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How Effective Is Neurofeedback Therapy for Hyperactive-Impulsive ADHD? 

Neurofeedback therapy is gaining interest as a potential treatment for hyperactive ADHD and impulsive ADHD, especially among families looking for alternatives to medication. Hyperactive-impulsive ADHD is characterised by symptoms such as impulsivity, excessive movement, and difficulty controlling emotions, all of which can affect a child’s learning, social interactions, and emotional well-being. Neurofeedback is a brain-training technique that aims to help individuals regulate their brain activity by providing real-time feedback on brainwave patterns. 

What Is Neurofeedback Therapy and How Does It Work? 

Neurofeedback is a form of therapy that uses EEG sensors to measure brainwave patterns in real time. These sensors detect electrical activity in the brain and provide visual and auditory feedback to the patient. The goal is for individuals to learn how to regulate their brain activity, improving functions such as attention, emotional regulation, and impulse control. Neurofeedback is non-invasive, with sessions typically delivered once a week, and it can take several weeks or months to see noticeable improvements. This approach focuses on helping individuals self-regulate their brain patterns, encouraging healthier brainwave frequencies that can reduce symptoms of hyperactive ADHD and impulsive ADHD. 

Why Neurofeedback Appeals to Families Managing ADHD 

One of the key reasons neurofeedback is appealing to families is the potential to avoid the side effects commonly associated with ADHD medication. Many families are hesitant to rely on long-term medication because of potential side effects, making neurofeedback an attractive non-pharmacological therapy option. This approach offers a more natural way to manage ADHD, focusing on training the brain instead of masking symptoms with drugs. 

Additionally, neurofeedback is seen as a holistic and high-tech approach that aims for long-term regulation rather than daily medication. Unlike medications, which often require continuous use, neurofeedback works to improve brain function and self-regulation, potentially offering lasting benefits that extend beyond therapy sessions. This makes it a sustainable therapy option for managing hyperactive ADHD. 

What the Evidence Says About Neurofeedback for Hyperactive-Impulsive ADHD 

The effectiveness of neurofeedback for managing hyperactive ADHD and impulsive ADHD is still a developing area of research. Some studies show moderate improvements in attention and impulse control, suggesting that it can be a useful complementary therapy. However, the results are mixed due to variability in treatment protocols and individual responses. A systematic review and meta-analysis found that while neurofeedback can lead to improvements in ADHD symptoms, the effect sizes are modest, and the quality of evidence varies across studies. 

Is Neurofeedback Right for Your Child? 

Before starting neurofeedback, it is essential to first confirm the ADHD diagnosis using appropriate diagnostic tools. Neurofeedback is most effective when used as part of a broader treatment plan that may include behavioural therapy, CBT, or school accommodation. It is not a quick fix and should be used alongside educational support and other therapeutic options. Additionally, parents should consider the costs and time commitment required for neurofeedback, as multiple sessions over an extended period are often necessary to see results. While neurofeedback can improve peer interactions and social behaviour, it is important to manage expectations and remember that progress may be gradual. 

Final Thoughts 

Neurofeedback presents a promising but still developing field for managing hyperactive ADHD and impulsive ADHD. While it offers an appealing alternative to medication, particularly for families concerned about side effects, the evidence is still mixed, and results can vary. Neurofeedback is most effective when integrated into a comprehensive ADHD treatment plan that includes other behavioural interventions. As with any therapy, it’s essential to work with healthcare providers to determine the best approach for your child’s unique needs.  

For more information explore more on ADHD diagnosis, Behavioural strategies and executive function support or visit ADHD Certify

Lucia Alvarez, MSc, author for my patient advice - mypatientadvice.co.uk

Lucia Alvarez, MSc

Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.