Nathan*, Age 4

“I have a boo boo!” exclaimed Nathan*, having woken up, once again, in the middle of the night. Nathan would not have been able to say these simple words a month ago. The oldest of fraternal twins, he was diagnosed with Pervasive Developmental Disorder at 18 months. His mother became concerned about severe side effects from his several medications and sought out alternatives for Nathan. After fourteen neurofeedback sessions, Nathan is calm, receives behavior rewards at school, sleeps through the night, uses toilets cooperatively on cue and even asks to go to the bathroom. He is no longer afraid to use public restrooms and initiates language with increased vocabulary and expression for the first time. Nathan has become more spontaneous with his twin sister. In play last week, he said, “Lilly, I want to be the ghost now.” Nathan is now able to share a variety of new expressions. When his sister was getting ready for an event he exclaimed, “Wow! What a pretty princess!”