r/SCT

Study: Interpersonal trauma exposure is associated with CDS symptoms in early adolescents
▲ 14 r/SCT

Study: Interpersonal trauma exposure is associated with CDS symptoms in early adolescents

Full paper: https://link.springer.com/article/10.1007/s00787-026-03051-1

ChatGPT summary:

The study examined whether trauma exposure is linked to Cognitive Disengagement Syndrome (CDS) symptoms in adolescents aged 10–12. CDS involves symptoms such as excessive daydreaming, mental fogginess, slowed thinking, and hypoactivity.

Researchers studied 341 adolescents and their caregivers using interviews and behavioural rating scales. Trauma exposure was divided into:

  • Interpersonal trauma: abuse, domestic violence, violent crime, community violence, etc.
  • Non-interpersonal trauma: accidents, fires, natural disasters, etc.

Main findings

The strongest finding was that interpersonal trauma exposure was associated with higher CDS symptoms, especially when adolescents themselves reported the trauma and symptoms.

Key results included:

  • Adolescents who experienced interpersonal trauma reported:
    • more CDS symptoms,
    • more attention problems,
    • somewhat more hyperactivity symptoms.
  • Non-interpersonal trauma generally was not associated with CDS.
  • Even after controlling for anxiety, depression, ADHD symptoms, age, sex, and medication use, interpersonal trauma still predicted higher CDS symptoms.

The study suggests CDS may partly reflect coping responses to trauma, such as:

  • mentally “checking out,”
  • withdrawing socially,
  • daydreaming to escape distress,
  • cognitive slowing after chronic stress.

The authors also note overlap between CDS and trauma-related symptoms like:

  • spacing out,
  • staring into space,
  • being “in one’s own world.”

Important nuance

The effects were statistically significant but generally small-to-moderate in size. The study does not claim trauma is the sole cause of CDS. The authors emphasise that CDS likely has multiple contributing factors, including biological and environmental influences.

They also stress:

  • the study was cross-sectional, so it cannot prove causation,
  • most participants did not have PTSD,
  • CDS and trauma may influence each other in both directions.

Clinical implications

The researchers recommend:

  • screening people with CDS symptoms for trauma history,
  • using trauma-informed treatment approaches,
  • recognising that CDS symptoms (daydreaming, confusion, zoning out) may interfere with engagement in therapy.

Overall, the paper supports the idea that interpersonal trauma is an important environmental factor associated with CDS symptoms in some adolescents.

u/PatientActive3269 — 2 days ago
▲ 8 r/SCT

Thyroid problems

Does any female or males here been diagnosed with hypothyroidism, hypopituitarism or even growth hormone deficiency?

After a failed strattera trial I have begun thinking about my health more and I am finding it difficult to distinguish between is this purely CDs or could my hormonal issues also be playing a major part here

For reference I am medicated for the above, trial meds for cds include strattera, ritalin, omega 3, Modafinil

reddit.com
u/joanna7599 — 3 days ago
▲ 7 r/SCT

Sluggish cognitive function and work

Got diagnosed with ADD

but most of my issues are due to SCT.

Luckily I work from home because what should be an 8 hr work day is regularly a 16 hr work day because I'm so slow.

Started Strattera a few months ago at 40 mg and just got a dose increase last week to 60mg. They also added Buspar. I'm not seeing any real help for my SCT but I know it's early.

Thinking I will discuss with Pyschiatrist about adding Vyvance to the mix.

Anyone have any positive experiences with these meds and Sluggish cognitive function?

Thanks!

reddit.com
u/Kerhrb — 6 days ago
▲ 7 r/SCT

My experience with CDS

I’ve suspected i have CDS for a little over 6 months now and I figured I’d share my experience. I do think some people on this thread have already articulated things quite well but I’ll just bring my experience here to you. For context, I am diagnosed with ADHD-PI, yet I’ve always felt the inattentive category of symptoms to be massively incomplete to my experience. Which I guess is what eventually led me here. I do suspect I have both tho so keep that in mind if this doesn’t completely resonate.

Hypoactivity
For the entirety of my life I have been mentally exhausted or drained. I always felt like I had no mental alertness, even though I couldn’t articulate it before. Thinking itself feels like a massive challenge and most of the time I don’t feel like I have the mental bandwidth to really do it at all. By thinking I mean goal oriented thought using words. Much of the time the kind of activity on my mind feels like ruminative, wordless, and undirected. I associate it with the mind wandering of the default mode network and what has been described as maladaptive daydreaming. Even while medicated on things like Adderall or Vyvanse, this kind of mental activity dominates my mind, although I do have a greater capacity for intentional thought to a degree I never imagined possible. That being said, it still feels very below what I perceive to be normal for a neurotypical person. When I was younger I used to see how thinking was depicted in a show and always thought it was so bad and inaccurate when the characters would talk to themselves. I would think (although not with words) something along the lines of “this is not accurate at all why would they even choose to depict thinking this way? it’s so unrealistic.” Over time I learned I was the odd one out on that. Intentional thought seems only possible for me while I’m medicated and if I try while unmedicated I get easily lost and it even gets drowned out by the type of daydreaming I mentioned before. And I don’t notice that happening, although I certainly can sometimes. However noticing it doesn’t mean I can necessarily stop it from happening. Interrupting the default mode network thoughts is possible for me but almost immediately a new one starts. And those kinds of thoughts can link back and interconnect in messy and incomprehensible ways. It feels almost hypnagogic. I understand this may sound related to sleep and maybe it is because adhd and certain type of brain activity that looks similar to sleep waves has been linked. But similar things have also been linked to CDS. Anyways all this leads me to my next point.

Slow processing and poor working memory
Like others have mentioned, following something as simple as the plot and dialogue of a tv show is extremely difficult. I tend to have to look up what I watched afterward in order to know what happened and the significance of the plot. It sucks because it affects my ability to actually engage and enjoy media. I can still enjoy it but just not as much as I think others are. It doesn’t just stop at tv shows for me though. It’s music lyrics, movies, books, and even conversations. Conversations are very difficult for me to engage in. I tend to not be able to follow what people say at all. If I even lose track for a second I’ll immediately get lost. I tend to be talked at rather than talked with. I’ve been getting better at actually naming this to people but it’s very hard and embarrassing to do it both with people I’ve known for a long time and with new people too. Because I’d have to be constantly mentioning it. And I think that people often interpret that as me not caring. It’s hard to list everything that could be affected. The tangential and disorganized part of this explanation is attribute to adhd, however the general lack of being able to engage mentally or to have mental alertness at all seems to be more aligned with CDS. In the rare case I actually am able to hold onto what someone is saying, it feels fleeting and takes a long time for me to process and understand what they mean let alone come up with a response. I constantly feel like I lag behind in conversation and it makes hanging out in groups nearly impossible because I can’t keep up with what anyone’s saying. This has led to a lot of masking. That’s what I’m dealing with now. Trying to unmask and be upfront about it. To ask people to be slower and more patient with me. I think I didn’t mention the working memory part but yea the actual things my brain can hold onto feels “fleeting” as I mentioned. It fades quick. And I lose track of my own thoughts constantly or anything for that matter. When I got my adhd diagnosis, my psychiatrist actually told me that even for adhd, my processing seems unusually slow. I don’t think I have any kind of intellectual disability though. I’ve always done well in school. I could always pick up complex topics quickly, albeit I always had to learn on my own as many of the problems I listed already translated into the classroom. I’ve also got a BA in psychology and a BS in biology and I did those things simultaneously and graduated in just over 5 years. I can’t wrap this up succinctly so let’s move on.

Final thoughts and tangents
Anyways that’s mostly it. I am going to therapy now but it’s hard because a lot of the time I think that deductive reasoning approach by therapists lead to a lot of assumptions that end up not being aligned with my actual lived experience. But it’s good that there is a general acceptance by them that “the client is the expert on themselves ultimately.” So my therapist has been learning more about adhd and CDS alongside me and she genuinely wants to help. But describing the experience simultaneously feels like trying to grab smoke or push a car uphill (as someone else mentioned as well).

But yea that’s been my experience. I enjoy following the work of Russel Barkley and John Kruse. Mostly John Kruse these days. Even if you don’t think you have adhd, I do believe his content can be informative as at the end of the day these attentional systems are complex and may overlap with many unknowns. He covers other stuff like OCD, sleep, perfectionism, etc. We’ve merely focused on the symptomology of these disorders. Biological markers are being more emphasized now. And CDS is a topic growing in relevance in research as well. I mean even the biotypes of adhd are strongly challenging attentional disorders as they’ve been understood up til now. At least in how they’ve been classified. I won’t sugar coat it I am depressed but I sometimes have hope. I don’t think the scientific world acknowledges what many of us experience. Even if they know something as a concept the lived reality in neurodivergence is something you can’t really *know* unless you experience it. This world is difficult. I wish you all well. But please share your thoughts and experiences :)

reddit.com
u/Open_Significance982 — 6 days ago
▲ 10 r/SCT

SCT/Brain fog for the past 6+ years. What do i do?

TLDR:

  • The Symptom: 24/7/365 unvarying, severe brain fog localized as a "physical block" in the prefrontal cortex.
  • The Impact: Sluggish information processing, severely impaired working and long/short-term memory, emotional numbing, and an inability to follow even a TV show. No physical fatigue, secondary symptoms or "wired" feelings.
  • The Clue: A single, spontaneous 1-hour remission 4 years ago after a night of short sleep (5–6 hours), waking up feeling genuinely refreshed.
  • Ruled Out: ADHD, SIBO/gut issues, structural brain lesions (normal MRI), thyroid issues, MCAS/PEM, systemic inflammation, insulin resistance, and major vitamin deficiencies.
  • Failed Treatments: Anti-inflammatories, antihistamines, carnivore and SIBO diet, water fasting, Low Dose Naltrexone (2.5mg), Nicotine gum, Antibiotics, nasal corticosteroids, Memantine and other supplements.

As the title says, for the past 6 years I've had 24/7 unchanging brain fog/SCT. I've tried many interventions and it stays the exact same intensity no matter what I do. I don't have any other symptoms other than the brain fog.

The way my fog is different than most is that I don't have a "tired but wired" feeling, the main problem is strictly cognition. It is very comparable to sluggish cognitive tempo meaning it takes me a long time to process information, my long and short term memory are really bad, thoughts feel like they have weight to them and I can't think easily. When I try to think of something often times I forget what I was thinking about. The best way to describe it is as a wall that is in my prefrontal area, or like there is something blocking my brain in the prefrontal cortex. My working memory feels very narrow. I can't even watch TV because I don't understand what is being said.

SUPER IMPORTANT: I've had only one situation where the fog completely relieved itself overnight basically and I was clean for 1 hour, after that it returned and I didn't even notice. It was 4 years ago but if I recall correctly, I did nothing out of the ordinary except sleeping less (~5-6hrs), I tried it again but I couldn't recreate it.

This sent me down a rabbit hole trying to figure out if there was anything that I could fix that was causing the fog. I finally realised it wasn't permanent and could somehow be fixed! I tried antihstamines for 2 weeks, antibiotics, ibuprofen, sleeping more, meditating, cutting out devices and I had no response.

After that I did a series of blood tests which I'll post down below. The only results that were ever off were my vitamin D always - I supplemented but no change, my AST and ALT but I did a workout the day before the blood test and I repeated the test but again nothing came up, after my 9 day carnivore diet my aldosterone and serotonin were a bit high but nothing too alarming or something that can explain the fog, my cholesterol can be a bit lower but also just on the edge of the range, and most recently my homocysteine was 22 but retested it yesterday and it was within range. Everything else (iron, candida swab on face and throat, bilirubin, epstein barr, thyroid, b12 etc. - I will post in the comments) were completely fine.

I scanned my neck with an echo since I felt my lymph nodes and my thyroid was fine and the doctor said the lymph node was unreactive and was probably there because of a previous infection.

I decided to try out a 3 day water fast and I felt no change.

Went to see a neurologist and did the standard tests like checking my eyes, blood tests, MRI and everything was good.

Did the carnivore for around 9 days followed by low sibo diet for 8 days and went to a GI doctor in case I was missing something but blood tests showed I had no problem in the gut and nothing changed during the diets.

I tried nicotine gum, magnesium, omega 3, b complex vitamins, alphalipoic acid and similar supplements to no effect. I've tried taping my mouth since I thought maybe the episode I had no fog was because I slept well, I had also felt refreshed after sleeping after years, but it gave me no change to how I felt. Nowadays I feel neutral when I wake up, but in general my emotions have numbed down and feel neutral all the time.

I then tried LDN at 2.5mg for 2 months and I didn't feel any change in the fog.

Most recently my doctor gave me memantine as a trial and have been taking that for the past 12 days but again I haven't noticed any difference.

What am I supposed to do? I have no other bodily symptoms except the fog and I haven't seen anyone with my kind of problem since the fog is the exact same 24/7/365 and never ever changes.

I've been to a psychologist and adhd has been eliminated, it's just that my cognitive abillities have fallen down drastically. It's not stress since I've had periods where I've done absolutely nothing but again, I can't use my brain at all.

Outside of that I do have anhedonia/emotional blunting and in general have lost the feel for the vibe/atmosphere of the world. I don't feel like I am fully engaged with the world and everything is very neutral.

I don't believe I have SCT in the traditional sense, where it's been there since birth, but it is most like to what my fog feels like.

Is there anything I can do? I haven't done an eeg or other scans since I can't really pinpoint any exact problems, I haven't been able to remove the fog once outside of that spontaneous episode.

Are there any medication trials or treatments I can try out to at least have an idea what might improve or worsen the fog?

So far I've eliminated this list alongside some which I haven't listed since I can't remember:

ELIMINATED BY EVIDENCE
SIBO / gut dysbiosis
Celiac disease
Thyroid dysfunction
Insulin resistance
Active infection / EBV / candida
Systemic inflammation
POTS / dysautonomia
Structural brain lesion
SCT / neurodevelopmental
MCAS/PEM

If there is anything you can suggest please do! I would be very thankful!

reddit.com
u/_Dani_4 — 8 days ago
▲ 6 r/SCT

What helps you guys initiate tasks?

I have both SCT and ADHD-PI. I am currently on Strattera 100 mg; my task initiation is a lot better, but I still start tasks unless there is a sense of urgency. I daydream a lot and it so hard to get out of it unless a deadline is coming up soon. I deleted social media for this reason.

What other strategies do you guys have? I am starting my doctorate in PT program this summer, so I need to find strategies ASAP.

reddit.com
u/Shoddy-Carpet-3976 — 8 days ago
▲ 3 r/SCT

Diagnosis in the UK?

I believe I could have CDS/SCT but unsure whereas a neuropsychologist, neurologist or neuropsychiatrist would be the best person to diagnose. I know it’s not formal and hard to diagnose in the UK. Which is why I’m asking here.

I’ve been diagnosed with ADHD-PI and could possibly have Frontal Lobe Disorder.

reddit.com
u/_kesyersoze — 7 days ago
▲ 9 r/SCT

Top-down and bottom-up attentional stimuli

I've been researching attention networks lately and noticed something interesting. Several of you reading this might have thought that CDS and ADHD sometimes look like the total opposites of each other, some believe it actually is the case. Well, there might be SOME truth to this claim.

Everyone knows executive dysfunction is at the heart of ADHD. Executive dysfunction is heavily interchangeable, in my opinion, with 'problems in top-down attentional processing'. Top-down refers to going from executive to operational, while bottom-up refers to going from operational to executive. In economics, top-down means going from big picture (plans, strategy) to specific details, while bottom-up means going from data and details to strategy and big picture.

In terms of attentional processing, I think the best way to describe top-down and bottom-up is top-down meaning you consciously directing your attention towards something and sustaining that attention (sending stimuli), while bottom-up means receiving stimuli and unconsciously directing your attention towards that (receiving stimuli.)

Defining top-down attentional processing that way does explain executive dysfunction more mechanically. Now, the brain network responsible for top-down attention is the Dorsal Attention Network, and expectedly, there is atypical connectivity within this region in people with ADHD.

The brain network responsible for bottom-up attention is the Ventral Attention Network. Guess what? There is atypical connectivity within this region in people with CDS (https://www.sciencedirect.com/science/article/pii/S2949732924000668). You could say that ADHD is problems with top-down attentional processing, while CDS is problems with bottom-up attentional processing. Ngl this fact was kind of known in other terms. I already knew that CDS had more to do with 'attentional orientation' issues but looking at both disorders in attentional processing terms is pretty interesting. You could say that ADHD and CDS are two sides of the same coin.

reddit.com
u/NormalAd8171 — 10 days ago
▲ 5 r/SCT

Anyone tried Creatine, if so, how many grams a day?

Hi everyone! I have ADHD-PI along with CDS. I currently take Atomoxetine 100 mg, and it helped with some of my CDS symptoms and of course ADHD as well. However, slow processing speed and brain fogs are still a great issue for me. I think the former is a lot more frustrating for me since it takes about 4-5x longer to learn and encode new material.

I am going to be starting my DPT education this coming July; for anyone that is in the healthcare field, I am sure you all know how long and rough the education journey is. I have been working on finding studying tactics for myself; however, I do need something to speed up processing just a bit. I have done some research, and it seems creatine has some good reviews.

What do ya all think of it and what has it done for you in terms of brain fogs and processing speed? Do you find yourself getting through tasks quicker after being on creatine?

reddit.com
u/Shoddy-Carpet-3976 — 12 days ago
▲ 8 r/SCT

Is there anyone who has CDS that lives in Sydney?

I'm a 35 year old woman living in Sydney and I've struggled with what I now understand to be CDS my entire life. I've fought really hard to improve my situation. I've had more than 25 failed medication trials, but I'm still trying.

I've never met anyone who I feel really understands what it's like to live like this, but I would like to. If there's anyone in Sydney with CDS who is looking to meet someone having a similar experience to them, I'd like to hear from you. I'd also be open to connecting with people in other locations online.

reddit.com
u/Direct_Beginning2804 — 11 days ago
▲ 5 r/SCT

Did Strattera increase depression/cause dysphoria for you?

I just jumped on Strattera 3 days ago and can already feel it helping with cognitive clarity and emotional regulation. But after some deep divei saw that it can cause lethargy and depression in some people which seem to be correlated to the partial kappa opioid agonism of ones of atomoxetines metabolites. For anyone that had positive effects with strattera, could you despite all benefits, feel it making your mood in some ways worse, did you maybe even experienced depression or occasional dysphoric feelings? As great as it seems to work in some areas, it would be a major downside if it would generally lower your mood making you unable to feel pleasure.

reddit.com
u/TrippingFollicles — 11 days ago
▲ 2 r/SCT

35 days on strattera no improvement

I am unsure how much longer I should try out strattera for, no improvements in wakefulness, still struggling hugely with slow processing and lack of attention to detail. Any help in what to do next would be greatly appreciated

Also for those who stopped taking it did you go cold turkey?

reddit.com
u/joanna7599 — 14 days ago
▲ 6 r/SCT

Does CDS literature define the “ideal” mental state?

I suppose that the ideal state is the opposite of its symptoms.
That is, to be cognitively engaged with reality.

So, if we look at it that way, and ask what we should strive for, we could say there are two things we should avoid:

• not being cognitively engaged
• being cognitively engaged with fantasy

An example of the first is blanking out.

Examples of the second are rumination and daydreaming. In both cases, I believe, from my own experience, there is some kind of fantasy content that we engage with as if it were real.

For example, you imagine having a discussion with the person whom you believe is the cause of your despair, telling them this or that. Meanwhile, you are sitting there dazed, with your laptop open and Excel open in front of you.

Or you are mentally absorbed in imagined scenarios, emotionally reacting to them as if they were actually happening, while in reality you are standing in the kitchen waiting for the vegetables to cook.

So the point is that, although I am not trying to propose a complete solution, I think it is important to have a goal, a direction to strive toward. And perhaps that goal could be realism: the principle of cognitively engaging with reality.

Therefore, the aim would be to become a realist. And when that begins to happen, or even while we are engaged in the never ending process of achieving it, we should take pride in it. We should also build self esteem on the fact that we are doing everything we can, with what depends on us, to achieve it.

reddit.com
u/Arbare — 13 days ago
▲ 8 r/SCT

Do you distinguish rumination from thinking?

One of the mental activities that people with CDS engage in is rumination. I would say that rumination is a verbal mental activity that goes nowhere, and it often does not even begin with a specific topic. It is just “puff” and suddenly you are inside a repetitive verbal monologue, or even a dialogue with an imaginary person in your mind whom you are addressing.

But on the path toward being cognitively engaged with reality, and actually thinking, or engaging in a genuinely rational mental activity, something that surprises me is how incredibly hard it is. Not only because actual thinking clearly requires things like general knowledge and vocabulary, which many people with CDS may have underdeveloped due to being disconnected, but even more because of the general psychological policy of functioning in a certain way to deal with problems.

We are predisposed to solve problems through rumination, and because rumination shares a common denominator with thinking, namely that both are verbal, it can become very difficult to genuinely think. Yet thinking is literally the only means by which we can make decisions and move ourselves forward.

Something I have done is to allow myself to engage only in mental activities where there is a clear topic or purpose, even if it was not consciously chosen, but where there is always some form of conclusion.

Also, rumination usually revolves around topics related to social problems and life problems. For people without CDS, they tend to reach conclusions and then move on. They conclude things and continue with their lives.

So I would also presume that there is some lack of a philosophical root, or some deeper framework from which one can have enough certainty to conclude things and accept that one has already had the final word on a matter. Once that happens, there is no reason to keep going over it again and again.

reddit.com
u/Arbare — 12 days ago
▲ 4 r/SCT

Is the answer to SCT just good old anxiety, or did you find way to get more energy differently ?

Okay so I have been diagnosed with inattentive type ADHD one year ago, though I have self-diagnosed myself for 2 year and half now. For all my life, work has only been achievable through pressure and stress, I naturally have no drive nor energy to get to the end of a project.

So when I learned there was a treatment available I thought it was amazing, that finally I wouldn't to resort to pain and cold sweat to get through the work, that excitement could replace stress.

Where I come from Vyvanse is difficult to get and methylphenidate is the be all end all of ADHD treatment. I was hoping it could help... Only to see it resorted to the same technique I was already using, only this time chemically induced : stress. Yes I was doing work but only because I was stressed out on it.

The weirdest thing was that it felt almost exactly like caffeine, the same sweat, the same jitteriness, the same "motivation" coming from heightened anxiety.

I see Straterra being mentionned in here and I wanted to know if I could hope to get more energy out of it, or if the noradrenalin basis of the medication imply it will be the same as caffeine or methylphenidate : get productive because you're scared.

reddit.com
u/elejelly — 14 days ago