Posted by Cairo on January 5, 2006, at 21:43:38
In reply to Re: Neorofeedback.....anybody? » Cairo, posted by tepiaca on January 4, 2006, at 23:42:33
Sessions were $100 apiece, but fortunately cost was not an issue. A neuropsych that we worked with (but did not monitor the neurofeedback) said that you should be able to tell if it works after about 20 sessions, sometimes less, sometimes more in a some cases. With my daughter, we always need to do more of everything (remediation for her dyslexia, speech and language, social skills, etc.). It's just the way it is.
The good news is that we have found a good combination of meds for her social anxiety: Zoloft plus low dose Seroquel. We're thinking of adding some Provigil for apathy, and if that doesn't work, then try some Wellbutrin.
When we tried adding Provigil to Lexapro awhile back, it definitely had a bit of a prosocial effect on her. The Lexapro worked some, but the cognitive side effects were not good. I believe she needed the higher dopaminergic effect of Zoloft, the positive effect of which was apparent after only a couple of doses.
Librium was tried prn, but she didn't like the idea of needing to take something just before she wanted to socialize, and though it did help with the fear of socializing, it didn't help with confidence. And she's just a teen, so using benzos long term were an issue with the doctor. We still have a problem with confidence, though I believe our new med combo has put her in a position where CBT might work better this time.
We are also doing exposure therapy, where her behavorial psychologist takes her out into the community to shop, helps her place phone calls, talk to people, etc. While I think this is crucial, I still think the proper meds needed to be in place for this to be effective. I attended a conference for psychologists (I am not one) on Social Anxiety and the message was exposure, exposure, exposure.
I think a multipronged approach is best. And don't give up on the meds. Patience is needed to find the best med/combo. We had to "shop around" three times to find a doctor that knows what she's doing.
Regarding neurofeedback, I wouldn't rate this a top priority until you've exhausted your other options. It's pricey and may or may not work for you. I don't think anyone can guarantee or foresee if it's going to work.
Exercise is another thing that has noticeable effect with my daughter (and myself). But it's got to be regular and in the morning or early afternoon for best results with her. We bought a treadmill so she can get up early and watch pre-recorded favorite TV shows. Whatever it takes to get her moving.
So we're in a good place right now, but I believe we can improve more with her.
Cairo
> That is Sad =(
>
>
> So it was useless to you. How much was it cairo?
> I mean cost
>
> Did you doctor told you it was gonna work?
poster:Cairo
thread:594622
URL: http://www.dr-bob.org/babble/20051231/msgs/595646.html