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.
Amphetamine tends to increase anticipated reward and thus the tendency to act, but it often increases impulsivity as well.
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It is really a miracle drug when used correctly for precise diagnostic indicatation.
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That's entirely dose dependant in practice. Thus it should be prescribed carefully and then titrated for individual brain to maximize focus, decrease procrastination and decrease impulsivity ( once focused).
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Indeed, obsessive attention to detail can become a problem if not titrated perfectly.
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