Initial intake appointments are generally 90-minutes and include an initial interview, symptom inventory and a baseline QEEG recording. At the next appointment, results of the QEEG are reviewed and a treatment plan is developed in accordance with the baseline QEEG findings and the patient's treatment goals. At this same appointment, the first LORETA neurofeedback session is conducted. After 10 treatment sessions (30-minute training session per visit), a second QEEG is recorded to assess changes in the brain as a result of the training and to modify the treatment plan if needed. At Session 10 and after the 2nd QEEG, a collaborative determination is made as to whether LORETA neurofeedback is improving the patient's symptoms. If treatment is deemed effective, 10 additional treatment sessions (20 total) are conducted and a third QEEG is recorded to document brain changes that have occurred and to corroborate the patient's self-report of symptom reduction. While many patients begin to notice positive changes at around Session 5, (not including baseline QEEG) most individuals experience positive changes after 20 treatment sessions. While no mental health intervention is 100% effective, LORETA neurofeedback has been shown to be effective in most individuals. Click link to see a list of scientific peer-reviewed articles that have used LORETA. Keep in mind that neurofeedback, even LORETA neurofeedback, is a 'fast' treatment. It takes time and practice to effectively train the brain to produce more and more of the normal types of rhythms in the network under consideration.