Neu­ro­feed­back — also known as EEG Biofeed­back — is an approach for treat­ing ADHD in which indi­vid­u­als are pro­vided real-time feed­back on their brain­wave activ­ity and taught to alter their typ­i­cal EEG pat­tern to one that is con­sis­tent with a focused and atten­tive state. Accord­ing to neu­ro­feed­back pro­po­nents, this often results in improved atten­tion and reduced hyperactive/impulsive behavior.

Sev­eral years ago I sum­ma­rized the sci­en­tific sup­port for neu­ro­feed­back treat­ment — see here - and noted that Read the rest of this entry »

Engag­ing peo­ple where they are in the life-course

Eighty per­cent of the 38,000 adults over age 50 who were respon­ders in the 2010 AARP Mem­ber Opin­ion Sur­vey indi­cated “stay­ing men­tally sharp” was their top ranked inter­est and con­cern (Dinger, 2010). What exactly does this phrase mean? And what role can tech­nol­ogy play in “stay­ing men­tally sharp”? Intel CEO Paul Otellini has said, “You have to start by think­ing about what peo­ple want to do… and work back­ward.” Read the rest of this entry »

The ter­mi­nol­ogy “fun­da­men­tal attri­bu­tion error” describes the ten­dency to over­value personality-based expla­na­tions for observed human behav­iors, while under­valu­ing sit­u­a­tional expla­na­tions for those behav­iors.  I believe that a pri­mary rea­son behind many per­ceived and real eth­i­cal chal­lenges in the brain fit­ness field is due not so much to cer­tain stake­hold­ers’ lack of per­sonal or pro­fes­sional ethics, but derives from the flawed soci­etal con­struct that under­pins cur­rent, rel­e­vant inno­va­tions. To improve the ethics of the brain fit­ness busi­ness and its appli­ca­tion (and empower con­sumers’ informed deci­sion mak­ing), there must first be agree­ment about a mean­ing­ful, appro­pri­ate way to ana­lyze and guide inno­va­tion. This is the crux of the prob­lem. The cur­rent med­ical model is not up to the task at hand, since it is heav­ily skewed toward inva­sive drugs and devices dri­ven by disease-based mod­els, and fails to lever­age Read the rest of this entry »

The recent dis­cov­ery that expe­ri­ence can change brain struc­ture and func­tion at any age has sparked numer­ous health, edu­ca­tion, and pro­duc­tiv­ity appli­ca­tions whose value and lim­i­ta­tions we are only start­ing to grasp.

Brain fit­ness has quickly become a main­stream aspi­ra­tion among baby boomers and elders, pri­mar­ily in North Amer­ica. It has fueled a grow­ing inter­est in brain fit­ness classes, brain fit­ness cen­ters, and brain fit­ness pro­grams, along with atten­dant oppor­tu­ni­ties and chal­lenges. An increas­ing num­ber of adults want use­ful tools to pro­tect cog­ni­tive health and performance—not nec­es­sar­ily to reverse aging—and what they are find­ing is an expand­ing and noisy mar­ket­place where they (and also pro­fes­sion­als) need to care­fully eval­u­ate their own needs and the avail­able options (Fer­nan­dez and Gold­berg, 2009). Read the rest of this entry »

Many adults with ADHD do not obtain their diag­no­sis until adult­hood and have strug­gled with dif­fi­cul­ties related to undi­ag­nosed ADHD for their entire lives. As doc­u­mented in recent stud­ies, this includes ele­vated rates of depres­sion, anx­i­ety dis­or­ders, sub­stance use, work dif­fi­cul­ties and inter­per­sonal problems.

As with chil­dren and ado­les­cents, med­ica­tion treat­ment for adults with ADHD can be quite help­ful, espe­cially for reduc­ing core ADHD symp­toms of inat­ten­tion and hyperactivity/impulsivity.  How­ever, Read the rest of this entry »

(Editor’s note: below you have the final part of the 6-part Stress and the Brain series. If you are join­ing the series now, you can read the pre­vi­ous parts via the links below.)

Stayin’ Alive

TO FIGHT, FLEE, OR FREEZE — THAT IS THE QUESTION

With a bet­ter under­stand­ing of the neu­ro­bi­ol­ogy of stress, the LD — ADHD — stress con­nec­tion becomes clear.  Stu­dents with learn­ing dis­abil­i­ties or ADHD, con­fronted with the stress cre­ated by expo­sure to tasks that are in real­ity or in their per­cep­tion too dif­fi­cult (and thus threat­en­ing), exhibit the pro­tec­tive behav­ior of any organ­ism under extreme stress:  They fight, they flee, or they freeze. When these kids don’t under­stand why they can’t do what other kids can do (mas­ter the stres­sor), and they can’t see any way to get out of a sit­u­a­tion that won’t go away, they begin to shut down. Read the rest of this entry »

(Editor’s note: below you have part 5 of the 6-part The Neu­ro­bi­ol­ogy of Stress series. If you are join­ing the series now, you can read the pre­vi­ous part Here.)

Stayin’ Alive

The Human Brain Likes to Be in Balance

For­tu­nately, the brain has some built — in safety sys­tems. Too much cor­ti­sol in the blood sig­nals the brain and adrenal glands to decrease cor­ti­sol pro­duc­tion. And under nor­mal con­di­tions, when the stress is over­come or brought under con­trol (by fight­ing, flee­ing, or turn­ing into an immo­bile statue, or by mas­ter­ing the threat), the hypo­thal­a­mus starts send­ing out the orders to stand down. Stop pro­duc­ing cor­ti­sol!  Event over!  Under con­tin­u­ous stress, how­ever, this feed­back sys­tem breaks down. The hypo­thal­a­mus keeps read­ing the stress as a threat, furtively send­ing mes­sages to the pitu­itary gland, which screams out to the adrenal glands to keep pump­ing out cor­ti­sol, which at this point begins to be neu­ro­toxic — poi­son to the brain. Read the rest of this entry »

(Editor’s note: below you have part 4 of the 6-part The Neu­ro­bi­ol­ogy of Stress series. If you are join­ing the series now, you can read the pre­vi­ous part Here.)

Stayin’  Alive

THE STRESS RESPONSE EXPLAINED

Stress was put on the map, so to speak, by a Hun­gar­ian — born Cana­dian endocri­nol­o­gist named Hans Hugo Bruno Selye (ZEL — yeh) in 1950, when he pre­sented his research on rats at the annual con­ven­tion of the Amer­i­can Psy­cho­log­i­cal Asso­ci­a­tion. To explain the impact of stress, Selye pro­posed some­thing he called the Gen­eral Adap­ta­tion Syn­drome (GAS), which he said had three com­po­nents. Accord­ing to Selye, when an organ­ism expe­ri­ences some novel or threat­en­ing stim­u­lus it responds with an alarm reac­tion. This is fol­lowed by what Selye referred to as the recov­ery or resis­tance stage, a period of time dur­ing which the brain repairs itself and stores the energy it will need to deal with the next stress­ful event.

Read the rest of this entry »

(Editor’s note: below you have part 3 of the 6-part The Neu­ro­bi­ol­ogy of Stress series. If you are join­ing the series now, you can read the pre­vi­ous part Here.)

Stayin’ Alive

Under­stand­ing the Human Brain and How It Responds to Stress

The Lit­tle Brain Down Under

The tour con­tin­ues … Sit­ting under the occip­i­tal and tem­po­ral lobes of the brain is the cere­bel­lum. It’s about the size of a child’s fist. Because it looks like a sep­a­rate brain­like struc­ture attached to the under­side of the cor­tex, the cere­bel­lum is some­times referred to as the “ lit­tle brain. ” It’s con­nected to the brain stem, which in turn con­nects the brain to the spinal cord. The cere­bel­lum used to be rel­e­gated to the very sim­ple role of help­ing us main­tain bal­ance when we walk or run, but mod­ern neu­ro­science has found that the cere­bel­lum plays a much larger and more impor­tant role than that. Read the rest of this entry »

(Editor’s note:  below you have part 2 of the 6-part The Neu­ro­bi­ol­ogy of Stress series. If you are join­ing the series now, you can read the pre­vi­ous part Here.)

Stayin’ Alive

Gray Mat­ters

The term gray mat­ter usu­ally evokes an image of the cor­tex, because that ’ s the part most vis­i­ble in pic­tures of the brain.  In fact, gray mat­ter makes up not only the cere­bral cor­tex but also the cen­tral por­tion of the spinal cord and areas called the cere­bel­lar cor­tex and the hip­pocam­pal cor­tex.  This dense tis­sue is packed full of neu­ronal cells, their den­drites (branch­ing, root — like end­ings), axon ter­mi­nals (the other end), and those sticky glial cells I men­tioned ear­lier. The cor­tex is the area of the brain where the actual pro­cess­ing of infor­ma­tion takes place.  Because of its rel­a­tive size and com­plex­ity, it ’ s easy to under­stand why it plays a key role in mem­ory, atten­tion, per­cep­tual aware­ness, thought, lan­guage, and consciousness.

Read the rest of this entry »