Neurofeedback and Neuromodulation in the Treatment of Childhood - - PowerPoint PPT Presentation

▶
neurofeedback and neuromodulation in the treatment of
SMART_READER_LITE
LIVE PREVIEW

Neurofeedback and Neuromodulation in the Treatment of Childhood - - PowerPoint PPT Presentation

Feb 14, 2024 173 likes •826 views

Neurofeedback and Neuromodulation in the Treatment of Childhood Psychiatric Disorders- special emphasis on adoption Daniel S. Dinsmoor, Ph. D., Larisa Degranfenreid, L.C.S.W Our Backgrounds Larisa Dan What is neurofeedback? It is

slide-1
SLIDE 1

Neurofeedback and Neuromodulation in the Treatment

  • f Childhood Psychiatric Disorders-

special emphasis on adoption

Daniel S. Dinsmoor, Ph. D., Larisa Degranfenreid, L.C.S.W

slide-2
SLIDE 2

Our Backgrounds

  • Larisa
  • Dan
slide-3
SLIDE 3

What is neurofeedback?

  • It is the interaction of the person with

neurophysiological information from the brain that allows the individual to either consciously

  • r unconsciously control what is happening

internally, and by doing so increase the capacity of the brain to do work in the real world.

slide-4
SLIDE 4

Two paradigm shifts

  • Paradigm shift from thought processes to

brain dynamics

  • Paradigm shift from a neurotransmitter

understanding of brain dynamics to a Hemodynamic and Bioelectric understanding

  • f brain dynamics.
slide-5
SLIDE 5

What kinds of problems do we see with adopted children who come to

  • ur clinic?
  • Problems with attention and learning (getting

things done, lack of synchrony in the classroom)

  • Problems with self regulation- (short fuse)
  • Problems with empathic attachment (rigidity and

ego-centrism)

  • Instabilities- migraines, panic attacks etc., Bipolar

disorder

  • Acute stress and family relationship problems
  • Developmental trauma
slide-6
SLIDE 6

Additional Problems

  • Dealing with a non-adopted sibling with

serious mental illness problems

  • The same problems we see everyday with

children who are not adopted (anxiety, depression, conduct problems, OCD, etc.),

  • Pediatric autoimmune neuropsychiatric

disorders (PANDAS)

slide-7
SLIDE 7

Hypoperfusion of the Frontal Cortex

slide-8
SLIDE 8
slide-9
SLIDE 9
slide-10
SLIDE 10
slide-11
SLIDE 11
slide-12
SLIDE 12
slide-13
SLIDE 13
slide-14
SLIDE 14
slide-15
SLIDE 15
slide-16
SLIDE 16

McGovern Center Video

slide-17
SLIDE 17

Why is this important?

  • Because we can visualize these same processes in

a simpler way to provide treatment.

  • We can see not only how important brain areas

are operating, but also brain networks, and how brain networks interact with each other.

  • This gives us clues as to how to proceed with

treatment, and confidence that we are proceeding in a useful way.

slide-18
SLIDE 18

PFC temp data as seen by an infrared camera

slide-19
SLIDE 19
slide-20
SLIDE 20

PFC temp data in a line graph

slide-21
SLIDE 21
slide-22
SLIDE 22
slide-23
SLIDE 23

PFC temp data in a line graph

slide-24
SLIDE 24
slide-25
SLIDE 25

What are Infra-Slow Frequencies?

  • Infraslow Oscilations- what are they?
  • Correlated changes in electrical activity on the

same time scale

  • Palva and Palva on the significance of ISO’s

andISF”s

  • Mark Smith’s description in terms of the ans,

attention, etc.

slide-26
SLIDE 26
slide-27
SLIDE 27
slide-28
SLIDE 28
slide-29
SLIDE 29
slide-30
SLIDE 30
slide-31
SLIDE 31
slide-32
SLIDE 32
slide-33
SLIDE 33
slide-34
SLIDE 34

Figure V. CBCL Results, Change on Marker of Primary Concern. CBCL results were available for 12 of the 17

  • students. The graph above plots the CBCL scaled score for each student's primary area of concern. There

was an Average improvement of 16 scaled score points, or 1.6 standard deviations of improvement

slide-35
SLIDE 35

Case Studies

slide-36
SLIDE 36

Case #1- 5 y.o. boy with problems in self regulation

slide-37
SLIDE 37

Presenting Problems

  • Anxious
  • Aggressive
  • Fidgety
  • Hyperactive
  • Loss of emotional control
  • Mood swings
  • Irritable
slide-38
SLIDE 38

Symptom Checklist

slide-39
SLIDE 39
slide-40
SLIDE 40

Video #4

slide-41
SLIDE 41

Second Session

slide-42
SLIDE 42

5

slide-43
SLIDE 43
slide-44
SLIDE 44
slide-45
SLIDE 45
slide-46
SLIDE 46

7

slide-47
SLIDE 47

9

slide-48
SLIDE 48

12

slide-49
SLIDE 49

14

slide-50
SLIDE 50

21

slide-51
SLIDE 51

27

slide-52
SLIDE 52

Results

slide-53
SLIDE 53
slide-54
SLIDE 54

Anxious

1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Symptom 1

Anxious

slide-55
SLIDE 55

Fidgety

1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Symptom 2

Fidgety

slide-56
SLIDE 56

Fighting/aggressive

1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Symptom 3

Fighting/aggressive

slide-57
SLIDE 57

Hyperactivity

1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Symptom 4

Hyperactive

slide-58
SLIDE 58

Loss of emotional control

1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Symptom 5

#REF!

slide-59
SLIDE 59

Rapid mood swings

1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Symptom 6

Rapid mood changes

slide-60
SLIDE 60

Summary of treatment

  • Warm and friendly.
  • No longer frowny.
  • “no” is no longer her default position.
  • Parents put additional supports in place to

continue progress already established.

  • Use of medication has been avoided.
  • There is a more positive start in terms of

personality development

slide-61
SLIDE 61
slide-62
SLIDE 62
slide-63
SLIDE 63
slide-64
SLIDE 64