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Neurofeedback/ Quantitative EEG for ADHD diagnosis

Like all psy­chi­atric dis­or­ders, ADHD is diag­nosed based on the pres­ence of par­tic­u­lar behav­ioral symp­toms that are judged to cause sig­nif­i­cant impair­ment in an individual’s func­tion­ing, and not on the results of a spe­cific test. In fact, recently pub­lished ADHD eval­u­a­tion guide­lines from the Amer­i­can Acad­emy of Pedi­atrics (AAP) explic­itly state that no par­tic­u­lar diag­nos­tic test should be rou­tinely used when eval­u­at­ing a child for ADHD.

While most ADHD experts would agree that no sin­gle test could or should be used in iso­la­tion to diag­nose ADHD, there are sev­eral impor­tant rea­sons why the avail­abil­ity of an accu­rate objec­tive test would be useful.

First, many chil­dren do not receive a care­ful and com­pre­hen­sive assess­ment for ADHD but are instead diag­nosed with based on eval­u­a­tion pro­ce­dures that are far from optimal.

Sec­ond, although AAP guide­lines indi­cate that spe­cific diag­nos­tic tests should not be rou­tinely used, many par­ents are con­cerned about the lack of objec­tive pro­ce­dures in their child’s eval­u­a­tion. In fact, many fam­i­lies do not pur­sue treat­ment for ADHD because the the absence of objec­tive eval­u­a­tion pro­ce­dures leads them to ques­tion the diag­no­sis. You can read a review of an inter­est­ing study on this issue at www.helpforadd.com/2006/january.htm

For these rea­sons an accu­rate and objec­tive diag­nos­tic test for ADHD could be of value in many clin­i­cal sit­u­a­tions. Two impor­tant con­di­tions would have to be met for such a test to be useful.

First, it would have to be highly sen­si­tive to Read the rest of this entry »

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