Researchers have referred to avolition as “an inability to initiate and persist in goal-directed activities”.
Dr King added that although avolition can sometimes be misread as “laziness”, that just is not medically accurate. “Laziness implies choice,” she explained.
“Avolition reflects a genuine difficulty initiating action due to neurological, psychological, or nervous system factors.
“It is commonly associated with depression, bipolar disorder, schizophrenia spectrum conditions, trauma, and burnout, but it is also frequently seen in neurodivergent people, particularly those with ADHD or autism.”
Avolition is itself a symptom, but Dr King said it can manifest differently depending on its cause.
“In neurodivergence, avolition is often linked to executive function differences rather than low mood. The person may want to do the task, understand its importance, and still feel unable to start,” she said.
“This can be worsened by sensory overload, demand avoidance, chronic masking, or cumulative nervous system stress. Unlike everyday overwhelm, avolition involves a shutdown in initiation and reward processing, not simply having too much on your plate.”
She continued: “Common signs include difficulty starting even simple tasks, emotional flatness or disconnection, reduced response to reward, and intense shame or self-criticism.
“People are often told they just need to try harder, which can deepen distress and paralysis.”
“If someone suspects avolition, the first step is to remove self-blame and seek a proper assessment that considers mental health, trauma history, and neurodivergence,” Dr King said.
“Support focuses on treating any underlying condition, regulating the nervous system, adapting environments and expectations, and using small, low-demand steps rather than relying on motivation or willpower.”
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