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Attention
Deficit (ADD)
and Closed Head Injury
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Conventional Treatment
These are often poorly diagnosed problems. ADD is now considered
to affect approximately 3% of children, especially males, and to continue
into adulthood with some 60-70% of those afflicted. ADD may include
hyperactive behavior or not. It is often relatively ineffectively
treated with addictive medications, and often returns when the medications
are stopped. Despite acknowledged problems with medication treatment
of the disorder, a strong lobby exists among certain groups of professionals
who support these solutions and who disparage new treatment approaches
Closed
Head Injury may result from head trauma even when the skull
is not fractured and the individual does not lose consciousness.
It may result from birth injuries, falls, accidents, and the like.
Cognitive Rehabilitation, reducing situational demands through structure,
and self-medication through the use of stimulants or marijuana are
common responses to such problems.
Neurofeedback
Therapy
The basic problem in ADD/ADHD is that there is a relative surplus
of slow-wave activity, and a relative absence of fast-wave activity.
When fast rhythms are absent in the frontal (executive) areas of
the brain, expression of emotions is not inhibited in the normal
way, and the individual may operate in impulsive, emotional, and
daydreamy ways, rather than with focused attention. Other conditions
that may reduce frontal inhibition of emotions even in those without
ADD problems include drugs of abuse, low blood sugar, lack of sleep,
and emotional experiences.
Using
a digitizing EEG, it is possible to readily determine the ratio
of theta/beta brainwave amplitudes, and to obtain an index of how
well the individual is likely to be able to focus attention. Scientists
and engineers and other who are highly skilled at focused attention
have theta/beta ratios around "1.0". Similarly, it is possible to
test for delta/beta ratios and to obtain an index of central nervous
system alertness. Those who alert are usually more able to attend
to and to remember events occuring in their presence. When theta/beta
and delta/beta ratios exceed 3.5, the individual is likely to have
difficulty maintaining focus of attention and alertness. The same
equipment used to make these determinations can drive a feedback
tone and help individuals alter theta/beta and delta/beta ratios
and associated behaviours.
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