Presenting concerns
- Could not initiate homework without intensive parent scaffolding.
- Frequent task abandonment mid-assignment.
- Disorganized materials, missed deadlines.
qEEG findings
Reduced beta coherence across frontal sites; pattern consistent with under-recruitment of executive networks.
Treatment plan & timeline
Protocol: qEEG-guided TMS over left DLPFC, 5×/week × 6 weeks, with executive-function coaching adjunct.
Wk 0
Baseline
qEEG, BRIEF-2 parent + self, grade transcripts.
Wk 4
Initiation gains
Began starting homework independently within 10 min.
Wk 8
Persistence
Completion rate of started tasks rose from 40% to 85%.
Wk 12
Repeat qEEG
Frontal beta coherence improved. BRIEF-2 GEC dropped 14 T-points.
Progress tracking — outcome metrics
| Measure | Baseline | Follow-up | Change |
|---|---|---|---|
| Independent task initiation (% of attempts) | 12% | 78% | +66 pts |
| Task completion rate | 40% | 85% | +45 pts |
| BRIEF-2 Global Executive Composite (T) | 76 | 62 | −14 pts |
Parent observations
- “He's planning his week without me. I didn't think that was possible this year.”
- “His teachers said the difference is night and day.”
Outcome summary
Executive function gains generalized to school performance, with objective improvement on both standardized measures and qEEG markers.
Related services
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