Focus, starting, and ADHD

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…

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,…

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…

One gentle way to name it: those are being used as words to play with, and they were never really words for playing with. Said kindly, it lands without anyone being told off.

The young person in front of you almost certainly says it too, so any version that sounds like a reprimand will close the conversation down. Naming…

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…

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…

When someone has missed the deadline again, the talk about how they always do this changes nothing except how they feel. If you want a different Friday, the conversation belongs on Monday, and it is about the plan rather than the person.

This is a hard one, because the frustration is real and often fair. But the lecture lands on a system that was never the failure point, and it adds…

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…

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…

Fasten a time you keep missing to another person. Go up when your partner goes up. Ask a colleague to knock for you on the way to the meeting.

A person moving is much easier to notice than a number changing. Ask for it as a favour and keep it small and specific, because a vague request to be…

You do not have to agree that it will take longer. Add the extra time anyway and let the week prove you right or wrong. If you finish early, you have a spare twenty minutes, which is not a punishment.

This matters because the felt sense of duration is stubborn, and waiting until it corrects itself means waiting a long while. So treat the padding as…

Instead of one warning, give several: half an hour, fifteen minutes, five, one. The child then has time to arrive at the ending rather than having it dropped on them.

A single warning asks a child to track the gap on their own, which is the thing they cannot do. A ladder of prompts turns a stretch of time into a…

ADD and ADHD are not two different things. ADD is the older public word for what is now called ADHD, inattentive type, and the quieter presentation is not a lighter version of it.

The mix up matters more than it sounds. Parents sometimes hear ADD and take it to mean something mild that will not need treatment, and school or…

Manuals rename things. Paediatric bipolar became disruptive mood dysregulation disorder, whole categories were reshuffled to line up with the international classification, and none of it changed who anybody was.

If you have old paperwork carrying a label nobody uses now, that is bookkeeping rather than a hidden verdict on you. What is worth your attention is…

Some people will not believe this exists whatever you show them. You are allowed to give a short honest answer and then let the conversation go.

Keep one or two plain facts ready for people who are genuinely curious, because that conversation is often worth having. It is a different…

Talking a lot is on the diagnostic list. It sits with the impulsive symptoms, which makes it part of the condition rather than proof that you are self absorbed.

That reframe is worth having, because most people who do this have been told off for it for years and have drawn an unkind conclusion about…

Whatever you estimate, add to it. Fifteen minutes is the figure you get at midnight with empty roads; at midday the same trip takes twenty five.

Do not try to estimate better, since accurate estimating is the thing that is hard. Use a rule you can apply without judgement instead: take your…

When you book something, put everything into the entry there and then: the address, the phone number, what you have to bring. You will never have that information more easily to hand than at the moment of booking.

The alternative is standing on the pavement at ten to one, searching for which branch it was, with the insurance card at home. Booking is already a…

The benefit comes from how often you touch it. Writing something in is a rehearsal, looking it up is a reminder, and by the time the day arrives you have met it so many times that nothing takes you by surprise.

Which is why a scruffy system used constantly beats an elegant one opened weekly. Give yourself a couple of fixed moments to look, first thing and…

A three o'clock appointment half an hour away is a half past two appointment. Put the true start time in and let the calendar hold it, rather than asking yourself to work it out on the day.

Lateness usually comes from anchoring on the time printed on the letter and treating the journey as though it cost nothing. Writing the leaving time…

A child who cannot yet catch their own drifting needs somebody close enough to catch it for them. Where they sit does a lot of that work quietly.

From nearby a teacher sees attention go before the work is lost, and can bring the child back without stopping the lesson for everyone. Proximity…