10 FACTS

  1. ADHD is a genuine neurobiological disorder that was clinically observed more than 100 years ago.
  2. It has been estimated that one in 20 Canadian children have ADHD.
  3. ADHD is the most common mental health disorder in children.
  4. 60% are still affected by core symptoms in adulthood.
  5. According to one study from Harvard, 52% of untreated people abuse drugs or alcohol.
  6. 33% of untreated teens never finish high school and have mental health issues later.
  7. Parents of ADD children divorce 3 times more often than the general population.
  8. Prompted by reports of suicidal behavior in patients taking ADHD medications, Health Canada is issuingstronger, clearer warningsabout the risks associated with the drugs used to treat ADDHD. The Drugs are The drugs are: Adderall XR, Concerta, Biphentin, Strattera, Intuniv XR, Dexedrine, Ritalin, Ritalin SR, and Vyvanse.
  9. Many practitioners and clinics don’t take the time to do a proper diagnostic to develop a good treatment plan.
  10. Ineffectively treated ADD can bring lot of stress, frustration, and tears.


Do you or a loved one has ADHD?

adhd boy adhd sign
  • Are you failing to pay close attention to details ?
  • Are you making careless mistakes ?
  • Can you sustain attention during tasks ?
  • Are you not listening when spoken to ?
  • Do you have problems following through on instructions ?
  • Do you fail to complete tasks ?
  • Do you have difficulty organizing tasks ?
  • Are you being easily distracted ?
  • Are you being forgetful ?
If you answer is “Yes” to some of those questions, you maybe suffering from ADD/ADHD!

We can help you obtain a precise diagnostic and put yourself or a member of your family on the path to recovery.


Our Approach

At Montreal Neurotherapy Center, we have helped hundreds of children and adults with attention deficit hyperactivity disorder (ADHD)., also called (ADD). Sometimes , anxiety, poor sleep quality, vision or hearing problems, learning disability may be the underlining cause.

For us, every individual is unique.
The one-size-fits-all solution is not a valid option. Our innovative assessment and treatment programs are based on the latest neuroscience discoveries.
• We work with the concept of Neuro Plasticity. Neuroplasticity refers to the potential that the brain can adapt, as it needs to reorganize by creating new neural pathways .

We are committed to non-pharmaceutical interventions that offer a high degree of safety and efficacy, as documented in the mainstream Medical and Psychological literature (See Association for Applied Psychophysiology and Biofeedback or International Society for Neurofeedback and Research official web sites).

Testing for ADHD

“ We go beyond a checklist or observed behavior. All the sub-types of ADD cannot be treated the same way We need to do better!


adhd qeegA Brain Based Assessment For A More Complete Diagnostic!

  • qEEG technology that precisely measures your unique brainwave activity. Quantitative Electroencephalography (qEEG)
  • Interview and history taking..
  • Questionnaires and Behavior Check-lists
  • Continuous Performance Test (CPT):
  • Conners Scale for Assessing ADHD
  • Tests of Attention: Visual & Auditory, Selective attention, Vigilance, Memory, Verbal working memory.
  • Tests for executive functions: Figural fluency ,Interference, Cognitive flexibility, Response inhibition, Task switching.
  • Tests for processing speed
  • Medical questionnaires
  • Lab tests if needed

Treatment for ADHD

  PROVEN & APPROVED

We Offer NEUROFEEDBACK TREATMENT for Children and Adults

• Increases Attention Span - Decrease Impulsivity - Improve Learning Difficulties
  • Level 1 "Best Support" Intervention for ADHDThe American Academy of Pediatrics' has elevated Biofeedback to a Level 1 "Best Support" Intervention for ADHD for child and adolescent.
  • Neurofeedback has been used in the clinical treatment of ADHD for over 30 years.
  • The efficacy of neurofeedback has been documented in over fifty peer-reviewed, published journal articles.

See All Our Information on ADD/ADHD

Click the following Tabs to consult

Attention Deficit Disorder (ADD) / Attention Deficit Hyperactivity Disorder (ADHD)?

Attention Deficit Disorder (ADD) / Attention Deficit Hyperactivity Disorder (ADHD)?

(Adapted from The University of Maryland Medical Center)
Attention deficit/hyperactivity disorder (ADHD) is the most commonly diagnosed behavioral disorder of childhood, estimated to affect between 3% and 5% of school-aged children.

The core symptoms of ADHD include inattention, hyperactivity, and impulsivity.
Although many people occasionally have difficulty sitting still, paying attention, or controlling impulsive behavior, these behaviors are so persistent in people with ADHD that they interfere with daily life.

Generally, these symptoms appear before the age of 7 years and cause significant functional problems at home, in school, and in various social settings. One- to two-thirds of all children with ADHD (somewhere between 1% and 6% of the general population) continue to exhibit ADHD symptoms into adult life.

The complexity of the Attention Deficit Disorder (ADD) & Attention Deficit Hyperactivity Disorder (ADHD) problem requires a Multidisciplinary Approach. At the Montreal Neurotherapy Center, Neuropsychologists, Psychologists, Doctors & Specialists are involved in the treatment.



Signs and Symptoms

Signs and Symptoms

  • failing to pay close attention to details
  • making careless mistakes
  • the inability to sustain attention during tasks
  • not listening when spoken to
  • problems following through on instructions
  • failure to complete tasks
  • difficulty organizing tasks
  • disliking work
  • losing items
  • being easily distracted
  • being forgetful
  • Some individuals with ADD have a hyperactive component to their disorder which causes impulsive behavior.
  • The symptoms of hyperactivity can include
  • fidgeting or squirming
  • the inability to stay seated
  • difficulty being quiet
  • talking excessively
  • blurting out answers
  • difficulty waiting for your turn
  • interrupting frequently

If you notice several symptoms of inattention or hyperactivity in an individual they might be suffering from ADD or ADHD. This diagnosis can seem scary, but be assured there are treatments that can reduce or eliminate the symptoms.

At The Montreal Neurotherapy Center, we can give you an accurate diagnosis and effective treatment plan.


A person is considered to have ADHD if he or she demonstrates symptoms of inattention, hyperactivity, and impulsivity for at least 6 months in at least two settings (such as at home and in school). The signs and symptoms listed below are typically seen in children with ADHD and usually appear before age seven. (In order to diagnose ADHD in adults, psychiatrists must determine how the adult patient behaved as a child.)

• Symptoms of Inattention: Child fails to pay close attention to details or makes careless mistakes, has difficulty sustaining attention in tasks or play activities, does not seem to listen when spoken to directly, does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace , has difficulty organizing tasks and activities, avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort, loses things necessary for tasks or activities Is easily distracted by extraneous stimuli Is forgetful in daily activities

• Symptoms of Hyperactivity and Impulsivity: Child fidgets with hands or feet or squirms in seat, leaves seat in situations where remaining seated is expected, runs or climbs excessively in inappropriate situations (in adolescents or adults, may be limited to subjective feelings of restlessness), has difficulty playing or engaging in leisure activities quietly, acts as if "driven by a motor", talks excessively, blurts out answers before questions are completed, has difficulty awaiting turn Interrupts or intrudes on others

According to the DSM-IV, there are 3 official subtypes of ADHD that can be diagnosed

According to the DSM-IV, there are 3 official subtypes of ADHD that can be diagnosed.

1• Combined ADHD: This is the most common subtype of ADHD. It is characterized by symptoms of inattentiveness, hyperactivity, and impulsivity altogether. People with this subtype tend to have problems paying attention, focusing in school, and staying productive. They may also appear hyperactive and may make impulsive decisions often.

2• Inattentive ADHD: This is characterized by inattentiveness without the hyperactivity and/or impulsivity. This was previously referred to as just “ADD” with no “H” for hyperactivity. The change in name has confused some people and caused them to search for the difference between ADD and ADHD. Really what people mean when they say just “ADD” is this “inattentive” subtype.

3• Hyperactive-Impulsive ADHD: This is characterized by significant amounts of hyperactivity and impulsivity without the inattentiveness. In other words, these individuals are better able to pay attention, but they may be prone to bouts of fidgety behavior, restlessness, and may make impulsive decisions.

Causes

Causes

Like most complex neurobehavioral disorders, the cause of ADHD is unknown.
Genetic factors as well as those affecting brain development during prenatal and postnatal life are likely involved. Brain scans have revealed a number of differences in the brains of ADHD children compared to those of non-ADHD children. For example, many children with ADHD tend to have altered brain activity in the prefrontal cortex, a region thought to be the brain's command center.

Irregularities in this area may impair an individual's ability to control impulsive and hyperactive behaviors. Researchers also believe that hyperactive behavior in children results from excessive slow-wave (or theta) activity in certain regions of the brain. Other studies indicate that ADHD may be caused by abnormally low levels of dopamine, a neurotransmitter involved with mental and emotional functioning.

Risk Factors

Risk Factors

Heredity: Children with ADHD usually have at least one first-degree relative who also has ADHD and one-third of all fathers who had ADHD in their youth have children with ADHD.

Gender: ADHD is four to nine times more common in boys than in girls (some experts believe that the disorder is under-diagnosed in girls, however)

Prenatal and early postnatal health: maternal drug, alcohol, and cigarette use; exposure of the fetus to toxins, including lead and poly-chlorinated biphenyls (PCBs); nutritional deficiencies and imbalances, learning disabilities, communication disorders, and tic disorders such as Tourette's syndrome, other behavioral disorders, particularly those that involve excessive aggression (such as Oppositional Defiant or Conduct Disorder)

Nutritional factors (controversial): allergies or intolerances to food, food colouring, or additives.

Diagnosis

Diagnosis

The names and symptoms for ADHD have changed frequently since the turn of the century. What is now referred to as ADHD has been described in the past as Minimal Brain Dysfunction, Hyperkinetic Reaction of Childhood, and Attention Deficit Disorder (ADD) With or Without Hyperactivity. The name ADHD was adopted in 1987 by the Third Revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R).

Diagnosis is largely dependent on specific observed behaviors.

The first step in establishing the diagnosis of ADHD
is to determine whether the individual meets the diagnostic criteria as defined in the DSM-IV.

The DSM-IV's symptomatic criteria were developed for children; there are no specific criteria for ADHD in adults.
In these cases, physicians will often determine the psychiatric status of the adult patient as a child and make a retroactive diagnosis of childhood ADHD.

Since most of the characteristic behaviors of childhood ADHD occur at home and in the school setting, parents and teachers play an important role in providing information to establish the diagnosis.

Although most children with ADHD have symptoms of both inattention and hyperactivity-impulsivity, some tend to demonstrate symptoms from one cluster or the other.
These specific subtypes of ADHD are based on the predominant symptom pattern exhibited for the past 6 months:
• ADHD, Combined Type:
if both A1 and A2 criteria are met ADHD
• Predominantly Inattentive Type: if A1 is met but A2 is not ADHD
• Predominantly Hyperactive-Impulsive Type: if A2 is met but A1 is not

Preventive Care

Preventive Care

There are no targeted prevention programs for ADHD.


Nevertheless, the following steps may be taken to help reduce the risk of neurobehavioral disorders including ADHD:
  • Minimizing exposures to potential neurotoxins (such as lead, heavy metals, pesticides, herbicides) in the environment
  • Screening children for high levels of lead in the blood and treating this immediately
  • Obtaining comprehensive healthcare during and immediately following pregnancy
  • Addressing psychosocial stressors in the lives of all children
  • Lifestyle

There are two basic ways to manage hyperactive children — Change the child's environment or change the child.

The former can be accomplished by actively modifying a child's social and family interactions, a process that usually begins with parental training. The latter involves stimulant medication and other interventions discussed in the sections that follow.

Notably, a recent study sponsored by the National Institute of Mental Health (NIMH) indicated that a comprehensive treatment regimen that combines medication with intensive behavioral interventions (such as parental training) is among the most effective treatments for elementary school children with ADHD.

Parental training offered by skilled clinicians provides parents with tools and techniques for managing their child's behavior.
Behavior modification is accomplished by rewarding appropriate behavior and discouraging destructive behavior. Parents are taught to be as consistent as possible in their discipline and to deliver praise and punishment that is appropriate to their child's developmental level. For example, older children with ADHD may be rewarded with points or tokens, or even written behavioral contracts with their parents. Creating charts with stars for good behavior may be more effective for younger children.

Positive reinforcement must also be counterbalanced by swift and consistent consequences for undesirable behavior.
The following disciplinary strategies have been shown to effectively distinguish undesirable behavior:

  • Establish rules that are easily understood, developmentally appropriate, and not unduly harsh
  • Avoid repeated commands once the child has been reminded of the consequences
  • Discipline the child before becoming too angry and frustrated
  • Follow disciplinary actions with praise when the child adheres to the rules and behaves appropriately
In addition to behavioral intervention at home, modifications in the classroom environment (and/or work, in the case of adolescents or adults) are significant aspects of the treatment plan.
Hyperactive children do best in highly structured circumstances under the direction of a teacher experienced in handling their disruptive behavior and capable of adapting to their distinctive cognitive style. Since group interactions are often particularly challenging, social skills training, appropriate classroom placement, and explicit rules of engagement with peers are essential.

Adults with ADHD may benefit from a variety of behavioral interventions including cognitive remediation, couple therapy, and family therapy.


Medications

Medications

According to the NIMH, stimulant medications are the most widely researched and commonly prescribed treatments for ADHD.
Although researchers do not fully understand how these medications improve ADHD symptoms, studies indicate that methylphenidate (the most commonly prescribed stimulant) significantly increases dopamine levels in the brain.

People with ADHD are believed to have abnormally low levels of dopamine in the brain.

Approximately 70% of people with ADHD benefit from the first stimulant prescribed (usually methylphenidate), and an additional 20% may respond to one of the other two drugs in this class if the first did not work.

The NIMH reports that the two most effective treatments for children with ADHD are a closely monitored medication treatment and a treatment that combines medication with intensive behavioral interventions.

Stimulant medications prescribed for ADHD include:
• Methylphenidate:
most commonly used medication for ADHD; effective in 75% to 80% of patients; not recommended for children under 6 years of age
Dextroamphetamine: effective in 70% to 75% of patients; not recommended for children under 3 years of age
• Pemoline: effective in 65% to 70% of children; not recommended for children under 6 years of age; should not be considered the first-choice medication for ADHD because its use has been associated with liver failure.

The following medications are recommended for those who do not improve from stimulants:
• Alpha 2 -agonists
(such as clonidine, guanfacine): helpful in individuals who are particularly aggressive or oppositional; may cause low blood pressure in some individuals
• Antidepressants: Bupropion for children who also have mood disorders such as depression.
• Tricyclics (such as Imipramine) for individuals who also have tic disorders or significant symptoms of anxiety and depression.

In case of Pregnancy
To prevent ADHD in their unborn children pregnant women should obtain high quality prenatal medical care, abstain from cigarette, alcohol, and drug use, and should avoid exposure to toxic substances, including lead.

Prognosis and Complications

Prognosis and Complications

As many as half of all children with ADHD who receive appropriate treatment learn to control symptoms and function well in adulthood, while the remaining continue to exhibit symptoms of inattention and impulsivity throughout life.

As many as 50% to 80% of those who do not seek treatment for ADHD may demonstrate delinquent and antisocial behavior into adulthood. Research suggests that children who receive sustained comprehensive treatment (such as medication, behavioral therapy, and biofeedback) are less likely to have behavioral problems in adolescence. In most cases, ADHD can be effectively managed throughout life, particularly when multiple treatment strategies are combined.

Do I have ADD?

Do I have ADD?

If you think that you or a loved one has ADD:
1- TAKE THE TESTScreening Test for AdultsScreening Test for Children
2- Do an assessment at our Center to know which subtype (or types) you have.
3- Engage in the right treatment, tailored to your specific ADD brain type and given by specialists.

Do I have ADHD?

Do I have ADHD?

ADHD is the most often diagnosed mental health condition!
Testing for ADHD

At the Montreal Neurotherapy Center We go way beyond a simple checklist or observed behavior.


Prescription drugs based on symptoms reported may or may not work and it is after an empiric system of try and error that the physicians may get it right.

All the subtypes of ADD cannot be treated the same way... We need to do better!

From: The Montreal Neurotherapy Center


Our Brain Based Assessment

Our Brain Based Assessment

A more personalized and comprehensive diagnosis!
1- We starts by using advanced qEEG technology that precisely measures your unique brainwave activity.

Quantitative Electroencephalography (qEEG) This Assessment is at the core of our assessment.

It is performed to investigate brain wave patterns associated with concentration and attention.

(45 minutes)

  PROVEN & APPROVED

The U.S. Food and Drug Administration (FDA) has affirmed brainwave testing improves the accuracy of the diagnosis — from 61% to 88

2- Baseline Assessment
  • Interview and history taking. Review of previous assessments, if any.
  • Questionnaires and behavior Check-lists
  • Continuous Performance Test (CPT):
  • Conners Scale for Assessing ADHD
  • Tests of of Attention: Visual & Auditory, Selective attention, vigilance, memory, verbal working memory.
  • Tests for executive functions: Figural fluency, interference, cognitive flexibility, response inhibition, task switching,
  • Tests for mental processing speed
  • Medical questionnaires
  • Lab tests, if needed
( +/-  3.5 hours )

3- Full Neuropsychological Assessment (if needed):
Neuro psychological assessment involves the investigation of various aspects of function including intellectual, emotional, perceptual, sensory, strength, and coordination with consideration towards integrity of brain function. Detailed interview, review of medical and educational records, and the use of published standardized psychological tests are the most commonly used methods used in this type of assessment.

Neuro psychological assessment is used for diagnostic purposes (learning disabilities, concussions and more severe brain injury, developmental disabilities, loss of mental efficiency with aging, dementia, post traumatic stress disorder, and emotional problems), to characterize change following compromise of brain function and to determine return to play in sports as well as mental efficiency in relation to careers.

( +/- 3.5 hours )



Our experienced Neuro-Psychologists can perform:

Our experienced Neuro-Psychologists can perform:

  • Neuro psychological Assessments baseline before training
  • Attention-Deficit/Hyperactivity Disorder(ADD/ADHD) Assessments
  • Dyslexia & Learning Disabilities Assessments
  • Autism Spectrum Disorder Assessments (including Asperger’s Syndrome)
  • Giftedness Assessments
  • We also offers a range of pediatric and adult neuro psychological medico-legal expert witness assessments.


Treatment for ADD

Treatment for ADD

OUR PROGRAM FOR Children and Adults

Increase Attention Span - Decrease Impulsivity - Improve Learning Difficulties

  PROVEN & APPROVED

Level 1 "Best Support" Intervention for ADHD —The American Academy of Pediatrics' has elevated Biofeedback to a Level 1 "Best Support" Intervention for ADHD for child and adolescent.

SEE Publications on Neurofeedback for ADD —> Here


Treatment for ADHD

Treatment for ADHD

At the MNC, we believe that specific, targeted treatments must be applied for each subtype of ADD

Training: 40 minutes. Forty to sixty sessions usually achieve lasting results in most cases.

A) Biofeedback to Decrease anxiety: (5 to 10 minutes at the beginning of a session)
▪ Self Regulation of EDR (Alertness Level) and skin temperature using Biofeedback with respiration, pulse, muscle tension, Heart Rate Variability (HRV).

B) Neurofeedback To Improve Focused Concentration
The Goal is to gain a more flexible brain and learn self regulation and remain relaxed, alert and focused without fidgeting.
  • Reduction in Theta Amplitude
  • Increase SMR & Beta activity in order to be calm and focused.
C) Cognitive Training
In addition, exercises, done at home without Neurofeedback, help with special learning needs. We use several computerized programs that train 21 cognitive skills including auditory and visual attention. We monitor progress at distance.

This program lasts up to 12 months

Treatment Principles
Treatment with EEG neurofeedback is based on the theory that once individuals understand their brain activity and learn to manipulate their own brain waves, they will be able to continue to do so, long after the therapy has ended. Some studies have followed patients for as long as 10 years after being treated with EEG neurofeedback and have shown no significant loss of treatment gains.

capWe apply electrodes to the scalp to listen in on brainwave activity. We process the signal by computer, and we extract information about certain key brainwave frequencies.We show the ebb and flow of this activity back to the person, who attempts to change the activity level. Some frequencies we wish to promote. Others we wish to diminish. We present this information to the person in the form of a video game. The person is effectively playing the video game with his or her brain. Eventually the brainwave activity is “shaped” toward more desirable, more regulated performance. The frequencies we target, and the specific locations on the scalp where we listen in on the brain, are specific to the conditions we are trying to address, and specific to the individual.


We also use 19 Channel Neurofeedback


Unlike our normal one or two electrode neurofeedback training protocols, where we mainly concentrate on lowering the power in one specific region of the brain, 19 channel neurofeedback (also know as Z-score neurofeedback or “full cap” neurofeedback) can train up to 5700 variables at one time.

19 channel neurofeedback trains your brain using z-scores. This can be thought of as “real time” training where your brain is getting trained to be within normal limits as defined by a normative database in real time.

19 channel neurofeedback can train EEG coherence, phase delay, amplitude and power asymmetry, phase reset, phase lock and phase shift duration.





•   Learn More by watching this Video




To learn More, Visit the Web site  The Montreal Neurofeedback Center









Learn More…
 
If You have any Questions or want to Scheduled a Visit.

  Contact Us

See How the Montreal Neurotherapy Center Can Help!

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(514) 481-7867



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GENERAL INFORMATION

ADD-ADHD General Information

• Coming Soon...

VIDEOS - MEDIAS

ADD-ADHD Videos

ADD and ADHD Symptoms and common misconceptions
ADD and ADHD Symptoms and common misconceptions
Neurofeedback for ADHD - EEG Info Videos
Neurofeedback for ADHD - EEG Info Videos
Neurofeedback and Autism - What is Neurofeedback?
Neurofeedback and Autism - What is Neurofeedback?
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LITERATURE - RESEARCH

ADD-ADHD Literature

• In his book “The Brain That Changes Itself: Stories of Personal Triumph from the Frontiers of Brain Science Norman Doidge describes numerous examples of functional shifts.

LINKS & REFERENCES

“ I prefer to distinguish ADD as attention abundance disorder. Everything is just so interesting . . . remarkably at the same time. 

From: Frank Coppola

Contacts & Location

Opening Hours

Monday to Friday: 9 AM – 5 PM
Saturday: 9 AM – 3 PM
Sunday: Closed

General Inquiries

Tel: (514) 481-7867
Toll Free: 1 866.331-3431
Email:
Fax: (514) 933-6318 

Find Us!

3400 Jean-Talon Ouest,
Suite 100 Montreal, QC
H3R 2E8


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Contacts & Location

Opening Hours

Monday to Friday: 9 AM – 5 PM
Saturday: 9 AM – 3 PM
Sunday: Closed

General Inquiries

Tel: (514) 481-7867
Toll Free: 1 866.331-3431
Email:
Fax: (514) 933-6318 

Find Us!

3400 Jean-Talon Ouest,
Suite 100 Montreal, QC
H3R 2E8


metro   bus  handicap

Google Map

Questions ?
neuro therapy montreal
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Our telephone : (514) 481-7867