QEEG Assessment and Clinical Case

Abstract

  Based on presentation at the International Session of the 45th Annual Meeting of the JSBR titled “QEEG Assessment and Clinical Case”, this paper describes three aspects of neurofeedback treatment, including QEEG, clinical case, and evaluation of treatment progress. First, the clinical interpretation of QEEG is described. When the patient has attention problems then hypothesize the attention network, or anxiety then hypothesize the anxiety network or memory then the memory network. Treatment protocols are based on clinical assessment and brain function tests. Second, various clinical cases were presented. Neurofeedback is training in self-regulation and is simply biofeedback applied to the brain directly. Self-regulation training allows the system to function better. Frequencies and specific locations on the scalp where we listen in on the brain, are specific to the conditions we are trying to address, and specific to the individual. Neurofeedback addresses problems of brain dysregulation. It is also useful for organic brain conditions such as seizures, the autism spectrum, and cerebral palsy. Finally, evaluation of treatment progress over time was described. Studies have shown that 2 to 3 sessions a week are optimal. Anything more than that is simply too much and does not give the brain enough time to consolidate. I do six 5-minute rounds and take a little break between each rounds and that is when I make my changes in the training period. Forty to 60 sessions need to be trained. If the client is reporting good behavioral changes and they have made some shifts over the course of sessions, it is time to change protocol. It is important to consider biofeedback, such as heart rate and breathing. Monitoring peripheral measure helps to answer some questions such as timing of protocol change and termination of treatment, because you will see some changes in the periphery that are positive.