Here is a modified fictional diagnosis and treatment plan conceptualizing Kenneth’s presentation as primarily ADHD-Inattentive:
Diagnosis: Parieto-Temporal Attention Network Dysregulation Syndrome (PTANDS)
Definition: Impaired functioning of bilateral posterior attention networks involved in sustaining, shifting, and filtering attention due to structural deficits and inefficient neurotransmission. Often emerges from developmental insults impacting arousal/ vigilance circuits.
Presentation:
– Below average scores on tasks requiring sustained visual attention, distractibility, mental divide
– Thinner posterior cortices, weaker connectivity between temporal and parietal regions
– Hypometabolism in dorsolateral parietal and temporal cortices during attention-heavy tasks
– Elevated norepinephrine and decreased acetylcholine levels in parietal and temporal regions
Treatment Plan:
– Atomoxetine to strengthen norepinephrine signaling in attention networks
– Weekly noninvasive brain stimulation of temporo-parietal junctions using high-definition tDCS
– Morning light therapy and caffeine to boost arousal neuromodulators
– Acetylcholinesterase inhibitor and alpha-7 nicotinic agonist to support attention filtering
– Remiel workload app with adjustable timers and filters to scaffold time management
– Attention process training exercises focused on selectivity, filtering distractions, time awareness
– Academic coach assists with prioritization, organization, sustaining attention on assignments
This hypothetical integrated formulation and interventions leverage cutting edge techniques to remediate underlying neural correlates of inattention while teaching compensatory strategies. Please let me know your perspective!
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