Need for Prior Diagnosis

As noted earlier, there is controversy within the field concerning the need for a thorough diagnostic assessment prior to beginning NF. This relates especially to the need for a prior QEEG evaluation. Those who believe that NF's success depends on the training of specific sites and frequencies at which abnormalities exist insist upon prior QEEG data (usually in conjunction with a normative database). This is commensurate with the common medical practice of seeking specific underlying causes for specific disease conditions. In this model, the diagnostic data not only guide details of treatment but also can be used to evaluate treatment progress periodically in terms of normalization of the presumed underlying causes of the disorder (i.e., abnormal brain electrical activity). Advocates of the view that NF has more generalized effects, with positive results being mediated by facilitation of the brain's self-organizing ability, generally have little or no concern about prior QEEG data. Some attention may be given to site-frequency, but more in relation to "canned protocols,'' which have been observed clinically to be the most effective for a given condition or syndrome. Proponents of the need for prior QEEG evaluation generally see their position as more defensible from a scientific point of view and fear that failure to require a thorough diagnostic workup will result in overlooking specific EEG differences underlying abnormal behaviors in many clients and failing to detect conditions that need referral for medical treatment. They emphasize that, even though QEEG assessments are expensive, all NF practitioners need these data and should either purchase and become trained in the correct use of QEEG equipment or contract with others who can provide these data that they consider essential. The "canned protocol'' and general effects advocates often counter this with claims that they obtain equally positive results with no more side effects and at much less cost to their clients. However, they have not published scientific evidence for this. Certainly both sides should agree that it would be unethical and dangerous to initiate NF without some type of evaluation to help determine whether conditions exist that are known to be effectively treated with medication or other treatment modalities. Whether prior QEEG data is essential in this regard apparently remains to be determined.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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