Amen Clinics
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Amen Clinics is a group of mental and physical health clinics that work on the treatment of mood and behavior disorders. It was founded in 1989 by Daniel G. Amen, a self-help guru and
psychiatrist A psychiatrist is a physician who specializes in psychiatry, the branch of medicine devoted to the diagnosis, prevention, study, and treatment of mental disorders. Psychiatrists are physicians and evaluate patients to determine whether their sy ...
. The clinics perform clinical evaluations and brain
SPECT Single-photon emission computed tomography (SPECT, or less commonly, SPET) is a nuclear medicine tomographic imaging technique using gamma rays. It is very similar to conventional nuclear medicine planar imaging using a gamma camera (that is, ...
(single photon emission computed tomography) imaging to diagnose and treat their patients. Amen Clinics uses SPECT scans, a type of brain-imaging technology, to measure neural activity through blood flow. It has a database of more than 100,000 functional brain scans from patients in 111 countries. Amen Clinics has locations in
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;
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;
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;
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; Tukwila, Washington;
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;
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; and
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. The
American Psychiatric Association The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 37,000 members are involve ...
has criticized the clinical appropriateness of Amen's use of brain scans, stating: " e clinical utility of neuroimaging techniques for planning of individualized treatment has not yet been shown."


Operations

Amen Clinics was founded in 1989. It has been using brain SPECT in an attempt to diagnose and treat psychiatric illness since 1991. Amen Clinics incorporates questionnaires, clinical histories, and clinical interviews in its practice. Some Amen Clinics locations also use
quantitative electroencephalography Quantitative electroencephalography (qEEG or QEEG) is a field concerned with the numerical analysis of electroencephalography (EEG) data and associated behavioral correlates. Details Techniques used in digital signal analysis are extended to t ...
as a diagnostic tool. Amen Clinics has scanned 50,000 people at an estimated cost of $170 million according to Daniel Amen. As of 2014, Amen Clinics had a database of more than 100,000 functional brain scans. The subjects are from 111 countries with ages from 9 months to 101 years old. The database was funded in part by Seeds Foundation in Hong Kong, and developed by Daniel Amen with a team of researchers including Kristen Willeumier. Amen Clinics has worked to treat athletics-related brain damage for professional athletes, including current and 117 former
National Football League The National Football League (NFL) is a professional American football league that consists of 32 teams, divided equally between the American Football Conference (AFC) and the National Football Conference (NFC). The NFL is one of the ...
players.


Effectiveness

Amen Clinics uses
SPECT Single-photon emission computed tomography (SPECT, or less commonly, SPET) is a nuclear medicine tomographic imaging technique using gamma rays. It is very similar to conventional nuclear medicine planar imaging using a gamma camera (that is, ...
scans to measure blood flow and activity patterns in the brain. The company also uses diagnostics such as questionnaires, clinical histories, and clinical interviews. Amen Clinics claims that SPECT scans enable doctors to tailor treatment to individual patients' brains. A retrospective study released by Amen in 2010 showed that "regional cerebral blood flow, as measured by SPECT, predicted stimulant response in 29 of 157 patients."Adinoff & Devous, 201
Response to Amen Letter American
Journal of Psychiatry
Harriet Hall Harriet A. Hall (born July 2, 1945) is a U.S. retired family physician, former U.S. Air Force flight surgeon and skeptic who writes about alternative medicine and quackery for ''Skeptic'' and ''Skeptical Inquirer''. She writes under the name The ...
has written critically about SPECT scans in articles for Quackwatch and for the ''Science-Based Medicine'' website. Hall accuses the clinics of misrepresenting an unproven treatment as effective, of concealing important warning information, and of creating false hopes by promising things that can't be done. She dismisses the scans as "pretty pictures" and says that although Amen himself seems to believe in his approach, "humans are very good at fooling themselves". A 2011 paper co-authored by the neuroscientist Anjan Chatterjee discussed example cases that were found on the Amen Clinic's website. The paper noted that the example cases "violate the standard of care" because a normal clinical diagnosis would have been sufficient and functional neuroimaging was unnecessary. According to the
American Psychiatric Association The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 37,000 members are involve ...
, "the clinical utility of neuroimaging techniques for planning of individualized treatment has not yet been shown."


References


External links

*{{official website Neuroimaging Mental health organizations in the United States Pseudoscience