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FAQ

FAQ

Frequently Asked Questions

What is Integrative Neurology?
Integrative Neurology is the combination of traditional medicine/neurology with alternative based medicine/neurology. Alternative medicine/neurology is based on using natural substances, vitamins, supplements, and other methods of treatment. The emphasis is on prevention, and using non invasive methods of diagnosis and/or treatment.
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What is Neurofeedback?
Neurofeedback is a group of techniques that helps a person's brain learn how to control and shape his or her own brain waves. EEG Biofeedback is also known as Neurofeedback and Neurobiofeedback. It is based on operant condition, behavior modification for brain cells.
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How do I choose a Neurofeedback Therapist?     

This is an important decision which should be based upon trust, competence and good communication.  While there are never guarantees of quality in mental health or medicine there are some guidelines you can follow.The peson should be licensed as a mental health or medical healthcare provider, be experienced in treating the disorder you are seeking help for, been supervised by a senior clinician(s) in the field of Neurofeedback or EEG Biofeedback, and certified by the Biofeeback Certification International Alliance (formerly Biofeedback Certification Institute of America-BCIA).  BCIA is the only organization internationally recognized by insurance companies as the certifying agency for certification and recognized by other professional organizations in the field to issue Board Certification in Neurofeedback. CLICK ON THIS LINK TO LEARN MORE:www.bcia.org/displaycommon.cfm

What is the Family Approach?
We recognize that brain injury or any brain illness affects the whole family. Consequently, we make family consultations part of our treatment process. We also offer family therapy that can coordinated with biological treatments and Neurofeedback. Some of the links to affiliates that you will find on our web site represent a range of services that are designed to support the family.
 

What is an EEG?
EEG stands for electroencephalogram. It is the application of wires (electrodes) on the scalp to record the electrical activity of the brain. It is the gold standard which measures the electrical activity of the brain. It has been around since 1929, is performed all over the world in a standardized manner. It is performed under certain conditions, for example, eyes open, eyes closed, hyperventilation. Sometimes methods to activate or stress the brain are performed such as reading or listening.
It is used to evaluate any condition of the brain that involves disorders of memory, thinking, epilepsy/seizures, traumatic brain injury, ADD, ADHD, and other disorders of behavior. Doctors learn how to read them by learning from other expert doctors, mostly neurologists. It is read by a visual inspection of the brain waves.
One of the criticisms of this visual inspection is the variability between different readers for the same tracing. This variability is greatly overcome by a computerized analysis of the raw EEG called QEEG, or quantitative EEG. QEEG is a more specific and scientific analysis of the EEG, and will be addressed in another section on this site.


What is a Quantitative Electroencephalogram (QEEG)? How does this help me?
A QEEG is an EEG that is statistically compared to a database of individuals of the same age who are free of brain injury or brain disease. Only the QEEG gives your treating provider information that becomes the basis of your individualized treatment plan. It gives us specific information about which sites and frequencies to train in Neurofeedback. It also may assist in helping your doctor prescribe medication/supplements.

My doctor says there is no real science behind Neurofeedback. Is that true?

No.  Medical doctors and most psychologists receive little or absolutely NO training in biofeedback or Neurofeedback and are therefore not qualified in this area.  The National Library of Medicine (http://www.ncbi.nlm.nih.gov/pubmed/) lists hundreds and in some cases thousands of articles on quantitative EEG, biofeedback, traumatic brain injury, brain computer interfeace, operant conditioning and the brain and LORETA.  Also see the International Society for Neurofeedback Research, ISNR, (www.isnr.org), the Association for Applied Psychophysiology and Biofeedback (www.aapb.org).  There are several peer reviewed journals in the field such as the Journal of Neurotherapy, Clinical EEG and Neuroscience and the Journal of Applied Psychophysiology and Biofeedback.  The use of operant conditioning to change neuronal regulation has about 40 years of research and use behind it.  The Department of Defense is presently using it to treat soldiers with PTSD, brain injury and blast injuries suffered during combat in Iraq and Afghanistan.

I don't have time for all that research.  Are there ONE or TWO places I can go to get hard science on this?

Yes.  See www.appliedneuroscience.com/articles and the bibliography at www.isnr.org.  Www.aapb.org also has a mongraph that summarizes all of the evidence based research on neurofeedback and biofeedback by disorder.

Do Stimulants affect a child's growth?

See Articles and Research section for the stimulant article from the American Academy of Child and Adolescent Psychiatry.

There are many styles of neurofeedback.  Which should I choose?

The approach should be individualized to your needs and symptoms.  The approach should have support in peer reviewed literature.  The approach should be able to relate your specific symptoms to specific brain areas that a Quantitative EEG shows are are deregulated.  This is why we do individual evaluations and will not proceed without one.

Does this work for everyone?

No.  About 15%- 20% of people do not respond.

How will I know if I will respond?

Responses can be seen on the EEG in between 1 and 40 sessions.  Brains  have different learning styles.  Generally the EEG changes after 10-20 sessions, on average, but in most cases progress is uneven, but over time the trend is to normal.  Learning style, nutrition, sleep, environment or family issues and therapeutic issues all affect the speed and trend of change.  Sometimes behavioral change is sudden and sometimes it is gradual.  This is highly individualized and should be discussed with your therapist.

What things interfere with responding to Neurofeedback?

1.  Not attending consistently or enough sessions per week.

2.  Active substance abuse, alcohol or street drugs, certain medicaions.

3.  Physiological disorders, such as metabolic or nutritional deficiencies.

4.  Stressors at home, work, marriage during active treatment.  Once neurofeedback changes are permanent these are not likely to interfere with the permanent results.

Are the resuts permanent?

In most cases of ADD/ADHD, learning disorders, brain injury,  yes. In substance abuse disorders abstinence rates of 80%-90% at one year follow up have been reported in the literature.  Anything which would harm or change the brain may weaken or undo neurofeedback results.  Examples of such things are:  infection, brain injury, trauma, toxin exposure, drug abuse, cancer.

Is this invasive?

No. Neurofeedback is non-invasive. Nothing is ever introduced into the body.

Are there adverse side effects?

Properly done using Z score training (training only towards normal) no adverse reactions have been recorded.  You might feel tired after a session.  If you are taking medications, as your brain gets healthier, you may experience side effects from the medications because you may need less medication.  Consult your doctor as well as your therapist.

Can I take prescription medication at the same time I do neurofeedback?

In most cases, yes.  You need not give up your medications.  You should not train while under the influence of alcohol or street drugs.  Consult your therapist.
 

How does Integrative Neurology help me? What kind of alternative neurology approaches are available?
It allows for a treatment plan that traditional Neurology does not provide for. For example, vitamins and supplements are used to treat different problems, which otherwise could not be addressed in traditional Neurology. Other alternative treatments include hyperbaric oxygen therapy, bioidentical hormone replacement therapy, and acupuncture.
 

I am someone who has been diagnosed or is suspected to have a diagnosis of menopause (women) or andropause (men). How will Bioidentical Hormone Supplementation assist me in maintaining youthful hormone levels?
Bioidentical hormmone replacement therapy is a very safe and effective way to restore hormones to youthfull levels,without the serious complications of tradition HRT. Since the type of hormones that are used are actually identical to the original ones produced by the body, it is not hermful to the person. Typically, three different hormones (Estrogen progesterone, and testosterone) are taken either as a topical preparation (gel, cream), or as a sublingual pill (lozenge or troche).

My child/family member is living with Autism, ADD, ADHD, a brain injury, and/or seizures. How does Integrative Neurology help?
Integrative Neurology sees the patient as a whole person, not as a disease. Each patient undergoes comprehensive testing to properly diagnose their condition. After proper diagnosis, specific treatments are recommended. For example, for detoxification the emphasis is on using different supplements and a specific diet as opposed to pharmaceuticals. This approach maximizes the benefits and minimizes the side effects.
 

My child/family member is living with Autism, ADD, ADHD, a brain injury, and/or seizures. How does Neurofeedback help?
All of these disorders are simply different ways of the brain expressing some kind of imbalance or poor communication. Neurofeedback can assist the patient in retraining the way in which different parts of the brain communicate with each other. This can involve changing the strength of the brain waves (amplitude), the balance between the sites (asymmetry), or the time two sites spend communicating with each other. Generally symptoms are the result of one or more of these factors not being normal. We emphasize combining this with a thorough biomedical evaluation and treatment so that the brain has sufficient amounts of oxygen and nutrients to respond to this training.
 

What affiliate services can you recommend and set up for me to increase my brain healing?
In addition to the many services offered in the office, we have affiliated with highly trained professionals to offer you more. These services include Hyperbaric Oxygen Therapy, Physical Therapy, Occupational Therapy, Speech Therapy, and Integrative Psychiatric Therapy. If there is something that you need, and it is not listed here, we may be able to find it for you.
 

How do I start my journey today?
To begin, click on My First Appointment and follow the directions. You can also call or e-mail us. It is our pleasure to speak with you.
 

I don't live near the center or I live out of state. What can I do?
We accept patients from all states and other countries. You are welcome to visit us and we can help you find a place to stay for the duration of your visit. Or, if we know someone in your area, we can recommend them for you.
 

What age patients do you see?
Children ages 2 and up; Adolescents and Adults
 

Do you take insurance?
BeechStreet Oxford, United Health Care/United Behavioral Health, Medicare, Worker's Comp, TriCare, and PIP (personal injury protection)
If your insurance is not listed here, check with your insurance company for out of network benefits. Some services are covered under insurance. You will need to check with your insurance company.

 

What forms of payment do you accept?
Cash, Checks, and Credit Cards
 

 

 
 

Neurofeedback, attention deficit disorder, ADD, ADHD,hyperactivity, Aspergers, autism, depression, anxiety, DAN doctor, Neurology