With a team comprised of a physician, Nurse Practitioners, and psychologists working together, we are able to provide at Attention Disorders Clinic 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.
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. 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.
Natalie C. Carter is a Utah native, earning her Bachelor of Science in Nursing at Utah Valley University, and receiving a doctorate degree as a Family Nurse Practitioner from University of Utah in 2011. Natalie has experience in many areas of nursing including women’s health, oncology, orthopedics, drug dependency rehabilitation, and general surgery. As a Family Practice Nurse Practitioner she developed a passion for helping patients who are struggling with anxiety, depression, ADHD, and substance abuse. In her former practice she received referrals from her colleagues because they recognized her talent for piecing together the neurologic, genetic, and life experience components of each patient’s problems. Natalie understands that each patient is unique, and therefore, deserves their own unique treatment plan.
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.
Dr shulimson has over 15 years of experience performing neurofeedback. He is trained in the advanced practice of Loreta neurofeedback which “trains” multiple areas of brain differences simultaneously often resulting in fewer total neurofeedback sessions.
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.
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.
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.
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.
All prescriptions can now be electronically transmitted to your pharmacy including controlled drugs like Adderall, Ritalin, etc. If your pharmacy does not accept electronic transmission of controlled drugs, you will need to pick up a written prescription in our Salt Lake City office.
If you wish to change your current prescription, please describe in detail the reason for the change. All new requests or changes will be carefully reviewed.
We require a Progress Update office visit every 3 months in accordance with accepted ADHD practice guidelines.
If regular progress updates are not current or you do not already have an upcoming office scheduled, prescriptions may be denied.
Refill requests received after 3:00pm Monday through Thursday may not be ready for pharmacy pick up until the following day. Our office is closed after 3pm on Fridays.
1111 E Brickyard Road
Salt Lake City UT 84106
9 am to 5pm Monday - Thursday
9am to 3pm Fridays
2760 W. Rasmussen Road
Summit Center, Bldg D. Suite 210
Park City UT 84098
Website Design and Development by www.mijalzagier.com