Focus, starting, and ADHD

If a course has no fixed time, give it one. Write down which day and which hour you will watch it, put that in the calendar as though somebody else set it, and tell one person.

Five minutes every Sunday: when am I watching this, and when am I doing the work that comes after it. Then one short message midweek to whoever is…

Worry done on your own goes round in circles. Said out loud to one other person, it usually turns into a problem with edges, and sometimes into a next step.

The rule is short enough to remember at midnight: never worry alone. It does not have to be someone who can fix anything. A friend, a colleague, your…

Partners of people with ADHD tend not to name the lateness or the lost keys as the real injury. It is the size of the reactions. That is where the damage collects.

Annoying is survivable and frightening is not. If you are working through things in a rough order, the temper comes before the calendar, even though…

Being good at apologising is a real skill, and it loses value each time the same apology comes round. After a while what repairs things is something visibly different, not a better sentence.

So keep the apology specific and small. Name the thing, do not explain it away, say what you will do differently, and then let the doing carry the…

The reason your partner follows you out of the room is usually not control. It is the fear that if you leave now, this will never be finished.

So say the return out loud and mean it. I am not dropping this, I will be back at nine and we will finish it. Then be back at nine. A few kept…

A real apology has no because in it. I would not have shouted if you had not looked at me like that is the argument again, wearing an apology's clothes.

Name the thing you did, own it flatly, and stop there. Then do something that shows it: the phone call you dodged, the mess cleared up, the thing you…

You may not get to be a calmer person any time soon. What can change quickly is what you do in the twenty minutes after you lose your temper, and that is the part people remember.

Reactivity shifts slowly if at all, while repair is a skill you could be noticeably better at by next week. Go back sooner than feels comfortable.…

Not every bout of eating too much belongs to an eating disorder. Ask whether how the body looks is part of it, because that is where the two paths separate.

When bingeing comes out of ADHD it is often boredom, or the food simply being there with nothing stepping in to stop it, and the person is not…

Ask for a number first, then go hunting for exceptions. How is today on a scale of one to ten, and when was it last higher than that?

An assessment can turn into an hour of everything that is wrong, which leaves a person flatter than when they arrived. Exception questions do the…

The relative who was shut in a cupboard, tied to a chair or expelled was being managed for the same thing you are assessing now. There was simply no name for it then and no help attached to it.

Told carefully, this changes the story a family tells about itself. Not a line of difficult people, but a trait that has been present for generations…

Before you decide a strategy has failed, check whether the medication underneath it is doing its job. If someone is sitting in front of you still struggling, the honest first answer is usually that it is not, quite.

Ask about the shape of the day rather than the dose alone. When does it come on, when does it wear off, which hours are the hard ones, is there any…

Parents with one affected child often ask what they might do differently before the next one. Answer honestly: there are lists of suggestions in circulation, the evidence behind most of them is thin, and the question underneath is usually about blame.

Take the question seriously and take the guilt seriously alongside it. Give what is genuinely known, say plainly where recommendations run ahead of…

The word one does several jobs at once: a digit, a number, a single object, a whole set. A child who has not sorted those out will put figures in the wrong columns and later read a third as a number instead of a part of something.

When digits land in the wrong place, check whether the child knows what is being counted before calling it carelessness. Say the unit out loud: one…

Debt, impulsive spending, an account that never quite recovers: this belongs in the conversation about attention rather than in a separate drawer marked shame.

People hide this part longer than anything else, which means it is usually the last thing to get any help. If you are the one struggling, saying it…

Where anxiety sits alongside the attention difficulty, a non-stimulant is sometimes the better first choice. Stimulants sharpen anxiety in some people, and that is a hard trade to live with.

The same holds when blood pressure rises on a stimulant that is otherwise working, since adding an alpha-2 agent can make it possible to keep the…

Medication does not make somebody care more. It narrows the distance between meaning to do the thing and doing it, and that distance is exactly what the other person has been feeling as being let down.

It helps a couple enormously to have the right name for what has been happening. The intention was real every single time. What went missing was the…