Cognitive Dysfunction and Breast Cancer Coping Strategies Impact on QOL

Inclusion Criteria:

Age >18years old
Stage 0-IV breast cancer (excluding stage IV with metastasis to the brain)
Life expectancy > 3 months
Able to speak and read English fluently
Self-reported cognitive difficulties that interfere with everyday activities
Reported Memory/Cognitive changes on Distress Thermometer
Able to provide written and informed consent
Willing to complete FACT-Cog questionnaire

Exclusion Criteria:

Current Cognitive Training, for example, use of brain training, physical therapy, occupational or speech therapy for the sole purpose of improving cognitive function
Recent diagnosis of Major depression or other current psychiatric disorders and are not considered stable per a current care provider
History of Dementia or Alzheimer's Disease
History of Central Nervous System (CNS) radiation, intrathecal chemotherapy, or CNS involved surgery
History of metastatic disease extending to the brain
History of traumatic brain injury
History of seizure disorder
History of thyroid disorder (Subjects that are well managed without changes in thyroid medications or doses for at least 6 months may participate in study)
Current use of illicit substances and or alcohol (including medical marijuana)
Current sleep disturbance/disorder (Subjects that are well managed without changes in sleep medications or doses for at least 6 months may participate in study).
Concurrent use of antidepressants for example, use of antidepressants for pain management or smoking cessation. (Subjects that are well managed without changes on antidepressant medications or doses for at least 6 months may participate in study).