ADHD seems to manifest internally as an inability to go from 'wanting to want something' to 'wanting' it. Decisions don't turn into impulses to act, but non since deliberate drives generate their own impulses, behavior becomes hedonically opportunistic.
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Incidentally, is the primary mode of treating ADHD a change neurochemical modulation that increases the penetration (or perhaps even separability) of neural control signals (anticipated reward) in the neocortex?
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The inability to act on one's decisions leads to a frustration of anticipated reward, until no more reward is anticipated and the individual becomes depressed. The depression (and underlying ADHD problem) may not manifest in an environment where decisions are hedonically driven.
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Inability to act on decisions is not generally thought to be a feature of ADHD in the young. To the contrary, impulsivity is considered cardinal by most family members, clinicians, theoreticians, and neuropsychopharmacologists.
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In practice, impulsivity is opportunistic, i.e. it does not follow deliberative decisions, but it is reactive/hedonically driven. Procrastination defers deliberative behavior in favor of impulsive, opportunistic behavior.
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Inability to make a decision is generally considered procrastination. Difficulty finishing tasks is broadly considered the symptom characteristic ADHD or ADD.
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