Presenting concerns
- Frequent intense meltdowns lasting 30–90 minutes.
- School avoidance on 2–3 mornings per week.
- Family system under significant stress.
qEEG findings
Right frontal alpha asymmetry pattern associated with negative affect bias; reduced parietal alpha at rest.
Treatment plan & timeline
Protocol: qEEG-guided TMS, 5×/week × 6 weeks, with family-coaching adjunct every 2 weeks.
Wk 0
Baseline
qEEG, parent-report meltdown log, school attendance baseline.
Wk 4
Early shift
Meltdown duration dropped from ~60 min to ~15 min.
Wk 8
Frequency drop
Weekly meltdowns reduced from 7 to 2.
Wk 12
Repeat qEEG
Frontal alpha asymmetry normalized. School attendance 100% for 30 days.
Progress tracking — outcome metrics
| Measure | Baseline | Follow-up | Change |
|---|---|---|---|
| Meltdowns / week | 7 | 0.8 | −89% |
| Mean meltdown duration (min) | 58 | 11 | −81% |
| School attendance (%) | 78 | 100 | +22 pts |
Parent observations
- “She can name what she's feeling now instead of just exploding.”
- “Mornings used to ruin the whole day. They don't anymore.”
Outcome summary
Durable improvement in emotional regulation with objective qEEG normalization and measurable family-level quality-of-life gains.
Related services
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