neurofeedback - thompsons.pdf - EEG Biofeedback - MarcinAb

EXPERT SERIES

Neurofeedback

In the evolving field of psychol-

ogy, education, and medicine,

Dr. Lynda Thompson and

Michael Thompson M.D. intro-

duce the techniques and Infiniti

technology they use at the ADD

clinic in Toronto to provide

neurofeedback for the treatment

of A.D.D./A.D.H.D. as well as

other conditions. The methods

they describe in this article have

arisen from thousands of hours

using biofeedback and

neurofeedback with clients from

4 to 65 years of age. The

Thompsons also describe the

3rd Edition of “Setting Up for

Clinical Success” available on

CD, and a new CD that contains

scripts. These CD software

suites arise from their experi-

ence with a wide variety of

clients at the ADD Centre and

Biofeedback Institute in Toronto,

Canada. Their clients range

from top executives and ath-

letes just wanting to optimize

their performance to children

with A.D.H.D., learning disabili-

ties, Asperger’s, Autism,

Tourette’s, to adults with anxi-

ety, depression, head injuries,

and so on. This experience led

the Thompsons to develop

display screens that combine

the neurofeedback with biofeed-

back in a manner that clients

find useful and helpful for

different purposes. The Bio-

feedback Foundation of Europe

is a non-profit organization

located in the Netherlands. For

more information on the BFE

please visit our website

www.bfe.org.

Lynda Thompson, Ph.D.

Lynda Thompson, Ph.D., Psychologist, has

been a teacher, clinical and school psycholo-

gist, and has owned learning centres. She has

given invited workshops and lectures on five

continents on Neurofeedback and Biofeedback.

Lynda became Executive Director of The ADD

Centre/Biofeedback Institute in Toronto in 1993.

Her doctoral dissertation (1979) dealt with

hyperactive children treated with methylpheni-

date. She is co-author with William Sears of

The A.D.D. Book: New Understandings, New

Approaches to Parenting Your Child. She is

also the co-autor of Setting up for Clinical

Success and The Neurofeedback Book with

Michael Thompson, M.D.

Michael Thompson, M.D. administrates the

ADD Centre/Biofeedback Institute and teaches.

When formerly practicing medicine he was

Associate Professor and head of post-graduate

education in Psychiatry, University of Western

Ontario, examiner Royal College of Physicians,

chairman examinations committee in psychia-

try. While Associate Professor, University of

Toronto, he was psychiatric consultant to The

Hospital for Sick Children’s neurology depart-

ment. Numerous professional publications

include; A Resident’s Guide to Psychiatric

Education, and The Neurofeedback Book: An

Introduction to Basic Concepts in Applied

Psychophysiology. He is also the co-autor of Setting up for Clinical Success

with Lynda Thompson, Ph.D.

Do you both believe that EEG Biofeedback (neurofeedback) is useful for

A.D.D./A.D.H.D.?

Absolutely! Neurofeedback (another name for EEG biofeedback) gives the

individual the ability to recognise for themselves, what their brain is doing,

and learn specific skills to improve their performance at school and at work.

While working with A.D.H.D. children and adults, we both had an increasing

realization that other therapies for children and adults diagnosed with A.D.D./

A.D.H.D. are only a partial solution. The simple use of Ritalin and other

pharmaceuticals, even combined with behavioural approaches are limited,

because the changes they produce are temporary. It is very clear now that

A.D.D. is a neurologically based disorder. We know, with certainty, that it is

not caused by bad parenting or a lack of opportunities. It is, first of all,

strongly genetic in nature, definitely brain-based and very definitely neurologi-

cal. Moreover a Quantitative EEG (QEEG) assessment helps determine what

Michael Thompson, M.D.

part of the brain exactly has to be

trained and subsequent in-clinic

assessments make it possible to

carefully monitor progress. Neuro-

feedback software includes useful

measurements for tracking

progress during a session and for

looking at trends over time. These

include: average microvolt ampli-

tude values (magnitude), % time-

over-threshold scores and points.

Lynda, would you say that EEG

biofeedback is sufficient as a

single therapeutic approach to

treat A.D.D. and A.D.H.D.?

Well, that's a very important point.

Neither Michael, nor I look at

neurofeedback, as powerful as it

is, as a totally stand-alone proce-

Demonstration at a BFE workshop

which we use, has taken into ac-

count the goals for training and

matched them to the most common

bandwidths and BIOFEEDBACK

modalities that are used for feedback

(training). Adjunctive techniques

may involve behavioral work,

parenting information, advice on diet,

working with the family and, when

appropriate, medication. We do,

though, build the entire procedure

around the neurofeedback therapy.

while the Infiniti system measures

the different brain wave frequency

ranges and also other physiologi-

cal measures, like respiration and

heart rate.

“Neurofeedback gives

useful measurements

for defining progress

during a session and

for looking at trends

over time"

Lynda, can you tell me a little

about the “Setting up for Clini-

cal Success Suite”?

The Setting up for Clinical Success

Suite has been designed for

professionals who want to work

with various conditions including

A.D.D./A.D.H.D. as well as ath-

letes, executives or performers in

the arts for improved performance.

In this suite, Michael and I intro-

duce some of the key techniques

being used in neurofeedback using

the Infiniti. The CD provides

clinicians a range of displays

applicable to young children,

adolescents and adults. It also

has a Universal screen that the

clinician can modify to meet very

specific requirements for individual

clients. The CD also offers train-

ers, who are beginning a

neurofeedback practice, a suffi-

cient variety of display screens to

cover the most common training

needs of their clients, and a 150

page book that covers clinically

relevant material and detailed

dure. In the ADD Centre/Biofeed-

back Institute, we’ve always

looked at it as part of a multi-

component treatment process. In

the ADD Centre/Biofeedback

Institute we see Children or Adults

diagnosed with A.D.H.D. (+

Asperger’s or + Seizure Disorder);

AND, A.D.D. (+ LD) as well as

Adolescents & Adults with

ruminations, tension, anxiety, +

secondary inattention; AND, who

wish to Optimize Performance in

academics, business and sports.

Our clients all require cognitive

strategies to assure that training

‘generalizes’ to their every-day

environment. Thought Technolo-

gy’s Infiniti neurofeedback system,

Michael, how does the latest

computer technology help you?

The ability to combine

neurofeedback and biofeedback with

one instrument allows great flexibility

in individualizing the feedback. We

use many different systems in our

clinic, but our clients and staff have

come to rely on the Infiniti system for

its wonderful display screens for

assessment and treatment. The

variety of multimedia feedback with

DVDs, animations, and music offer

just the right type of neurofeedback

from simple line graphs and relaxing

music to the latest DVDs. The Infiniti

is used on many of the computers

and flat-panel monitors in our center.

This technology helps our clients

focus their attention on the screen,

EXPERT SERIES

instructions about using the 80

screens provided on the CD.

Michael, I understand that you

were the one behind many of

the assessment and training

display screens on the “Setting

up for Clinical Success Suite

(CD)”. Is that right?

Yes, I have to admit to spending

hundrends of hours as there is

more than one set of display

screens in order to give the practi-

tioner the maximum degrees of

freedom in choosing bandwidths

for neurofeedback in conjunction

with measurements of other

variables. It has the five basic

components of biofeedback that

can be combined with

neurofeedback including: periph-

eral skin temperature, EDR,

SEMG, Respiration, Heart Rate

and even heart rate variabiliity for

biofeedback. These displays are

clearly ordered into functional

groups that allow the practitioner

to do both assessments and

feedback for a wide range of

clients. We have attempted to take

into consideration the common

uses for neurofeedback and

biofeedback that have been

demonstrated by both research

and experience. The self-installing

CD includes over 40 specialized

screens for clinical assessment,

stress profiling and to motivate

and train clients. A 150-page guide

gives practitioners a basic start so

that they can begin using the

Infiniti system with a range of

clients.

apply what has been demonstrated

by both research and experience.

We were very pleased when we

received the following message from

a clinician who recently purchased

the suite, Dr. Thompson's “Setting

Up for Clinical Success, 3rd Ed” is

nothing short of brilliant and is very

user friendly with a manual that I

printed and keep on my desk right

next to a worn copy of The

Neurofeedback Book. The single and

two channel assessments and

training screens work very well and

provide useful statistics to guide

training direction and progress. My

final comment as someone still

learning more about neurofeedback

is that we should be sure to train and

assess within our level of compe-

tence, so as to promote our field

well, and of course to “do no harm”

to our clients. Quoting a guiding

pearl of wisdom from Dr. Lynda

Thompson, “Promise less and deliver

more.”

including A.D.H.D. (& Tourette’s),

Asperger’s, Dyslexia, Anxiety,

Depression, Seizures, and Optimal

Performance has been produced to

offer professionals a method for

entering this field rapidly . The

instruction screens at the beginning

of each script describe the goal for

feedback, common electrode

placements and enhance and

inhibit frequencies, biofeedback

variables and briefly give reasons

for each suggested feedback

approach. The screens used in

each script are those found most

useful by the staff at our centre.

Lynda, what are some of the

improvements in the 3rd Edition

of “Setting Up for Clinical

Success” that you are most

pleased with?

The Suite has been designed to

help newcomers to the field to

“Setting Up for Clinical

Success, 3rd Ed is noth-

ing short of brilliant and

is very user friendly with

a manual that I printed

and keep on my desk.”

A second CD containing 12 scripts

for different symptoms or syndromes

Improve Your

Health & Performance

The ADD Centre/Biofeedback Institute is the largest

centre in Canada using EEG Biofeedback for ADD,

with over 100 hours of training provided each week.

Clients include University professors, professionals,

and senior executives who come to optimize perform-

ance. The Centre also works with patients in the treat-

ment of epilepsy, Asperger's Syndrome, learning dis-

abilities, Tourette's syndrome, closed head injury,

autism, mood disorders, tension, and anxiety. The

approach is one of education, training, and learning.

The ADD Centre/Biofeedback Institute began in the fall

of 1992 and currently operates with a Director, CEO,

and 24 part-time staff with university degrees (many

with advanced degrees - Masters and Doctorate

levels) or professional qualifications in education and

health related fields.

During the European Biofeedback Confer-

ence on February 19 to February 23, 2008,

in Salzburg, Austria. Dr. Lynda Thompson

and Michael Thompson M.D., will instruct a

workshop on Neurofeedback. Doctors and

other Health Professionals are invited to join

the workshop. Further information available

at www.bfe.org/meeting.htm.

The ADD Centre/Biofeedback Institute

50 Village Centre Place, Mississauga, ON, L4Z 1V9

(905) 803-8066 • (416) 488-2233

www.addcentre.com

addcentre@gmail.com

www.bfe.org

Improve Your

TTM

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