Dear Berrie, Dr.Hans Kühle (hans.kuehle@xxxxxxxxxxx) developed an behavior observation system in order to decide how to reduce (or augment)medication. Monastra (in his famous paper from 2002) used the TOVA (not more than 1 SD beyond the norm) as criterium for normalization after medication and NF therapy. Kind regards Ute Strehl University of Tuebingen Berrie Gerrits <praktijkgerrits@xxxxxxxxx> schrieb: > Dear List members, > > I would like to have some good advise with regard to downtraining Ritalin. I > am training a nine year old boy officially diagnosed (psychiatrist, > neurologist) as having ADHD. > He has been on medication for a year or so. His prescription is: > > 1 Concerta 36 mg: contains 36 mg methylfenidaathydrochloride. > Registered: RVG 28074, Janssen-Cilag BV. > > 1 Ritalin 10 mg: methylfenidate HCL 10 mg (10 mg methylfenidaathydrochloride > Registered: RVG 27253 (10 mg), Hexal Pharma Nederland BV. > > I am training twice a week at PCz-CFz 15-18 Hz reward and 4-7 Hz inhibit. > Up untill now we have done 8 sessions. Results so far are (as stated by > father, mother and boy): earlier sleep onset (8.30 p.m in stead of 11.00 > p.m), less crying, better mood, better and more sustained concentration, > more energy. > What I would like to know is when to start with reducing the Ritalin. Of > course this will be done under strict supervision of the psychiatrist. Are > there specific signs/markers to look for? > > When I bought a Procomp in 2003, there was a TOVA test included (sort of > package deal). With it came a manual on how to use the TOVA to determine the > reduction speed. Would this be a valuable tool? Anyone with experience in > using the TOVA for these purposes? > > I would most welcome any advise, thank you! > > > > Met vriendelijke groet/All the best/Ciao, > > Berrie Gerrits > > Psychologenpraktijk Gerrits > Sloetstraat 14 > 6524 AS Nijmegen > Nederland/Netherlands > Tel: 024-3235053 > praktijkgerrits@xxxxxxxxx > > Psychotherapie BIG/GZ-BIG/1e-lijnspsychologie/Supervisie > Neurofeedback en QEEG > (AAPB Czech Rep./ EEGSpectrum affiliate opgeleid) > > > > > --