ADD1

ADD / ADHD

 

“Imagination is more important than knowledge.” – acest citat apartine unui savant celebru diagnosticat cu ADHD: Albert Einstein.  ADD/ADHD este o tulburare de dezvoltare neurocomportamentala ce afecteaza 3-7% din populatia lumii sub 19 ani. Cca. 60% din copii diagnosticati cu ADD/ADHD prezinta aceasta conditie si ca adulti.

Etiologia exacta a acestei boli este necunoacuta: componenta genetica joaca probabil un rol, dar este greu de explicat raspandirea in avalansa a acestei boli numai bazandu-ne pe ereditate.

Prima optiune in tratamentul alopat al ADD/ADHD presupune administrarea de medicamente psihostimulante. Aproximativ 70% din copii diagnosticati cu ADD/ADHD raspund la acest tip de tratament, dar beneficiile sale nu dureaza mai mult de doi ani.

Efectele adverse ale acestor medicamente sunt foarte importante: apetit scazut si greata (insotita deseori de scaderea greutatii), insomnie, dureri de cap, ticuri, leucopenie, psihoze dar mai ales hepatotoxicitate (peste 3 % din pacienti, uneori cu forme extrem de severe, mergand pana la deces). Contraindicatiile medicamentelor psihostimulante includ: boli cardiovasculare, hipertiroidism, glaucom, sindrom Tourette etc.

A doua optiune in tratamentul alopat este adminstrarea de antidepresante triciclice, la care raspund 10-30% dintre copiii cu ADD/ADHD. Aceasta medicatie urmareste cresterea nivelelor de dopamina si noradrenalina si are ca posibile efecte adverse aparitia ticurilor, anorexia nervoasa, bulimia sau epilepsia. Sunt contraindicate in glaucom, hipertensiune, probleme ficat si  rinichi, probleme sange, tahicardie etc A treia optiune terapeutica este terapia comportamentala si terapia prin joc. Acestea nu adreseaza substratul biologic al afectiunii si rezultatele (daca exista) sunt strict limitate la durata tratamentului.

 

 

 

SUPORT INFO-ENERGETIC PENTRU ADHD

Medicina functionala integrativa a demonstrat ca aparitia ADD/ADHD este legata de o multitudine de factori: fetotoxine, neurotoxine (metale grele si organohalide), disfunctii tiroida,  deficite nutritionale, sensibilitatea chimica multipla, raspunsul advers la aditivii alimentari, intolerantele alimentare, sensibilitatea fata de mucegaiuri si ciuperci etc. La aceste cauze noi adaugam si expunerea copilului in viata intreuterina sau ulterior la radiatii asociate telefonului mobil si altor expuneri (vezi referinte).

Aplicand principiile medicinei functionare si experienta personala, noi oferim protocolul BrainCALM care cuprinde suport info-energetic obiectiv, complet si eficient pentru:

  • identificarea tipului de ADD/ADHD si a factorilor implicati pentru controlul afectiunii si a simptomelor
  • stimularea concentrarii si a performantelor cognitive, precum si controlul tulburarile psihologice care pot  fi asociate cu ADD/ADHD : ticurile / sindromul Tourette, depresia (inclusiv cea bipolara), anxietatea si tulburarea obsesiv-compulsiva.

Protocolul BrainCalm pleaca de la principiul ca ADD/ADHD nu este o boala, ci un sindrom = o eticheta ce grupeaza tulburari comportamentale de etiologii extrem de diverse. Restabilirea unui comportament normal implica in primul rand identificarea cauzelor specifice si eliminarea / reducerea lor pentru fiecare copil in parte.

ADD2

Suportul informational include evaluarea energetica functionala BrainCalm care ofera urmatoarele avantaje:

a)  identifica in mod obiectiv tipului dezordinii : ADD, HD sau mixt (vezi fig.stanga), excluzandu-se afectiuni cu simptome asemanatoare : depresie, intoxicatie Pb, apnee, boala celiacala, afectiuni vizuale sau auditive;

b)  identifica toti factorii contributori la ADD/ADHD : deficitele nutritionale, neurotoxinele (metale, solventi, pesticide, PCB etc si fctia redusa de detoxifiere a ficatului), intolerantele alimentare si functia gastrointestinala, probleme circulatie sangvina cerebrala etc. dar mai ales profilul hormonal: hormoni tiroidieni (disfunctia tiroidei poate fi, in unele cazuri, veriga comuna ce leaga ecotoxinele de ADD/ADHD) si testosteronul (explicatie prevalenta ADD la baieti);

c)   identifica afectiunile conexe:  agresivitate, hipertiroidism, depresie, anxietate si tulburare obsesiv-compulsiva etc

In plus anamneza ofera informatii despre toxinele absorbite de mama in timpul sarcinii sau episoade posibile de deprivare de oxigen aparute in cadrul unor complicatii ale sarcinii sau la nastere. Aceste episoade pot afecta zonele din creier generatoare de dopamina.

Suportul energetic propus este personalizat si fara efecte adverse, dinamic, restaurativ/regenerativ, ordonat, multifunctional etc. El adreseaza cauzele specifice depistate, plecand de la urmatoarele principii:

  • practic toti pacientii cu ADD/ADHD au prezentat deficite nutritionale si toxicitate, care trebuiesc tratate inaintea oricarei actiuni;
  • 85-90% din pacientii cu ADD/ADHD prezinta modificari semnificative ale semnalului EEG: folosirea biofeedback-ului ajuta la restabilirea raporturilor corecte intre undele teta (3-7 Hz) si undele alpha (8-12 Hz) si beta (13-21 Hz); sunt necesare 20 de sesiuni de biofeedback pentru rezultate notabile (studiu Biofeedback Certification Institute of America)
  • tulburarile psihologice asociate trebuie tratate concomitent: psihoterapia ce adreseaza latura psihosomatica a bolii (daca exista): se lucreaza pe doua planuri: Constient / SubConstient pentru “stergerea” memoriei celulare, echilibrarea proceselor armonice intre emisferele cerebrale, echilibrarea neurohormonala etc; terapii folosite:  NLP, BiFace, biofeedback, terapie cognitiv-comportamentala etc

Masurile auxiliare adreseaza si alti factorii implicati : se incepe cu o dieta de excludere a alimentelor ce dau intolerante (inclusiv « junk » foods) si cu o detoxifiere multinivel, in special de pesticide (studiu Harvard http://pediatrics.aappublications.org/content/early/2010/05/17/peds.2009-3058.abstract ). Se continua cu suplimente nutritionale pentru a elimina deficitele prezente ( de obicei Ca, Mg, Zn etc) si cu terapia pentru reabilitarea functiei gastrointestinale. In final se apeleaza la fitoterapie pentru modulare neurohormonala in vederea imbunatatirii comportamentului si functiei cognitive.

Protocolul BrainCalm reprezinta o solutie complexa si completa, eficienta si neinvaziva, pentru suportul info-energetic necesar in corectia ADD/ADHD, fiind si o componenta importanta in rezolvarea altor afectiuni : agresivitate, lipsa concentrare, randament intelectual scazut, toxicitate, boli digestive, oscilatii glicemie, etc

 

 

REFERINTE ADD/ADHD  si expunerea la radiatii:

Monique Ernst, Alan J. Zametkin, John A. Matochik, Daisy Pascualvaca, Peter H. Jons, Robert M. CohenAm J Psychiatry 1999;156:1209-1215 – http://www.neuro.psychiatryonline.org/article.aspx?articleid=173637

 

REFERINTE ELECTROTERAPIE:

  • Biofeedback For The Brain: How Neurotherapy Effectively Treats Depression, ADHD, Autism, and More. Swingle. R (2008) Rutgers University Press
  • A controlled study of the effects of EEG biofeedback on the cognition and behavior of children with attention deficit disorders and learning disabilities. Linden, M., Habib, T., & Radojevic, V., (1993)
  • Efficacy of neurofeedback treatment in ADHD: the effects on inattention, impulsivity and hyperactivity: a meta-analysis,   Arns M, de Ridder S, Strehl U, Breteler M, Coenen A,  Brainclinics Diagnostics, Nijmegen, The Netherlands –   Clin EEG Neurosci. 2009 Jul;40(3):180-9
  • Coherence in children with Attention-Deficit/Hyperactivity Disorder and excess beta activity in their EEG,   Clarke AR, Barry RJ, McCarthy R, Selikowitz M, Johnstone SJ, Hsu CI, Magee CA, Lawrence CA, Croft RJ.,  Brain & Behaviour Research Institute and School of Psychology, University of Wollongong, Australia  – Clin Neurophysiol. 2007 Jul;118(7):1472-9. Epub 2007 May 14.
  • Neurofeedback treatment for attention-deficit/hyperactivity disorder in children: a comparison with methylphenidate,   Fuchs T, Birbaumer N, Lutzenberger W, Gruzelier JH, Kaiser J, Institute of Medical Psychology and Behavioral Neurobiology, Eberhard-Karls-University, Germany; Appl Psychophysiol Biofeedback. 2003 Mar;28(1):1-12.
  • „Neurofeedback for the treatment of attention-deficit/hyperactivity disorder (ADHD) in childhood and adolescence” ; Holtmann M, Stadler C, Leins U, Strehl U, Birbaumer N, Poustka F; Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Klinikum der Johann Wolfgang Goethe-Universität, Frankfurt :  Z Kinder Jugendpsychiatr Psychother. 2004 Jul;32(3):187-200.
  • „Electroencephalographic biofeedback for the treatment of attention-deficit hyperactivity disorder in childhood and adolescence”;  Holtmann M, Stadler C,  Department of Child and Adolescent Psychiatry and Psychotherapy, J.W. Goethe-University, Frankfurt/Main, Frankfurt am Main, Germany
  • Expert Rev Neurother. 2006 Apr;6(4):533-40.
  • EEG biofeedback training for hyperactivity, attention deficit disorder, specific learning disabilities, and other disorders, Othmer, S.F., and Othmer, S. ( 1989), EEG Spectrum.
  • Evaluation and Remediation of Attentional Deficits, Othmer, S.F., and Othmer, S. (1992b), EEG Spectrum.
  • EEG behavioral changes in a hyperactive child concurrent training of the sensorimotor rhythm (SMR). A preliminary report. Lubar, J.F., and Shouse, M.N. (1976b). Biofeedback and Self Regulation, 9(1), 1-23.
  • Spectral analysis of EEG differences between children with and without learning disabilities. Lubar, J.O., Bianchini, K., Calhoun, W., Lambert, E., Brody, Z and Shabsin, H. (1985);  Journal of Learning Disabilities, 18, 403-408.
  • EEG biofeedback training for Attention Deficit Disorder: A review of recent controlled studies and clinical findings, Othmer, S., Kaiser, D., and Othmer, S.F. (1995), EEG Spectrum.
  • EEG biofeedback for Attention Deficit Hyperactivity Disorder, Othmer, S.F., and Othmer, S. (1992a), EEG Spectrum.
  • Working with the ‘Unreachable’ Child – Physiological Perspective, and a Proposed Approach,  Othmer, S. (1999), EEG Spectrum.
  • Electroencephalographic biofeedback of SMR and beta treatment of attention deficit disorders in a clinical setting. Lubar, J.O., and Lubar, J.F. (1984). Biofeedback and Self Regulation, 9(1), 1-23.
  • Discourse on the development of EEG diagnostics and biofeedback for attention-deficit/hyperactivity disorders. Lubar, J. F. (1991). Biofeedback and Self-Regulation, 16, 202-225.
  • Overview of Learning Disabilities. National Institute of Mental Health (1993). NIH Publication No.93-3611, National Institute of Mental Health.
  • Wired for Miracles. Robbins, J. (1996). Association for Applied Psychophysiology and Biofeedback.
  • Biofeedback Offers Help to Hyperactive Children. Robbins, J. (1997, November 11). New York Times, science section.
  • EMG and EEG biofeedback training in the treatment of a 10 year old hyperactive boy with a developmental reading disorder;  Tansey, M. and Bruner, R. (1983). Biofeedback and Self-Regulation, 4, 299-311.
  • Hyperactivity and learning disabilities. Holobrow, P.L., and Berry, P.S. (1986). Journal of Learning Disabilities, 23, 426-430
  • The effect of ROSHI protocol and cranial electrotherapy stimulation on a 9-year-old anxious, dyslexic male with attention deficit disorder: A case study. Overcash, Stephen. Journal of Neurotherapy, 9(2):63-77, 2005
  • altele

http://www.eegspectrum.com/Applications/ADHD-ADD/

http://www.umm.edu/altmed/articles/biofeedback-000349.htm

http://www.crossroadsinstitute.org/learningcenter/add-a-adhd/adhd-biofeedback.html

http://www.ncbi.nlm.nih.gov/pubmed/16013783

http://www.ncbi.nlm.nih.gov/pubmed/16623652

http://www.ncbi.nlm.nih.gov/pubmed/15564052