Focus, starting, and ADHD

The unkind thoughts tend to arrive in a handful of familiar shapes. One friend is busy so nobody wants you. One bad mark so you are going to fail everything. Someone did not say hello so they must dislike you.

Rather than fighting the content, try naming the shape: that is the all or nothing one, that is the mind reading one. Most people find they only have…

When you genuinely cannot know what someone thought of you, the harsh guess is no more accurate than the kind one. Since you are inventing either way, invent the version that lets you carry on with your day.

This is not positive thinking. It is noticing the moment you moved from evidence to invention, because at that point you get a say. A short reply…

Try turning 'I will not mess this up today' into 'today I am going to do this well'. You do not have to believe it yet. Said the other way round, it keeps the disaster in front of you all morning.

Notice how many of your goals are stated as things that must not happen. Do not be late, do not lose your temper, do not forget the form. Each one…

Picture spilling coffee down your shirt on the way in. One version: the day is ruined and everyone will see. Another: this is going to be a good story by eleven. Same coffee, two different days.

The part that decides is the sentence you say about the event, and it usually arrives so fast that it feels like part of the event itself. Slowing…

Put something small at stake and you turn up more. Groups that charge a token amount get better attendance than free ones, and the same trick works on yourself.

It does not have to be money. Book the class you would have to cancel a day ahead, tell a friend you will meet them there, pay the small deposit. The…

If cognitive behavioural therapy is the approach you keep being offered for ADHD, part of the reason is that it is easy to measure. It has good evidence behind it, and being the most studied is not the same as being the only thing that helps.

Structured, session by session approaches produce tidy numbers, so they get trialled more often and written up more often. That leaves quieter…

The change mostly happens between the sessions rather than in them. Catching a thought where it actually turns up, at the kitchen table or in the car park, is what makes a new one stick.

Make it small enough to survive a bad week. One thought written down as it came, and one line underneath saying what else might be true. If you have…

You are allowed more than one feeling about the same thing. Relief and grief when someone dies. Love for a job you would walk out of today. Neither one cancels the other.

A lot of the distress is not the feelings themselves but the argument over which one is the real one. Try saying both plainly, out loud: I am…

What you expect from a treatment shapes what you get from it. That is worth a conversation before you start, not months later when it has not worked.

If you are beginning something new and half of you thinks it is nonsense, say so. A doubt that stays unspoken tends to come out as a missed…

If rating a feeling out of ten means nothing to you, use something that does. Colour in bubbles, point at a picture, hold your hands apart to show how big it is today.

This began as an adaptation for children, swapping the numbered anxiety ladder for bubbles to colour in, and it is just as useful for anyone who goes…

Nobody tolerates something unpleasant for no reason. Before starting anything difficult, get clear about what you want on the other side of it, in your own words.

Something like: I want to sit an exam without being sick, so I am willing to practise feeling uncomfortable. The sentence has to be yours. A goal…

Setting out to get rid of worry altogether sets you up to fail twice, first at the worry and then at the failing. A kinder aim is to change how you sit with it.

Anxiety and ADHD keep close company, and for most people some background hum does not go away. What can change is what happens next: whether you…

If your only system for remembering things is your head, of course you are anxious. Nothing is safe in there and some part of you knows it.

Some people hold everything mentally because letting go of it feels like the thing will stop existing. The answer is not trying harder to remember.…

Some of what you believe about yourself is not a distortion. Things really did go wrong, often for years. What can be argued with is the conclusion you drew from them, that this is simply what you are.

Try separating the record from the verdict. The record might be missed deadlines, jobs that ended badly, friendships that faded. The verdict is 'so I…

A reward that is far off has almost no weight in ADHD. Tying the task to something you actually care about gives you a reason that does not depend on the payoff arriving soon.

So instead of 'I should file these', try 'I want to be someone my family can rely on, and this is part of that'. The other half of this approach is…

Worry does two things at once. It makes the problem bigger than it is and it makes you smaller than you are. The second half is the one that usually goes unchallenged.

After years of being told you get things wrong, a low estimate of yourself does not feel like a distortion, it feels like the evidence. So argue with…

Instead of stopping the worry, follow it all the way to the end. And then what happens. And then what. At each step, ask whether you could bear that.

Most catastrophes stop being catastrophes somewhere along the chain, and the place where you say no, I could not bear that, is the useful discovery.…

When someone has gone flat, the question is not what they ought to be doing. It is what still has any life in it for them, however small or unimpressive, and then how to get more of that.

Activities handed out from the outside do not lift much. Someone who brightens talking about their car, or a cousin, or a game has just given you the…

Sitting in a room with other people who lose their keys, cry at nothing and hate themselves for both does something no explanation can. You find out you were never the only one.

Groups also do encouragement better than a therapist can. When someone with the same trouble asks whether you managed the homework, it does not land…

You are already off your phone somewhere. In lessons, at work, in the pool, driving. That is worth more than it sounds.

It quietly disproves the sentence people say most often about this, that they can never put it down. They already do, most days, for hours at a time.…

For one week note three things each time: how you felt before you opened it, how it felt while you were in it, and how you feel twenty minutes after putting it down.

Most people find the before and the after are not the same, and that the middle was better than either. Usually one or two apps come out fine and one…

Sometimes the scrolling is not really about the scrolling. It is about the coursework, or the conversation, or the thing you have not let yourself think about since March.

You can usually tell by what happens when the phone goes. If the hours quietly move into something else equally absorbing and equally pointless, the…

Nobody is asking you to want less of a lift. The ask is to take some of it from somewhere that does not leave you flat afterwards.

Put that way most people will engage, because it is not a demand to become a calmer sort of person. Cold water, music that actually moves you,…

A young person on the sofa with their phone looks like nothing is happening. From the inside it is often the first hour all day that has asked nothing of them.

Both readings are true, and the argument is usually about which one gets said out loud. Naming the second one to a parent takes a surprising amount…

Nobody gets far taking the drink away without asking what the drinking was for. It is the same here. Find out what the scrolling is doing for someone before you start subtracting hours.

It is doing something, or it would not have lasted this long. Company at one in the morning. A way to stop thinking. Somewhere they are good at…

If the phone was giving you company, an evening class in something practical will not cover it. Match what you put in its place to what it was actually providing.

Subtracting an hour and leaving the hour empty is the version that collapses by Thursday. If it was company, the replacement has people in it. If it…

Write down three to five things you actually enjoy, small ones, and do one of them a day. That is the whole instruction.

They have to be yours rather than the ones that sound impressive. Sitting in the garden with tea counts. Ten minutes on the guitar counts. Keep the…

An alarm that marks the end of a session rather than the start. A written list of what these apps give you and what they cost. The phone's own usage figures. An agreement that an hour of scrolling gets matched with an hour of something else. Pick whichever you would actually do.

The choosing is part of why any of it works. A limit handed down gets tested and beaten, while one somebody picked themselves tends to survive a bad…

Try one hour with the phone away and out of reach, then talk about what came up. The hour itself is the information.

What surfaces is usually specific and useful. The twenty minute mark where the hand starts moving. The exact worry about what is being missed. The…

If mindfulness is going to help with ADHD, the version with a chance is small and spread out. A few seconds of noticing, several times a day, rather than one long sitting you come to dread.

A forty five minute block asks you to get settled in one place and then somehow carry that into the afternoon, and the carrying is exactly what tends…

If therapy for ADHD did little for your thirteen year old, that is not a sign they were not trying. The self monitoring it leans on is still being built at that age, and it builds later in ADHD than in most.

The practical reading is about timing rather than willingness. Younger teenagers usually do better when the adults around them change the setup at…

Coaching for adult ADHD comes down mostly to one thing: a standing appointment with somebody who will ask how it went. That sounds thin until you have tried keeping a plan alive entirely on your own.

A coach is not a therapist and does not need to be. They hold the horizon you keep losing and the fortnight that has quietly gone by, and they make…

Mindfulness for adult ADHD is promising and thinly researched at the same time. If it helps you, that is worth having. It is simply not yet in the same bracket as medication or practical therapy.

There are only a handful of studies, mostly small, and few of them set mindfulness against another active treatment rather than against not much.…

The therapy that helps adult ADHD is not really about arguing with your thoughts. It is practical work on how your week is built, and it works because you are the one who can go and rebuild it.

Sessions tend to circle the same handful of things. Where the list lives, what the calendar actually does when you are not looking at it, how a large…