Jay Gunkelman has served as president of ISNR, as well as a board member and treasurer of AAPB and is a Past-President of the Biofeedback Society of California (now WABN). Jay entered the field in 1972 and was the first to be certified in QEEG (1996), granted Diplomate status in 2002. He remains busy with current projects and publications related to his seminal paper on EEG endophenotypes (2005, Clinical Electroencephalography). He is co-founder and Chief Science Officer of Brain Science International.
QEEGD
Jay Gunkelman
Epilepsy and the Foundation of NF
A talk by Jay Gunkelman
In the beginning there were those doing “state based” EEG training like Joe Kamiya and Elmer Green, and those doing “clinical” work with epilepsy associated largely with Barry Sterman or Nils Birbaumer. ADHD and other applications came later… but the scientific proof level work in Epilepsy was quite impressive even in the mid 1970s. Despite the efficacy proofs, Most NF practitioners today do not work with epilepsy as a primary indication for clinical work…. At least not knowingly.
However, approximately 20% of those with ADHD and from 40-60% of those with ASD have “unexpected” epileptiform discharges or paroxysms. These clients still need our help. There are also many thousands with intractable epilepsy.
A series of severe intractable epileptic cases illustrates the life changing nature of applying NF clinically. Very current publications on the efficacy of treating psychiatric clients who have epileptiform activity but no seizure history will be shared, as will publications challenging the standard of practice in psychiatry in treating these clients without reviewing the EEG.
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The attendees will differentiate sharp activity from spikes
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The attendee will differentiate the Focus orientation from Network orientation
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The cortical field of SMR will be identified by those attending
Boutros NN, Kirollos SB, Pogarell O, Gallinat J. Predictive
value of isolated epileptiform discharges for a favorable therapeutic
response to antiepileptic drugs in nonepileptic psychiatric
patients. J Clin Neurophysiol. 2014;31:21-30.
Boutros N. Epileptiform discharges in psychiatric patients: a controversy
in need of resurrection. Clin EEG Neurosci. 2009;40:239-244.
Millichap JG, Millichap JJ, Stack CV. Utility of the electroencephalogram
in attention deficit hyperactivity disorder. Clin EEG
Neurosci. 2011;42:180-184.
Ronald J. Swatzyna, et al.. Retrospective Analysis of Nonepileptic
Patients With Isolated Epileptiform Discharges Treated With Anticonvulsants.
Clinical EEG and Neuroscience
1–5 © EEG and Clinical Neuroscience Society (ECNS) 2017
Ronald J. Swatzyna, et al.. Integration of EEG Into Psychiatric Practice: A Step
Toward Precision Medicine for Autism Spectrum Disorder.
Journal of Clinical Neurophysiology Volume 34, Number 3, May 2017