Your body

Breath work goes straight into the body, and for some people that is the problem. If your panic has ever been about not getting enough air, putting your attention on your breathing can set it off rather than settle it.

Asthma, a history of choking or smothering, panic that arrives through the chest: any of these makes the breath a loaded place to put your attention.…

When you are flat rather than wound up, try this. Rub your palms together until they feel awake, let them rest, then breathe in as your arms lift and out as they lower, two or three times.

Sluggish, heavy, far away: those states rarely respond to more calming. A bit of friction in the hands, some movement through the arms and a fuller…

For when you are stuck in shutdown there is a faster practice: short sharp exhales driven from the belly, letting each in breath happen by itself, about twenty of them.

It is meant to rouse, so expect to feel more awake and a little buzzy afterwards rather than calm. Twenty is plenty. Sit down before you start so…

Breathe in for about five and out for about ten, and do not hold at the top. Go straight from the in breath into the out breath, five to ten times over.

That pause after the inhale feels natural to add, and it can raise your heart rate rather than lowering it, which undoes what you came for. If ten…

Fighting, running and freezing are the ones everybody can name. There is a fourth: going along with things, smoothing them over, making yourself easy to be around so that nothing bad happens.

It gets read as being agreeable, or as a personality, and it is often neither. If you grew up being criticised, or spent years around someone…

You are not trying to talk yourself into feeling calm. You are trying to move your body from one setting into another, and the breath is the handle you can reach.

Once the alarm system is running, stress hormones are already in the blood and telling yourself to relax does very little about them. Changing the…

If you keep only one thing, make the out breath longer than the in breath. Four in and eight out is enough, and nothing clever is needed on top of it.

This is the closest thing to a dependable settling lever. It suits the end of the day, a queue you are stuck in, the ten minutes before sleep. Some…

If big breathing feels like too much, make it smaller instead. Breathe so smoothly that the in breath rolls into the out breath with no sound and no edges.

This asks almost nothing of you, and that is the point. Nothing to count, nothing to hold, no depth to reach for. For anyone whose panic runs through…

Let the in breath come however it comes, then breathe out through pursed lips as though through a straw for a count of eight, finishing with two more counts through the nose. Three ordinary breaths, then go again.

Three rounds is the usual dose. Notice what is deliberately left uncounted: the inhale. Counting the in breath when someone is already panicking…

The soft sound and the feel of this breath in your throat give your attention somewhere to sit. When the mind is loud, something you can hear holds better than something silent.

It is called the victorious breath, and the victory meant is over the noise in your own head rather than over anybody else. The vibration in the…

The pull towards bread, pasta and biscuits when you are low is not simply greed. Carbohydrate makes it easier for the brain to get hold of the raw material it needs for serotonin, so it gives a real if short lived lift.

Calling it self medication instead of a failure of character changes what you do next. You stop trying to out-discipline the craving and start asking…

Put a rubber band round your water bottle for each refill you want to get through today, and slide one off each time you finish it. Nothing to remember, nothing to buy, and you can see where you are at a glance.

Tracking anything in your head is hard when your head is already full, and harder still when concentration is one of the things that has taken a hit.…

Where ADHD and disordered eating meet, the pattern is more often bingeing, or bingeing and purging, than strict restriction. Restriction tends to travel with over-control, while bingeing travels with impulse and reward seeking.

This matters because the questions asked at assessment are usually the restriction ones, so a binge pattern can sit unnoticed for years. If you…

Pick one small change and leave the rest alone. A full overhaul asks the most of you at the point when you have the least to give, and it usually collapses in the second week.

One change, small enough to be almost boring, kept for a month. Then another. It feels slow while you are in it, and it is the version that tends to…

Health advice usually assumes a kitchen, a fridge and money for the week. If you are working with less than that, the answer is not to try harder at the advice. It is to shrink the plan until it fits what you actually have.

A plan you cannot keep does more than fail. It quietly adds to the pile of evidence that nothing you do makes any difference, and that pile is heavy…

When digestion goes wrong there are usually two things to look at rather than one: something you are eating that does not suit you, and a body too braced to digest properly. Checking only one door tends to leave you stuck.

Digestion mostly happens when your body believes it is safe. If you eat every meal with your shoulders up round your ears, that alone can show up as…

Months of fog, where thinking feels like wading, is a real complaint and deserves looking into rather than waving away. It usually has more than one cause, which is part of why it gets dismissed.

Fog sits where several things overlap: dissociation, anxiety, poor sleep, thyroid and iron problems, infections, medication. Because it belongs…

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…

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…

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 your body has something going on as well, try to get both looked after at the same time rather than in a queue. Therapy for what happened to you does not have to wait for your gut to settle, and it often goes better when the two run side by side.

Plenty of people park the physical thing while they do the psychological work, or the other way round, then wonder why progress keeps sliding back. A…

Low mood that arrives with bloating, fatigue and a foggy head is worth looking at from the food side too. An immune reaction to something you eat regularly can produce all three, and it gets labelled depression far more often than it gets tested.

The point is not to start cutting foods out on a hunch. It is to say the possibility out loud to a doctor, particularly if the gut symptoms and the…

One of the earliest signs that you are drifting out of the present is that your hands and feet go vague. Not numb exactly, just less there.

It tends to happen before you notice you have gone anywhere. If you learn your own version of it, you get an early warning: a chance to press your…

When what is happening inside gets too loud, turn outward. Name what you can see, listen for the furthest sound, press your feet into the floor.

This is not avoidance. The outward senses and the sense of where your body sits both carry information about now, which is exactly what the flooding…

Thirst, hunger, the ache of having sat too long: these are not nagging, they are instructions. When self-care keeps failing, it is often because the instruction never arrived.

People who have been through a lot sometimes stop registering the signal at all, and then eating, sleeping and resting all go sideways. If that is…

Picture what you feel as weather. A clear morning, a wind picking up, a storm sitting on the far hills. Weather is real, and weather moves.

The useful part is the distance. You are the field, not the storm. And every kind of weather in the picture is on its way somewhere, which quietly…

If something will not shift, pair it with the breath: 'I am' as you breathe in, 'letting go' as you breathe out. Let the out breath be the longer one.

Giving the mind two short phrases to hold occupies it just enough that it stops arguing with the feeling. Meanwhile the long exhale does its own…

Let the uncomfortable thing be uncomfortable, without arguing with it. People are often surprised by the relief that follows.

Much of what makes a bad feeling unbearable is the second layer: the objecting, the wishing it gone, the fear that it means something about you. Drop…

You are allowed to move. Wiggle your toes, rub one arm from shoulder to hand, put a palm on your chest. A body that is doing something is much easier to feel than one held still.

Sitting perfectly still and waiting for sensation is hard work if you are numb, and it often ends with the conclusion that you are broken at this.…

If you keep falling asleep whenever you sit quietly, take it as news rather than as a failed attempt. Your body is telling you how tired it is.

Welcome the first few times. Being tired enough to drop off the moment nobody needs anything from you is worth knowing about, and the honest response…

Sleeping until the middle of the afternoon, day after day, is usually not rest. It is closer to the body shutting down, and it tends to leave you flatter rather than restored.

The tell is how you feel on waking: real rest gives something back, while shutdown leaves the day already gone and you no better for it. Nudging the…

Four steps you can do in ten seconds in the middle of anything: stop, take one breath, look at what is actually happening, then carry on.

It fits inside an argument, a shopping queue, the second before you send a message you will regret. The value is not the breath itself, it is the…

Cold water on your face, especially around the eyes and cheeks, slows things down fast. Splash it, or hold a cold flannel there for half a minute.

This is one of the few things that works when you are too far gone to concentrate on anything. It asks for no skill and no privacy beyond a tap. Lean…

Cross your arms over your chest, hook your thumbs together, and tap your shoulders slowly, left then right. You set the pressure and the speed.

Twenty or thirty seconds is enough to feel something shift, and most people find the breath falls into step with the tapping on its own. Warmth in…

Trace a square in the air with your finger while you breathe: in for four along the first side, hold for four, out for four, hold for four.

The counting brings the breath down to somewhere between four and six a minute, depending on how fast you count, which is the range most of the heart…

In the thick of it, keep your eyes open and give them something outside you to rest on. A fingertip, a doorframe, the line where the wall meets the ceiling.

Closing your eyes takes away the evidence that you are here and safe, and for some people it lets images in that they were holding off. Most…

Breathe in, then let it out as a sigh you can actually hear. Not a polite one.

The sound is the point. A silent out breath does some of the work, and letting the voice into it adds a bit more, which is probably why sighing turns…