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What does pervasive Thalpha mean?

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I have a 32 year old client with severe ADHD symptoms and a history of

anxiety/depression and a brain full of thalpha. No history of alcohol or

substance abuse. She spent 10 years in active duty as a marine and does have a

trauma history. She has stuggled with ADHD issues since childhood but was only

dxed 2 years ago. Finds Adderall helpful.

She reports having the following symptoms on a daily basis; anxiety,

inattention, guilt, spaciness, crying easily, confused thinking, racing

thoughts, difficulty falling asleep and disrupted sleep, impulsivity, tension in

body, tight jaw, headaches, crawling sensations on her skin, hyper-focusing, and

sensitivity to touch.

She is perfectionistic and very driven, currently on medical leave from classes

in mathematics at the University of Virginia. During the assessment process, it

was extremely difficult for her to stay still and she became increasingly itchy

all over her body and we had to take breaks for her to scratch. She says she

often scratches welts onto her body when trying to sit and study.

I expected to see the classic tons-of-delta, tons-of-high beta brain that I see

with most ADHD peeps. However, instead, I see only a very mild delta activation

at task and beta activation in the frontal lobes at task but nothing notable

there either.

The most significant pattern in her assessment is, however, a TON of slow (8 to

10 Hz) alpha pervading the entire cortex. If falls away somewhat in the frontal

lobes with EO and at TSK, but is still very activated at all other sites tested.

What does this mean? Depression and inability to think clearly? Do you think

this sounds genetic or aquired?

I'd appreciate any thoughts or insights into what this pervasive thalpha is all

about.

Thanks,

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