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What Is Sluggish Cognitive Tempo, and How Is It Related to Inattentive ADHD? 

Sluggish Cognitive Tempo (SCT) is a term used to describe a distinct set of attention-related behaviours that often overlap with inattentive ADHD , but with some notable differences. Individuals with SCT typically display symptoms such as mental fogginess, slow information processing and daydreaming. While SCT is not yet an official diagnosis, it shares enough characteristics with ADHD symptoms that it often appears in conversations about ADHD subtypes and misdiagnoses. 

Children and adults with SCT may seem more internally distracted than outwardly hyperactive. For parents navigating parenting ADHD, this can lead to confusion or delays in identifying the right type of support, as SCT does not always fit the classic ADHD profile. In both cases, lack of intervention can affect academic performance, social engagement and emotional wellbeing.

 Key Features of SCT and Its Overlap with ADHD 

Here’s how SCT is understood, and where it intersects with inattentive ADHD: 

Mental sluggishness and slow task initiation 

 Individuals with SCT may take longer to respond, start assignments or shift between tasks. These are similar to ADHD symptoms, especially those linked to executive function. 

Excessive daydreaming and low alertness 

Students with SCT often appear lost in thought or disconnected from their surroundings. These traits can be misinterpreted as disinterest or defiance. 

Difficulty with emotional regulation 

Low motivation and slow processing can make it harder to manage frustration or social conflict, particularly in group settings. 

Strain on relationships and family dynamics 

Misunderstood behaviour can lead to relationship issues at home and school. Children may be labelled lazy or inattentive without understanding the underlying cause. 

Need for tailored parenting approaches 

For those managing parenting ADHD, it’s important to recognise when SCT-like traits are present and adjust support strategies accordingly. 

While research is ongoing, SCT adds another layer to how we understand attention disorders. Visit providers like ADHD Certify for personal consultations and help developing a support plan tailored to SCT and inattentive ADHD. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Inattentive ADHD.

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Author

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.