Focus, starting, and ADHD

Forethought can be as small as this. The motorway is dreadful at nine and fine at two, so you go at two. Ten seconds of picturing it, not an afternoon of planning.

If the word planning makes you tired, drop it. What you are doing is running the thing forward once before you commit: where will I be, what will it…

On Monday, take a minute to picture Thursday twice. Thursday with an hour of this already behind you, and Thursday with none of it done. Make both of them specific.

Where are you sitting, what time is it, what does your chest feel like. The comparison is the working part, since one vague future against another…

The planning part of the brain is the last to finish growing, and it keeps developing well into the twenties. Eighteen is a legal age rather than a developmental one.

This is worth saying plainly in a family where someone is being asked why they cannot just be responsible now. Nobody expects a fourteen year old to…

Reading a room is a skill rather than a personality trait, and it can be broken into parts. Before you speak, take a second to look: who is here, what they are doing, how loud the place is.

Give yourself a short list to run through. How are people dressed and speaking, is this somewhere jokes land, is anybody clearly in a hurry. Then…

If a year out is coming, call it a bridge rather than a gap. A gap is a hole in a record. A bridge is going somewhere.

That word will be repeated at every family gathering for twelve months, so it is worth choosing carefully. A bridge year has a direction and an end,…

Writing things down is not evidence that your memory has failed. It is what happens once there is more in your life than one head can hold.

Most people who refuse a system are protecting something: the sense of being capable, of not being the sort of person who needs help with this. Argue…

Putting a task in the diary is not the same as doing it. The slot holds the time. The starting is still yours.

Worth knowing before you build anything, because when the first week goes by with the boxes filled and half of them untouched, the honest conclusion…

If you are living on campus, ask the pharmacist to split the month's supply across two labelled bottles. Then whichever one you are carrying has a valid prescription label on it.

Carrying a controlled medicine loose in a bag, or in an unlabelled tin, is a disciplinary and sometimes legal problem quite separate from any medical…

Stimulants have been used for this since 1937. That is a long time for any treatment to survive, and very few do.

Longevity is a different argument from a trial result. It means decades of changing fashion, competing products, repeated safety scares and reviews,…

These medicines do not pour a foreign chemical into you. Mostly they help you hold on to the serotonin your body already makes, so whatever follows is yours.

The worry underneath is usually about authenticity: that any lift will be counterfeit, or that it will not really be you feeling it. Knowing that the…

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 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.…

Think of a calendar as memory kept outside your head rather than as a test of discipline. Its whole job is to answer what you should be doing now, so that you do not have to work it out.

That framing matters if planners have ever felt like a judgement on you. Nobody expects anyone to hold a phone number in their head any more. The…

If someone selling you a treatment for ADHD uses the word cure, that is your cue to leave. There is no cure. What good treatment offers is fewer symptoms, and that is a real and worthwhile thing.

A registered clinician is not allowed to promise you an outcome, because nobody can honestly guarantee one. So a provider who promises makes you a…

Somebody will eventually ask you whether you want what is best for your child. It is a sales line, and knowing that in advance is most of what you need to withstand it.

Parents of a newly diagnosed child are frightened, motivated and often exhausted, which is exactly the state that gets marketed to. The question is…

ADHD does not look the same in two people. If someone tells you that you cannot have it because you are calm, or organised at work, or did well at school, they are describing one version of it.

Two people with the same diagnosis can look nothing alike: one talkative and always moving, the other quiet and away inside their own head. Other…

Roughly one person in twenty has ADHD, and the figure holds up across very different countries. You are not part of a modern trend.

That number matters in two directions. It means you are not rare, so in a class of thirty or an office of forty there will be others. It also means…