Sluggish Cognitive Tempo - Treatment

Treatment

Treatment of SCT has not been well investigated. Initial drug studies have been done only with the ADHD medication, methylphenidate (Ritalin/Concerta), and found that most children with DSM-III ADD-H (currently ADHD-C) responded well at medium-to-high doses. However, a sizable percentage of children with ADD without hyperactivity (using DSM-III criteria; therefore the results may apply to SCT) did not gain much benefit from methylphenidate, and when they did benefit, it was at a much lower dose. Tests in lab rats have demonstrated that low doses of Ritalin can increase norepinephrine levels. While methylphenidate and amphetamines have many similar effects on patients (both inhibit reuptake of the neurotransmitters dopamine and norepinephrine, for example), amphetamines also promote release of those neurotransmitters; therefore, Diamond argued, amphetamines may be more helpful than methylphenidate for individuals with ADD (and/or possibly SCT). However, one study found that the presence or absence of SCT symptoms made no difference in response to methylphenidate in children with ADHD-PI. Another study, a retrospective analysis of medical histories, also found that children with SCT responded well to methylphenidate.

Only one study has investigated the use of behavior modification methods at home and school for children with predominantly SCT symptoms and it found good success.

Some SCT individuals report anecdotally that they experience improvement in their ability to focus through meditation, but this claim has not been subjected to scientific study.

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