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The promise and predicament of cosmetic neurology

Correspondence to:
Anjan Chatterjee
Department of Neurology and the Center for Cognitive Neuroscience, The University of Pennsylvania, 3 West Gates, 3400 Spruce Street, Philadelphia, PA 19147, USA; anjan@mail.med.upenn.edu Original version received 13 July 2005

14 July 2005

Keywords: cognitive neuroscience; neuropharmacology; brain disorders; cosmetic neurology

The first 150 words of the full text of this article appear below.

Consider the following hypothetical case study. A well heeled executive walks into my cognitive neurology clinic because he is concerned that he is becoming forgetful. It turns out that he is going through a difficult divorce and my clinical impression is that his memory problems stem from the stress he is experiencing. I place him on a selective seratonin reuptake inhibitor, sertraline, and in a few weeks he feels better. Around this time his 13 year old daughter has difficulty at school and is diagnosed by the school psychologist as having attention deficit disorder. I place her on adderall, a stimulant combination drug, which seems to help with her behaviour in school. My patient then comes to me because he is experiencing the "tip of the tongue" phenomena more frequently. He is concerned that his word finding difficulty interferes with his ability to function in high level meetings. . . . [Full text of this article]