An Open Letter to Mark A. Reger, Department of Veterans Affairs

Eugene Peniston

Dear Dr. Reger:

I just read your article in JAMA with great interest. I would like to draw your attention to a recent publication on a controlled study of neuromodulation in application to treatment-resistant PTSD that was completed recently at the VA Pacific Islands Health Care System in Honolulu. It recruited 87 participants. This was a study of Endogenous Neuromodulation, a second-generation neurofeedback in which the brain is simply engaging with its real-time dynamics in the EEG and Infra-Low Frequency domains. This method has its roots in the early EEG neurofeedback, and thus has been under development for nearly forty years.

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