Although ADHD used to be con­sid­ered a dis­or­der of child­hood, follow-up stud­ies indi­cate that between 30% and 60% of chil­dren with ADHD con­tinue to expe­ri­ence symp­toms and impair­ment in adult­hood. And, even when ADHD symp­toms decline over time, many indi­vid­u­als con­tinue to expe­ri­ence sig­nif­i­cant impair­ment in impor­tant areas of functioning.

For exam­ple, chil­dren with ADHD have Read the rest of this entry »

Like all psy­chi­atric dis­or­ders, ADHD is diag­nosed based on the pres­ence of par­tic­u­lar behav­ioral symp­toms that are judged to cause sig­nif­i­cant impair­ment in an individual’s func­tion­ing, and not on the results of a spe­cific test. In fact, recently pub­lished ADHD eval­u­a­tion guide­lines from the Amer­i­can Acad­emy of Pedi­atrics (AAP) explic­itly state that no par­tic­u­lar diag­nos­tic test should be rou­tinely used when eval­u­at­ing a child for ADHD.

While most ADHD experts would agree that no sin­gle test could or should be used in iso­la­tion to diag­nose ADHD, there are sev­eral impor­tant rea­sons why the avail­abil­ity of an accu­rate objec­tive test would be useful.

First, many chil­dren do not receive a care­ful and com­pre­hen­sive assess­ment for ADHD but are instead diag­nosed with based on eval­u­a­tion pro­ce­dures that are far from optimal.

Sec­ond, although AAP guide­lines indi­cate that spe­cific diag­nos­tic tests should not be rou­tinely used, many par­ents are con­cerned about the lack of objec­tive pro­ce­dures in their child’s eval­u­a­tion. In fact, many fam­i­lies do not pur­sue treat­ment for ADHD because the the absence of objec­tive eval­u­a­tion pro­ce­dures leads them to ques­tion the diag­no­sis. You can read a review of an inter­est­ing study on this issue at www.helpforadd.com/2006/january.htm

For these rea­sons an accu­rate and objec­tive diag­nos­tic test for ADHD could be of value in many clin­i­cal sit­u­a­tions. Two impor­tant con­di­tions would have to be met for such a test to be useful.

First, it would have to be highly sen­si­tive to Read the rest of this entry »

(Editor’s Note: Neu­ro­feed­back is one of the tech­nolo­gies that peo­ple often ask us about.  It is a promis­ing inter­ven­tion in a vari­ety of areas, and has got sig­nif­i­cant trac­tion in help­ing kids with ADD/ ADHD. Now, given the sig­nif­i­cant cost it poses for par­ents, we need to ask the ques­tion: “How Strong is the Research Sup­port for Neu­ro­feed­back Treat­ment of Chil­dren with ADHD”? We are hon­ored to present the thoughts of Duke University’s Dr. David Rabiner, a lead­ing author­ity on the field, on that impor­tant issue. As a bonus, you will enjoy his detailed descrip­tion and sug­ges­tions of how to design a high-quality sci­en­tific study.)

(Update as of March 2009: Dr. David Rabiner has writ­ten an update to the arti­cle below based on a newer study. You can read it click­ing on link: New Study Sup­ports Neu­ro­feed­back Treat­ment for ADHD)
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How Strong is the Research Sup­port for Neu­ro­feed­back Treat­ment of Chil­dren with ADHD?

Nei­ther of the two promi­nent approaches to treat­ing ADHD — med­ica­tion treat­ment and behav­ior ther­apy — are expected to effect long term changes in the child. Med­ica­tion treat­ment induces short-term changes in brain activ­ity that is asso­ci­ated with a reduc­tion in symp­toms for many indi­vid­u­als. Behav­ior ther­apy attempts to cre­ate a set of envi­ron­men­tal con­tin­gen­cies that pro­mote desired behav­ior in the child, but which is unlikely to endure when those con­tin­gen­cies are removed.

In recent years, researchers have begun devot­ing greater atten­tion to the pos­si­bil­ity that chil­dren — and adults — may be pro­vided with par­tic­u­lar kinds of expe­ri­ences that may induce alter­ations in brain func­tion­ing that are asso­ci­ated with more endur­ing changes, i.e., they do not dis­si­pate as soon as treat­ment ends.

Neu­ro­feed­back — also known as EEG Biofeed­back — is reflec­tive of this approach and has a his­tory that goes back Read the rest of this entry »

As every Mon­day, we bring you many blog car­ni­vals (col­lec­tions of blog posts around spe­cific top­ics) we have con­tributed to. But before we do so, we have 2 announcements: 

• Learn­ing, The Gravy Way will host the next edi­tion of the Brain fit­ness car­ni­val on August 20th. You still have a few days to sub­mit your post on any­thing related to brain exer­cise and men­tal train­ing. And let me know if you want to host future editions.
• We will host the med­i­cine 2.0 car­ni­val on August 19th. Please sub­mit your great posts if you want to participate!

Here are our favorite car­ni­vals today

• Tan­gled Bank (sci­ence)
• Encephalon (neu­ro­science)
• Grand Rounds (med­i­cine)
• Gene Genie (genes and DNA)

 

Other good ones Read the rest of this entry »

A blog car­ni­val is a col­lec­tion of good blog posts around a spe­cific topic, pub­lished usu­ally every 2 or 4 weeks. This time many car­ni­vals included some of our arti­cles, so we have a longer than usual list. Take a look at the top­ics you may be inter­ested in.

The first 5 car­ni­vals did the most cre­ative work, in our view, to dis­play all the con­tent: Read the rest of this entry »