WORKSHOPS AND SERVICES

BEGINNERS AND INTERMEDIATE WORKSHOP: LORETA NEUROFEEDBACK AND NEURONAVIGATOR FOR EVALUATION AND PROTOCOL DEVELOPMENT

Joel F Lubar PhD: QEEG diplomate, BCN Senior fellow

                               July 19, 20  2019-Comfort Inn-Deerfield Beach, Florida

                                               

This workshop will focus on methodologies for developing database, fusion, and symptom checklist based protocols for neurofeedback. Programs developed by Phil Jones and by Kevin Uzri now make it possible to develop multiple protocols and to be able to track progress automatically over many sessions with graphical and statistical analysis. Presently, there are very complete programs for developing surface, Laplacian and Neuronavigator based protocols. All of these programs can now import protocols directly into Neuroguide for training. The workshop will cover all of the components that can be trained including phase shift and phase lock for LORETA.

The Neuronavigator is a program developed by Applied Neuroscience Inc. with Dr. Robert Thatcher and his colleagues. It allows one to examine the brain in 3 dimensions utilizing 12,700 voxel’s for detailed localization of cortical and some subcortical activity including the cerebellum and the thalamus. In addition to all of the interconnections between different Brodmann areas in the cortex there are many fiber bundles or fasciculi that interconnect many cortical and subcortical regions. These fiber bundles were originally mapped by diffusion tensor imaging (DTI). In this Neuronavigator program, it is now possible to map onto these fiber bundles, tract systems, and cross connections such as the corpus callosum and the anterior commissure measures of coherence, phase, lag coherence and effective connectivity. Dr. Lubar will demonstrate in detail the many features of this exquisite new program. Now that it’s possible to develop protocols for neurofeedback training based on the standardized and weighted LORETA (which utilizes a realistic brain model), the clinical results are even better than was possible with regular LORETA previously. Dr. Lubar has many cases to demonstrate how to utilize this program.  He would also encourage participants who have any difficult cases, where they would like for him to demonstrate how to set up the most powerful protocols to help them with their clinical presentation, to bring the raw data in Neuroguide format on a thumb drive.

Dr. Lubar will also demonstrate the Neuronavigator LORETA time domain capture program. This is very powerful component for localizing abnormal activity such as paroxysmal discharges including seizure related spike activity. This new feature allows the clinician to examine EEG activity sample by sample for detailed localization.  He  will also present in a conceptual way how the pathways in the brain are mapped using the diffusion tensor. This can be done without presenting the very complex mathematics so that it is easily understandable. He will also explain what is meant by coherence, lag coherence which eliminates the effects of volume conduction, phase lag, phase shift and phase lock. The latter two measures are particularly important in working with individuals with learning disabilities, attentional disorder, and individuals that have experienced traumatic brain injury and stroke.

 

 

Schedule:

                                                DAY ONE

9:00-10:30-Presentation and discussion of the basis for LORETA, LORETA neurofeedback, and diffuse tensor imaging.

10:30-10:45 break

10:45-12:00-Discussion of the various measures associated with quantitative EEG analysis including phase, coherence, lag coherence, phase slope index for measuring the velocity of current flow between different nodes and regions in the brain. Introduction of difference between key Institute based LORETA and Neuronavigator based LORETA which involves 12,700 locations including subcortical and cerebellar regions as well as cortical areas.

12:00-1:30--lunch break

1:00-3:00-Demonstration of 19 channel EEG recording from my participant and techniques for obtaining quality recording with as free of artifact as possible. This will involve demonstration of a number of artifacts that are problematic in obtaining excellent recordings and the subsequent visualization of the QEEG utilizing both Key Inst. and Neuronavigator programs.

3:00-3:15-break

3:15-5:00 Demonstration of the L. A. S. T. Program for development of neurofeedback protocols utilizing S LORETA and Neuronavigator programs utilizing the Neuroguide symptom checklist approach fused with raw data for all locations and measures. General discussion of material covered in today’s session.

                                                DAY TWO

9:00-10:30-Dynamic JTFA (joint time frequency analysis) for instantaneous tracking of absolute amplitude, coherence, phase, in both linked year and Laplacian montages. Demonstration of the LORETA time domain capture and Neuronavigator time domain capture for localization of focal events such as paroxysmal discharges. Techniques for visualizing seizure activity employing different montages.

10:30-10:45-break

10:45-12:00-Developing multiple protocols and the “Bayesian” approach for predicting how different protocols will respond over multiple sessions. Case analyses and case studies for developing most effective protocols. The use of multichannel surface training protocols as a precursor to LORETA or Neuronavigator training for special cases such as combined type ADHD, hyperactive impulsive disorder, and autistic spectrum disorder.

12:00-1:30-lunch break

1:30-3:00-evaluation of case studies provided by participants especially where progress has been limited. Participants are urged to bring interesting cases for analysis on thumb drives.

3:00-3:15—break

3:15-5:00-Continued analysis of complex cases, demonstrations of progress over sessions.  

 Integration of LORETA and Neuronavigator based neurofeedback with other techniques for

 improving long term effectiveness. Discussion of patients with multiple comorbidities

 such as those experiencing complex addiction disorders, traumatic brain injury, PTSD.

 General discussion of materials and concepts covered in this workshop

Cost: Early Bird special before June, 14th is $895.00. Thereafter the cost is $995.00

 

     Special rates at Comfort Inn are available. For information and to register Call Ron 850 830 9292 or e-mail to ron62288@yahoo.com

SERVICES
  • Comprehensive Biological, Psychological, Social evaluation (Psychiatric evaluation)

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  • Assessments using Comprehensive Executive Function Inventory, Teacher, Parent and Self Evaluation Auchenbach form

  • Genetic testing​

  • Appropriate labs and/or referrals other medical work ups (i.e. sleep studies, sleep deprived EEG's) to rule out other medical disorders that may mimic psychiatric disorders.

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  • Quantitative EEG (qEEG) Brain Mapping for ADHD, Cognitive Processing Deficits, Learning Disorders, PTSD, Traumatic Brain Injury and other Neuropsychiatric Disorders.

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  • LORETA Z score neurofeedback-newest form of neurofeedback (EEG Biofdeedback) using 19 channel electrodes and qEEG

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  • Sports Psychiatry and Peak Performance

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  • Integrative Psychiatry using integration of traditional psychiatry (used more frequently in acute situations)  and new multiple interventions for treatment of psychiatric disorders which includes: botanical  other non-medicine interventions based on scientific research (such as, omega-3 fatty acids), nutritional medicine, exercise, meditation, cognitive behavior therapy, family therapy, etc. 

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  • Teaching and academic research

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  • Educational lectures

 

© 2014 by Deborah Simkin, MD, DFAACAP, Diplomat ABIHM
Board Certified in Child, Adolescent, and Adult Psychiatry
and Addiction Medicine

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