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ADHD and Neuorfeedback

Recently, a parent asked me the following that we have available, Neurofeedback
question works very well for ADHD as well as a
I visited your web site and noticed a number of other conditions.
section called How to Read a Scientific It's true that the research does not rule
Article. I was quite impressed with this out other possible explanations for the
article. effectiveness of neurofeedback in ADHD.
This special report on your web site is Researchers have not yet proven that the
vitally important for treatment providers placebo effect is causing the results.
and treatment seekers. It is important No one has proven that it is not the
for all of us who value the use of the extra therapeutic interaction.
scientific method in making decisions However, in my opinion, these other
about what kinds of services to seek and explanations are not very likely. We do
what kinds of services to provide. not see any other placebo getting the
What you mention in that article can results that Neurofeedback gets. Nor do
serve as reminder to what many of us we see intense therapeutic attention in
learned as undergraduates and graduate other settings delivering such results.
students in science based programs. It To the best of my knowledge, there has
can serve as a simplified and easy to never been a study that shows or even
remember scientifically based evaluation suggests that it Neurofeedback does not
tool to help sort out the different types work. The worst complaint the
of interventions. antagonists can level is that it has not
Within the context of that special report yet been proven to work.
on your web site about learning to It is true that the studies on
evaluate and to interpret what is true Neurofeedback have not proven that it
and expose what is hype, how would you works. I want to stress, however, that
rate the evidence presented for not proven does not mean disproved.
Neurofeedback compared to other types of Although in the pure scientific sense
interventions?" there is something lacking from the
Here is my reply: Neurofeedback literature, we are dealing
I am glad you enjoyed How to Read a with patients' lives.
Scientific Article. Please, download it It is not fair to our patients not to use
and give it out to your friends and what is most probably a very effective
colleagues. treatment modality just because we would
As for your question about Neurofeedback: like more elegant research. With that in
There are many leading ADHD researchers mind we have to evaluate neurofeedback
who come out very strongly against based upon the evidence that is in front
Neurofeedback as a treatment for ADHD. of us.
Their main complaint against I agree that neurofeedback needs more
Neurofeedback is that the research is not scientific work to be proven an effective
well done. modality. However, as a clinician I feel
There are numerous studies available, but that I have all the evidence that I need
they all have weaknesses. Most studies in order to advise patients to use it.
lack the proper controls to prove that I still have a lot of questions about it.
Neurofeedback works. In many studies, It is not really clear to me how
Neurofeedback was used in conjunction effective it is. What percentage of
with other modalities, so it isn't clear patients fail? What percentage achieves
why the children in these studies got only partial success? I have heard
better. claims of success ranging in the 95+%. I
So scientifically, I would have to don't know how accurate these claims
conclude that Neurofeedback has not been really are.
proven to be an effective treatment for I personally don't have enough
ADHD. information to discern between the
Thank God, I am a clinician and not a effectiveness of different neurofeedback
scientist! techniques. I would like to see more
In my opinion, based upon the evidence research in these areas.




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