Focus, starting, and ADHD

The line about not cutting, crushing or chewing a long acting medicine is a safety instruction with a real mechanism behind it. Break the coating and the whole day's dose arrives in one go.

People sometimes crush a capsule because swallowing is genuinely hard, not because they are misusing it, so ask before assuming. There are usually…

Count good days, not unbroken runs. Whatever yesterday was, brilliant or a write off, the only live question is what can be done with today.

Streaks make one slip cost everything, so the missed night turns into a missed week and then the whole effort gets quietly dropped. Aiming for more…

There is no brain scan, EEG trace or blood test that can tell you whether someone has ADHD. Anything sold as an objective biological test for it is promising more than the science can give.

Group differences do exist, including in the theta to beta balance, but a difference that appears when you average hundreds of people cannot identify…

Balance difficulties do turn up more often in ADHD, by something like half again. That is a fact about company, not about cause, and it does not turn balance training into a treatment.

Plenty of things could sit behind a link like that. More falls and knocks, more risk taken, or genetics feeding both at once. Working on balance…

Protocols that spin a child in a chair or tip them backwards and forwards to train balance do not improve ADHD. What they mainly produce is a dizzy child.

There is a cost beyond the wasted afternoons. Something unpleasant that was introduced as treatment teaches a child what treatment feels like, and…

The amount in a capsule can vary from bottle to bottle, and sometimes between capsules in the same bottle. Undeclared fillers have been found in them too.

This matters most when you are trying to work out whether something helps you. A good month followed by a flat one may be two different products…

Kava can damage the liver at a high enough dose, badly enough that some countries have banned it. Herbal is not a synonym for gentle.

The unnerving part is how quiet liver damage is. Someone self medicating anxiety with kava can be accumulating harm and feel nothing at all until it…

Vitamin C cannot really be stockpiled, since the excess leaves in your urine. A, D, E and K are stored in fat, so a large daily dose keeps adding to itself.

Vitamin D is where this bites at the moment, after a lot of people started taking big amounts on their own during the pandemic years. If you are…

Omega supplements thin the blood, so they usually do not belong alongside warfarin. Bruising easily is often the first thing anyone notices.

One clinician worked out that her husband's bruising came from taking omegas on top of his Coumadin, and it settled once his doctor told him to stop.…

If fish oil gives you those horrible repeats all afternoon, that is a fixable problem rather than a reason to stop. Keep the capsules in the freezer, ask about an enteric coated version, or try a flavoured liquid.

Sticking with something usually fails for small unglamorous reasons like this. Someone with a sensitive palate will not last four weeks with an…

Most of what we call memory looks backwards. The kind that actually runs your week is the other sort: a plan that has to show up in your head at the one moment you could still act on it.

So when something gets missed, the question is not really whether you knew about it. You almost certainly did, at the time you agreed to it. What…

When a task is missed it is usually not sitting somewhere being refused. It has gone off the radar altogether, the way a name goes when somebody asks you for it.

The refusal reading is the expensive one, because it turns a lapse into an insult and starts the argument in the one place where nothing can be…

A thought you have in the car about something to say at home is worth nothing until the person is actually there in front of you. Cues have to sit where the action becomes possible, not where you happened to think of it.

Picture where you will be at the moment the thing can be done, and put the reminder there: a note on the front door for something that happens on the…

The moment you think of it is the only moment you are certain to have it. Do the thing, or write it down, or set the alarm, or put something odd in your pocket that will make no sense later until you check.

The two seconds of holding it in mind while you finish what you are doing is usually where it disappears. So make capture the reflex instead of the…

Start the email and then stop: address it, write the subject line, leave it unsent. The half finished thing sits in your drafts looking wrong until you deal with it.

It works because it leaves an odd looking object in a place you already go, and because unfinished jobs nag in a way that quiet decisions do not.…

The bag that has to travel with you tomorrow goes on top of your shoes, not neatly beside the desk. Let the object stand in the way of a route you walk without thinking.

The phrase worth keeping is point of performance: the reminder has to sit where the action happens, at the time it has to happen. A note on the…

Sometimes you cannot write it down. You are driving, your hands are full, you are halfway through a conversation. Then picture the moment in detail instead: the room you will be standing in, the object you will be looking at when you do it.

Make the picture concrete rather than worthy. Not a solemn 'I must ring the surgery' but the desk you will be sitting at, the mug beside the phone,…

The studies tying childhood screen hours to later attention problems are correlational. They cannot tell you which way the arrow points, and there is a very ordinary reading where it points the other way.

The child who cannot settle is the child most likely to be put in front of a screen so that dinner gets cooked. A parent who is scattered themselves…

A ping about a parcel and a ping about your mother's health feel identical in the second before you look. Give that feeling a name, false urgency, and you get a little room.

The buzz carries no information about importance. It borrows the feeling of importance and lends it to whatever happened to arrive. Naming it in the…

You are comparing how it feels inside your own head with what other people chose to show. Those two were never the same kind of thing.

Keep the sentence short enough to actually use, because you need it while your thumb is still moving, not an hour afterwards. Somebody's holiday…

When you wave off what your child is into, they rarely hear a comment about gaming. They hear something about themselves.

At that age a good part of who someone is gets built out of what they love, so a shrug at the thing usually lands as a shrug at the person. You do…

Gaming for an hour before you start the work almost never costs an hour. Do the thing that has to be done first, then the thing you want.

Once something enjoyable is running, whatever you were meant to do afterwards looks duller than it already did, and the hour quietly becomes three.…

Charge the phone in another room overnight and use a proper alarm clock. Small change, and it takes the decision away from you completely.

In bed the phone is right there, and stopping is left to you at the hour you have the least left. Out of the room, there is nothing to resist. Buy…

The aim was never to stop needing the aids. It is to find ways round the parts that do not work well, and then to keep using them.

People tend to treat the alarms, the lists, the whiteboard by the door as scaffolding they ought to take down eventually. That is usually why it all…

Everyone has something about themselves they wish were different, and something they cannot do reliably however much they mean to. Yours has a name and a good deal of research behind it, which is not the same as being uniquely broken.

Say this carefully, because there is a careless version that does real damage. Everyone is a bit ADHD is not what is meant, and it leaves a person…

One man with ADHD described the goal as no longer suffering from it, only having it. The diagnosis had not changed. What it cost him had.

Half of that shift comes from removing particular sources of pain: the job that was never going to work, the arrangement at home that left everything…

When you fall off task, restart without the pile-on. Talk to yourself like a good coach, not a critic.

The lost hour is gone; the next one is not. Skip the self-attack and just begin again.

In the famous test a child is left alone with one sweet and told that waiting will earn them two. Some reach for it almost before the grown up has finished speaking. They understood the offer perfectly. The second sweet simply was not real to them.

That is the whole thing in one image: the knowledge intact, the feeling absent. You can know that filing the return today would save you a fortnight…

A hundred pounds now, or the same hundred pounds guaranteed at the end of the year. Same money, same certainty. One of them pulls at you and the other does not.

Worth sitting with for a moment, because it takes risk out of the picture entirely. There is nothing to lose by waiting, and the near one still feels…

Here is a short way to hold the whole difficulty: the now in front of you is too big and the later is too small. It fits in your head at the moment you need it, which longer explanations do not.

Use it as a question rather than a verdict. Standing at the fridge at eleven at night, or with the tab open instead of the form, you can ask whether…

Choosing the dull useful thing over the bright easy one starts with a pause, not with willpower. If the pause never happens, nothing downstream of it gets a chance to happen either.

The chain runs roughly like this: something stops you for a second, you notice what you are doing, the later consequence comes into view, and only…

Getting going is a separate expense from working slowly. Plenty of people move quickly once they are in and still lose forty minutes in the gap between deciding and starting.

It is worth knowing which of the two you are paying, because the answers differ. If the work itself is slow, you want fewer interruptions and simpler…

Time speeds up inside something absorbing and crawls inside something dull, and for many people with ADHD that swing is much wider. Which means your sense of time is least reliable exactly where you need it most.

Two things follow. When the task is dull, expect your sense of how long you have been at it to fall well short of the truth, so use a timer instead…

A clock with hands shows you how much is left. A number only tells you where you are, which is why the hour can vanish while you keep checking it.

Try one on the wall where you work, or the sort that shows a shrinking coloured wedge for the time remaining. What you want is to see the deadline…

If you will not look at clocks, let something tell you instead. A watch or phone that buzzes every fifteen minutes, or on the hour, rebuilds a rough sense of how long you have been at this.

Start with a gentle interval, a quarter of an hour or half an hour, and treat it as a question rather than an alarm: what am I doing, and is this…

Reading the time off a clock does nothing on its own. The useful bit is the question straight after it: where was I meant to be by now, and how much is left.

Try adding one sentence to every glance. It is twenty past two, so I have forty minutes and I am about halfway. Said out loud it sounds laborious,…

Keep one short question and use it everywhere: is this what I should be doing right now. Nothing clever, just the same words often enough that they turn up on their own.

The value is in it being fixed. An intention to monitor yourself is far too vague to survive a busy afternoon, whereas a set phrase can be triggered…

The timer you will actually use is the one that takes two seconds. A dial you twist beats an app with four taps, every time, whatever the app can do.

Keep a cheap kitchen timer where you work and another where you get ready. If speaking to a smart speaker is quicker for you, use that instead.…

If you have ten minutes and the episode is forty, the moment to act is before it starts. Stopping halfway is a much harder ask than never beginning.

This is worth knowing about yourself without shame: once you are inside something absorbing, the pull to stay is enormous and the part of you that…

Almost everyone has an alarm to get up and almost nobody has one to go to bed, which is odd, because bedtime is the one with nothing else pushing on it.

Set it for half an hour before you want to be asleep, so it catches the start of the wind down rather than the end. Expect to ignore it for the first…