Focus, starting, and ADHD

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…

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…

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…

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.…

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…

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…

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…

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…

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…

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…