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Treatment Approaches

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) for children and adolescents is a close ended, empirically supported treatment for a wide range of problems including depression, anxiety, behavioral difficulties, school refusal, disordered eating, and adjustment difficulties. CBT is grounded in the assumption that beliefs, behaviors, and emotions are interconnected. It is a collaborative, present-focused approach to problematic behaviors, thinking patterns, and emotions. Treatment includes parental participation and is most effective when the tools learned in therapy are practiced at home.

Parent Child Interaction Therapy

Parent-Child Interaction Therapy (PCIT) is an empirically supported treatment for young children with emotional and behavioral disorders. This specific treatment places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns. PCIT coaches parents on the utilization of positive parenting techniques and provides the tools necessary to use these skills in the real world.

Parent Management Therapy

The goal of Parent Management Training (PMT) is to teach parents how to manage their child’s behavioral problems in the home and at school. Parents are taught how to define, observe, and record their child’s behavior at the beginning of treatment. Later, reinforcement and punishment techniques are taught in order to provide consistent consequences that aid in a reduction of negative behaviors.


Biofeedback assists a child in managing a variety of health and emotional problems through muscle awareness and re-education. It is a painless, non-invasive technique for learning control of the processes of the mind and body. Instruments are used that give precise, immediate and meaningful auditory and/or visual feedback of the child’s physiology. Biofeedback is used to increase relaxation, relieve pain and the effects of stress while promoting healthy life patterns that can be fun and interesting to the child.

During biofeedback sessions, the specialist attaches sensors to the patient’s body which “feed back” information to a computer. This data graphically depicts physiological information such as muscle tension, skin temperature and breathing patterns. By observing these body signals, the biofeedback specialist can identify problem areas and determine appropriate therapies.

Biofeedback has helped children with:

  • Anorexia/Bulimia
  • Anxiety
  • Asthma
  • Attention deficit hyperactivity disorder
  • Cancer
  • Chronic Fatigue syndrome
  • Dental problems (TMJ)
  • Depression
  • Diabetes
  • Digestive problems
  • Epilepsy
  • Hyperactivity
  • Learning difficulties
  • Migraine headaches
  • Rage
  • Seizures
  • Sleeping difficulties
  • Stress
  • Raynaud’s syndrome


Neurofeedback is a type of biofeedback that teaches people to control brainwaves. Neurofeedback is commonly provided using video or sound, with positive feedback for desired brain activity and negative feedback for brain activity that is undesirable. Some feel that the most accurate form of neurofeedback is guided by quantitative electroencephalography (qEEG), which is the analysis of a digitized EEG, also referred to as “Brain Mapping”.  At Behavioral Associates we are up to date in the newest technologies available in “Brain Mapping” and neurofeedback.

The human brain emits electrical activity in waves that can be measured by a device called an electroencephalograph (EEG). When the results of an EEG are analyzed, scientists are able to identify certain brain wave patterns. There are several frequencies of brain waves when we are awake; these are called alpha (medium), beta (fast), and theta (slow) waves. Alpha waves are seen when a person is in a relaxed state, beta waves are present during concentration or mental work states, and theta waves are seen during times of drowsiness, daydreaming or light sleep (a fourth type of brain wave, called delta, is seen during deep sleep).

Anxious, stressed people have too little alpha and theta waves while children with ADHD often have increased amounts of these slower/daydreaming waves and an inability to access the faster beta waves needed for concentration. Training to decrease slow activity and increase fast activity has been used successfully for over 25 years to ameliorate ADHD and epilepsy. More recently EEG operant conditioning has been successfully applied to patients with mild traumatic brain injury. Reports of such case studies have been presented at conferences of the National Head Injury Society as early as 1987. Many clinicians are also reporting case studies in which the symptoms of depression have been alleviated through neurofeedback training (calming down the right front brain, and activating the left frontal lobe). There are countless effective applications of neurofeedback.

Neurofeedback and ADHD

There are other ways to manage your child’s inappropriate or maladaptive behaviors than through medication. Neurofeedback therapy is a safe, non-invasive, alternative option for the treatment of attention-deficit hyperactivity disorder (ADHD) in children and adolescents. In November 2012, the American Academy of Pediatrics approved biofeedback and neurofeedback as a Level 1 or “best support” treatment option for children suffering from ADHD.

For parents or caregivers looking for an effective, non-drug treatment of ADHD, neurofeedback is worth serious consideration. It is estimated that two million children in the United States are struggling with the symptoms of ADHD, which are inattention or inattention combined with hyperactivity.