Posted by linkadge on September 2, 2005, at 7:23:36
In reply to describe executive functioning for me again, posted by iforgotmypassword on September 1, 2005, at 19:32:09
Lack of executive function can happen in a lot of mental illnesses, from depression to schitsophrenia.
It is the result of prefrontal hypofunction, from dammage or perhaps biochemical hypometabolism.
Some symtpoms include distractability, inability to concentrate on a given task for long, hampered long term goal setting and planning, lack of ability to controll thoughts and actions, impulsivity, reward deficiancy, problems with verbal comprehention.
Treatment involves agents that are known to affect frontal cortex function. Stimulants, Noradrenergic TCA, strattera, bupropion have all been used.
Other agents that are not first line but may help include remeron, deprenly, aricept.
SSRI's tend to make executive function worse.Depression and ADD should probably be treated wtih a TCA, or SSRI + stimulant.
Linkadge
poster:linkadge
thread:549779
URL: http://www.dr-bob.org/babble/20050901/msgs/549908.html