“I can be working on a project at my desk,” reports one patient, “when, without really knowing it, I begin to think about some other idea my work suggests. Then I follow that thought, or I may even leave my desk to go get something, and by the time I’ve gone to get the thing, I’ve forgotten what it was I was going to get. I’m almost sleepwalking. Hours can pass in this unfocused state. Lots of interesting thoughts pass by, I can be engaged in lots of creative enterprises, but relatively little gets done. I can combat it consciously for a few minutes, but the moment I get into anything, the
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