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How many
sessions does it take?
This is a common question and it is difficult to answer
until we have an opportunity to evaluate the individual
client. Some problems are resolved fairly easily while
others may take some time and certain conditions may require
occasional "booster" sessions. Uncomplicated ADD is usually
resolved in about 40 sessions. If ADD is accompanied with
anxiety or behavioral issues then it is more likely to be 60
sessions. This does not mean that you will wait for 40
sessions to see some change. Changes are often noticeable
within 10 sessions but additional training is required for
full resolution and to permanently integrate these changes.
We will re-evaluate progress around 20 – 25 sessions.
Does the
training work every time?
Nothing works every time including medication. Some
conditions such as uncomplicated ADD have high rates of
resolution (80%-90%). Stress, anxiety, PTSD and depression
are also highly responsive to this training. There are other
conditions such as bi-polar disorder for which ongoing
“booster“ sessions are required. Our experience in our
clinic is that when we have an individual with a supportive
family, work, or school environment we always see very
positive responses to training. When other factors in an
individual’s life create ongoing difficulties, response to
training is much slower and sometimes unsuccessful.
How do you
know if it’s working?
We use several measures to evaluate the effectiveness of our
training. Our primary measure is actual changes in behavior
and performance. We do regular check-ins with clients and/or
parents to measure these changes. We also generally re-give
the Test of Variables of Attention after 25-30 sessions.
This provides us with an objective measure of improvement.
In cases with brain injury or severe behavioral issues we
may recommend another QEEG to determine actual brain wave
changes that have occurred since the start of training.
What is a
typical session like?
We book hourly sessions though most are completed in 45
minutes. We begin with a brief check-in with the individual
and the parent if appropriate. The actual training on the
computer is generally for 30 minutes. We like to spend some
time either coaching the individual in what ever target
areas have been identified during the evaluation or
discussing situations that have arisen in their life. The
actual time spent may vary then between 45 minutes to an
hour.
Can someone
train while on medication?
Many of our clients are on medications when they begin their
training. One of their goals is often to reduce or eliminate
their need for medications. Medications do not interfere
with the efficacy of training and we have been quite
successful in assisting clients with medication reductions.
Is the
training permanent?
Research shows that training is permanent if enough sessions
are completed. There are some conditions such as Bi-polar
disorder that may benefit from occasional “booster”
sessions.
Does
insurance cover the cost of training?
The answer to this is unfortunately no. Most insurance
companies still consider neuro-feedback as an experimental
approach to working with conditions. Despite the fact that
the research on its benefits continues to grow and that
neuro-feedback has been around since the 80’s, we do not see
signs of this changing anytime soon. We try to keep our
costs low so that training is affordable for most people. We
also provide superbills that you may submit for payment in
case your company approves the expense.
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