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Top-down procedures for diagnosing and treating conditions such as Attention Deficit Hyperactivity Disorder are, simply stated, logically flawed. The symptoms that form the basis for the diagnosis can be caused by myriad of other factors unrelated to bona fide (i.e., neurologically based) Attention Deficit Hyperactivity Disorder. The diagnostic power of the clinically normed, bottom-up electroencephalographic assessment is remarkable and facilitates treatment of the actual causes, neurological and experiential, of children's challenges. Neurotherapeutic treatments of these conditions are often suboptimal because symptom-based protocols are often inaccurate leading to treating the wrong disorder, not the least of which is trying to mollify normal children's behavior.

Blunted alpha response at locations O1 and Cz has been found to be associated with exposure to severe emotional stressors. Subjects exposed to an emotionally negative photograph had alpha blunting, whereas controls shown a pastoral scene with similar color tones and those not shown any pictures did not have alpha blunting. Braindriving neurotherapeutic treatment procedures found effective for restoring the alpha response and correlated trauma “release” are discussed.

As has been stated several times, neurotherapy blends perfectly with other treatment modalities and metaphors. Neurotherapy closes the gap in many therapies in that the clinician will be able to attend to the biological component of treatment. Neurotherapies, in any of the many manifestations and methodologies, including neurofeedback and neuroguided stimulation (braindriving), are NOT stand-alone treatments. They are simply not adequate, on their own, to treat any meaningful clinical condition. Further, if one is truly treating the condition and not the label, then any one-size-fits-all procedure is also simply inadequate.

Although there are many types of ADD/ADHD, a common form of ADD (CADD) in children (high theta/beta ratio at Cz) can be successfully treated in less than 15 sessions. The increased efficacy relative to the standard beta enhance/theta suppress protocol results from precise but brief diagnosis, home cognitive exercises with a theta suppression harmonic, disentraining and/or entraining visual stimulation, and clear treatment termination parameters. A single case example and data from 30 patients show the usual course of treatment.

The purpose of this article is to present the details of a newly developed home treatment protocol that provides immediate enhancement of attention and also markedly shortens the frequency and duration of office-based neurofeedback treatment of ADD/ADHD. The critical component of the treatment is the self-administration of a blend of tones embedded in filtered white noise (SUB/ALPHA) that immediately suppresses EEG theta with resultant immediate enhancement of attentional focus. Data from four studies indicating the suppressive effect of SUB/ALPHA on clinical and nonclinical populations are presented.

Background: Previous research has shown that the suppression of theta wave activity and the enhancement of sensorimotor rhythm (SMR) through electroencephalographic (EEG) biofeedback is an effective treatment for epilepsy. The current research reports the results of EEG biofeedback treatment for patients presenting with seizure behaviors in the absence of eliptiform EEG activity. Methods: In addition to psychotherapy, 3 patients, 2 women and 1 man, were trained, using EEG feedback once per week, to reduce the ratio of theta band to SMR band EEG amplitudes. Results: The results showed that reductions in seizure activity were related to reductions in the theta–SMR ratio. Conclusions: These findings support the view that theta–SMR feedback training, in conjunction with psychotherapy, is an effective adjunctive treatment for pseudoseizure disorder.