Low mood and hard feelings

Most people can tell you exactly why the thing is a bad idea. The trouble arrives later, when feeling is running high and all that reasoning is nowhere to be found.

So treat it as a doing problem rather than a knowing problem. Decisions made calmly and in advance travel into hard moments much better than…

Distant health warnings move almost nobody. The cost that lands is the one showing up this month: your memory, your marks, the work you know you could be doing.

So keep it specific and keep it near. Heavy drinking in the teens and early twenties shows up in memory and in school work, which is the exact ground…

What you tried at that age is a poor guide to what is in front of your child now. Cannabis today is far stronger than the same word used to mean.

The sentence that closes most of these conversations is I turned out fine. Try a different one: ask what it does for them, when they reach for it,…

The fog after cannabis is not gone by morning. In younger users learning can stay dulled for several days, so Saturday night is still in the room on Wednesday.

That changes what to look at. Rather than arguing about the night itself, keep a rough note of the days that follow: what got read, what stayed in,…

Nicotine looks like the small problem next to everything else going on, and it is the one most likely to still be here in thirty years.

Most adults who smoke started as teenagers, and the earlier the start the harder the eventual stopping tends to be. So it earns a place on the list…

When someone pours out a lot at once, catch the two or three words carrying the weight and give those back to them, in order.

You said you felt cold in your own house, and like a nuisance. Nothing added, nothing solved. It sounds almost too simple, and it does the thing a…

Let what they say land in you before you answer. The word that catches somewhere in your own chest is usually the live one.

Cold. Empty. A nuisance. Take each one for a second rather than sailing past it to the reply. Then give back the one that carried the charge, and you…

When somebody says they just get on with it, take the getting on with it seriously. That is the door, and arguing with the nothing is a wall.

This happens a lot, I just roll with it, I forget about it: there is a whole strategy in that sentence and it is visible, unlike the feeling…

When someone finally gets one true word out about how they feel, resist explaining it to them. Ask what that word is like from the inside and let them find the rest.

The temptation is to say the clever thing: of course you felt rejected, anyone would. It is often accurate and it usually ends the moment, because…

If a conversation has wandered off and you have lost the thread, go back to the last thing that had real feeling in it, and go back using the words they used.

Not a summary of those words. The actual phrase: 'you said she has her standards and you will never meet them, and your eyes went red when you said…

Never come off an antidepressant on your own. The taper belongs to the prescriber, and for some drugs it needs to be slower and longer than people expect.

The moment to raise this is before anybody acts, not afterwards. If a client is feeling better and starting to think about stopping, that thought is…

If you know something about a person's history that the prescriber may not, say it. A past eating disorder or a single seizure can change what is safe to prescribe.

Bupropion lowers the seizure threshold, and in someone who is purging, restricting or very underweight that risk climbs meaningfully. The therapist…

A calming skill handed over at the wrong moment reads as your anger is not welcome here. For someone taught as a child that their anger was unacceptable, that is the old prohibition arriving again in kinder clothes.

Let the anger be seen first. Say that it makes sense, that there is a reason for it, and only then offer anything that settles the body. The order…

Accepting reality as it is means dropping the fight with what has already happened. It does not mean staying somewhere that is still harming you.

The two get confused often, usually by people who were told to be patient by whoever benefited from their patience. A rough test: acceptance is for…