Two hands holding a blue, illuminated human Brain

Neurotherapy for Adult ADHD Gold Coast

We train your Brain to fix your Brain

What is the right treatment for Adult ADHD?

By Martin Brink, Board-Certified in Neurotherapy and QEEG:

Many of our adult ADHD clients arrive after decades of masking the chaos—looking “fine” on the outside while a “clown” runs the show inside. They feel defeated by the mismatch of knowing what they should be doing and their inability to make their Brain start or finish.

They want to know: ‘What is a better therapy for Adult ADHD?’ Beyond the evening crash of stimulants or yet another list of productivity hacks, is there a way to calm the internal noise at its source?

In order to look for a reasonable answer, it’s a good idea to examine the function of the affected organ: The Brain.

Adult ADHD treatment Gold Coast: A woman's head with a Clown in her Brain.

Adult ADHD is a Functional Brain Disorder

Based in Neuroscience, QEEG Brain Mapping can identify the dysfunctional patterns of ADHD in Brain activity.

Neurotherapy offers a drug-free pathway to real and lasting change; because Adult ADHD is—without a doubt—a Functional Brain Disorder.

But what exactly does that mean?

Real client’s LoRETA loop: Red = faulty, excessive activity

What is a Functional Brain Disorder?

Healthy Brain Activity

All our Abilities, Behaviours and Experiences arise from the electrical activity in our Brains.

Electroencephalography (EEG) records electrical Brain activity from the scalp with very little fuss:

a sample of fairly normal eeg
Fairly normal eyes-open EEG (P3,Pz,P4; Average Reference)

Quantitative EEG (QEEG) analyses the Brain’s electrical activity: Green = normal levels.

topographic brain maps of good eeg
Fairly normal eyes-open QEEG (Z-scored; Average Reference)

Functional Brain Disorders

If our Brain’s electrical activity is out of order, it affects our Abilities, Behaviours and Experiences.

When Brain activity isn’t normal, it shows up in the EEG. See for yourself (psychiatric client):

sample of bad eeg
Pathological eyes-open EEG (P3, Pz, P4; Average Reference)

QEEG maps: Yellow = a bit too much, Orange = clearly too much, Red = crazy too much activity.

row of abnormal brainmaps
Pathological eyes-open QEEG (Z-scored; Average Reference)

ADHD in the Adult Brain

Adult Attention Deficit Hyperactivity Disorder (ADHD) is not a character flaw or laziness. Instead, research with EEG and QEEG has identified multiple distinctive patterns of abnormal Brain activity in adults suffering from ADHD.

Understanding these electro-physiological signatures is crucial for targeted Neurotherapy with Neurofeedback to help restore normal Brain function by addressing the physiological root cause of the persistent symptoms.

Below you’ll see some of the abnormal patterns that are commonly found in Adult ADHD Brains, according to research and clinical experience.

Common Patterns in the Adult ADHD Brain

Underactive Executive Control

Brain map showing elevated Theta/Beta ratio.In many ADHD Brains, the front is too slow. The well-established Neuromarker for this is an elevated Theta level or Theta/Beta Ratio. Clients experience this as difficulty concentrating, poor working memory, forgetfulness, trouble organising and being easily distracted. This is one of the core dysfunctions in ADHD — the “Brain’s CEO” doesn’t show up for work. Excessive frontal Theta is also common in Anger Issues and Post-Concussion Syndrome.

Impulse Control Issues

Thermal image showing underactive right PFC.The right front of the Brain normally helps us pause and think before we act. Here, underactivation — seen as dark in thermal images — indicates a “faulty brake pedal”, often found in ADHD. As a result, clients may blurt things out, interrupt others, take risks or make snap decisions they later regret.

Brain Fog and Mind-Wandering

Brain map showing excessive Alpha posteriorly.ADHD clients often feel like their mind wanders off when they’re trying to focus: The Executive Network in the front of the Brain fails to shut off the “Daydreaming Network” (DMN) in the back of the Brain during active tasks. Excessive Alpha levels at the back are an indicator for that. Clients experience frequent mind-wandering, zoning out and difficulty staying engaged.

Motivation System Offline

Brain map showing Alpha asymmetry.In ADHD Brains, the front may also produce more Alpha Power than normal and even more in the right hemisphere (right Alpha Asymmetry). As a consequence, clients struggle to start tasks, don’t feel motivated by the rewarding feeling of getting things done, and blame themselves for their apparent “laziness”.

This pattern, more frequent in females, fluctuates with the hormonal cycle and is consistent with Anxiety, Depression and strong emotional reactions to criticism (Rejection Sensitivity Dysphoria).

  • Schönenberg M et al “Neurofeedback, sham neurofeedback, and cognitive-behavioural group therapy in adults with attention-deficit hyperactivity disorder: a triple-blind, randomised, controlled trial” Lancet Psychiatry 2017;4(9):673-684
  • Mayer K et al “Neurofeedback of slow cortical potentials as a treatment for adults with Attention Deficit-/Hyperactivity Disorder” Clin Neurophysiol 2016;127(2):1374-86
  • Strehl U et al “Neurofeedback of Slow Cortical Potentials in Children with Attention-Deficit/Hyperactivity Disorder: A Multicenter Randomized Trial Controlling for Unspecific Effects” Front Hum Neurosci 2017;11:135
  • Gevensleben H et al “Neurofeedback training in children with ADHD: 6-month follow-up of a randomised controlled trial” Eur Child Adolesc Psychiatry 2010;19(9):715-24
  • Arns M et al “Sustained effects of neurofeedback in ADHD: a systematic review and meta-analysis” Eur Child Adolesc Psychiatry 2018;27(3):293-305
  • Rubia K et al “Real-time fMRI neurofeedback in adolescents with attention deficit hyperactivity disorder” Hum Brain Mapp 2017;38(6):3190-3209
  • Zilverstand A et al “fMRI Neurofeedback Training for Increasing Anterior Cingulate Cortex Activation in Adult Attention Deficit Hyperactivity Disorder” Front Hum Neurosci 2017;11:16
  • Rubia K et al “Functional connectivity changes associated with fMRI neurofeedback of right inferior frontal cortex in adolescents with ADHD” Neuroimage Clin 2019;23:101850
  • Rubia K et al “Effects of fMRI neurofeedback of right inferior frontal cortex on inhibitory brain activation in children with ADHD” Philos Trans R Soc Lond B Biol Sci 2024;379(1915):20230097
  • Salmi J et al “Working memory training restores aberrant brain activity in adult ADHD: a functional magnetic resonance imaging study” Neuroimage Clin 2020;27:10231
  • Micoulaud-Franchi JA et al “Neurofeedback for Attention-Deficit/Hyperactivity Disorder: A Randomized Controlled Trial” JAMA Psychiatry 2025;82(1):21-29
  • Gevensleben H et al “Slow cortical potential neurofeedback in attention deficit hyperactivity disorder: Is there neurophysiological evidence for specific effects?” J Neural Transm 2014;121(9):1045-62
  • Lofthouse N et al “A review of neurofeedback treatment for pediatric ADHD” J Atten Disord 2012;16(5):351-72
  • Holtmann M et al “Neurofeedback in ADHD: a critical review of recent meta-analytic findings” Expert Rev Neurother 2014;14(8):823-6
  • Yan L et al “Comparative Efficacy of Neurofeedback Interventions for Attention‐Deficit/Hyperactivity Disorder in Children: A Network Meta‐Analysis” Dev Psychopathol 2024;36(5):2140-2152
  • Bluschke A et al “Computer Enabled Neuroplasticity Treatment: A Clinical Trial of a Novel Design for Neurofeedback Therapy in Adult ADHD” Front Hum Neurosci 2016;10:205
  • Bleich-Cohen M et al “Neurofeedback training of gamma band oscillations improves executive functions in adults with ADHD: A double blind, randomized clinical trial” Neuropsychologia 2021;159:107930
  • Sitaram R et al “Closed-loop brain training: the science of neurofeedback” Nat Rev Neurosci 2017;18(2):86-100
  • Lenartowicz A, Loo SK “Use of EEG to diagnose ADHD” Curr Psychiatry Rep 2014;16(11):498
  • Arns M et al “A decade of EEG Theta/Beta Ratio Research in ADHD: a meta-analysis” J Atten Disord 2013;17(5):374-83
  • Glennon JC et al “Attending to adult ADHD: a review of the neurobiology behind and treatment of adult ADHD” Br J Pharmacol 2018;175(18):3588-99
  • Shaw P et al “Trajectories of cerebral cortical development in childhood and adolescence and adult attention-deficit/hyperactivity disorder” Biol Psychiatry 2013;74(8):599-606
  • Castellanos FX et al “Longitudinal mapping of cortical thickness and clinical outcome in children and adolescents with attention-deficit/hyperactivity disorder” Arch Gen Psychiatry 2006;63(5):540-9
  • Hoogman M et al “Subcortical brain volume differences in participants with attention deficit hyperactivity disorder in children and adults: a cross-sectional mega-analysis” Lancet Psychiatry 2017;4(4):310-319
  • Wetterling F et al “Impaired reward processing in the human prefrontal cortex distinguishes between persistent and remittent attention deficit hyperactivity disorder” Hum Brain Mapp 2015;36(11):4648-63
  • Salavert J et al “Functional Imaging Changes in the Medial Prefrontal Cortex in Adult ADHD” J Atten Disord 2018;22(7):679-693
  • Cortese S et al “Default mode network connectivity and social dysfunction in attention-deficit/hyperactivity disorder” Soc Cogn Affect Neurosci 2023;18(1):nsad032
  • Sidlauskaite J et al “Evidence from “big data” for the default-mode hypothesis of ADHD: a mega-analysis of multiple large cohorts” Neuropsychopharmacology 2022;47(7):1331-1338
  • Rubia K et al “Intrinsic Functional Connectivity in the Default Mode Network Differentiates the Combined and Inattentive Attention Deficit Hyperactivity Disorder Types” Front Hum Neurosci 2022;16:859538
  • Nakajima R et al “Reduced dopamine transporter availability in drug-naive adult attention-deficit/hyperactivity disorder: A SPECT study with [123I]FP-CIT” Psychiatry Res Neuroimaging 2024;340:111807
  • Volkow ND “The dopamine transporter and attention-deficit/hyperactivity disorder” Biol Psychiatry 2005;57(11):1397-409
  • Durston S et al “Association between Dopamine Transporter (DAT1) Genotype, Left-Sided Inattention, and an Enhanced Response to Methylphenidate in Attention-Deficit Hyperactivity Disorder” Neuropsychopharmacology 2005;30(7):1290-1297
  • Hale TS et al “Atypical alpha asymmetry in adults with ADHD” Neuropsychologia 2010;48(12):3532-39
  • Keune PM et al “Frontal brain asymmetry in adult attention-deficit/hyperactivity disorder (ADHD): Extending the motivational dysfunction hypothesis” Clin Neurophysiol 2015;126(4):711-720
  • Keune PM et al “Frontal alpha-asymmetry in adults with attention deficit hyperactivity disorder: replication and specification” Clin Neurophysiol 2011;122(6):1189-94
  • Yang DY et al “Orbitofrontal dysfunction during the reward process in adults with ADHD: An fMRI study” Clin Neurophysiol 2019;130(5):627-633
  • Ko CH et al “Brain activation deficit in increased-load working memory tasks in adults with ADHD using fMRI” Eur Arch Psychiatry Clin Neurosci 2013;263(7):561-73
  • Burgess GC et al “Attentional control activation relates to working memory in attention-deficit/hyperactivity disorder” Biol Psychiatry 2010;67(7):632-40
  • Valera EM et al “Functional neuroanatomy of working memory in adults with attention-deficit/hyperactivity disorder” Biol Psychiatry 2005;57(5):439-47
  • Wolf RC et al “Regional brain activation changes and abnormal functional connectivity during working memory function in adults with attention-deficit/hyperactivity disorder” Psychol Med 2009;39(9):1469-78
  • Roman-Urrestarazu A et al “Brain structural deficits and working memory fMRI dysfunction in young adults who were diagnosed with ADHD in adolescence” Eur Child Adolesc Psychiatry 2016;25(5):529-38
  • Boedhoe PSW et al “Findings From the ENIGMA ADHD, ASD, and OCD Working Groups” Biol Psychiatry Cogn Neurosci Neuroimaging 2020;5(8):789-798
  • Greven CU et al “A review of adult ADHD: a neuropsychological and neuroimaging perspective” Expert Rev Neurother 2004;4(3):361-79