Bradley Engwall, MD

06/24/2025

Read our that highlights the groundbreaking new system for evaluating traumatic brain injuries (TBI). Recently published in the journal Lancet Neurology, the new system incorporates additional factors such as post-traumatic amnesia, headaches, blood biomarkers of brain injury, among other things.

The new system also uniquely considers the patient's social environment, recognizing its impact on recovery. This more comprehensive approach seeks to end reliance on oversimplified testing and help researchers develop better drug treatments and procedures.

While these advancements are crucial, they still primarily focus on structural damage and general symptoms. This is where Z-score LORETA (Low Resolution Electromagnetic Tomography) Analysis and Neurofeedback offers a revolutionary leap forward.

Click the link to read the full blog:

A new TBI assessment system improves diagnosis by including biomarkers, scans, and social factors. Advanced neurofeedback (Z-score LORETA) enhances recovery by targeting brain connectivity, offering precise, personalized treatment. Case studies show significant improvements.

05/19/2025

Have We Been Thinking About ADHD All Wrong?

A recent The New York Times Magazine feature challenges conventional ADHD treatment, highlighting concerns about an over-reliance on medications and a lack of long-term effectiveness.

This raises a critical question: Are we missing a more fundamental way to address ADHD?

Medications Have Limitations
NYT Magazine points out that while medications like Ritalin and Adderall can provide short-term behavioral improvements, studies show they often fail to translate to better academic outcomes.
• Evidence that stimulant medications’ benefits appear to fade over time
• Side effects impact height, weight & anxiety

Beyond Pills: A New Perspective
The NYT suggests that ADHD isn't simply a fixed "disorder" but can be influenced by environmental factors and involve fluctuations in symptoms. This opens the door for interventions that help individuals better adapt to their environment.

Meet a Breakthrough Approach to Mental Health
Advances in neuroscience and computing have led to precision brain-training: Z-Score swLORETA Neurofeedback (ZL-NFB). It's a cutting-edge approach that directly addresses the parts of the brain involved in ADHD. Instead of just pushing the brain harder (as meds do), neurofeedback trains the brain to rewire for smooth, efficient focus.

How It Works: Targeting Brain Connectivity
ZL-Neurofeedback focuses on functional connectivity – the communication between the brain regions. By identifying and training impaired connections, it helps the brain work more efficiently, like a well-coordinated orchestra.

Personalized Training for "Niche" Adaptation
The NYT’s discussion highlighted finding one's "niche"?
ZL-Neurofeedback supports this process by enhancing the brain's ability to function optimally in a greater variety of settings; reducing the mismatch described in the article.

Evidence-Based Approach
While the NYT article raises important questions, ZL-Neurofeedback is backed by decades of National Institutes of Health (NIH)-funded research and FDA-cleared. Studies demonstrate that training functional connectivity in the brain to make sweeter, more effortless “music” between brain areas.

Empowerment and Long-Term Change
Unlike medications, which only provide temporary relief, ZL-Neurofeedback harnesses your brain’s natural healing capacities to foster healthy brain functioning all day long: in work, school and relationships.

If you are seeking a different approach to ADHD, consider exploring ZL-Neurofeedback.

Contact us to learn how this innovative therapy can help you or your loved ones thrive. (Check out our satisfaction guarantee!)

Questions? Send us a DM or visit Bradley Engwall, MD at www.eastbayintegrativepsychiatry.com

Read full NYT Magazine feature:
https://www.nytimes.com/2025/04/13/magazine/adhd-medication-treatment-research.html

09/10/2024

The World Health Organization (WHO) says "The overall objective of World Mental Health Day is to raise awareness of mental health issues around the world and to mobilize efforts in support of mental health.

The Day provides an opportunity for all stakeholders working on mental health issues to talk about their work, and what more needs to be done to make mental health care a reality for people worldwide."

Here's to all of the professionals and laypeople throughout the world who work to provide mental health support for their communities.

08/01/2024

Dr. Engwall is proud to use Neuronic devices in his practice. Neuronic devices are showcased in the new "Mind Over Matter" documentary. If you'd like to learn more about what Neuronic devices can do for you, schedule a call with our office.

07/09/2024

Reclaim your wholeness. IFS views the mind as a system of interconnected parts, each with unique thoughts, feelings, and needs. Schedule a discovery call if you'd like to learn more https://eastbayintegrativepsychiatry.as.me/discovery-call

07/01/2024

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06/28/2024

IFS views the mind as a system of interconnected parts, each with unique thoughts, feelings, and needs. If this sounds beneficial to you, schedule a discovery call with our team to learn more and get started.

06/25/2024

IFS can be helpful for people struggling with a wide range of issues, including: anxiety and depression, trauma, relationship problems, eating disorders, addiction, low self-esteem and self-worth issues..

06/21/2024

IFS therapy empowers you to explore your inner world with curiosity and acceptance. There are no bad parts. By understanding and integrating your diverse parts, you can heal from past wounds, create inner harmony, and reclaim your sense of wholeness.

06/18/2024

Neurofeedback can improve long-term functioning in many brain networks. It's painless, and uses the brain's plasticity to strengthen connections in neural pathways.

06/11/2024

What makes neurofeedback changes permanent? Because we're strengthening connections in brain networks. Neurofeedback training takes advantage of neuroplasticity, the ability of neurons to re-wire as a result of experience.

06/04/2024

What do we do in Internal Family Systems (IFS) work?