ADHD Adults Anxiety Kids PanicAttacks Scz Sleep Trauma

Simon, 19, Bipolar, Psychosis

Simon, 19, Bipolar, Psychosis

Transformed in Two Months or 15 sessions

Simon is 19 years old.  He had attended an elite boarding school as a day student on a bursary, meaning he felt socially excluded from his wealthier peers while being aware of his privilege.  His mother had taken a controlling role in his education, choosing his university degree course, Spanish and Business, as well as any other facet of his life she could find.  Simon’s father had been managing his severe Parkinson’s with implants and fentanyl since he was nine.  Simon relished his first month at university.

Social and outgoing, Simon felt a new freedom.  He took to the newfound social scene and acceptance overly well, and despite no drug use, experiencing a manic episode.  Simon appeared to be friends with everyone and well-integrated.  However, he was starting to experience panic attacks and severe lows after nights out.  This rapidly transformed into paranoia and culminated with Simon being hospitalised (sectioned) within the first five weeks of university.  He spent a month in a psychiatric ward and began taking psychotropic medication.  He was diagnosed with bipolar depressive disorder and rehabilitating from psychosis. 

When he was released home, Simon did not endorse the idea of returning back to uni, and was staying in his room, watching movies and gaming when he was not asleep.  He felt generally monged, apathetic, and his self-confidence had eroded.  Avoiding social contacts, he would easily get annoyed at his mother, or at times even the slightest things, yet he was not violent.  His moods would fluctuate, and his focus was shallow.  There were no projects that could interest him, and this continued throughout what should have been his first year at university.  His mother was becoming increasingly concerned, as no medication was providing the necessary stimulus, and sought out complementary therapies.  Simon had tried to stop taking Abilify during this time and found he could not do it – the physical withdrawal made his body shake. 

EEG 19 channel recording of 19 year old on Ability, post psychosis, shows gradual and incremental activation of different site signals over time, commencing only after about two minutes, and showing the impact of human synchrony on brain activation
EEG recording, activation of brain areas starts after c.2min..

We began with a brain map.  Having ensured all connections were good, the first recording was concerning.  The signal was minimal, leading to a re-check that indeed, all connections were fine.  After almost two minutes, a motor area signal became particularly active, and a minute later an adjacent site.  Over the next three recordings, various sites ‘came alive’ in this fashion at different times, front, back, laterally, until after around seven minutes of recording time, all 19 sensors were showing healthy activity.  This development was corroborated by spectral plots of activity by frequency, and the functional connectivity charts reflected a resolving general hypometabolism, with intra-hemispheric connections notably weak at first.  There was no talking other than the minimal instruction “eyes open” and “eyes closed” for every three-minute recording, and no touch, only the presence of a new person in the room (myself). 

The brain map showed fluctuating indicators of vulnerability to psychosis, mood and physiological arousal control issues, trauma markers, distractibility, various sources of anxiety and hypervigilance, and an oversensitivity to perceived reputation or judgment.  We began working on Default Mode Network and other relevant sites with neurofeedback training.  Simon didn’t want to wear headphones and was comfortable with speakers that provided the sound to the movies, and with its slight and temporal variations in volume, the feedback for his brain.  We were able to do 2.5 hour sessions, watching a feature film and some series each time; two sessions per week. 

Initially, Simon felt as though he had just taken an exam, his head had gone through an exercise.  He slept well and remembered dreams.  Within two weeks, or four sessions, Simon felt more aware of his grogginess, a sign that the medication was too strong.  In consultation with his psychiatrist, he was able to reduce the dosage, first in stages and then to the minimal amount he would tolerate.  This proved successful, as Simon’s brain seemed less reliant on such numbing.  The first five sessions he describes as a difficult time, a transition between shame and motivation.  He looked forward to each of our sessions and enjoyed them, yet was left between hope and doubt after, an unsatisfactory feeling.  It contrasted with the solid numbing of his usual rituals.  When he saw that it seemed possible to reduce his medication, Simon reached a milestone.  He continued to improve in many ways: 

  • Felt a clearer head, less brain fog, more focussed
  • More motivated, started projects, study for resuming university
  • Social, contacted former friends, started to play football (soccer) again locally
  • More flexible in interactions with his parents

A further brain map confirmed these changes, and more.  Within two months, we had transformed Simon’s trajectory and helped him reduce his medication to minimal levels.  Fifteen sessions had changed Simon’s course from apathy to participation.

ADHD Anxiety Kids PanicAttacks POTS Sleep Trauma

Victoria, 16, Trauma, ADHD, PoTS

Victoria, 16, Trauma, ADHD, PoTS

Elena, 15, had self-harm ideation which was resolved within twenty sessions of neurofeedback training

Panic Attacks, PoTS, Anxiety and Sleep Issues resolved in Two Months


Victoria, a 16-year-old student, experienced panic attacks just before her junior year of school (Year 12). Isolated at home with her family during the summer vacation due to COVID-19, she eagerly anticipated returning to school and socializing with friends. However, she had been struggling with anxiety related to difficulties in processing written information and completing essays, which took her much longer than her peers. This issue had been masked by her family’s strict self-isolation protocols during the previous two years. The night before school started, she suffered a panic attack, leading to a visit to the emergency room.

Doctors prescribed mild sedatives and recommended deep breathing exercises, which helped manage her anxiety. Victoria’s mother insisted on her wearing a N95 (FFP2) face mask continuously during the school day due to COVID-19 fears. Her teacher in Biology had given her coursework to complete during the summer, which took her an excessive amount of time, causing significant worry about falling behind.

Victoria’s brain map revealed her positive traits, including emotional insight and a caring demeanor, but it also identified various sources of anxiety, trauma markers, hypervigilance, guilt, sleep, focus, and mood control issues. The brain map further indicated hypometabolism, showing a lack of necessary blood flow in critical areas and a lack of connectivity between the brain hemispheres.

After seeking medical attention and the neurologist’s opinion, Victoria’s panic attacks remained manageable, but she developed a deep distrust in her bodily functions. She struggled with PoTS-like symptoms (Postural Tachycardia Syndrome), which were not officially diagnosed. Victoria had a history of sleep deprivation, early trauma, and a difficult adoption process, which contributed to her challenges.

Victoria started neurofeedback training, attending two sessions per week for a month. Her panic attacks subsided, and PoTS-like symptoms became manageable. She enjoyed the social aspects of school, but her mother’s fears and restrictions caused her distress. After a break, she resumed neurofeedback training for the second term, which led to improvement in her symptoms.

In the midst of all this, Victoria’s mother’s intense involvement and overbearing behavior were evident. She had neglected her own social life and self-insight, causing stress within the family. This prompted her to begin neurofeedback treatment herself.

Victoria did a one-week intensive neurofeedback training, which significantly improved her well-being. When school resumed, she was back to her usual self, confident and thriving in her social and academic life.

Victoria's Full Story:

Victoria, 16, was experiencing panic attacks at the end of August, just before her junior year of school (year 12) was about to begin.  Hyperventilating, she was scared of her body’s overdrive, necessitating an A&E visit at 3am the night before her first day back.  Having spent much of the summer vacation isolated at home with her family, who a year post lockdowns was still exercising social distancing, she had been looking forward to socialising again, meeting her friends and embarking on the critical last two years of school.  Some anxiety had been building up due to her difficulties in absorbing written information in a timely manner, as well as when writing essays, which would take her substantially longer than her peers.  A homework assignment that should take an hour to complete would require four hours of her concentration, which would have taken a toll on her ability to socialise, though this aspect was masked by the family’s strict self-isolation protocols during the previous two years.  Once submitted, she usually achieved top marks, and her intellect and potential was apparent.  In Biology, a subject she aspired to study at higher level, her teacher gave her coursework in advance of the new school year to complete in view of this unexplained condition.  When she discovered how long this was taking her to do, the prospect of falling behind within a month instilled deep worry that weighed on her.  Things came to a head however the night before school started, and her body felt out of control. 

The doctors prescribed mild sedatives (beta blockers) and gave her a bag to blow into so as to help normalise her breathing.  This helped and became an important habit before and after school during the first week of term.  Her mother was still requiring her to wear a N95 (FFP2) face mask continuously during the school day out of fear of Covid contagion.  Victoria’s sister had recently started neurofeedback training for her depression and self-harm inclinations and was experiencing great results, while appreciating the non-invasive character of the treatment – no soul-searching talk sessions with a psychotherapist of the mother’s choosing, just watching her favourite new movies.  Victoria elected to start neurofeedback training on her third day at school, and we began with a brain map and two sessions per week.

Victoria’s brain map confirmed the pleasant core aspects of her character – emotional insight, a caring demeanour, desire to integrate and form social bonds, and the ability to take on different perspectives.  She also had multiple sources of anxiety, some trauma markers, a sense of hypervigilance and guilt, overpriming her environment at the expense of her own sense of agency, and sleep, focus and mood control issues.  Most worryingly, her brain appeared to be hypometabolised, meaning, lacking necessary blood flow in many critical areas, and a clear hemispherical division, that is, a lack of connectivity between the two brain halves, in virtually all functional areas. 

Having received medical attention frequently during the preceding months, the blood flow issues and structural findings of the brain map had not been flagged, and her mother took her to a neurologist for further investigation.  By this time, her panic attacks were more manageable yet Victoria had developed a deep sense of distrust in her bodily function, convinced something was wrong with her.  When she got up from her seat, her heart rate would frequently explode, and by her mother’s measurements and research, she could easily have met the diagnostic requirements for PoTS, or Postural Tachycardia Syndrome.  The neurologist would have none of this.  At the time, PoTS had not received much mainstream coverage, and itself appeared to be a fairly novel, yet real, condition.  He explained to her that what she was going through was mere psychological anxiety, or “somatisation”, and found no grounds for concern in his scans.  Nonetheless, physical exercise, even short walks, remained unworkable.

Victoria had a history of sleep deprivation and early trauma.  Adopted during infancy, her new parents took her on a trip to her country of origin when she was seven, and she was subsequently unable to sleep properly most nights, lying in bed with her eyes closed yet her mind racing, all night.  This had only improved a few years prior, though she had never recovered the energy and vivaciousness of her early years.  She had also changed school three times as a consequence of racially motivated bullying, together with her sister, and her mother had developed a paranoid cynicism that preceded all social interactions, as if to purposefully conjure up antagonistic reactions in an attempt to prove the worst and thereby achieve some sense of control and certainty.  Her mother’s combative approach contrasted with Victoria’s, and her sister’s, gentle and likeable demeanour.  The two girls’ friendships at school were carefully vetted, and their mother’s presence was felt in every fibre of their lives.  Team sports were discouraged, and class trips prohibited.  Birthday parties were curtailed after disappointments in their early years, and the family’s isolated lifestyle made meetings with friends outside of school hours rare and difficult.  Instead, the family engaged in weekend activities together, comprising music lessons, art and theatre appreciation, and outings to nearby parks.  Privacy from their parents was an impossibility, and in fact their mother, who had given up her own career, declared her increased devotion to “be there for them completely” during their important final two school years. 

Victoria did two neurofeedback sessions per week for the first month of school, and improved significantly.  Her panic attacks subsided, and her PoTS symptoms were manageable, though she still felt lethargic on the weekends.  The social side of school was emotionally invigorating, and her mother developed a new fear about the teenager’s natural interests.  At this point, Victoria had been made to share a bed with her distrustful and concerned mother, whose overwhelming presence had taken a toll on her marital relations, with her husband relegated to a separate room.  Victoria’s sister meanwhile prospered socially and academically, enjoying the relief of reduced maternal attention.  Her mother took to the idea of reducing the academic pressure on Victoria with typical fervour, contacting teachers regularly, and she was exempted from completing homework assignments and left to work at her own pace.  Victoria’s concentration had improved concurrently, a trend that was set to continue over the next months and culminated in passing her mid-term mock exams with good results, including biology that had triggered the initial episode. 

For the next month, we did weekly neurofeedback sessions, followed by a brain map after the twelfth session.  The hypometabolism had largely resolved and interhemispheric connectivity impressively occurred.  Marked sleep improvements were corroborated, as were reduced anxieties.  PoTS symptoms were no longer mentioned.  Motivation had increased, and the moving body pain was manageable.  Victoria felt able to complete her homework assignments, and school became a priority for the next month in preparation for her mock exams.  We did two more sessions and took a break from neurofeedback.

Shortly before Christmas, Victoria’s mother sought to resume neurofeedback training.  Victoria had done well in her mock exams and was coping with schoolwork – the initial issue of taking much, much longer to complete assignments than her peers was no longer mentioned.  Neither was PoTS, headaches or sleep issues.  Mask wearing, the N95 type, was still enforced by her mother, who did not entertain the idea that this could infringe on her ability to socialise or learning how Victoria’s facial expressions and reactions could impact those around her.  In addition to this censorship, her mother’s stated fear of Covid resulted in further constraints on social interaction, with the prospect of spending her birthday alone at home over the pending vacation.  Due to the six week gap since our last session, we started with a remap, which unfortunately showed some regression.  There were clear trauma markers, some anxieties came back, as did her hypervigilance, and in addition to a worrying lack of own perspective, a marker indicating the presence of an abuser, or someone Victoria paid particular attention and monitoring capacity towards, appeared for the first time. 

Victoria’s mother had spent the first term of the school year under severe stress, committing herself fully to support her adolescent daughters, and inserting herself further into every fibre of their lives.  She acknowledged that this was in stark contrast to how her brother managing his children’s transition into early adulthood.  Her own sleep had not been great to start the term with, and the built up worry, anxieties, and pre-existing mood control issues were exacerbated by the stress.  Afraid of losing control, and the pending next stage of her own life once her children were going to go to university and leave the house, she compensated with surrendering any own motivations to perceived helpfulness and dedication.  Scheduling every move and activity, she noticed when Victoria was spending time locked in her room, or even the bathroom in their weekday home where she was sharing again with her sister.  Any semblance of a social life from before Covid lockdowns had long gone, and she was feeling neither part of general society nor connected to former friends and family.  She was ever more convinced of intrinsic racism and antagonism towards any of her causes, and complained about the abolition of social distancing and other Covid measures that had happened over a year ago by now.  Her overbearing intensity was difficult to dispute, and it appeared that her children, and husband, were suffering from her lack of self-insight.  She would frequently break down when out of sight of her children, upset when her husband, himself suffering from Long Covid symptoms, found the occasional energy to call her ‘neurotic’.  It would take a year for her to commence neurofeedback training for herself (see Case Study).

We did a one-week intensive training, with one (long) session per day, over the course of a week, which provided significant relief throughout the social void of the vacation period.  When school resumed, Victoria was back in her element.