Practices

Every practice in the library, in one list. Narrow it by how long you have, who it is written for, and where you are right now.

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14 practices

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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…

Five minutesFeelings and focusCBTQur’an 3:139One line of research

Do not walk into a hard event and improvise. Ten minutes beforehand, work out what is likely to happen, what you will do about it, and how you get out if you need to.

If someone is coming with you, make it a shared plan. What the signal is when one of you needs air, who says what to whom, when you leave. The point…

Five minutesFeelings and focusADHD skillsQur’an 16:98One line of research

If someone was adopted, or simply does not know their family history, say early and plainly that this is not a problem. It helps to have and it is not needed.

Otherwise the question lands as one more reminder of what is missing, and some people will spend the rest of the appointment feeling they brought the…

A minuteGetting assessed and diagnosedADHD skillsQur’an 4:28One line of research

Disruptive mood dysregulation disorder was built partly to keep the bipolar label off children whose future nobody can yet see. Worth remembering when that word lands on a family's paperwork: it describes now, and it does not settle later.

Use it the way it was meant to be used. Review it as the child grows instead of filing it as a fixed fact about their brain, and think about how you…

Five minutesGetting assessed and diagnosedADHD skillsQur’an 17:36

Looking for a whole subject rather than a single practice? Start from the nine areas.

One line of research

Strategies for ADHD are visible. A timer on the table, a list on the wall, an alarm going off in a meeting. If someone has not yet made peace with having ADHD, each of those is an announcement, and it will quietly get dropped.

So ask, before handing over another tool: how do you feel about the diagnosis itself? Sometimes the honest answer is that they still half hope it was…

Five minutesGetting assessed and diagnosedADHD skillsQur’an 12:53One line of research

If someone is about to send off a saliva kit to fill in the family history they never had, have a conversation first. These tests hand back more than health information, and they hand it back with nobody in the room.

A father who is not the father, a sibling nobody mentioned, a donor conception no one planned to explain: these arrive by email on an ordinary…

Twenty minutesGetting assessed and diagnosedADHD skillsQur’an 42:38One line of research

Stimulants are not the only licensed route. Atomoxetine, guanfacine and clonidine all hold approval for attention difficulties, and they matter when a stimulant cannot be used.

They usually sit after stimulants rather than beside them, because the comparative evidence still favours stimulants overall. They come into their…

Five minutesMedication and how it worksMedical and treatmentQur’an 73:20One line of research

A heart tracing before starting a stimulant is not routinely needed. Some practices still ask for one anyway, and it can hold a child up for months.

What the guidance asks for is a careful history and an examination, with a tracing kept for children whose own or family history warrants it. An…

Five minutesMedication and how it worksMedical and treatmentQur’an 17:36One line of research

Licences start at six years old, and that number comes from how trials have to be run rather than from a safety finding. Younger children do get treated where the case is strong.

Trials need the child's own assent alongside a parent's consent, and assent means a form the child can read and understand, so studies stop where…

Five minutesMedication and how it worksMedical and treatmentQur’an 10:59One line of research

There are three families of medicine here: the stimulants, the agents that work on noradrenaline alone, and the alpha-2 drugs that began as blood pressure treatments. Three routes rather than three brands of one thing.

That matters when one of them does not work or cannot be used. A poor response inside one family says little about the others, so a sequence has…

Five minutesMedication and how it worksMedical and treatmentQur’an 5:6One line of research

When someone tells you they have failed, the most useful thing you can do is nothing clever. Let your face stay soft and keep looking at them.

Shame is braced for disgust, so it reads your face before it hears your words. A quick reassurance can even land as a rush to move on. Slower is…

A minuteShameEmotionally focusedQur’an 93:3One line of research

A friend or a counsellor telling you that you are not a monster helps, and it only takes you so far. The shame usually sits with one particular person, and it eases most when that person hears the thing and stays.

So aim a disclosure carefully rather than widely. Choose the person the shame is actually about, pick a moment with room in it, and say the small…

Twenty minutesShameEmotionally focusedQur’an 66:8One line of research

Before sending anyone for hands on work, ask what touch has meant in their life. A massage table is a poor place to discover that touch brings something back.

The person delivering it is not there to hold what surfaces, and often has no training for it. So ask directly, ask about what parts of the body are…

Five minutesTouch and bodyworkMedical and treatmentQur’an 2:233One line of research

Telling someone what a treatment will actually be like improves how they respond to it. What it feels like, how long, what is normal afterwards.

Uncertainty makes everything sharper, so filling it in with plain description takes some of the edge off before anything starts. Do not oversell it…

Five minutesTouch and bodyworkMedical and treatmentQur’an 5:6One line of research