ADD/ADHD and impaired executive function in clinical practice
- Thomas E. Brown
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The disorder currently known as attention-deficit disorder (ADD) or attention-deficit/hyperactivity disorder (ADHD) is now recognized by most clinicians as a legitimate and widely prevalent disorder among children and adults. Yet there is still widespread misunderstanding as to the disorder’s nature. Many clinicians mistakenly continue to think of this as a behavior disorder characterized by hyperactivity in children and excessive restlessness or impulsivity in adults. In fact, ADD/ADHD is essentially a cognitive disorder, a developmental impairment of executive functions (EFs), the self-management system of the brain. Although EFs are complex, their impairment constitutes a syndrome that can be recognized readily in clinical practice; impaired EF involves a pattern of chronic difficulties in executing a wide variety of daily tasks. Once recognized, this disorder can be effectively treated in most cases. In this article, I describe the nature of EF impairments in ADD/ADHD and how the syndrome can be recognized and effectively treated in clinical practice. (Note: The term ADHD is used in the balance of this article to refer to both inattentive and combined subtypes.)
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- ADD/ADHD and impaired executive function in clinical practice
Current Psychiatry Reports
Volume 10, Issue 5 , pp 407-411
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- Current Science Inc.
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- Thomas E. Brown (1)
- Author Affiliations
- 1. Yale Clinic for Attention and Related Disorders, Yale University School of Medicine, 1188 Whitney Avenue, PO Box 6694, Hamden, CT, 06517, USA