Your body

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…

A child struggling with attention, anxiety and daily reflux at once may be dealing with one problem wearing three coats. Undiagnosed coeliac disease and other food reactions can produce all of it, and the gut symptom is the clue worth following.

Symptoms that arrive together are worth asking about together. If reading, mood and stomach all went wrong over the same period, that pattern is…

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…

Arrange to meet someone. A neighbour at the gate at eight, a friend expecting you, even an app counting a streak. Turning up for someone else is easier than turning up for yourself.

Benefits that arrive in six months are weak motivators. Something that pays out today works better: a person waiting, a number that goes up, a…

If a child is climbing the walls, green space helps most, a walk down a busy street helps a bit, and staying in the room helps least. Any of the three beats none.

The research on this puts them in that order rather than saying only a forest will do. A park, a scruffy playing field, the bit of grass behind the…

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…

Bolt the movement onto something you would want to do anyway. A game with a friend, a walk to somewhere with good coffee at the end, a route past the river.

People keep up a weekly game with a mate for forty years and never once call it exercise. The friendship is what they turn up for and the moving…

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…

Classes and clubs work mostly because somebody notices when you are not there. It is the being expected, more than the workout, that gets you out of the door.

A running club, a swimming group, a friend at the gate at seven. On the evening when you feel like nothing, an arrangement with another person…

Moving your body and being with people you like are the two most reliable things for feeling well. Doing both at once is not a trick, it is just efficient.

Each of them changes how you feel through the body, and neither depends on you having a good week. A walk with a friend gets you both. If you can…

Clumsy is not a description you can work with. Balance, core strength, shifting your weight, big movements, small ones, catching a ball, keeping a beat: those you can look at one at a time.

Break it down and you usually find a child is fine in four of those and struggling in two. That turns a vague sense that they are awkward into…

Not every family can get occupational therapy. Almost anyone can get outside with a skipping rope, a long rope turned by two people, or a board.

Skipping and boarding ask for much of what a therapist would be working on anyway: both sides of the body keeping time with each other, judging the…

Children need to move before school, during it and after it. Keeping a child in at break until the work is finished takes the movement away from the very child whose finishing depended on it.

Break time is not the whole of it either. A few minutes on their feet between lessons, a walk before the day starts, something physical when they…

Regular massage has been studied with restless, distractible children and teenagers, and their teachers noticed the difference in class as well as the young people noticing it in themselves.

The pattern in these studies is modest and repeated: short sessions, twice a week, over several weeks, with mood and behaviour improving rather than…

In placebo studies, people improve even when they have been told outright that the pill is inert. They also usually spend half an hour talking with someone who is paying attention.

That half hour is easy to dismiss as a detail of the study design, and it may be most of the treatment. Which is oddly encouraging: careful listening…