Re: Need help with 11 year-old impulsive and defiant girl

[Guest guest]

Dave,

I assume, based on the fact that you have Peak Frequency numbers, this assessment was done with BioExplorer, but what hardware did you use? If BrainMaster or WaveRider, were the equalization filters turned on (at least when you processed the data in BioReview)? I ask because this could affect the delta and theta as well as beta and high-beta levels.

I don't understand your statement that you trained her at C4/Cz/A1 monopolar. Monopolar means that the reference electrode is over a relatively inert EEG site, so C4/Cz would be in fact a bipolar montage. You would be training the difference in SMR and theta in a very small section of the sensori-motor cortex with that protocol. And I would not recommend training SMR on the left side.

It would be very interesting to know if this client had a rep for being defiant before she moved in with the strict aunt. Seems like there's a pretty good potential for a power struggle going on here (especially since the aunt is the reporter). This little girl certainly has plenty of reason to be angry based on her life experience at the advanced age of 11! And now it sounds like a person who has probably had little enough nurturing in her life to date has been placed with a person who, instead of being able to help her deal with anger, grief, pain and fear that must be nearly overwhelming, is telling her to toe the line and follow the rules! Hopefully her in-home therapist can help intervene in that process, but certainly neurofeedback can help with all of the issues you outlined.

Re: the assessment form. I re-iterate (again and again and again) that the Protocols page has NOT been revised for a long time, and it is suggestive at very best in the first place. Don't look at it if you have any idea what you should be looking at (from reading or from Level 2 or Trainers' Practicum trainings). You'll turn into a pillar of salt, if you look at it!

That said, we've touched on the question of coherences a number of times on the list. BioExplorer (and the BrainMaster 2.0SE software, which is really the ONLY BrainMaster software supported by TLC Assess any more) use a different and more accurate way of calculating coherences than the 1.9A software did. Coherence values for SMR, beta and high-beta are affected. They were seriously understated in 1.9A. For SMR, I'd be concerned about coherences above, say, 50; for beta, above 40; for high-beta, above 25-30. The Protocols page doesn't use those values, because it was written around 1.9A software.

Without knowing the answers to the above questions, here's what I'd suggest:

If F4 has high theta and delta, try squishing 2-5 Hz at F4/A2/g/A2/F3 so see if you can help awaken the emotional regulation area. Do this with eyes closed or with eyes open if she doesn't find that too frustrating (due to eye-blinks).

If posterior Alpha/Theta ratios are below 1.5 EC, then try training alpha up at P4 and train down 2-5 Hz at the same time. You could also try training alpha up and 15-38 Hz down at P4. Both of these would be done eyes-closed. You might point out to her that her high alpha peak frequencies in the parietal areas are often correlated with high IQ scores. That fact that her EEG shows how smart she is might give her a little positive to hang onto during this incredibly difficult period in her life.

Certainly with the low level of eyes open SMR at C4, I'd try a C4/A2 protocol to increase SMR percent. Try her a bit with just SMR up and adjust the frequencies downward a bit as you go, asking her to notice how relaxed her body feels (and you observe same). When you find an effective frequency for SMR, which sounds like it will be around 12-15, then train it up as a percent of EEG.

Finally, this girl sounds a lot like an agitated depression. You are sure that neither the absolute nor the relative beta levels at F3 and F4 are reversed?

Keep reporting on your findings with this little girl, if you would.

Thanks,

Pete

Van DeusenBrainTrainer ()16246 SW 92nd Ave, Miami, FL 33157305/321-1595

Need help with 11 year-old impulsive and defiant girl

Hi gang,I am working with an 11 year old african american girl who has experienced significant loss including the death of both sisters and impending death of her mother due to a rare genetic brain disorder. It does not appear that she has the disorder although that still remains a risk. She lives with her great Aunt who is rather strict. The client is defiant and impulsive. She loses her temper easily and and gets in frequent fights with others. She also has difficulty concentrating at school although she has not been assessed for ADHD. She is getting in-home therapy two times a week to help her deal with loss/trauma issues and to help her Aunt with parenting issues. Her Aunt would like to see her decrease her impulsivity and temper outbursts and improve concentration. I am not sure if Neurofeedback will be helpful with the first two issues. I performed a TLC assess with her and she has no disconnect/ no temporal lobe irritibility/ no L/R reversal in the front/ some front/ back reversal in the four corners and middle with beta being higher in the back than the front, and alpha higher in the back than front. Her Delta and Theta are significantly high everywhere. Combined they take up about 50 percent to 60 % of the eyes closed percentage of the frequency range on the heads page at every location. Delta is usually higher than theta at each location (e.g 30% to 25%). As a result her Theta/Beta ratio is high (2.3 or higher just about everywhere and it goes up slightly with eyes open and under task). She did report some blinking during eo and task. Her peak alpha is around 9.5 except in the back weher it is around 10.5 and her SMR is around 9.7% with eyes closed and 8.4% with eyes open. Her coherences appear to be in a normal range.I trained her one time so far at cz/c4/a2 monopolar, training theta down and smr up. Her aunt reported that during that week her behavior was much worse and the client reported that it seemed to make her more angry during the week. I plan to try a cz/c3/a1 montage next, with theta down and smr up.I have two questions.1. On Pete's protocol suggestions page under the Locking Pattern section it indicates that EC beta coherence appears high for frontal central and parietal. The values for EC beta coherence are between 25 and 30 at each of those sights. What is value is considered high?2. Any suggestions for what else I might train? Does anyone have experience with this kind of presenting problem?Thank you for any help. Dave Brinkman-Sull, Ph.D.

[Guest guest]

Pete, thanks for the quick response. I did do this assessment with

bioexplorer and brainmaster 2.0. I recreated your TLC Asess Gather

program- trying to match all of the settings you use, so I did have

the Chebyshev filters turned on (if those are the filters to which

you are referring). If not, please advise how to turn them on. My

reference to a monopoloar montage was incorrect (hey, who trained

this guy?). I think I meant to say it was a one channel, bipolar

montage. I had C4 as the active, cz as the reference and a2 as the

ground. Hopefully that makes more sense.

I am not sure if this client had a rep for being defiant prior to

living with the aunt, but I will find get more history at our next

session. I agree with you that much of her behavior is

understandable and may be driven by inner emotions and her new

environment.

Sorry about looking at the forbidden pages of the Protocol Page. It

may be wise to remove this in future versions as it is very tempting

for novices like me who lack confidence in their own training

choices. I promise not to pick the forbidden fruit again.

Her coherence levels are above 50 for delta: frontal with ec (54)

and eo (59), central with eo (54), and parietal with eo (52).

Coherence is also above 50 for alpha: frontal eo (55), and parietal

ec (56). Her theta coherence is around 35 to 40 throughout and her

beta coherences are around the 25 to 30 range throughout.

Her posterior A/T levels are 1.7 and 1.9 ec, so no problem there.

Regarding the frontal left/right reversals, she does seem agitated

quite often, but her beta levels are close to equal. Her F4 beta was

at 5.32, Fz at 5.86, and F3 at 5.58. Her F4 hi-beta was 2.79, fz hi-

beta 3.38, and F3 hi-beta at 2.99.

I hope this answers the questions you had. I will keep you posted

regarding out progress. Thanks again for your help. - Dave

> Dave,

>

> I assume, based on the fact that you have Peak Frequency numbers,

this assessment was done with BioExplorer, but what hardware did you

use? If BrainMaster or WaveRider, were the equalization filters

turned on (at least when you processed the data in BioReview)? I ask

because this could affect the delta and theta as well as beta and

high-beta levels.

>

> I don't understand your statement that you trained her at C4/Cz/A1

monopolar. Monopolar means that the reference electrode is over a

relatively inert EEG site, so C4/Cz would be in fact a bipolar

montage. You would be training the difference in SMR and theta in a

very small section of the sensori-motor cortex with that protocol.

And I would not recommend training SMR on the left side.

>

> It would be very interesting to know if this client had a rep for

being defiant before she moved in with the strict aunt. Seems like

there's a pretty good potential for a power struggle going on here

(especially since the aunt is the reporter). This little girl

certainly has plenty of reason to be angry based on her life

experience at the advanced age of 11! And now it sounds like a

person who has probably had little enough nurturing in her life to

date has been placed with a person who, instead of being able to help

her deal with anger, grief, pain and fear that must be nearly

overwhelming, is telling her to toe the line and follow the rules!

Hopefully her in-home therapist can help intervene in that process,

but certainly neurofeedback can help with all of the issues you

outlined.

>

> Re: the assessment form. I re-iterate (again and again and again)

that the Protocols page has NOT been revised for a long time, and it

is suggestive at very best in the first place. Don't look at it if

you have any idea what you should be looking at (from reading or from

Level 2 or Trainers' Practicum trainings). You'll turn into a pillar

of salt, if you look at it!

>

> That said, we've touched on the question of coherences a number of

times on the list. BioExplorer (and the BrainMaster 2.0SE software,

which is really the ONLY BrainMaster software supported by TLC Assess

any more) use a different and more accurate way of calculating

coherences than the 1.9A software did. Coherence values for SMR,

beta and high-beta are affected. They were seriously understated in

1.9A. For SMR, I'd be concerned about coherences above, say, 50; for

beta, above 40; for high-beta, above 25-30. The Protocols page

doesn't use those values, because it was written around 1.9A software.

>

> Without knowing the answers to the above questions, here's what I'd

suggest:

>

> If F4 has high theta and delta, try squishing 2-5 Hz at

F4/A2/g/A2/F3 so see if you can help awaken the emotional regulation

area. Do this with eyes closed or with eyes open if she doesn't find

that too frustrating (due to eye-blinks).

>

> If posterior Alpha/Theta ratios are below 1.5 EC, then try training

alpha up at P4 and train down 2-5 Hz at the same time. You could

also try training alpha up and 15-38 Hz down at P4. Both of these

would be done eyes-closed. You might point out to her that her high

alpha peak frequencies in the parietal areas are often correlated

with high IQ scores. That fact that her EEG shows how smart she is

might give her a little positive to hang onto during this incredibly

difficult period in her life.

>

> Certainly with the low level of eyes open SMR at C4, I'd try a

C4/A2 protocol to increase SMR percent. Try her a bit with just SMR

up and adjust the frequencies downward a bit as you go, asking her to

notice how relaxed her body feels (and you observe same). When you

find an effective frequency for SMR, which sounds like it will be

around 12-15, then train it up as a percent of EEG.

>

> Finally, this girl sounds a lot like an agitated depression. You

are sure that neither the absolute nor the relative beta levels at F3

and F4 are reversed?

>

> Keep reporting on your findings with this little girl, if you would.

>

> Thanks,

>

> Pete

>

> Van Deusen

> BrainTrainer ()

> 16246 SW 92nd Ave, Miami, FL 33157

> 305/321-1595

>

>

> Need help with 11 year-old impulsive and

defiant girl

>

>

> Hi gang,

>

> I am working with an 11 year old african american girl who has

> experienced significant loss including the death of both sisters

and

> impending death of her mother due to a rare genetic brain

disorder.

> It does not appear that she has the disorder although that still

> remains a risk. She lives with her great Aunt who is rather

strict.

> The client is defiant and impulsive. She loses her temper easily

and

> and gets in frequent fights with others. She also has difficulty

> concentrating at school although she has not been assessed for

ADHD.

> She is getting in-home therapy two times a week to help her deal

with

> loss/trauma issues and to help her Aunt with parenting issues.

Her

> Aunt would like to see her decrease her impulsivity and temper

> outbursts and improve concentration. I am not sure if

Neurofeedback

> will be helpful with the first two issues.

>

> I performed a TLC assess with her and she has no disconnect/ no

> temporal lobe irritibility/ no L/R reversal in the front/ some

front/

> back reversal in the four corners and middle with beta being

higher

> in the back than the front, and alpha higher in the back than

front.

> Her Delta and Theta are significantly high everywhere. Combined

they

> take up about 50 percent to 60 % of the eyes closed percentage of

the

> frequency range on the heads page at every location. Delta is

> usually higher than theta at each location (e.g 30% to 25%). As

a

> result her Theta/Beta ratio is high (2.3 or higher just about

> everywhere and it goes up slightly with eyes open and under

task).

> She did report some blinking during eo and task. Her peak alpha

is

> around 9.5 except in the back weher it is around 10.5 and her SMR

is

> around 9.7% with eyes closed and 8.4% with eyes open. Her

coherences

> appear to be in a normal range.

>

> I trained her one time so far at cz/c4/a2 monopolar, training

theta

> down and smr up. Her aunt reported that during that week her

> behavior was much worse and the client reported that it seemed to

> make her more angry during the week. I plan to try a cz/c3/a1

> montage next, with theta down and smr up.

>

> I have two questions.

>

> 1. On Pete's protocol suggestions page under the Locking Pattern

> section it indicates that EC beta coherence appears high for

frontal

> central and parietal. The values for EC beta coherence are

between

> 25 and 30 at each of those sights. What is value is considered

high?

>

> 2. Any suggestions for what else I might train? Does anyone

have

> experience with this kind of presenting problem?

>

> Thank you for any help.

>

> Dave Brinkman-Sull, Ph.D.

[Guest guest]

Pete,

You wrote: If BrainMaster or WaveRider, were the equalization filters turned on (at least when you processed the data in BioReview)? I ask because this could affect the delta and theta as well as beta and high-beta levels.

What are the equilization filters? And where do we turn them on or off?

Thank you,

Maureen

Need help with 11 year-old impulsive and defiant girl

Hi gang,I am working with an 11 year old african american girl who has experienced significant loss including the death of both sisters and impending death of her mother due to a rare genetic brain disorder. It does not appear that she has the disorder although that still remains a risk. She lives with her great Aunt who is rather strict. The client is defiant and impulsive. She loses her temper easily and and gets in frequent fights with others. She also has difficulty concentrating at school although she has not been assessed for ADHD. She is getting in-home therapy two times a week to help her deal with loss/trauma issues and to help her Aunt with parenting issues. Her Aunt would like to see her decrease her impulsivity and temper outbursts and improve concentration. I am not sure if Neurofeedback will be helpful with the first two issues. I performed a TLC assess with her and she has no disconnect/ no temporal lobe irritibility/ no L/R reversal in the front/ some front/ back reversal in the four corners and middle with beta being higher in the back than the front, and alpha higher in the back than front. Her Delta and Theta are significantly high everywhere. Combined they take up about 50 percent to 60 % of the eyes closed percentage of the frequency range on the heads page at every location. Delta is usually higher than theta at each location (e.g 30% to 25%). As a result her Theta/Beta ratio is high (2.3 or higher just about everywhere and it goes up slightly with eyes open and under task). She did report some blinking during eo and task. Her peak alpha is around 9.5 except in the back weher it is around 10.5 and her SMR is around 9.7% with eyes closed and 8.4% with eyes open. Her coherences appear to be in a normal range.I trained her one time so far at cz/c4/a2 monopolar, training theta down and smr up. Her aunt reported that during that week her behavior was much worse and the client reported that it seemed to make her more angry during the week. I plan to try a cz/c3/a1 montage next, with theta down and smr up.I have two questions.1. On Pete's protocol suggestions page under the Locking Pattern section it indicates that EC beta coherence appears high for frontal central and parietal. The values for EC beta coherence are between 25 and 30 at each of those sights. What is value is considered high?2. Any suggestions for what else I might train? Does anyone have experience with this kind of presenting problem?Thank you for any help. Dave Brinkman-Sull, Ph.D.

[Guest guest]

Dave,

Why did you have to recreate the TLC Assess Gather? You can download it (and it should have been in the Designs folder from the package of protocols)?

At any rate, for you and Maureen and others who asked about equalization filters:

Brainmaster, Waverider and other amplifiers of the older, value-priced variety have amplifiers that are not capable of accurately amplifying all frequencies from very slow (like Delta) to very fast (like high beta). They tend to overstate slow-wave activity and understate fast-wave activity. Brainmaster software builds in equalization filters (rather like Graphic Equalizers you might use to even out a less expensive stereo amplifier). In 1.9A (Tom, please correct me if I'm wrong here) the filters are included for each frequency band (e.g. a multiplier for Delta, one for Theta, etc.). If Delta, for example, is overstated, the EQ filters multiply the value by a factor less than one to make the reading more accurate. If high-beta is understated, the filters multiply the value by a number greater than 1 to bring the reading up to where it "should" be. In 2.0, the filters are built-in to multiply each individual frequency (e.g. 1hz, 2hz, etc.), thus making the response curve more accurate all the way along.

BioExplorer also includes EQ filters for each of the amplifiers it supports. These are developed pretty much the way I believe Tom did, by running a signal of a known amplitude through the Brainmaster and seeing what comes out the other end (for example, a 1Hz signal of 10 microvolts goes in and a signal of 12 microvolts comes out). Then a multiplier can be determined that will result in the output equaling 10microvolts, and that "equalization filter" can be built into the software. But in BioExplorer the trainer has the option of controlling almost everything, whereas in 2.0 Tom has made many of the decisions for us to simplify the process for many trainers.

When we record a session in BioExplorer, we are recording the raw EEG signal. For that reason, you can play back a file in any protocol, not just one which includes the same filters you used when recording it. If you run a session with the EQ filters on, then the feedback and numbers and displays (e.g. the power spectrum) will show the more "correct" numbers during the session. You can choose not to use the EQ filters during training, because every time you run the signal through a filter, you slow it down and increase the feedback latency--the time from an occurrence in the brain and seeing it represented in the feedback. Then, when you run the recorded EEG through BioReview to graph or take data from it, you can turn on the EQ filters (don't care about slowing down the feedback when you are graphing, because there isn't any feedback.) If you have the filters on during training, you see the more accurate signal, but you still record the signal as it comes from the amplifier. So if you use the filters in BioReview, you are not "double-filtering". You are filtering the raw signal once during training and filtering that same raw signal again during evaluation.

To turn on the EQ filters (these are not the same as the Bandpass filters which tell the software what signals you want to train up or down) go to the BioExplorer menu (the Report menu in BioReview) and select Preferences. In BioReview there is only one choice; in BioExplorer, choose the Device Data tab. Click the box for Use Equalization Filters to turn them on.

If you are using some of the newer low-priced machines, like the Pocket Neurobics or the Brainquiry, the amplifiers don't require equalization filters, so you can leave them off. Once you turn them on, they'll be on until you turn them off.

Back to the client:

Doing bipolar montages, especially using two sites as close together as C4 and Cz, you will be training a very small signal in a very small area. Remember in the training we talked about the idea of working with monopolar montages with a single inhibit as a good place to start, because it's much easier to know what you are trying to do (for the client) and easier to know what caused the effect (for you).

With good alpha coherence and alpha/theta ratios in the back, I would be very much inclined to try training down beta/high-beta (15-38Hz) at P4/A2 with eyes closed to see if that made her feel better and helped stabilize her. The F/B back reversal is consistent with a brain which has been living with a high degree of stress for quite a while.

I think I'd also try training down 15-38 Hz at F4/A2 with eyes closed in another session to see how she responds to that.

Good luck with her. Give her lots of positive feedback and as much involvement in/control of the session as possible. Sounds like she can use both.

Pete

Van DeusenBrainTrainer ()16246 SW 92nd Ave, Miami, FL 33157305/321-1595

Need help with 11 year-old impulsive and defiant girl> > > Hi gang,> > I am working with an 11 year old african american girl who has > experienced significant loss including the death of both sisters and > impending death of her mother due to a rare genetic brain disorder. > It does not appear that she has the disorder although that still > remains a risk. She lives with her great Aunt who is rather strict. > The client is defiant and impulsive. She loses her temper easily and > and gets in frequent fights with others. She also has difficulty > concentrating at school although she has not been assessed for ADHD. > She is getting in-home therapy two times a week to help her deal with > loss/trauma issues and to help her Aunt with parenting issues. Her > Aunt would like to see her decrease her impulsivity and temper > outbursts and improve concentration. I am not sure if Neurofeedback > will be helpful with the first two issues. > > I performed a TLC assess with her and she has no disconnect/ no > temporal lobe irritibility/ no L/R reversal in the front/ some front/ > back reversal in the four corners and middle with beta being higher > in the back than the front, and alpha higher in the back than front. > Her Delta and Theta are significantly high everywhere. Combined they > take up about 50 percent to 60 % of the eyes closed percentage of the > frequency range on the heads page at every location. Delta is > usually higher than theta at each location (e.g 30% to 25%). As a > result her Theta/Beta ratio is high (2.3 or higher just about > everywhere and it goes up slightly with eyes open and under task). > She did report some blinking during eo and task. Her peak alpha is > around 9.5 except in the back weher it is around 10.5 and her SMR is > around 9.7% with eyes closed and 8.4% with eyes open. Her coherences > appear to be in a normal range.> > I trained her one time so far at cz/c4/a2 monopolar, training theta > down and smr up. Her aunt reported that during that week her > behavior was much worse and the client reported that it seemed to > make her more angry during the week. I plan to try a cz/c3/a1 > montage next, with theta down and smr up.> > I have two questions.> > 1. On Pete's protocol suggestions page under the Locking Pattern > section it indicates that EC beta coherence appears high for frontal > central and parietal. The values for EC beta coherence are between > 25 and 30 at each of those sights. What is value is considered high?> > 2. Any suggestions for what else I might train? Does anyone have > experience with this kind of presenting problem?> > Thank you for any help. > > Dave Brinkman-Sull, Ph.D.

[Guest guest]

Thanks again Pete for your ideas and clear explanations of all things

neurofeedback related. I did not have the equalization filters on

for her in bioexplorer or bioreview. I will run them through

bioreview with them on and look at the data again. The reason I had

to recreate TLC assess is that for some unknown reason the files

including the revised one you sent to me will not open in

bioexplorer. All other designs open without a problem. So, when I

recreated the design it opened fine. I am working with Larry to

debug the problem. The problem occured again even after downloading

beta 3. Apparently I am not the only person who has had this

problem. Larry sent me a patch but I haven't tried it yet. Thanks

again for the help. - Dave

> > Dave,

> >

> > I assume, based on the fact that you have Peak Frequency

numbers,

> this assessment was done with BioExplorer, but what hardware did

you

> use? If BrainMaster or WaveRider, were the equalization filters

> turned on (at least when you processed the data in BioReview)? I

ask

> because this could affect the delta and theta as well as beta and

> high-beta levels.

> >

> > I don't understand your statement that you trained her at

C4/Cz/A1

> monopolar. Monopolar means that the reference electrode is over

a

> relatively inert EEG site, so C4/Cz would be in fact a bipolar

> montage. You would be training the difference in SMR and theta

in a

> very small section of the sensori-motor cortex with that

protocol.

> And I would not recommend training SMR on the left side.

> >

> > It would be very interesting to know if this client had a rep

for

> being defiant before she moved in with the strict aunt. Seems

like

> there's a pretty good potential for a power struggle going on

here

> (especially since the aunt is the reporter). This little girl

> certainly has plenty of reason to be angry based on her life

> experience at the advanced age of 11! And now it sounds like a

> person who has probably had little enough nurturing in her life

to

> date has been placed with a person who, instead of being able to

help

> her deal with anger, grief, pain and fear that must be nearly

> overwhelming, is telling her to toe the line and follow the

rules!

> Hopefully her in-home therapist can help intervene in that

process,

> but certainly neurofeedback can help with all of the issues you

> outlined.

> >

> > Re: the assessment form. I re-iterate (again and again and

again)

> that the Protocols page has NOT been revised for a long time, and

it

> is suggestive at very best in the first place. Don't look at it

if

> you have any idea what you should be looking at (from reading or

from

> Level 2 or Trainers' Practicum trainings). You'll turn into a

pillar

> of salt, if you look at it!

> >

> > That said, we've touched on the question of coherences a number

of

> times on the list. BioExplorer (and the BrainMaster 2.0SE

software,

> which is really the ONLY BrainMaster software supported by TLC

Assess

> any more) use a different and more accurate way of calculating

> coherences than the 1.9A software did. Coherence values for SMR,

> beta and high-beta are affected. They were seriously understated

in

> 1.9A. For SMR, I'd be concerned about coherences above, say, 50;

for

> beta, above 40; for high-beta, above 25-30. The Protocols page

> doesn't use those values, because it was written around 1.9A

software.

> >

> > Without knowing the answers to the above questions, here's what

I'd

> suggest:

> >

> > If F4 has high theta and delta, try squishing 2-5 Hz at

> F4/A2/g/A2/F3 so see if you can help awaken the emotional

regulation

> area. Do this with eyes closed or with eyes open if she doesn't

find

> that too frustrating (due to eye-blinks).

> >

> > If posterior Alpha/Theta ratios are below 1.5 EC, then try

training

> alpha up at P4 and train down 2-5 Hz at the same time. You could

> also try training alpha up and 15-38 Hz down at P4. Both of

these

> would be done eyes-closed. You might point out to her that her

high

> alpha peak frequencies in the parietal areas are often correlated

> with high IQ scores. That fact that her EEG shows how smart she

is

> might give her a little positive to hang onto during this

incredibly

> difficult period in her life.

> >

> > Certainly with the low level of eyes open SMR at C4, I'd try a

> C4/A2 protocol to increase SMR percent. Try her a bit with just

SMR

> up and adjust the frequencies downward a bit as you go, asking

her to

> notice how relaxed her body feels (and you observe same). When

you

> find an effective frequency for SMR, which sounds like it will be

> around 12-15, then train it up as a percent of EEG.

> >

> > Finally, this girl sounds a lot like an agitated depression.

You

> are sure that neither the absolute nor the relative beta levels

at F3

> and F4 are reversed?

> >

> > Keep reporting on your findings with this little girl, if you

would.

> >

> > Thanks,

> >

> > Pete

> >

> > Van Deusen

> > BrainTrainer ()

> > 16246 SW 92nd Ave, Miami, FL 33157

> > 305/321-1595

> >

> >

> > Need help with 11 year-old impulsive

and

> defiant girl

> >

> >

> > Hi gang,

> >

> > I am working with an 11 year old african american girl who

has

> > experienced significant loss including the death of both

sisters

> and

> > impending death of her mother due to a rare genetic brain

> disorder.

> > It does not appear that she has the disorder although that

still

> > remains a risk. She lives with her great Aunt who is rather

> strict.

> > The client is defiant and impulsive. She loses her temper

easily

> and

> > and gets in frequent fights with others. She also has

difficulty

> > concentrating at school although she has not been assessed

for

> ADHD.

> > She is getting in-home therapy two times a week to help her

deal

> with

> > loss/trauma issues and to help her Aunt with parenting

issues.

> Her

> > Aunt would like to see her decrease her impulsivity and

temper

> > outbursts and improve concentration. I am not sure if

> Neurofeedback

> > will be helpful with the first two issues.

> >

> > I performed a TLC assess with her and she has no disconnect/

no

> > temporal lobe irritibility/ no L/R reversal in the front/

some

> front/

> > back reversal in the four corners and middle with beta being

> higher

> > in the back than the front, and alpha higher in the back than

> front.

> > Her Delta and Theta are significantly high everywhere.

Combined

> they

> > take up about 50 percent to 60 % of the eyes closed

percentage of

> the

> > frequency range on the heads page at every location. Delta

is

> > usually higher than theta at each location (e.g 30% to 25%).

As

> a

> > result her Theta/Beta ratio is high (2.3 or higher just about

> > everywhere and it goes up slightly with eyes open and under

> task).

> > She did report some blinking during eo and task. Her peak

alpha

> is

> > around 9.5 except in the back weher it is around 10.5 and her

SMR

> is

> > around 9.7% with eyes closed and 8.4% with eyes open. Her

> coherences

> > appear to be in a normal range.

> >

> > I trained her one time so far at cz/c4/a2 monopolar, training

> theta

> > down and smr up. Her aunt reported that during that week her

> > behavior was much worse and the client reported that it

seemed to

> > make her more angry during the week. I plan to try a

cz/c3/a1

> > montage next, with theta down and smr up.

> >

> > I have two questions.

> >

> > 1. On Pete's protocol suggestions page under the Locking

Pattern

> > section it indicates that EC beta coherence appears high for

> frontal

> > central and parietal. The values for EC beta coherence are

> between

> > 25 and 30 at each of those sights. What is value is

considered

> high?

> >

> > 2. Any suggestions for what else I might train? Does anyone

> have

> > experience with this kind of presenting problem?

> >

> > Thank you for any help.

> >

> > Dave Brinkman-Sull, Ph.D.

>

>

>