Your body

Put an actual number on it: how many coffees, teas, energy drinks and colas in a normal day. Without that number, your sleep problems, your anxiety and how well a medication is working are all being read against an unknown.

People underestimate this, partly because it feels embarrassing and partly because a large takeaway cup is often two or three servings. Count across…

Stimulants sharpen focus in almost anyone, so responding well to one does not confirm you have ADHD. The diagnosis comes from your history and how you function, not from a trial of tablets.

This cuts both ways. Someone can be handed a diagnosis on the strength of a good response, and someone else can be doubted because their response was…

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…

Saying a difficulty is in the past is not the same as saying it was never real. Sometimes a picture changes because something that was making it worse got taken away, and the honest words for that are neither cured nor imagining it.

People who have been disbelieved by doctors are very sensitive to this, and with reason. The choice usually gets offered as either it was all in your…

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…

If you are testing whether a food affects you or your child, the test has to be complete. Among children with suspected sensitivity to artificial colouring, most reacted to as little as 100 mg, so a bit left in is enough to blur the answer.

What usually happens is that a family removes the obvious sources, misses the ones hidden in medicines, sauces and cereals, sees no change, and…

Cutting artificial preservatives out can genuinely help a child who reacts to them, because a child who feels unwell behaves worse. What it does not do is treat the ADHD underneath, which will still be there once they feel better.

Worth being clear with yourself about what you are hoping for, because these diets are expensive and hard to keep up. If your child does have…

Gluten free and dairy free eating is essential in coeliac disease and in a genuine milk allergy. Neither one treats ADHD, and putting a child on them without a reason carries costs of its own.

The cost is not only money and nutrition. It is the birthday party where they cannot have the cake and the lunch table where their food is different…

If you are going to test whether a food matters, work out in advance where the plan will leak. School lunch swaps, a grandparent's biscuit tin, your own memory on a hard week: all of it decides whether the answer means anything.

Change one thing at a time and keep everything else steady, otherwise you cannot tell which change did what. Then be honest about who is running 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…

Before inviting anyone to turn attention to their body, ask first. How do you feel about trying this now, and would you like to?

The asking is part of the practice, not the preamble to it. Someone whose body was once not theirs to control needs the choice handed back in small…

When someone is distressed, moving too fast to settle them can land as a message that their distress is not welcome here. Let them set the speed.

Offering a breath, a blanket, a change of subject: all of it can help, and all of it can arrive as a shutting down if it comes before the person has…

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…

Say it plainly whenever you teach anything: the way I am showing you this is not the way it has to be done. Change it until it works for you.

Anyone who has failed at the standard version of something several times will not try again unless they are told clearly that adapting it is allowed.…

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…

You do not need a diagnosis to be worth teaching this to. Something that takes seconds, costs nothing and travels with you is worth having before you need it.

Practise it on an ordinary day, sitting on the bus or waiting for the kettle, so your hands already know it when the day is not ordinary. That is…

When you are helping someone settle, put the technique in their hands rather than your own. They tap themselves, they set the pressure, they stop when they want to.

Being touched by someone else, even kindly and with permission, asks a lot of a person whose body has been handled badly before. Self-administered…

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…

Tap the fleshy side of one hand with the other and say it plainly: even though I am feeling all this in my body right now, I can accept that this is how I am.

You can strip away everything else and this part still stands up. Naming the state and accepting it in the same sentence blocks the second wave, the…

Before you try anything, give your distress a number out of ten. Do the thing. Then give it a number again.

Even a drop from eight to six is worth having, because you were the one who moved it. That is often the more important result: not the two points,…

When you have gone numb rather than frantic, try a long low sound on the out breath. Voo, drawn out until the breath runs out, so your lips and chest buzz with it.

This is for the flat, far away state, not the racing one. The buzz gives you something unmistakable to feel when nothing else is registering, which…

After you have tried something to settle, check: how here do you feel now, compared with before? Do not assume it worked just because it usually does.

This takes ten seconds and does two jobs. It tells you whether that particular thing is worth reaching for again, and it slowly trains you to notice…

Rest one hand on your forehead and the other on your chest. After a few minutes, move the forehead hand down to your belly. Eyes open or closed, whichever you prefer.

Again the instruction is only to notice what goes on between the two hands. That noticing is quietly the training: it is body awareness arriving…

Two senses rarely get named: the one that tells you where your limbs are, and the one that tells you which way is up. Pressing your feet into the floor or slowly turning your head feeds both.

When someone feels unreal, or far away from their own body, these are the channels that have gone quiet. They carry plain information with no feeling…

Keep one strong smell for when you have gone flat, lemon or peppermint, and one soft smell for when you are wound up, something like lavender. Smell asks nothing of you, which is its whole advantage.

Set this up in advance, because the moment you need it is the moment you will not feel like planning. A small bottle in a bag, a sprig in a pocket, a…

For coming down, something sweet taken slowly tends to help more than anything you chew: sipped through a straw, or let dissolve on the tongue. Nobody around you can tell you are doing it.

Slow sucking soothes in a way that goes right back to the first weeks of life, and it is quiet enough to use in a meeting, on a bus, in a waiting…

When you have gone flat and far away, chew something noisy or blow something: pretzels, raw carrot, bubbles, a slow puff at a candle flame. It lifts you without tipping you into panic.

Collapse does not respond to calming, since you are already too far down for that. What helps is work for the jaw and a long active out breath, both…

On a video call, two things still work well: touching your own face gently, and rocking. Both are yours to do, and both are visible enough to be done together.

Distance takes away most of what one person can offer another physically, so it helps to know what survives it. A hand resting on your cheek, fingers…

Before you walk into a room with someone, ask what you are carrying in with you, and what you are likely to leave behind when you go.

State travels ahead of words. A hard conversation an hour ago, a bad night, a piece of news you have not dealt with: any of it will be in the room…

Whenever you offer a standing practice, offer the seated version in the same breath, and mean it. Say plainly that people should look after their own bodies and change anything that does not suit them.

Say it before you begin, not afterwards, so that nobody has to interrupt to ask. If you cannot see the people you are guiding, say that too, and say…

When you sit down to breathe, notice your pelvis. Tucked hard under or tipped hard forward both squeeze the breath; somewhere in the middle lets the diaphragm move.

Rock gently forward and back a few times and stop where the breath feels easiest, rather than aiming for a posture that looks correct. You will…

Offer any movement in three sizes: small, medium and full. Let people take the one that fits today, and let them change their mind halfway through.

For a twist that might be a simple reach, or a reach with the other hand placed behind, or loose swinging arms. The three sizes do quiet work. They…

When you offer someone a practice, ask them to tell you if it did nothing, and mean it. Say out loud that plenty of these do not land.

People agree that things helped for all sorts of reasons: not wanting to seem difficult, not wanting to disappoint you, having learned long ago that…