Focus, starting, and ADHD

A reminder system is not a crutch you should be aiming to throw away. It is closer to a pair of glasses. You wear them because they work, and nobody expects your eyes to improve because you wore them for a year.

This matters most for how you talk to yourself while using one. 'I shouldn't need an alarm for this' is the sentence that gets tools abandoned,…

Putting tomorrow's envelope beside your keys only works if the keys are the only other thing there. On a counter covered in post, the envelope just becomes part of the pile.

So the placing is half the job and the clearing is the other half. Choose one surface that stays bare: a spot by the door, the passenger seat, the…

Letting the natural consequence do the teaching only works if it arrives soon enough to be connected to what you did. Where the gap is months or years, nobody learns from it. Not you, not anyone.

So the honest question is not whether someone ought to learn from what happens. It is whether the timing gives them any chance to. A cost that lands…

Feeling bad about being late is a consequence you can talk yourself out of in about four seconds. Telling a friend you are buying dinner if you are late is not.

Pick something small and real, and pick a person who will hold you to it without being unkind about it. Dinner, the coffees, the taxi fare. The size…

Two things depend on the same small gap: looking back at how the last one went, and looking ahead at how this one is likely to go. Neither can happen once you are already moving.

Which is oddly good news, because it is not two skills to build. It is the half second before you answer, agree, buy or set off. Most people already…

Usually it is not that you did not know better. The obvious option had already taken hold before anything you know got a chance to speak.

So more information is rarely the fix. What helps is a wedge between the pull and the action: saying you will answer tomorrow, keeping your hand off…

Without that gap the choice is made before it is a choice: one marshmallow now instead of two in ten minutes. It shows up in money, in work, in what gets said to people.

Worth seeing as one pattern rather than as a list of separate failings, which is both kinder and more useful. The same fix applies everywhere it…

Hang something small and near on the task. No coffee until the expense form is in. Not a treat later in the month, something you actually want in the next ten minutes.

It works better when the reward is genuinely small, genuinely close, and you hold the line on it. Big distant rewards behave exactly like the…

Put the stake outside your own head. Tell a colleague that if you are late to the meeting, lunch is on you.

The link between being late and buying lunch is arbitrary, and that does not matter at all. What matters is that it is real, it happens soon, and…

Give the later self a name and be a bit silly about it. Is Thursday you going to be furious with Monday you again? Is Thursday you always the one clearing up?

This lands with teenagers and with anyone bristling at being told what to do, because it is funny and the joke is what does the work. Turning the…

Do not ask whether you feel like it. The answer is no, today and every other day. Ask how you will feel about it later.

The first question has only one answer and it never varies, which is why it ends up deciding everything. The second is answerable and it moves with…

The job will not feel more pleasant on Thursday. It will be the same job, done tired, in less time, with somebody waiting. Later is not the easier option. It only looks that way from here.

There is a quiet assumption that willingness will turn up in the meantime. It does not. What changes is the conditions, and they get worse. Saying…

Charge the phone in another room overnight. Not face down, not on the far side of the bed: another room, so that reaching it means standing up.

Distance is what does the work here, which is why the halfway versions never hold. If you use it as an alarm, a cheap clock settles that for the…

Praise the sitting down at the desk, not only the finished piece. If recognition only shows up when something is completed, most weeks it never shows up at all.

Say what you actually saw, and say it close to the moment: you sat down twice today when you clearly did not want to. Small rewards work too, as long…

Use a timer you can see rather than one you have to read. A dial where the coloured part shrinks tells you how much is left at a glance, with no arithmetic in the way.

Set it for the length of the task, or for the length you can stand, and leave it where your eye falls. A digital countdown asks you to work out what…

When a young person tells you something in their own blunt words, meet them there. Laughing together buys more trust than a well judged correction ever will.

Correct the language and you sort yourself into the same bin as every other disappointed adult, and after that the useful information stops arriving.…

When something has sat undone for weeks, ask what next month's version of you would say about it. Relieved it is finished, or honestly indifferent?

If future you would be relieved, this is procrastination and it needs a hand: a smaller first step, a set time, someone alongside you. If future you…

An hour exists somewhere in the week for almost anything. That is what makes yes so easy, and it is not the same as having an hour.

The question that gets skipped is not whether the time exists but what is already claiming it. Answering that means calling to mind everything you…

Practise one sentence until it comes out on its own: let me check and come back to you. It buys the few minutes you need to answer truthfully.

The moment of being asked is the hard part, because the yes is out of your mouth before any checking has happened. Having one phrase ready means you…

Put the uncertainty at the front. Not Thursday, possibly Friday, most likely Monday is worth far more to the other person than a confident yes you cannot keep.

It feels worse to say, which is why people avoid it. But a hedge given early costs you nothing, while a promise broken later costs twice: the thing…

The cheapest place to deal with a task is before it ever reaches your list. Some things are better declined in the moment they are offered.

Once something is written down it starts costing you. It gets read, moved to next week, copied out again, felt guilty about. Filtering at the door…

Score each target from one to five rather than done or not done, and have the teacher say a word about it and initial the sheet before the child leaves the room.

Half the work finished earns a three. That matters enormously for a child whose usual score would be nothing at all, because a pass or fail sheet…

Let the child score themselves on the same sheet the teacher scores. Two columns, filled in separately, then looked at together.

At first the two columns can be miles apart, and that is the useful bit rather than a problem. Nobody is being caught out. Over the weeks the gap…

Before anything else, check the child actually knows what the homework is. Most homework goes missing at that first step, not at the effort step.

It might be on the board, on the school portal or in the planner with the teacher having glanced at it, and any of those is fine as long as it can be…

Print the agreement out and stick it up where the child will see it. In a drawer it may as well not exist.

The moment that matters is the one where the console is right there and the maths is not started, and nothing you agreed a fortnight ago is in the…

A small child does not have a feeling, they are the feeling, entirely, until it passes. Growing up is largely a gap opening between feeling something and doing something about it.

If that gap is narrower for you than for other people your age, it is a lag on a road everyone is on rather than a defect. The framing is worth…

Take half a minute and see Thursday night in detail, both versions: the one where you did some of this today, and the one where you did not.

Knowing about a deadline does almost nothing. Feeling it does the work, and feeling arrives through detail. The lamp still on, what is open on the…

Ask a friend to be the person who knows. Send them a line on the days you went, with no reply needed. Being known about today is what does the work.

It only helps if you set it up yourself and say exactly what you want, otherwise it slips into being nagged. Keep it small and specific: one line,…

Try not to ask why. If the person knew why, they would probably have sorted it out already, and the question tends to land like an accusation.

Ask what happened just before instead. What was going on, what they felt, what came after, what sort of day it had been. Those answers can be worked…

You can screen for a processing difficulty with no test at all. Just notice, in ordinary conversation, whether the child is answering what you actually said.

A child who drifts off topic, answers a slightly different question, or needs things said twice may not be avoiding you or daydreaming. The words may…

Behaviour is usually the visible end of a skill that has not been built. What you are watching in a classroom is the shape of the difficulty rather than the shape of the child.

It is a single sentence you can say in a meeting, and it tends to move the conversation away from what to do about the behaviour towards what the…

More of the medicine is not automatically better. What you are looking for is a level that sits inside the working range, and going past it usually brings side effects rather than sharper thinking.

It is a natural thought that if some helps a little, double would help twice as much. In practice people describe the higher dose as flat, or wired,…

Do not compare your dose with anybody else's. Two milligrams of one medicine and a hundred milligrams of another can both be perfectly ordinary, because strength per milligram differs from molecule to molecule.

This comes up in waiting rooms and family group chats and it causes real alarm about being on a lot. The number on the box only means something…

If a young driver in your house takes medication, the dose and the car keys belong together. Driving is the everyday task where one lost second costs the most.

The gap tends to open at weekends and in the holidays, when the dose gets skipped because there is no school and then someone drives anyway. Make it…

If you open atomoxetine capsules to mix the contents into food, keep it away from your eyes and wash your hands afterwards. The powder stings badly.

The molecule is acidic and cannot be softened without falling apart, so the fix is in the handling rather than the chemistry. Take it with something…

Stand up slowly. Getting off the floor after an hour of gaming, or out of bed in the morning, is where the dizziness tends to catch people.

A drop in blood pressure on standing is common enough with these medicines and it frightens people, because a near faint feels like something serious…

If swallowing the capsule is the sticking point, ask whether yours is the bead type that can be opened and tipped onto a spoonful of soft food. The little beads go down unchewed and the medicine still lasts as long as it should.

Inside these capsules sit lots of coated pellets, some with thin coats that dissolve early and some with thicker coats that dissolve later, which is…

The skin patch comes with two things worth knowing before you start. Take it off several hours before bedtime or it keeps delivering and sleep goes, and around one person in six gets a rash bad enough to stop.

The upside is real control over the length of the day. Because the medicine stops arriving soon after the patch comes off, the removal time is yours…

There is now a version taken in the evening that only switches on around nine hours later, so it is already working when you wake. The point of it is the morning, not the night.

Most families know the first hour of the day as the worst one, because the tablet taken at breakfast has not started yet and everyone still has to…

With a bedtime dose, the clock is the dose. Give it too early and the medicine switches on in the small hours, which buys you a child awake at half past four and no appetite at breakfast.

The ordinary effects still apply: appetite tends to dip around the middle of the day and sleep can be harder to come by. What changes is that one…