@Jean 1347 wrote:

What the best way to improves prefrontal cortical cognitive function ?

Many ADD adult who have prfrontal cognitive dysfunction take ritalin. If this dysfunction is genetic, do this people need to take ritalin for life ?

Do you have a natural strategy that help for improving prefrontal function ?

ATTENTION DEFICIT/HYPERACTIVITY DISORDER
Often, this has a genetic basis affecting nervous system development, in addition to problems in hormonal function and metabolic-nutrition problems. Thus, it is important to consider nervous system treatments such as stimulant treatments. Since it is generally a life-long condition, stimulant treatment may be necessary for the rest of one’s life, if one wants to optimize nervous system function. Many times, if the illness is not severe, a medication holiday may be done, particularly when activities requiring significant focusing capacity are not present (e.g. summer vacations for kids, etc.).

PREFRONTAL CORTEX FUNCTION
Improving function may require a complex treatment at several levels in order to optimize function, including:

• Treatment to address structural problems – e.g. childhood brain maturation, reversing or preventing neurodegenerative loss, etc.
• Treatment to improve signaling problems – e.g. hormone optimization, improving dopamine signaling using stimulants, etc.
• Treatment to improve metabolic-nutritional problems – adequate saturated fats, proteins, vitamins, minerals, etc.
• Treatment to address psychological, psychosocial problems
• Exercise – e.g. walking (which improves cognitive function)
• Mentally demanding activities – continued learning, etc. – which encourages continued brain development, are important.
• Environmental considerations – e.g. avoiding frequently moving an elderly parent from one home to another (since adaptive capacity is reduced in an elderly person, symptoms of dementia may occur when he or she is moved from one child’s home to the other child’s home).

@Jean 1361 wrote:

Thank you. I think it’s not rare to see ADD people with prefrontal dysfunction with adrenal fatigue

I think the problem is more complex when there are a severe adrenal fatigue with some prefrontal dysfonction because stimulant increase stress at the adrenal.

What the solution ? Taking little more Hydrocortiisone or changing to more stronger corticoide like medrol if you want to improve prefrontal cortex with stimulant without adrenal burnout ?
I Known that the best way, it’s to wait for adrenal recovery but some people have severe adrenal deficiency without possibility to adrenal recovery

I think it’s not rare to see ADD people with prefrontal dysfunction with adrenal fatigue,.

It isn’t rare to see Hypothalamic-Pituitary-Adrenal Axis Dysregulation with low cortisol signaling along with attention-deficit/hyperactivity disorder. Low cortisol production is one of the underlying causes of attentional problems.

Cortisol helps the brain disregard emotionally distracting information, allowing one to focus on the task at hand.

Supportive treatment using Hydrocortisone or Medrol are usually always at the same equivalent dose (e.g. 20 mg a day of Hydrocortisone = 4 mg a day of Medrol). And the dose is usually always subphysiologic replacement doses – which don’t shut down adrenal cortex function. Thus there is going to be a dose limit for supportive treatment.

If problems are still present with attention, despite an adrenal support treatment, then additional assessment for other underlying causes needs to be done.