H. Erik Ramsey, APRN, BC (703) 351-3317
Sajeela M. Ramsey, MS, PhD (703) 351-3317
Neurotherapy Associates, Rosslyn Park Place
1655 Fort Myer Drive, Suite 700; Arlington, VA 22209
http://www.NeurotherapyAssociates.com
"Mental fitness for optimum health & enhanced learning."
Biofeedback, psychotherapy and nutritional coaching.
Limited diagnostic testing using standard psychiatric and personality indexes.

• Quantitative Electroencephalography Patterns Associated With Medical Conditions (PDF)
  Biofeedback, Fall 2006
• Neurotherapy: Rehabbing the CFIDS brain
  The CFIDS Chronicle, Winter 2003
• Neurotherapeutic Treatment of Fibromyalgia Using EEG-Based Stimulation
  FM Frontiers, 2003: Volume 11, Number 4
• Current Applications of Biofeedback to Physical Medicine and Rehabilitation
  FM Aware Online, April 2004
• Neurotherapy as a Fibromyalgia Treatment: Exclusive Interview
  10-10-2001 ImmuneSupport.com
• ISNR.org Comprehensive Bibliography for Neurofeedback
  International Society of Neuronal Regulation: see CFS, FM & Autoimmune Disorders Section
  was at http://www.isnr.org/nfbarch/nbiblio.htm or http://www.isnr.org/information/compbiblio.pdf
• Neurotherapy (QEEG = Qualitative EEG) cases/research for CFS
  International Society of Neuronal Regulation and Jounal of Neurotherapy

• Cognitive Function in CFS Eleanor Stein, MD, FRCP(C)
  
  Tests which most commonly discriminate CFS from controls:
  
  Any test measuring functioning before and after exertion
  Psychomotor speed - Finger Tapping Test (Halstead 1947),
                                       slower and decreasing speed across trials
  Memory - Selective Reminding Task (Rey 1964) delayed recall and long term storage
  Auditory processing speed - PASAT (Stuss et al 1987)
  Attention - Digit span forwards and backwards (Wechsler 1955),
                       Trail making test parts A&B (Reitan & Davidson 1974)
  
  Conclusions: As a group persons with CFS have measurable cognitive impairment which is made worse by physical exertion and cannot be attributed to comorbid conditions or attitudes. In individual patients cognitive deficits are difficult to prove with neuropsychiatric testing since there are rarely premorbid test results with which to compare. Never the less, findings which are out of keeping with known levels of premorbid functioning and decreased functioning after aerobic exercise are consistent with a diagnosis of CFS. Healthy controls and persons with depression generally do better on neuropsychiatric tests after exercise.
  
  
• The Role of Neuropsychology in CFIDS - Leo J Shea III PhD This article explores the surprising benefits of a neuropsychological evaluation and guides you through the evaluation process. 
• Is CFS a Brain Disorder? - Lange / The Science and Research of CFS 2005-2006
  The cognitive problems CFS patients report have led to numerous research studies to assess neurocognitive impairments.  Although data is not consistent, research confirms both structural
  and functional brain abnormalities in CFS. 
  
• From Protocol for Cognitive Assessment for CFIDS - Sandman PhD & Moore PsyD
  The unique and specific effects of CFIDS included pathological overestimation of ability (metamemory), inability to recall information even with cues, serious distractibility and inability to concentrate, and slowed mental processing and decision-making. The protocol for these deficits involves three tests. The most sensitive is the PI test. The recall test adds to the sensitivity of the profile. The item recognition test produces a modest improvement on the utility of the specific battery to detect CFIDS deficits.
  
  
• Cognitive Function & Fibromyalgia  Jennifer Glass PhD & Denise Park PhD
  
  
  "I can deal with the pain, but the memory and thinking problems really worry me."
  "The physical symptoms weren't as frightening as the memory problems."
  "The most devastating effect for me has been the cognitive impairment."
  
  
  If you have fibromyalgia (FM), then these quotes may describe what you have felt as well. Many FM patients complain of cognitive (or mental) symptoms such as memory failures (both long-term and short-term), difficulties with attention, and with finding the right words. Our research has shown that patients' complaints about their cognitive problems are accurate: there is cognitive dysfunction in FM patients and this is not due solely to psychiatric disorders such as depression, or to other symptoms of FM such as sleep disturbance, anxiety or fatigue. On the other hand, cognitive dysfunction in FM is related to pain.