Neurofeedback is also an effective treatment for ADHD, according to a new quantitative review that used benchmark studies to measure efficacy and effectiveness against stimulant medication and behavior therapy.

Neurofeedback treatments for attention deficit hyperactivity disorder (ADHD) are well-established and effective, according to a new study from Applied Psychophysiology and Biofeedback1 that found medium to large effect sizes and remission rates between 32% and 47% with the natural therapy.

Neurofeedback is a non-pharmacological therapy that uses real-time EEG data to help patients train their brains to improve focus, impulse control, and executive function. The use of neurofeedback to treat ADHD has been controversial. The American Psychological Association (APA) has established two constructs for establishing treatment guidelines:

  • Treatment Efficacy: the systematic and scientific evaluation of whether a treatment works, with efficacy graded from high (‘efficacious and specific’) to low.
  • Effectiveness: a reflection of the applicability, feasibility, and usefulness of the intervention.

For this study, researchers employed a stricter version of these APA guidelines, focusing on efficacy and effectiveness while also factoring in effect-sizes (ES) and remission rates. The study included only recent systematic reviews and meta-analyses with more than two independent randomized controlled trials.

In two meta-analyses, standard neurofeedback protocols demonstrated significant efficacy for parent- and teacher-rated symptoms, with a medium effect size and sustained benefits that lasted at least 6 to 12 months. Four multi-center randomized controlled trials showed that subjects participating in standard neurofeedback protocols experienced significantly superior results compared to semi-active control groups, with medium-large pre-post effect sizes at the end of treatment or during follow-up. Remission rates ranged from 32% to 47%.

Three open-label studies demonstrated similar or better efficacy, suggesting that the effects of neurofeedback translate well into clinical practice. No publication bias was found, and no neurofeedback-specific side effects were reported with this natural ADHD treatment.

These findings relate to standard neurofeedback protocols, not “unconventional” ones, for which significant evidence was not found. Researchers concluded that “it is important that the clinical application of neurofeedback in clinics also more closely follows these recommendations, and that neurofeedback organizations more formally recommend and educate this more strictly.”


1Arns, M., Clark, C.R., Trullinger, M. et al. Neurofeedback and Attention-Deficit/Hyperactivity-Disorder (ADHD) in Children: Rating the Evidence and Proposed Guidelines. Appl Psychophysiol Biofeedback (2020).

For more articles like this please sign up for our eTips by liking us on Facebook and giving us your email for our Newsletter.

  • This field is for validation purposes and should be left unchanged.

Tags: , , , , , , , ,

What Our Clients Are Saying

Julia W

Teachers made huge comments on his math skills and behavior. I also saw this at home with understanding of what I said to him registering more with him. I saw this in his eyes: recognition. Fewer outbursts of anger.

Anita M

I am extremely happy with my son’s outcomes and feel very fortunate to have encountered Dr. Bonesteel early in my child’s life. This method has dramatically changed his ability to focus and take initiative. I feel confident that my son’s life has been dramatically enhanced. I can’t express my appreciation fully in words.

Mary B

Dr. Bonesteel has masterfully, compassionately, and extremely kindly helped me navigate through a history of childhood and marital abuse, a child with twenty years of struggle with life-threatening physical and emotional illness, extended family discord, and disharmony with my child with severe depression. I am blessed to have found Neurohealth Associates.


Overall, excellent experience. Very happy with Dr B and staff is wonderful. We feel like we have our family life back!


I am very thankful this technology was available for my training. I was extremely satisfied with all aspects of my training protocols.




with the latest news and information regarding neurofeedback and brain health.