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Neurofeedback and ADHD
By George Yang at Yang Institute of Integrative Medicine
The therapeutic application of neurofeedback for ADHD has been implemented since the 1970s. Research has shown that neurofeedback can be a potentially effective therapy for ADHD, and the results were promising. Several different neurofeedback protocols have been observed.
High theta/beta ratio(>3) has been considered to be strongly associated with ADHD. Theta/beta ratio (TBR) neurofeedback strives to decrease theta and/or increase beta power in central and frontal locations, regions that are associated with executive functions and attention. A 2012 study compared 3 groups of ADHD children, one group took methylphenidate, a stimulant and the current first-line medication for ADHD, the second had TBR neurofeedback, and the third group had a mix of both. The study found all 3 groups showed similar improvement of attention and hyperactivity, meaning that neurofeedback can be as effective as methylphenidate.
Sensorimotor rhythm(SMR) training is another protocol used for ADHD. In 1976 Lubar described that children with ADHD symptoms shown improvement after SMR neurofeedback over the sensorimotor strip (predominantly in the central right-hemispheric region) . Lubar’s seminal studies also revealed that the beneficial hyperactivity-reducing effects of a combined SMR/theta neurofeedback training were maintained after psychostimulants were withdrawn in hyperactive children.
Further research is warranted for the effectiveness of neurofeedback protocols. Based on some past research, neurofeedback therapy is potentially effective management for ADHD, and with hope, it can serve as an alternative method for treating ADHD in the future. Many other neurofeedback protocols may be effective as well. Currently, there is no standard protocol for ADHD, and each individual is evaluated on a case-by-case basis and receive therapy accordingly. Quantitative electroencephalography(QEEG) is a brain evaluation method that shows brain activity across different frequency bands and can be used as guidance to develop treatment protocols.
A few months into 2018, America’s opioid epidemic continues to rage on. However, some developments prompted by our government offer some glimmers of hope. Shapers of law and policy on both the state and federal levels have started to embrace non-drug therapies like acupuncture and transcranial magnetic stimulation (TMS) as treatments for chronic pain and effective therapies in addiction recovery.
Many people ascribe the severity of the opioid epidemic to the overprescription of these drugs in the treatment of chronic pain. In an effort to curb this trend, legislators have begun the process of expanding public health insurance programs to include acupuncture, TMS, and other drug-free treatments.
In October, Ohio became the sixth state to expand its Medicaid program’s coverage to include acupuncture treatments performed by a physician. A few months later, Ohio’s program expanded further: it now encompasses acupuncture services performed by licensed non-physician acupuncturists and chiropractors. This development makes acupuncture treatment even more accessible to Ohio citizens.
Ohio is just the latest example of this government-wide effort to embrace drug-free therapies. For instance, Vermont and Maine have both funded and initiated pilot programs to explore the possibility of making this expansion. Sooner than later, Medicare and Medicaid may cover acupuncture as a substitute for opioids or an alternative treatment for anxiety that will enable more people to benefit from our services in the Philadelphia and New Jersey areas.
To better combat the opioid epidemic, medical professionals need as many tools as possible. Although TMS therapy, another drug-free treatment, has been covered by many major private and governmental insurance providers for years, it is only approved by the FDA for the treatment of depression. However, research has also shown TMS to be effective in the treatment of neuropathic pain – a condition that previously prompted medical professionals to write opioid prescriptions. TMS has even been shown to help treat substance addiction. As the war against opioid addiction persists, insurance providers will likely continue to explore the possibility of covering TMS therapy for the treatment of pain and addiction.
Yang Institute regularly practices integrative treatments that address pain, depression, and addiction. In his book, Facing East, Dr. Jingduan Yang, founder of Yang Institute, writes that “acupressure and acupuncture treatments are powerful therapies for reducing pain in various parts of the body and eliminating cravings for substances that are unhealthy for you” (114). These ancient therapies, in conjunction with cutting-edge treatments like TMS, provide us with powerful tools for combating chronic pain and facilitating recovery from addiction.
To schedule an appointment for the treatment of postpartum depression in Bryn Mawr, PA or to inquire about the other therapies we provide at our locations in New Jersey and New York, contact us today.
Methylation is truly a multi-tasking marvel that allows us to be “healthy and human.” Though this highly intricate process occurs within each cell as well as in the fluid supplying the brain and within the liver, it is responsible for the most vital undertakings throughout body chemistry.
Methylation, therefore, determines who we are, what we look like, and how we behave and it is central to our physical, emotional, and mental wellbeing. Without methylation, we could not survive; hence, it is the perfect pathway to focus on for understanding autoimmune, metabolic, neurological and psychiatric diseases such as multiple sclerosis, seizure disorders, dementia, Lou Gehrig’s, chronic fatigue syndrome, lupus, depression, anxiety, schizophrenia, and autism spectrum disorders.
Studies on the epigenetics of methylation disorders discover that the clinical signs and symptoms of overmethylation are different from those of under-methylation.
Many individuals diagnosed with mental illnesses suffer from severe under-methylation that is associated with low serotonin activity.
They tend to have the following signs, symptoms and personality traits:
- Obsessive/compulsive tendencies Perfectionism
- Self-motivated during school years Family history of high accomplishment Very strong-willed
- History of competitiveness in sports Calm demeanor, but high inner tension Poor concentration
- Social isolation Addictiveness Ritualistic behaviors Phobias
- Delusions (thought disorder) Slenderness
- Seasonal inhalant allergies
- Low tolerance for pain
- High fluidity (tears, saliva, etc.) Frequent headaches
- Good response to antihistamine Good response to SSRIs
- Very high libido
They have a genetic tendency to be very depressed in calcium, magnesium, methionine, and Vitamin B-6 and may have excessive levels of folic acid in nuclei of brain cells. Under-methylated persons benefit from biomedical therapy to directly correct the underlying problem using methionine, calcium, and magnesium, amongst others.
Most over-methylated persons in the general population tend to be creative or sensitive types. These individuals may be attracted to professions or hobbies in music and the arts, architecture, education, writing, social services or causes, and philosophy. Often, they are “underachievers” and may experience learning issues.
The following are common signs, symptoms and personal traits of people with over-methylation.
- Low motivation during school years Artistic or musical ability
- High anxiety or panic tendency Hyperactivity
- The postpartum onset of psychosis Nervous legs, pacing
- The Belief that everyone thinks ill of them
- Paranoia or diagnosed with paranoid schizophrenia Depression
- Sleep disorder
- Obsessions without compulsions Low libido
- The tendency to be overweight Adverse reaction to SSRIs Dry eyes and mouth
- High pain threshold
- Upper body/neck/head pain Heavy body hair Food/chemical sensitivities Copper overload
- History of eczema
- Absence of seasonal allergies
Individuals with over-methylation may have elevated levels of serotonin, dopamine, and norepinephrine and low blood histamine. They may experience high internal tension and anxiety, depression, sleep disorders, food, and chemical sensitivities, and have a tendency to overreact to life experiences. In clinical studies, about 45% of persons diagnosed with schizophrenia were found to be severely over-methylated.
Over-methylated persons benefit from biomedical therapy to reduce methyl using folic acid, Vitamin B-12, niacinamide, DMAE, choline, manganese, zinc, amongst others.
Blog: Ease Your Stress and Anxiety With Integrative Acupuncture
One feels more relaxed and calmer when his qi is balanced, sufficient in amount, and moving freely in the correct direction
Chinese medicine describes human physiology and psychology in terms of Qi, the vital energy that circulates through energy channels called meridians. Chinese medicine uniquely relates specific mental and physical functioning to corresponding meridians. Qi balance is described in terms of yin and yang, which represent opposing qualities of energy.
Restore the balance of Yin and Yang energy & activate one’s own healing power
The experienced providers at Yang Institute apply specific acupuncture techniques to stimulate the flow of energy and restore the natural balance between Yin and Yang circulation. To optimize the treatment results, we also integrate other services and approaches, such as psychotherapies, meditation, lifestyle coaching, and nutrition.
Blog: Three Ways Veterans Can Benefit From Acupuncture Treatments
As the amount of research and awareness surrounding complementary and alternative medicine (CAM) increases, so do its applications across a wide range of demographics and locations throughout America.
Yang Institute of Integrative Medicine has partnered with the Veterans Affairs to provide acupuncture services. The three major benefits of acupuncture treatments include:
Physical Pain Relief
Possibly the most well-known use of acupuncture is its ability to treat persistent physical pain and discomfort. Veterans who are in the recovery process from an injury sustained during their service can use acupuncture to ease things like pain from nerve damage, which is notably difficult to treat. Additionally, the non-invasive nature of acupuncture makes it an area worth exploring for those who have tried numerous other medications and treatments with limited success.
A lesser-known benefit of acupuncture comes from its ability to reduce anxiety and emotional stress. In Chinese medicine, the concept of Qi represents the vital energy in the body which either flows freely or experiences blockages. In many cases, veterans have residual emotional discomfort from their time serving that can cause long-term mental health issues. Acupuncture helps to release blocked energy, or Qi, in the body and creates a relaxed and stress-free sensation.
Effective Alternative to Pharmaceuticals
One of the biggest problems facing veterans today is the overprescription of opioids and other pharmaceuticals as a treatment for physical pain or PTSD. While these types of pharmacological solutions may be helpful from the outset, they often result in mental or physical dependence, making the problem even worse. Through its ability to relieve physical pain and reduce stress levels, acupuncture has shown to be an effective alternative for veterans in need.
If you are a veteran in the Greater Philadelphia Area and would like to learn more about acupuncture sessions at Yang Institute, reach out to your local VA office today. They can set up an appointment with Yang Institute for a range of integrative therapies, such as acupuncture, Transcranial Magnetic Stimulation (TMS), or neurofeedback brain training. To learn more, please call 610-520-1128 for our Bryn Mawr Office in the Main Line and Philadelphia Office, and 856-802-6888 for our Marlton Office in South Jersey.
Blog: Fertility Support
People experience infertility for many different physical and emotional reasons. It is believed that stress reduction, nutritional support, and a healthier lifestyle increase the chances of pregnancy.
Research has shown that acupuncture increases the success rate of in vitro fertilization (IVF). It is believed that the stimulation of certain trigger points on the body by acupuncture needles prompts the body to release certain hormones and chemicals that can reduce pain, regulate the endocrine system, and calm the nervous system.
German researchers tried to determine the effect of acupuncture on assisted reproduction therapy (ART) success rates. In the study, half of the women received standard IVF. The other half were given acupuncture treatments before and after. In the acupuncture group, 42.5 percent of patients became pregnant, while in the IVF-Only group, 26.3% of patients conceived. These results were reported by the American Society of Reproductive Medicine “Fertility and Sterility” in April 2002.
At the Yang Institute, we work toward balancing all of the systems in the patient’s body, as well as in their mind and spirit during acupuncture treatments. We believe that the overall quality of well-being naturally enhances the patient’s fertility. We help people with infertility issues at any stage of the medical intervention, as well as those who want to take a more natural approach to improve their chances of conception. Please contact us for a free consultation.
Contributed by By Ellen Wang at Yang Institute Of Integrative Medicine
“Brian” is a 40-year-old male, who has a highly successful career in finance. Before coming to the Yang Institute of Integrative Medicine, being someone on a quest for peak performance, Brian had researched and educated himself extensively over the years on holistic nutrition, brain health, and fitness. He practices a special diet, a rigorous fitness routine, daily meditation, and neurofeedback home training. So “Brian” came to Yang Institute to further his journey on peak performance training.
Brain’s qEEG brain maps showed that he had excessive frontal Theta and also confirmed his tinnitus. We then created a customized neurofeedback protocol for “Brian”. After 20 sessions of neurofeedback, “Brian” decided that he has achieved his goal. He said in an email to us: :
“I am doing absolutely excellent. My golf game is fantastic. I’ve been very focused on work. My ear ringing has remained very muted. Everything seems to be working out as planned.” Sep 2019
“As a 38-year-old woman wanting to get pregnant with my first, I decided to give acupuncture a try to give my fertility a boost. I read about Dr. Yang in a magazine article and researched his profile online. Based on his wonderful reputation, I decided to give Yang Integrative Medicine a try. Dr. Yang even exceeded his reputation as a highly caring medical professional who takes time with the overall assessment of each patient’s health, emotionally and physically. I felt both relaxed and energized after treatments, and I am delighted to say that after only four acupuncture treatments, I became pregnant! I am thrilled and will continue to go to Dr. Yang for treatments to support the pregnancy and my general health. While I went to Dr. Yang for fertility, the treatments encompassed a range of issues including anxiety and even some facial acupuncture at my request. I highly recommend Dr. Yang and the Yang-Integrative Institute to women thinking about getting pregnant. Whether there is a fertility issue or not, this is a terrific way to ensure optimal health for yourself and your baby.”
In December of 2014, I was diagnosed with breast cancer. A few years prior to this, I was made aware of the healing properties of acupuncture through the experience of my daughter getting her Masters in acupuncture. Acupuncture is a holistic healing method and can be used in conjunction with any diagnosis. With this knowledge, I knew I was going to request as many treatments as possible to strengthen me and take me through the chemotherapy process.
At the time of diagnosis, I was introduced to a women’s group called Unite For Her. This group made it possible to meet my current acupuncturist Ruonan Zhang of the Yang Institute of Integrative Medicine. My acupuncturist studied my case comments and administered the treatment that fit my personal issues.
I have experienced great relief from the chemo side effects of nausea, neuropathy, and I was able to continue working full time and doing things I enjoy, like cleaning and yoga. Now, seven months after being diagnosed, I am cancer free! This has been a life-changing experience, and I am grateful for all the support I received.
Thank you Yang Institute.
– LaVera S. BCS
I just wanted to write a quick note to let you know how much I appreciate the acupuncture sessions I had. I had become very stuck in some negative emotions – mainly anger and sadness and was very irritable. I realized this and was concerned for the health of my relationships, especially with my husband, and for the enjoyment of our cruise together.
After my first session, I felt very calm, not stressed, worried or angry and sad. The second session helped me feel not irritable and testy.” -April 7, 2014