In schools, there is still the idea that easily distractible children and children with ADHD should sit as far away from the window as possible, since they would soon be distracted from the things that happen outside. In addition, ADHD is often associated with difficulties of executive functions and attention. Are these symptoms really the core issues in ADHD or are there other causes behind this? This article looks at this question in detail and shows that for some easily distractible child, it would be better to sit closer to the window.
Most parents are aware that no child is the same as another. Accordingly, we also know that two children with ADHD are very different, even if they have the same diagnosis. Strangely enough, psychiatry has only recently begun to recognize it.
In recent years, it has become increasingly clear that ADHD treatment with psych stimulants such. As Ritalin, only in 30 to 40% of patients over a period of more than two years shows an improvement. Based on these new findings, we should also accept that there may be more than one reason for ADHD and that, from a neurobiological perspective, it is not a homogeneous disorder.
This development is often referred to as "personalized medicine" or "precision medicine". She assumes that "ADHD behaviour" can have many reasons, and that therefore a corresponding variety of treatment approaches must be available.
At neurocenters kids have been examined such ADHD subgroups in the past 10 to 15 years. Studies indicate a subset of children whose brain activity (measured with an electroencephalogram or EEG) shows clear signs of fatigue. This subgroup seems to respond well to psych stimulant drugs (such as Ritalin). Conceptually, it is understandable that such a drug should have an effect when there is evidence of drowsiness.
In the last 10 years, neurofeedback have been extensively studied as an ADHD treatment. Unfortunately, some groups claim that Neurofeedback can be used for all sorts of applications. When researched on the Internet, you almost get the impression that neurofeedback is a panacea. In addition, there are many different "neurofeedback" methods, only some of which are well-studied and have been shown to have a good clinical effect in ADHD. But there are also many questionable methods that have not yet been investigated.
When choosing a therapist, you should rather trust those who have specialized, e.g. Therapists who exclusively treat ADHD. In addition, treatment with neurofeedback - as well as regular ADHD therapy - should only be done by trained psychologists (and this is often not the case).
While working with neurofeedback in ADHD, it has been noticed that the "most common" side effect is improved sleep for patients, even if there really were no sleep problems. Because of this and other studies that described the "sleep-improving effect" of neurofeedback, there have been recently published articles and books for sleep disorders with symptoms of the ADHD spectrum (such as concentration problems, impulsivity, etc.)