A 12-year-old boy with signs of Bipolar Disorder has been on Concerta, Risperdal, and Zoloft for the last three years. He has trichotillomania (involuntary hair-pulling) since beginning the Concerta. He is very anxious. He is verbally inappropriate with peers. He exhibits manic sleep behavior, in that he sleeps very few hours.

At session 24, his mom has halved the Concerta dose; he is now off the Risperdal, and the Zoloft dose is being weaned down. He now sleeps. He is a happier boy, is getting better grades, and for the first time in years has eyelashes. His parents are ecstatic. The mother fired the psychiatrist last week because she (the doc) insists the kid 'needs' the drugs and two counseling sessions per week, which he has had for four years. But the mom observes that he has not improved at all. In fact, things had gotten much worse. "Neurofeedback is the only thing he's done which has produced positive results," according to the mother.