The guiding assumption of the adult with attention deficit disorder, like that of the small child, seems to be that only the present exists and needs to be taken into account. He lives as if his actions had no implications for the future, no effects on future needs, relationships or responsibilities. The short-term goal is invariably chosen over the long-term, with the exception of activities or projects capable of arousing the sluggish motivation-reward nexus in the brain. The present impulse dominates. It has been aptly said that people with ADD forget to remember the future. In the moment
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