Attention Disorder Clinic
+DAVID JUBELIRER M.D.
Dr. Jubelirer is board certified physician specializing in the diagnosis and treatment of ADHD, Asperger’s Syndrome/Autism, and related psychosocial and academic problems for adults, adolescents, and children. He also performs and analyzes QEEG brain mapping , to better understand brain function and support an accurate diagnosis of ADHD or presence of traumatic brain injury.
In addition, Dr. Jubelirer also has a special expertise in evaluating problems with Short Term Memory and Executive Function skills, which primarily effect organization, time management, planning, self starting and prioritizing.
Dr. Jubelirer is a certified provider of research supported Cogmed brain training exercises shown to make permanent improvements in short term working memory and ADHD.
+AHARON SHULIMSON Ph.D.M.S.C.P.
Dr. Shulimson is a psychologist who has a postdoctoral Master of Science degree in Clinical Psychopharmacology. He is experienced in working with clients who have ADD/ADHD, anxiety, depression, behavior problems, traumatic brain injury, and chronic pain. He specializes in biofeedback and neurofeedback as treatments for ADD/ADHD and other psychological and medical disorders.
At Attention Disorders Clinic we have a team of a Ph.D. psychologist and a medical doctor who are able to work together to provide you with comprehensive evaluation and treatment for people of all ages with attention deficit disorders (ADD, ADHD), Asperger's Syndrome and high functioning Autism, academic and memory difficulties and their related conditions.
At Attention Disorders Clinic, we provide evaluation, treatment, and ongoing management and support for children and adults with ADD, ADHD, Asperger's and Autistic Spectrum disorders, learning and memory difficulties, and other related neuropsychological disorders such as anxiety and depression.
With both a physician and psychologist working together, we are able to provide comprehensive services for the whole family. Our diagnostic and treatment approach combines an understanding of current neuroscience, recognizing many problems are neurologic in origin and these brain differences have behavioral consequences. Besides an extensive personal and family history, we offer FDA approved, research based brain mapping (QEEG) to ensure accuracy in diagnosis and guide treatment options. Counseling, education, medication, supplements, neuropsychological testing, executive function coaching, and brain training using bio and neurofeedback, and working memory training are tailored to individual needs.
It is our belief that helping you with specific challenges is critical for daily living, and the overall goal of successful treatment is to improve and maintain self- esteem and encourage independent individual growth.
Aharon Shulimson Ph.D. M.S.C.P.
+QUANTITATIVE EEG (QEEG)
Quantitative EEG is a test performed in our office that is used to help to understand the underlying neurologic basis of attention problems and other conditions through computerized assessment of brain wave patterns. A patient’s brain waves are then compared to established norms for people of the same age and sex using sophisticated FDA approved software and analyzed by Dr. Jubelirer or Dr. Shulimson.
Because the findings in ADD or ADHD are distinct ,QEEG is particularly useful in very young children when it is hard to know if the behaviors are just part of the normal developmental spectrum and in individuals who also may have depression or anxiety, etc.
+ Four distinct patterns of brain wave activity have been identified in ADHD:
1) Elevated theta wave and decreased beta wave activity.
2) Elevated beta wave activity.
3) Abnormal activity in the right temporal/parietal area.
4) Elevated alpha wave activity.
The QEEG results are used as an aid to significantly increase the accuracy of diagnosis, create a neurofeedback therapy program individualized to meet a person's needs, as well as to reduce some of the "trial and error" involved in choosing medications.
Brain wave differences may also point to neurologic connections that serve to explain the basis of a variety of behaviors and additional personal life challenges .
Neurofeedback, also known as neurotherapy or EEG biofeedback, is a form of treatment that is used to change patterns of brain wave activity. When implemented by our experienced clinicians, it can greatly reduce or eliminate the need for medications in a variety of conditions.
For example, persons with a common form of ADHD have an excess of theta waves.
Over twenty years of research and clinical practice has shown that people can use neurofeedback to learn how to lower the amount of theta waves their brains produce to within normal limits, thus improving their attention.
Neurofeedback is also used to treat anxiety, depression and other cognitive impairments caused by fibromyalgia, traumatic brain injury, and Chronic Fatigue Syndrome.
Typically, we perform a Quantitative EEG (hyperlink) test to assess an individual’s brain wave patterns and customize a neurofeedback program based on our findings.
The neuropsychological evaluation involves an interview and the administration of selected tests chosen to learn more about brain function . The tests are typically pencil and paper type tests. Some tasks might be completed by the patient with assistance from a technician, but the majority of the tests require administration by a neuropsychologist or trained, skilled psychometrist. Neuropsychological tests are standardized, meaning that they are given in the same manner to all patients and scored in a similar manner time after time.
An individual's scores on tests are interpreted by comparing their score to that of healthy individuals of similar age, education, gender, and/or ethnic background and to expected levels of functioning.Although individual scores are important, the neuropsychologist looks at all of the data from the evaluation to determine a pattern of cognitive strengths and weaknesses and, in turn, to understand more about how the brain is functioning.
+SHORT TERM MEMORY TRAINING
We offer testing for visual-spatial and verbal short term working memory. Because of the brain’s neuroplasticity, deficits can be significantly improved by computer based brain training exercises. Using Cogmed’s research proven five week training program, lasting changes in memory and in ADHD symptoms are seen in 85% of trainees.
Short term memory is a key cognitive function for daily living. It allows individuals to hold information and keep it available for processing for brief periods of time, typically a few seconds, in order to complete a task. Working Memory describes a form of short term memory central to our ability to control attention and maintain access to new information in the face of distraction. Working Memory capacity varies greatly from person to person and is determined at birth, a consequence of brain injury or stroke, chemo-fog, and normally declines as we age. Poor WM capacity is commonly present and may be unrecognized in individuals with ADD, ADHD, dyslexia, and autism.
Because technology provides constant stimulation and access to information, people now, more than ever, have to process and filter the things they encounter daily in order to navigate our world successfully.
Socially, WM helps you remember someone’s name after meeting them for the first time and to retain lessons learned from past experiences.
Poor WM is often the cause of having to read the same paragraph over several times, or not being able to focus on a task without losing one’s train of thought.
For children or young adults in school, good WM capacity is needed to focus on instruction without easily becoming distracted, to comprehend and solve math problems, and for reading comprehension.
Being able to retain and process new information and apply it to tasks and problem solving is crucial to learning. As a result, children with poor WM often struggle to achieve a normal rate of academic progress.
+EXECUTIVE FUNCTION ASSESSMENT
We offer testing to assess strengths and weaknesses in executive functions and can provide strategies to improve skills that have not developed at an age appropriate level. Executive functions include the skills of planning, organizing things and ideas, initiating and completing tasks, forgetfulness, procrastination and time management, and understanding the big picture not just the individual details.
- 48 hrs (2 business days) notice is required for all Rx change requests.
- Medication checks (office visits) are required every three months for stimulant medications.
Refill requests received before 3:00pm Monday through Thursday will be ready for pick up at the Salt Lake City office only the next business day from 9:30am to 4:30pm.
Medication requested Friday-Sunday will not be ready until Monday after 2:00p.m.
All prescription change requests will be ready to pick up or will be called in within 48 hours and should be accompanied by as much detail as possible so we may understand the reasons for the requested change.
+ Many ADHD medications are controlled drugs because of their abuse potential if taken in larger quantities than prescribed. This applies to all stimulants like Ritalin (methylphenidate), Adderall, Concerta, Vyvanse, Focalin, Daytrana, etc.
+ By federal law controlled medication prescriptions CANNOT be called into the pharmacy.
+ No refills are allowed so you or someone you designate will have to physically pick up a new prescription each 30 days.
+ We require a Progress Update office visit every 3 months in accordance with accepted ADHD practice guidelines. If regular progress update visits are not current or at least scheduled for the next month, refills may be denied.
These are reputable and informative websites that we recommend :
www.GreatSchools.com Tons of useful info about learning differences, dyslexia, ADHD and autism with very practical articles
www.chadd.org Great general articles for children and adults with ADHD
ADD.org Specifically for adults searching for help in many challenging areas of daily life.
ADD Resources Generally good overall articles
ADDvance A nice place to learn about what is unique about girls with ADD by Pat Quinn M.D.
www.BrainWaveDoctor.com Information about QEEG
www.Cogmed.com A program designed to improve Working Memory and many resources to learn more about WM
+ OUR OFFICES
1111 E Brickyard Road
Salt Lake City UT 84106
9 am to 5pm Monday - Thursday
9am to 4pm Fridays
2760 W. Rasmussen Road
Summit Center, Bldg D. Suite 210
Park City UT 84098