RING OF FIRE ADD SPECT findings: At rest and during concentration (often worse during concentration) there is patchy increased uptake across the cerebral cortex with focal areas of increased activity, especially in the left and right parietal lobes, left and right temporal lobes, and left and right prefrontal cortex. In addition there is often increased activity in the cingulate gyrus. Primary symptoms: inattentive, easily distracted, irritable, overly sensitive, cyclic moodiness, and oppositional. May or may not be hyperactive. Many of our younger “difficult cases” had this pattern in the
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