Dr. Paul Swingle – Swingle Grand Rounds Recording January 2015 Session 1

Swingle Grand Rounds Recording January 2015 Session 1

This 1-hour session of the Swingle Grand Rounds is a “mixed-bag” of issues, with some notable markers for ADD and sleep issues masking more serious issues.

The case details are:

Case 1: 14 year old girl that has undergone previous assessment and neurotherapeutic treatment. Based on her re-assessment, she still has anxiety, and sleep issue. It is not clear what is causing her self-described restlessness, so we suspect she is hiding the cause (most likely issues at school – fear of not achieving academic expectations – or with her peers – including bullying.

Case 2: 32 year old woman that previously suffered two separate concussions, one in 2008 and another in 2011. She is currently in college and complains of trouble with thought processing and anxiety. The ClinicalQ assessment confirms her issues by indicating a frontal ADD issue and historical legacy of her brain injuries. To add to the complexity is the clear slowing of Alpha, which may be a coincidence to dealing with a trauma or the effects of medication (whether legal or not).

Case 3: A referral due to hysterical aphonia (loss of voice due to potentially psychological causes), this 29 year old woman is currently in the military complains a lot of headaches, sleep difficulties and mood swings (self-diagnosed bipolar). Upon further investigation, she is quite emotionally isolated, with no close living family and potentially suffering from emotional abuse. Her hysterical aphonia may be related to this contemporary emotional situation.

Her case is an excellent example of a low amplitude profile, where the Theta, Alpha and Beta bandwidth amplitudes are extremely low and close to one-another. Her EEG profile might be linked to blunting of brain activity for “cognitive survival”.

Case 4: An extremely anxious young girl, who’s father fits perfectly into the definition of a narcissistic personality. Her profile indicates that she has poor stress tolerance and emotional volatility, but there is most likely a hidden trauma marker related to core emotional belief of self-loathing (related to a narcissistic parent). She only have a brief window for treatment, so the “quieting the brain” will pose the greatest chance of providing cognitive relief, since the parental figure will not be changing.

Case 5: A 16 year old boy that is undergoing assessment due to poor grades in school. The ClinicalQ assessment validates the issues with academic performance, but also confirm the clinician’s belief that the child has the profile of a “traumatized artist” – stemming from a series of awful event to have struck his family.

The opinions included in this session recording are those of the presenter and participants, and not of the BFE.