2017 Conference

2017 PS11 - The Effects of Misdiagnosed Attention Deficit Hyperactivity (ADHD) May Decrease Children’s IQ, and the Efficacy of QEEG and Neurofeedback in the Assessment and Treatment of misdiagnosed ADHD children: A Clinical Case Series, Tanju Surmeli, MD

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  • Released: 10/25/2017 22:28:59
  • Level: Intermediate
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Background: In children with ADHD, some studies support the effect of stimulant medication on academic achievement and, some do not. One problem may be the incorrect diagnosis of ADHD using subjective measures and another may be the inefficacy of treatment. If the problem is not addressed properly it may cause a decline in IQ scores as seen in our population. Neurofeedback was chosen as a treatment since there is evidence that neurofeedback in ADHD and LD has shown to be effective in this population and has also shown to be effective in improving IQ scores.
Methods: In this clinical case series we analyzed the results of 21 medicated ADHD diagnosed children and adolescents who did not show any substantial improvement and who had WISC-R results at least 6 months prior to coming to us. All the subjects were withdrawn from medication and tests were performed to determine the diagnosis and establish a baseline (QEEG Neurometric Analysis, WISC-R, TOVA, and subjective questionnaires). These children were administered a QEEG guided Neurofeedback protocol. The rationale being that NF would be effective in this population and another consideration was the parents’ wishes of having a non-medication alternative.
Results: At the end of the treatment all the tests were re-administered and compared against baseline values. The results showed an increase in IQ scores with improvement in the all tests administered.
Conclusions: In this group, incorrect diagnoses, ineffective treatment and the side effects of medication may cause a decline in the intellectual development of the children as observed by a decline in IQ scores. This decline was reversed with Neurofeedback treatment which not only showed improvement in objective measures (IQ scores) but on subjective measures also (rating scales). The implication for a clinical practice is that the over-reliance on subjective measures may lead to an incorrect diagnosis and an ineffective treatment, having untoward effects on the child’s intellectual development. Another finding of this study is that Neurofeedback treatment may be an effective treatment in this group of children.

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