Presenting concerns
- Could not remain seated for instruction longer than ~3 minutes.
- Required 1:1 redirection every 60–90 seconds.
- Refusal behaviors during non-preferred academic tasks.
qEEG findings
High theta/beta ratio over fronto-central midline, consistent with under-arousal in attention networks.
Treatment plan & timeline
Protocol: qEEG-guided TMS over right DLPFC, 5×/week × 6 weeks. Weekly teacher report integrated into progress dashboard.
Baseline
qEEG, Conners-3 parent + teacher, classroom observation.
Initial settling
Seat time at instruction rose to ~7 minutes.
Midpoint
Teacher reported reduced redirection frequency by ~60%.
Repeat qEEG
Theta/beta ratio normalized. Seat time at instruction: 18 min average.
Progress tracking — outcome metrics
| Measure | Baseline | Follow-up | Change |
|---|---|---|---|
| Sustained seat time (min) | <3 | 18 | +500%+ |
| Redirections / hour (teacher) | 38 | 9 | −76% |
| Conners-3 Inattention T-score (parent) | 78 | 61 | −17 pts |
Parent observations
- “Homework went from a two-hour fight to about 25 minutes.”
- “His teacher said he raised his hand for the first time this year.”
Outcome summary
Measurable shift in attentional sustainability supported by both teacher and parent report and confirmed by repeat qEEG normalization.
Related services
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