Practices

Lead with what has evidence behind it. Save the thinly supported options for when the person brings them up themselves.

Mentioning something is a form of recommending it, whatever hedges you attach, and families will spend money and hope accordingly. If they raise it,…

Most people are already doing something for themselves outside your room: herbs, a chiropractor, breathing videos, a weekly massage. Ask, plainly and without a raised eyebrow.

If you treat it as fringe behaviour, you will simply stop being told about it, and then you are working half blind. You want to know what is…

There comes a moment when the tissue under your fingers gives a little and allows more depth. Wait for that instead of pressing your way to it.

It sounds fanciful until you have felt it once, and then it is obvious. Rest your hand, keep the pressure steady, and let the softening decide the…

Regular massage has been studied with restless, distractible children and teenagers, and their teachers noticed the difference in class as well as the young people noticing it in themselves.

The pattern in these studies is modest and repeated: short sessions, twice a week, over several weeks, with mood and behaviour improving rather than…

In placebo studies, people improve even when they have been told outright that the pill is inert. They also usually spend half an hour talking with someone who is paying attention.

That half hour is easy to dismiss as a detail of the study design, and it may be most of the treatment. Which is oddly encouraging: careful listening…

Connection settles people, but the right amount of it varies enormously. Some settle with a house full of family and some with one person and no talking at all.

If closeness costs you something, plan around that rather than pushing through. Shorter visits, sitting side by side instead of face to face, a walk…