Practices

Say out loud, before you start, that there will be bad weeks. Then when one turns up it is a thing you expected rather than proof the whole plan was nonsense.

Setbacks get read catastrophically when nobody warned you: back to the beginning, all that for nothing. Agree in advance what happens instead. You…

Pick one picture and keep it. Shallow end, middle, deep end. Then the child, the parents and the school are all talking about the same thing without anybody needing the clinical words.

It makes the next step obvious instead of arbitrary. You are not being sent to the deep end, you are moving a bit further along the shallow end. It…

Let the person facing it choose the first step, and let them choose an easy one. A rung somebody picked gets climbed. A rung assigned to them gets argued about.

Ask which one they would be willing to have a go at this week, not which one they ought to be able to manage. The answer usually sits somewhere in…

No step happens without the person agreeing to it. Not ordered, not dragged, not talked round in a bright voice. Agreement is a condition of the thing working, not a courtesy.

Coerced exposure teaches two lessons at once: that the situation is dangerous, and that you are not safe with the people who arranged it. After that…

Ask which step they are willing to try, and then go with their answer. A smaller step they chose themselves tends to get attempted, and a bigger one you chose for them often does not.

In practice this means holding the ladder loosely. You keep the shape of it, they pick the rung, and if they pick lower than you hoped you take the…

A ladder worth climbing has six things: real steps, built with you rather than for you, in your own words, a first rung that is genuinely easy, your hand on the pace throughout, and practice often enough to add up.

Most ladders come apart for dull reasons. The bottom rung was somebody else's idea of easy. The wording came out of a manual. Nobody said you were…

Years of avoiding people leave real gaps, not only fear. How to start small talk, how to join a group already talking, how to get out of a conversation. Those can be taught, and being taught them is not an insult.

Sending someone into a peer group without the ordinary moves risks a genuinely bad afternoon, which then teaches exactly the wrong lesson. Practise…

Nobody puts a child who cannot swim into the shallow end and calls it teaching. Before anyone goes near the thing they dread, they need something to do with their body and their head when the fear arrives.

It takes only one overwhelming attempt to teach the opposite of what was intended: that it really was too much, and that the adults will push anyway.…

Before inviting anyone to turn attention to their body, ask first. How do you feel about trying this now, and would you like to?

The asking is part of the practice, not the preamble to it. Someone whose body was once not theirs to control needs the choice handed back in small…

When someone is distressed, moving too fast to settle them can land as a message that their distress is not welcome here. Let them set the speed.

Offering a breath, a blanket, a change of subject: all of it can help, and all of it can arrive as a shutting down if it comes before the person has…

If rating a feeling out of ten means nothing to you, use something that does. Colour in bubbles, point at a picture, hold your hands apart to show how big it is today.

This began as an adaptation for children, swapping the numbered anxiety ladder for bubbles to colour in, and it is just as useful for anyone who goes…

Step in while a child is only starting to wind up, and offer something calming rather than a correction. Slow breathing, counting, a soft toy, a quiet corner for a few minutes.

Three to ten minutes in a set place is plenty. It works best when the offer is warm and matter of fact, one sentence, no lecture about what they did.…

The whole value of a calming corner is that the child can take themselves there. An adult may suggest it, but if it is only ever ordered, what gets learned is obedience rather than self-regulation.

Make it clearly available rather than assigned. They go, they take their few minutes, they come back with a short hello and a nod at whatever they…

Instead of sending a child out to sit and stew, send them to a side table for three very easy worksheets, then straight back to whatever everyone else is doing.

It takes them out of whatever was rewarding about the behaviour without leaving them with nothing to do and an audience to play to. Keep the work…

Time with people is not the nice extra you get to once the real work is done. Put it alongside sleep, medication and exercise rather than underneath them.

It helps to treat it like any other part of a plan, with something specific in the week rather than a general intention to be more social. One…

Belonging to the group does nothing. Going does. Having a friend does nothing either, unless you see them.

So count the actual events. How many times this week did you sit with someone, not message them. A number you can check beats a resolution to be more…