and possibly other elements for treatment, depending on the individual’s coverage. It has been our experience that Medicare does not reimburse any of the treatment costs.
Protocol Adjustments for COVID-19
The Brain Treatment Center Dallas is open for business. In accordance with government regulations and for the safety of our patients, the following procedures have been implemented:
- We respectfully ask that if you are sick or experiencing any symptoms of illness that you postpone your visit until you have been symptom-free for at least 14-days.
- Dr. Miller and our staff are fully vaccinated.
- We are currently unable to see any international patients until you are able to show proof that you have been in the country for at least 10-days.
- Our office is maintaining social-distancing protocols and limit the number of patients in the waiting room.
- We will disinfect the clinic between patient visits in order to keep your risk to a minimum.
- All patients (with the exception of children who are unable) are required to wear masks when entering the clinic. Please note that recent research has shown that some types of masks may not be as effective at reducing disease transmission. Effective immediately, anyone entering our facilities wearing an unapproved mask such as a valve mask, filter mask, neck gaiter, or bandana, will be asked by our screeners to replace it with an approved mask provided by the facility. Those wearing an N95 model with a valve will be allowed to wear a covering mask (disposable or cloth) over the N95.
- Dr. Miller is offering virtual consultations via Spruce or Skype, both of which are HIPAA compliant so that you can have your appointment from the comfort of your own home. These visits are done via telemedicine so Dr. Miller will be visible and right in front of you, just as he would be if you were seeing him in person. If you prefer an in-clinic consultation, we ask that you follow our social distancing protocols.
We value our patients, and want to make sure that you are still able to receive your treatment in a timely manner, however, due to the concerns regarding the Corona Virus, or COVID-19, we ask that you please adhere to the temporary procedures that we have implemented for everyone’s safety.
Contact our New Patient Coordinator for more Information
When many patients come to see us, they have lost hope as they don’t see any light at the end of the tunnel. It’s rewarding as a practitioner to be able to help so many people realize a much better “normal” and a greatly improved quality of life.
If you have questions or would like to discuss our Treatment Protocols, we offer a Free consultation by phone. Our New Patient Coordinator will take the time to listen and explain. She is able to answer most questions and discuss our protocols, scheduling, fees, and other information. She is happy to assist you in any way she can.
Please call us to get more information about how our clinic and Dr. Miller may be able to help you with your health goals and to schedule an initial screening to see if NeuroFeedback may be an option for you!
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