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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It is important to note that the ADHD patient does actually decide to do a thing, but is unable to enact the decision! (Usually, complex decision making is postponed as well, because its initiation requires itself a decision that fails to be enacted.)
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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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Replying to @Plinz
Does a hedonic environment have any neurochemical implications which compensate for lack of substances released by anticipation of reward in order to prevent depression from manifesting?
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No, hedonic anticipation creates an impulse to act. Decisions may not.
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