Lynn Gibbons, mother of fourth grade son Brent, was struggling with his little “monster.” Brent was diagnosed with Attention-Deficit Hyperactivity Disorder which gave some insight as to why he was failing the fourth grade. That was seven years ago. Today Brent is taking advanced-placement high school classes and helping with chores. She’s convinced that neurofeedback is what made the difference.
Neurofeedback is a mind-over-brain training in which a person uses electronic equipment to monitor involuntary responses. Proponents claim neurofeedback can help alleviate a broad range of problems, including not only ADHD but anxiety, depression, autism and brain injuries. Yet the costly, time-consuming therapy has long been dogged by skeptics who call it a placebo at best, a rip-off at worst.
A lack of data
Both sides may soon get some clarity. The National Institute of Mental Health is sponsoring the first government-funding study. Ohio State University child psychiatrist L. Eugene Arnold, the NIMH project’s director, says the institute agreed to fund the study as a result of new interest by the influential national advocacy group Children and Adults with Attention Deficit/Hyperactivity Disorder. CHADD receives about one-third of its revenues from pharmaceutical firms and historically has vigorously supported medication as a first-line treatment for ADHD. Yet in recent years the group has grown more willing to consider nondrug therapies.
Seventeen children have completed testing thus far. Arnold says he has received reports of significant changes in some of the children’s abilities, outside the lab, to pay attention, stay focused and finish tasks. Still, he can’t yet say whether the children are being helped by the treatment, since neither the participants nor the researchers will learn who was in which group until the results are analyzed.
Mainstream ADHD experts have pointed to serious flaws in many of the studies that private neurofeedback practitioners have published to date. Some dismiss the therapy altogether. The prominent ADHD researcher William Pelham of the University of Buffalo includes neurofeedback on a list of common but ineffective treatments that also includes “horse therapy.”
Even so, an increasing number of parents with children with ADHD swear by neurofeedback. Lynn Gibbons was so encouraged by the results of her son’s treatment that she’s now studying to become a neurofeedback practitioner herself, a testimonial that’s becoming increasingly common, according to Judy Crawford, director of certification at the Biofeedback Certification Institute of America, which is located outside Denver.
Alluring but expensive
Regina Casciato of San Francisco says neurofeedback treatments produced “profound” improvements in her 14-year-old daughter, Victoria, who suffered from insomnia and impaired concentration due to a disorder of the central nervous system. “Within a week, she was able to sleep through the night, and her anxiety has been cut in half.”
Undergoing neurofeedback demands an extraordinary commitment of time and money. A typical therapist will recommend at least 40 half-hour sessions to treat ADHD and charge as much as $100 per session. With so many questions about neurofeedback still unanswered by mainstream research — none of this is normally covered by insurance. (Some plans, including Kaiser Permanente, do cover biofeedback for stress relief.)
The promise nonetheless remains alluring, especially for many long-frustrated parents of children with ADHD. Advocates describe lasting improvements compared with stimulant medication, whose effects wear off as soon as the drug leaves the bloodstream and whose side effects include stunted growth, facial tics, loss of appetite and insomnia.
What are your thoughts? Is neurofeedback worth it?
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