Treatment Options
Dr. Silverman’s treatment protocol involves a multi-modality program to achieve the most beneficial and lasting results. Included in this approach may be: 
- EEG Biofeedback (Neurofeedback)
- Quantitative EEG (QEEG)/Brainmapping Medication
- Hemoencephalography (HEG) Medication
- CPT retesting to adjust medication dosage
- Supervised treatment by an ADD trained therapist
- Coaching strategies
- Behavioral programs and social skills training
- Counseling for children, adolescents, adults and families
- Parental, physician, teacher and school involvement for children, enlisting spousal and other support for adults
Neurofeedback
EEG Biofeedback (Neurofeedback) is a natural approach that trains an individual to sustain attention while remaining focused and relaxed. It is used for many conditions and disabilities in which the brain is not working appropriately.
Neurofeedback is a completely painless technique designed to teach people to control their brain waves. It is a treatment that can be used by itself or in conjunction with medication. In many cases, medication may be reduced or eliminated.
Neurofeedback trains a child or adult to concentrate while receiving visual and auditory feedback from a computer. Those requiring academic and perceptual remedial training may engage in various activities such as reading, writing, arithmetic, listening, concentration and memory skills.
This method can be effective in reducing excessive slow brain wave activity while increasing alert, focused, fast brain wave activity, resulting in significant improvements in attention and concentration.
Quantitative EEG (QEEG)/Brain Maps
QEEG stands for quantitative electroencephalograph. Recorded from 19-channels (see EEG Recording), the resulting EEG data are computer processed to provide a statistical analysis of brain electrical activity. In turn, these data are presented in visual forms such as "brain maps" and other images which show the ways in which different areas of the brain are functioning.
When applied to a database, a precise determination of whether the brain is functioning within a "normal" pattern for a persons age, sex and handedness, or if there is another type of functioning which might need clinical attention.
The most important use of the QEEG is to provide a guide, brain maps, for use in correcting abnormal brain functioning through Neurofeedback training.
Hemoencephalography (HEG)
HEG (hemoencephalography) is the study of blood flow in the brain by voluntarily controlling blood flow or oxygenation in specifically chosen areas of the brain.
Blood brings oxygen and the basic nutrient, glucose, at life sustaining levels to all parts of the brain. Our brains have an amazing ability to supply extra blood preferentially to areas in current use, so active brain areas show higher oxygen density and higher than normal temperatures, so simple measurements can locate active areas.
Since we also know we learn to use specific bits of brain tissue for accomplishing familiar tasks and learning new things, we can use a near infrared HEG infrared thermometer (nirHEG) to shine light through the skin and skull to assess the color of brain tissue and identify areas for improvement. Then, learning tasks are applied which focus on these key areas of the brain, increasing demand for nutrition and oxygenation in these areas.
S.M.A.R.T. Brain Games
Research confirms the most important ingredient in learning is the ability to focus on the material being learned. S.M.A.R.T BrainGames exercises the brain's ability to sustain attention. As this ability increases, the ability to learn also increases.
The S.M.A.R.T. BrainGames technology converts standard video games, like Gran Tourismo or Tony Hawk Skateboarding, into tools to improve your mental awareness. S.M.A.R.T. BrainGames transforms the fun pastime of playing a video game into a beneficial experience ... you are no longer just pressing buttons ... your brain and your ability to produce attention-enhancing brain patterns becomes part of the game activity.
This technology, initially developed by NASA to improve a pilots attention and engagement to tasks in a flight simulator, is licensed on a limited basis to select providers in specific geographic locations, including the Center for Attention Deficit and Learning Disorders.
Home Training for S.M.A.R.T. Brain Games
For your convenience, we can provide this NASA patented S.M.A.R.T. (Self Mastery And Regulation Training) Brain Games technology, exclusively licensed, for your home or office use.
Our in-home training includes:
- An assessment and evaluation of your condition
- Verification of appropriateness for home training
- Individual design and set-up of home training programs into your S.M.A.R.T Box
- Monitoring of progress at scheduled intervals
- Available verbally or electronically to consult with you, or meet with you to advise when changes might be needed for your home training
- Routine assessment tools for you to complete and return to us for monitoring your ongoing progress
- We might also have suggestions concerning needs or resources you have as an individual or family
Interactive Metronome®
The Interactive Metronome® (IM) is a patented technology program shown to improve attention, coordination and timing in children and adults with a wide range of cognitive and physical difficulties including Attention Deficit Hyperactivity Disorder (ADHD).
IM trains the brain to plan, sequence and process information more effectively through repetition of precise activities. The program typically includes 15 one-hour sessions over a 3 to 5 week period.
A series of hand and foot exercises are preformed while IM's patented auditory guidance system progressively challenges individuals to improve their accuracy as they actively attempt to match the computer generated beat.
The difference between the individual's response and the reference beat is measured in milliseconds and a score is provided. A low ms. score indicates improved timing and overall performance.
For more information, please watch this video on the Interactive Metronome (Windows Media Player Required).
Eye Movement Desensitization and Reprocessing (EMDR)
EMDR is an information processing therapy that integrates elements of many effective psychotherapies, including cognitive, behavioral, interpersonal, experimental and body centered approaches. Eye movements are the most commonly used stimulus to reprocess and produce changes, but auditory tones, tapping and other types of tactile stimulation may be used. After EMDR, clients report that emotional distress is gone or greatly reduced, and they have gained important cognitive insights. This typically leads to spontaneous behavioral and personal changes.