Your body

These practices are not only pleasant. They change things you could measure, which is worth knowing on the days when pleasant is not reason enough to bother.

Yoga and breath work tend to get filed under relaxation, and that undersells them. There are claims made about them shifting the chemistry involved…

A good instructor says light, moderate, heavy. A poor one says set the dial to three. Only one of those takes account of the body you actually brought with you.

Fixed settings guarantee that somebody in the room is working far too hard and somebody else is barely working at all. If you tend to go flat out and…

There are two skills here rather than one: letting your body move and settle in its own way, and being able to steer yourself deliberately towards rest or alertness. It is worth having both.

Most people are strong in one and shy of the other. If you always take charge, your body never gets to finish anything on its own. If you only ever…

If your attention runs low on stimulation, salty and sweet food is the fastest legal source of a lift and it is available all day. Worth knowing about yourself, because it explains a pattern that willpower alone never seems to touch.

Rates of overweight and type 2 diabetes are higher in people with ADHD, and the reasons are not moral ones. A reward system that is under stimulated…

Caffeine buys about half an hour of sharper focus and takes the payment out of your sleep. It is a decent tool for a particular hour, and using it in place of treatment usually leaves you worse off across the day.

Four cups a day and upwards starts producing insomnia, irritability, tremor, an unsettled stomach and a racing heart, and a few people go sleepy on…

Irritable bowel symptoms turn up more often in people with ADHD, and they tend to track stress. If your stomach is at its worst in the weeks when everything else is at its worst, that is information rather than coincidence.

Two things help more often than they get suggested. Cutting caffeine frequently settles symptoms on its own, since it speeds the gut up and raises…

If your mood drops reliably as the light goes, that is worth naming as a thing in its own right. Seasonal low is more common alongside ADHD, and a light box first thing in the morning helps a lot of people.

Use it early in the day and use it consistently, since the timing is part of how it works. It is also worth asking whoever prescribes for you about…

Very low vitamin D produces fatigue, low mood and a flatness that looks exactly like depression, and it is not part of routine bloods in most places. If you have never had it measured, it is a fair thing to ask for.

One clinician telling this story about himself had a level that was almost undetectable, and no antidepressant would have raised it, because what was…

The vitamin D in a general multivitamin is a maintenance amount, nowhere near what is used to correct a real deficiency. If your level is genuinely low, that is a prescribing conversation with blood tests behind it, not a shelf in the chemist.

Correcting a deficiency usually means a high dose for a defined period and then a steady daily amount, with the level rechecked to see where you have…

Before settling on depression as the whole story, ask for thyroid function and vitamin D to be checked. Both are common, both are cheap to test, and an underactive thyroid produces a picture that looks like depression from the outside.

An untreated thyroid problem also blunts how well antidepressants work, so missing it can mean months on a treatment that was never going to do the…

If a health habit keeps sliding, attach something immediate to it. The apps where you put real money on hitting a step target work for a reason: the payoff arrives now instead of in twenty years.

The natural reward for walking more is invisible and decades away, which is no use to a brain running on what happens next. A small stake, a streak,…

Stress unsettles the gut and an unsettled gut drags on mood, so the two keep each other going. The good news buried in that is you can step in from either end.

You do not have to establish which came first. Easing the pressure on your nervous system helps digestion, steadying what you eat helps mood, and…

Before settling on a purely psychological account of months of anxiety or broken sleep, it is worth having the ordinary bloods done. Low iron, low vitamin D or low magnesium can produce symptoms that look exactly like a mental health problem.

This is not about swapping therapy for supplements. It is about not spending a year working on something a blood test could have partly explained. If…

If you are moving attention through the body, start at the feet and work up. Leave the throat, the chest and the face until last.

The far edges of the body carry less charge, so they are a gentle place to find your bearings. Include the back, which people tend to skip: attention…

There is a difference between watching your hand and being in your hand. See whether you can move from looking at a part of your body to living inside it.

Observing keeps a small distance, which is useful early on and can quietly become the whole practice. Inhabiting is the further step: filling the…

If sitting still with your eyes closed has never worked, do it moving. Walking, washing up, gardening: the exercise is the same, and there is something to hold on to.

Sitting meditation asks for the hardest possible version of the task, sustained inward attention with nothing outside to grip. Attach attention to…

Walk somewhere at a deliberately slower pace than normal. Stop now and then to look at something properly, and let your breathing settle into the pace.

Choosing to go slower is itself the exercise, because it is a small piece of holding back that you can actually feel. Ten minutes is plenty. Outdoors…

If your imagination runs away with you, use it rather than fight it. Guided imagery gives a vivid mind somewhere to go.

Being able to disappear into a scene is a real ability, even when it has mostly got you into trouble at school and in meetings. A recording that…

Left, right, left, right. Walking, swimming, drumming and rowing all give the body the same steady side to side rhythm that the seated techniques are copying.

If tapping your own shoulders feels odd, or you would rather not do anything that looks like a technique, go for a walk instead and let the rhythm do…

Your settling kit should cost nothing. Tea you already buy, a photo already on your phone, an old jumper, a smooth stone, a puzzle that takes your whole attention.

Anything you have to buy first becomes a reason not to start, and for anyone short of money it can add a layer of shame to the thing that was meant…

Move earlier in the day if you can. Whatever it gives you is then available for the hours that follow, and the day has fewer chances to swallow it.

Evenings fill up with everything that got postponed, and the session is usually first to go. Morning does not have to mean dawn: before work, after…

Put music on. A faster tempo pulls your pace up without you deciding to, and the same effort feels lighter when there is something to listen to.

Make a short list you genuinely like and save it for moving, so it does not turn into background. Podcasts and audiobooks do a similar job if music…

Being outside gives your attention something to rest on rather than something to hold. That is why an hour outdoors leaves you clearer than an hour lying on the sofa.

Indoors, most of what you look at wants something from you. Outdoors, leaves moving, water, birds, the light changing, all of it holds you without…

You do not need greenery for outside to help. Snow, grey sky, bare trees, a car park at dusk. Getting out still does something.

This matters if you live somewhere that is brown and frozen for half the year, or in a city with more concrete than park. Wrap up, go out for fifteen…

No particular kind of movement wins. Balance work, martial arts, tai chi, swimming, all of it helps about as much, and what predicts the benefit is moving regularly at all.

This is good news, because it means you can stop researching and start doing. Pick whatever you have access to and will still be doing in a month. If…

Learn a long sequence in small pieces and join them up afterwards. Nobody should be holding twelve steps in their head at once.

Take the first two moves until they are boring, then add the third. It feels slower and it is not, because the version learned this way stops falling…

Doing the identical sequence every time is not boring for everyone. For some people the sameness is precisely what settles them.

Tai chi runs the same series again and again, and there is nothing to decide once you know it. It is a bit like having a programme on that you have…

Slow movement practices seem to help mood, sleep and the general hum of stress. Bringing that background level down often does more for your concentration than trying to concentrate harder.

Running on a constant stress signal wears down exactly the part of you that plans, waits and holds a thought. So lowering the load is not a soft…

Tai chi, qigong, karate, whatever is running near you at a time you can make. Choose on availability, cost and what you actually like, because those decide whether you keep going.

The ingredients are much the same across these: steady movement, a structure somebody else designed, and a session that happens whether or not you…

A hard walk or a run works a little like a small dose of something. Alertness up, mood up, for a while afterwards.

This is a useful way to think about it because it puts movement in the category of things that do something to you, rather than things you ought to…

Movement gives you back some willingness, not just some focus. The problem is often not that you cannot concentrate but that you cannot make yourself care enough to start.

Those are two different difficulties and the second one is usually the more disabling in adult life. After moving, the same task tends to feel…

The best exercise is whichever one you go back to. Something you enjoy, outdoors if you can, with other people if that helps, and above all something you will do again on Thursday.

There is always a more efficient programme on paper. It does not matter if you stop after a fortnight. Judge any plan by whether you would still be…

Moving your body is not a pleasant extra alongside the proper treatment for low mood. It has been tested as a treatment in its own right and it holds up.

This matters most when you are already doing other things and still struggling. Walking, cycling, swimming, anything that lifts your heart rate for a…

If a movement class sounds like it comes with somebody else's beliefs attached, ask what actually happens in the room before ruling it out. Much of it can be done as plain movement.

Stretching, holding a shape, breathing steadily, none of that belongs to anyone. Teachers vary, and plenty will leave out the chanting or the framing…

You do not have to walk into a room full of strangers for this to work. The moving and the attention are the active parts, and both travel happily to your living room.

Group classes suit some people and cost others far more than they give. A video at home, a quiet corner, the same fifteen minutes, all of it counts.…

How often you move matters more than how hard. Pick something you would still do on a mediocre Tuesday.

Big efforts on good days followed by nothing for a fortnight tend to average out at very little. Three easy sessions a week that you actually keep…

Some of what you are carrying has not finished happening. Movement that soothes rather than pushes tends to suit that better than anything strenuous.

Advice built around a danger that has passed does not fit a person still meeting it weekly, whether that is racism, an unsafe household or work that…

Calm is only half the training. Plenty of people are more frightened of stillness than of adrenaline, because stillness puts the guard down.

If everything you practise is a settling practice, half the range goes untrained, and you may be asking someone to drop a defence they still need. So…

Rest is not the prize waiting at the end of the work. It is part of what makes the work possible, and it does not have to be earned first.

Self control runs down over a day the way a battery does, and the thing that fills it back up is properly stopping. What that looks like is yours to…

Aching shoulders and a bad back are not separate from finding it hard to concentrate. Pain takes up room in your head, and there is less left for anything else.

People who are restless tend to hold more tension and pick up more injuries, and then the pain makes the focus worse, and round it goes. So it is…