Neurofeedback

Patients suffering from ADHD may benefit from treatment which follows the neuroCare approach, combining psychotherapy and neuromodulation techniques in the hands of a trained therapist.

The following information is for patients who are about to undergo Neurofeedback for the first time. A full list of Neurofeedback FAQs can be found here.​

"Intake" interview

An expertly trained neuroCare therapist will first conduct an interview to get the best possible picture of the complaints by conducting a structured diagnostic interview (Mini International Neuropsychiatric Interview). neuroCare therapists are trained to identify complaints according the criteria of the DSM-IV (The Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association)

Q-EEG assessment

After the intake interview a Q-EEQ assessment takes place in which a 26-channel EEG brain assessment is recorded. In addition, a neuropsychological test is done to identify the specific (cognitive) inattentions. Collected data is compared with a database of healthy subjects. The results are summarized in a report and forms the basis for our treatment plan. This comprehensive Q-EEG research is needed to be able to apply Neurofeedback in a responsible way. The results of the research make it possible to better personalize the treatment better thereby improving the treatment outcomes for the patient.

The patient is also asked to fill in a questionnaire and to wear an 'Actiwatch’ in the period between the intake and starting Neurofeedback treatment. The 'Actiwatch’ is a device measuring physical activity and sleep which are two factors that play an important role in genesis and characteristics of ADHD. In addition to the results obtained by the patient's self-report, the "Actogram ' gives the therapist a more objective account of the complaints. After treatment the client wears the Actiwatch again to evaluate whether there are any changes to physical activity or sleep patterns.

Within about two weeks after the Q-EEG research we contact you and make an appointment to explain the treatment plan.

The video below provides further information and background about the Q-EEG and intake procedures at neuroCare clinics:

Treatment

In Neurofeedback electrodes are applied to the patient's head (these electrodes only measure brain activity). The patient is then prompted to perform tasks which require heightened focus and concentration, and receives instant feedback whether the task has been done well or not. This may be, for example, by the continuation of a game. The game does not continue if the right brain activity is not generated. The patient is also prompted by sounds to indicate whether a task has been done correctly or not (i.e. whether the patient has controlled focus).

The patient is required to stay calm and try to keep their eyes on the stimulus presented via a monitor. Sometimes clients find out themselves (deliberately) what they need to do to get feedback, but this is not always the case. This does not have an influence on the outcome of the treatment. As the brain receives feedback on what they do, a conditioning process will occur, allowing for a gradual reduction of ADHD symptoms.

Following the neuroCare approach, Neurofeedback is usually combined with psychotherapy by a trained therapist. Normally in a session Neurofeedback is applied for 10-15 minutes and the remaining time is used for cognitive therapy. During the cognitive therapy the patient has a chance to discuss daily-life problems. The therapist will also be able to help patients learn new skills, such as planning and structuring activities. According to the expert judgement of the therapist, Neurofeedback might also be an appropriate treatment method for other conditions, such as anxiety or to help patients deal with emotions.