13 Mar 2019

Obsessive-Compulsive Disorder: Anatomy and Neurofeedback

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Neurofeedback in the Treatment of Developmental Trauma by Sebern F. Fisher, M.A.  foreward by Bessel van der Kalk, M.D.

“Obsessive-Compulsive Disorder (OCD) is known to be a problem of overactivation of the anterior cingulate.  This structure misfires and its signals are transmitted over neural networks  that connect the cingulate to other structures.  OCD is also one of the common comorbidities of developmental trauma.  It is no surprise to learn that the anterior cingulate plays a vital role in inhibiting the amygdala .  In cases of developmental trauma it appears that just the opposite has happened.  Hyperexcitability and habitual firing of the amygdala has overtaken and dysregulated the cingulate.  Once we know that the anterior cingulate is overactive in OCD and is responsible for functional inhibition of the amygdala, we can think about beginning the training at the site closest to the anterior cingulate.  These comorbidities might both yield to lowering arousal and activation at the same site.  In brain terms, the comorbidity may be the same morbidity.”