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Clinical protocol

ADHD

Not a lack of will, but a brain rhythm that cannot keep up.

In some people with ADHD the ratio between slow and fast rhythms in the fronto-central regions is off: the brain slips too easily into daydream and too hard into work mode. Not everyone with ADHD shows this pattern, which is why it is measured first. Where it is there, the harder you push, the clearer it becomes that this is not about willpower. Brain training works on that ratio, not on its consequences.

Does this sound like you?

  • You start things and they stay unfinished, without you having decided that
  • Your mind wanders while reading, in meetings, in long conversations
  • You decide fast and regret it just as fast
  • You are disorganised in time: late, forgetful, always underestimating how long things take
  • In a child: does not follow instructions, talks over others, cannot sit still
What is usually done

The usual treatment combines medication, most often psychostimulants that increase the availability of dopamine and noradrenaline, with behavioural therapy; non-stimulant options such as atomoxetine or guanfacine exist too. With young children the starting point is usually behavioural intervention and work with the parents, on routine and motivation; with adults, therapeutic support is added along with changes in how they organise the day. These are interventions with solid evidence behind them, and they remain the foundation.

What we do differently

Stimulant medication works for as long as it is taken, and for many people that is exactly what is needed. Brain training aims at something else: teaching the brain to regulate its own activity, so that part of the effect stays after you stop. That is why it is often chosen by people who have already tried medication or therapy and see the symptoms return each time.

How does it compare with brain training?

Have you already had therapy or medication, and the symptoms persist? Brain training acts directly on the imbalances in the brain. Beyond reducing the effects, this method trains the brain's own mechanisms for a real change.

Brain trainingMedicationPsychotherapy
Addresses the real causeYesSymptoms onlyPartly
Side effectsNoYes-
Risk of relapseLowHighVariable
PersonalisationCompleteLimitedStandard
Time to resultsAfter a few sessions2-6 weeksVariable

What brain training does in ADHD

  • Regulates activity in the attention and self-control regions
  • Trains the theta/beta ratio, the most studied EEG marker in ADHD, when the map shows it is elevated
  • Completely non-invasive, adapted to age and cognitive profile
  • Works for both children and adults, with different protocols

What does brain training do in ADHD?

  • Regulates brain activity in the regions responsible for attention and self-control
  • Reduces restlessness, impulsivity and disorganised behaviour
  • Improves the capacity to learn and to organise
  • Supports adaptation in social and school settings
  • A completely non-invasive method, adapted to the age and cognitive profile of the child or adult

What this rests on

Gevensleben et al. (2009, 2010)

A randomised study across 3 centres, in 102 children with ADHD who were not on medication, with a computerised attention training as the comparison group. At the end of the 36 sessions, 52% of the neurofeedback group had improved significantly, against 29% of the comparison group; at six months the improvement held, but the difference was no longer statistically significant in the smaller remaining sample. The authors themselves describe neurofeedback as one module within a broader treatment, not a stand-alone solution.

The standard protocols: theta/beta, SMR and SCP

These are the most studied protocols in ADHD, and a 2014 review of the literature classified them as “efficacious and specific”. The evidence is divided, though: trials where the raters do not know who received what find much smaller effects or none, and head-to-head comparisons with methylphenidate favour the medication. That is why we offer it as one module in a treatment plan, not as a replacement for it.

What happens after the programme

A review of 10 studies with follow-up between 2 and 12 months found that the improvements hold after the sessions end, and sometimes grow. Data beyond one year is scarce, though, and the one large placebo-controlled trial found no advantage over placebo at thirteen months. So we do not promise a permanent result; we measure what changes.

Discover the BrainMap Protocol for ADHD

How it goes

From the brain scan to personalised brain training.

  1. We identify the exact cause

    It all starts with an advanced BrainMap (qEEG) assessment, completely non-invasive and painless. This investigation creates a detailed map of your brain activity and shows us which imbalances sustain the ADHD symptoms.

  2. You receive a personalised plan

    Based on the results, we build a Brain Training treatment protocol adapted 100% to your own brain pattern. The therapy is non-invasive, with no electrical stimuli, no pain and no side effects.

  3. The brain regulation sessions begin

    You take part in guided brain training sessions in which your nervous system is retrained to work in balance. As brain activity settles, the ADHD symptoms ease.

Common questions

Does it work for adults?

We do work with adults, on a protocol different from a child's. Adults report improvements in focus and organisation, but the evidence is thinner than in children: the one large placebo-controlled trial in adults found no difference from placebo. That is why we measure from the start and talk honestly about what has changed.

Is it painful for a child?

No shocks, electrical impulses or medication are used. The electrodes on the scalp only read the brain's activity and send nothing back. Most children get used to them in the first session.

How many sessions are needed?

Usually between 20 and 40, 2 or 3 times a week. The length varies with severity and with how quickly the brain responds.

What our patients say

A testimonial about brain training for attention deficit.

Talk to a specialist

A 1:1 session, at a time you pick from a therapist's calendar. It happens right here in the platform, nothing to install, no link to hunt for.

Book a session

You choose the therapist and the time. If it no longer suits you, you can cancel.

The other protocols

Protocoale clinice · Institutul BrainMap