Milestones

Believing in the abilities of all children

Neurofeedback and Cognitive Rehabilitation Therapy
(NeuroCognitive Processing)


Neurofeedback
is a non-medical intervention that has been used for many years to help individuals who suffer from panic attacks, anxiety, sleep disorders, ADHD, ADD, brain injuries, OCD, depression, migraines, and to achieve peak performance for athletes. Over the past decade it has also been used with individuals with autism and aspergers syndrome with results of improved eye contact, attention, communication, socialization, recall, and a reduction of behavioral outbursts. 


The neurofeedback system provides auditory and visual feedback indicating when the brain has too much variability within the cortical activity. Any turbulence or burst of amplitude will interrupt the feedback and allow the brain to "notice" a changed mental state. This process reinforces the two basic brain states of alert/focused and relaxed. Training these brain states allows the body to learn or remember how to be relaxed and attentive.

NeuroCognitive Processing is an innovative treatment model developed by Dr. Lise' DeLong and used with her clients for the past twelve years. Unlike typical neurofeedback programs where clients engage in passive cognitive activities such as watching a video while undergoing neurofeedback therapy, NeuroCognitive Processing is a therapeutic model that combines neurofeedback therapy with active mental stimulation or cognitive rehabilitation training. NeuroCognitive Processing therapy is designed to simultaneously treat both systems resulting in a more attentive, focused mind. Pre-existing neuro-pathways are strengthened through the feedback system called neurofeedback therapy while the cognitive rehabilitation program is improving attention, processing speed, memory, hand-eye coordination, visual discrimination, executive function, visual memory, auditory discrimination, and auditory comprehension.

The first step in creating a NeuroCognitive Processing program involves comprehensive testing to have an individualized cognitive profile. That profile is then used to develop a cognitive rehabilitation program that will be administered while the client is receiving neurofeedback therapy. The client's brainwave activity is monitored during the neurofeedback therapy and adjustments are made in the treatment protocol as the client's performance shows maximum benefit with the current threshold settings. The same process is used to achieve maximum benefit from the cognitive rehabilitation program. The program is changed on a regular basis to stimulate various cognitive functions and to maintain cognitive stimulation.

Tests used to develop the individualized cognitive profile which is then used to develop the cognitive rehabilitation program will vary among clients as age and presenting condition will influence the assessment tools used. Every individual will complete two or three tests prior to beginning the NeuroCognitive Processing treatment program. Frequently used tests include but are not limited to the following: PPVTIII (receptive language), the K-Bit (test for intelligence), the SCAN-C or A (auditory processing), and the Woodcock Test of Auditory Discrimination.



Dr. Lise' DeLong holds a PhD in Neuropsychology and Neurocognitive Processing. She is a certified EMG Biofeedback Technician, a certified EEG Neurofeedback Technician, and a certified Practitioner of Cognitive Rehabilitation Therapy (CPCRT).  
Dr. DeLong provided neurofeedback therapy for twelve years in her private practice in Indiana ( www.cognitive-connections.com ) before teaming up with Milestones.


Zengar is the neurofeedback protocol used by Dr. DeLong. Zengar is one of the newest neurofeedback programs available and offers the most advanced technology of the neurofeedback systems used today. To read more about Zengar and how it differs from alternative neurofeedback systems click on this link: http://optimalperformancetraining.com/optimal-brain/

Video: What is neurofeedback therapy?  
http://www.youtube.com/watch?v=t6XeCwFQrCA . 

Video: Neurofeedback with autism 
http://www.autism-nutrition.com/neurofeedback-for-autism.html

Video: Neurofeedback for migraines
http://www.youtube.com/watch?v=SKY-TlAt4co


Testimonial 1:
Our daughter who we will refer to as A is a nine year old girl with a diagnosis of autism.  She has competed only twelve sessions of neurofeedback (she is scheduled for 30) and we are already seeing some great changes in her overall functioning.  We are noticing an improvement in her articulation and she has taken a leap in her communication skills. She has an increased awareness of things and people, and there is a slight reduction in self stimulatory behavior. Overall, her body is calmer than what it was six weeks ago.  We are very excited about the changes we have seen in her after only twelve sessions of neurofeedback and cognitive rehabilitation and we cannot wait to see what happens for her after the next 18 sessions.

 

 A few Examples of Changes in her Communication:

In the past, whenever A wanted to listen to her music CD in the car, she would always say, "Will you press the button?"  But then one day, out of the blue she said, "Mom, can you put my music on for me please?"

 

Just two days ago, A and I went to the bank and I told her that after the bank we would go to the grocery store.  She asked which grocery store we were going to.  I told her either Safeway or Lucky's.  She said, "I want to go to Lucky's", and I said, "I think we'll go to Safeway".  She said, "No I want to go to Lucky's".  And I said, "Well, I'm thinking Safeway".  We did this one more time and in the end I said, "OK, we'll go to Lucky's".  A couple of seconds later, she said, "We were arguing, huh", and I said, "Yes, we were arguing", and she said, "We just had an argument."

 

That has never happened before.  She has asked to go to a specific store but normally if I tell her no I want to go to a different store that is the end of it.  The fact that she asserted herself and then commented on what kind of an exchange we had (“An argument” She has never used that word before!) was amazing to me.

 

Her social skills therapists have also commented on the leap forward she has made in her communication skills and how she is now so much more socially appropriate with her peers. She talks to them using full sentences most of the time now whereas before she left out the “filler words”. She is also beginning to regulate her volume.

 

Examples of Her Overall Awareness:

A is noticing some things that she didn't notice before.  From the age of about four to about the age of eight, she would write on her walls in her room, and draw on them, and when she was having a temper tantrum sometimes she would throw things at her walls.  The result of course is that the walls are quite marked up and have a few little dings in them.  None of these marks or dings ever bothered her before.

 

Over the past few weeks she has started fretting over all these marks on her walls. She came to me to ask, "Can daddy fix it?"  She was crying over it for a few days and she seemed distressed.  So her father is painting her bedroom as I write this testimonial about the positive changes that A has made since she began the neurofeedback and cognitive rehabilitation program provided by Milestones and Cognitive Connections.  I don't know if we have seen the last of the wall artwork or not, only time will tell.  But noticing that the walls are marked up and wanting them fixed is a completely new experience for her and for us!

   
My husband and I are so pleased with the changes we have seen in A. When we first began down the neurofeeback path we did not know exactly how it would help her but we are so glad that we chose to provide her with this treatment because it is, without doubt, reorganizing her brain making language retrieval more accessible, calming her, and making her more aware of the world around her.

Sincerely,

Lesley Lammers

 

Testimonial 2:
My five year old son D has just completed 15 sessions of neurofeedback and cognitive rehabilitation therapy with Dr. DeLong. My husband and I are amazed at the progress he has made! We decided to try neurofeedback because research has shown great results with individuals with ADD and ADHD. Our son's teachers told us at the end of the year parent meeting that he had a lot of trouble with self regulation at circle time and that he was very fidgety. During table work he had difficulty remaining seated and focusing on his lessons. His teachers reported that he needed a lot of redirection to get back on task. They expressed concern that he would struggle in kindergarten unless we found a way to help him focus better, and follow the class structure of sitting and listening and completing directions.

Our son has become a changed child and student over the past two months. His teachers and we are amazed by the progress that he has made. His teachers report that he only needs help getting started with his work and then he finishes it without continual prompting to get back on task. He is now expected to fit right into kindergarten without having any problems.

At home we are also experiencing changes in the quality of his speech, the quality of his communication, and an increase in his independence. He now uses a normal pitch instead of a high pitch and loud volume. He is also able to play independently for long periods of time. Just two months ago, before starting neurofeedback, he would only play for a few minutes with each play item before moving to a different one and he always sought out my husband or I to play with him.

We are excited to see what other changes will come as D continues through the next fifteen sessions of neurofeedback. This has been one of the best interventions we have tried with D.

Regards,
Julia



Set an free informational appointment with Dr. DeLong
(925) 478-0615 

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