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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The growth effect is usually small: something like a couple of pounds and a centimetre or two less than expected in the first year or two, with most children catching up afterwards. Knowing the size of it helps, because both blank reassurance and quiet dread are worse than the actual number.

Height and weight get plotted at review appointments for exactly this reason, so ask to see the chart rather than carrying a vague worry between…

Five minutesMedication and how it worksMedical and treatmentQur’an 65:3One line of research

Breaks from medication at weekends or over the summer are a tool for a particular problem, usually growth, rather than something everyone ought to be doing. Where growth is fine, a holiday tends to cost more than it gains.

The days without medicine are not neutral days. They are often the days with more accidents, more falling out with people, and more of the shame that…

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

When you pass on the long term brain findings to a family, call it a hypothesis out loud. The study that would settle it, years of random assignment to a real drug or a dummy one, could not ethically be run.

So the honest sentence is something like: this pattern keeps turning up, we do not know which drug or dose or for how long, and some researchers…

Five minutesMedication and how it worksMedical and treatmentQur’an 12:44One line of research

Nobody asks whether you believe in insulin. The language of belief has attached itself to ADHD medication, which happens to be among the more heavily tested treatments in medicine, so the useful question is what the testing found.

This is not a way of saying your worries do not count. Side effects, cost, how you feel about giving a child a drug: all of that is real and worth…

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

When everything feels flat

Choosing your response

Cool the body first

Breathing

Treatment and medication

Emotions as signals

Growing empathy

Equanimity and perspective

Get started

Reading, numbers and learning differences

When you use something to cope

Shame and stigma

Posture and how you carry yourself

Touch and bodywork

Tolerate distress

Remembering to do it

Practising under provocation

Making it stick

Obsessions and compulsions

Panic and the body

Righteous anger and perfectionism

Being seen and judged

Shame

Feeling from the inside

Rest and pacing

The fear underneath anger

When you go numb

Living with uncertainty

Five minutesMedication and how it worksMedical and treatmentQur’an 16:43One line of research

The question that usually matters most is not which molecule but how many hours it covers. A medicine that has worn off by four in the afternoon leaves the hardest stretch of the day uncovered.

Map your actual day before the appointment: when you need to concentrate, when homework happens, when the arguments start. Taken in and shown to a…

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

Some students do well on a long acting dose through the day plus a small short acting one in the evening for studying. Which short acting drug is chosen matters, because some are gentler on sleep than others.

A second long acting dose in the evening will still be working at midnight, which is how someone ends up studying well and sleeping badly. A short…

Five minutesMedication and how it worksMedical and treatmentQur’an 12:67One line of research

Wanting to try everything else first is a normal instinct and worth taking seriously. It is still fair to ask why we would have a child squint for a year before trying glasses.

The cost of waiting is not nothing. A school year is a school year, friendships form or fail to, and a child's sense of who they are is being built…

Five minutesMedication and how it worksMedical and treatmentQur’an 26:80One line of research

Most resistance to medication turns out to be something a person heard rather than something they decided. Work out which one you are holding, because the two need different things.

A worry built on a half remembered article tends to dissolve once you find out what was actually studied. A worry that comes from your values, about…

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

If you want to try something alongside your treatment, saffron or whatever it is this year, a decent threshold is whether it is safe and legal. Tell your prescriber either way.

Clinicians who fight over every supplement tend to end up the last to know what someone is actually taking, which is the genuinely risky outcome.…

Five minutesMedication and how it worksMedical and treatmentQur’an 5:87One line of research

Holding off on treatment can feel like the safe, neutral option. For a child who is struggling now, it is a choice with its own costs rather than an absence of one.

It is completely reasonable to want to try gentler things first, and many of them are worth trying. What is worth resisting is the sense that doing…

Five minutesMedication and how it worksMedical and treatmentQur’an 5:87One line of research

A swimming float keeps you at the surface. It does not decide which end of the pool you are heading for, and medication is much the same.

That is a good sentence to have ready before the first prescription. What a drug can hand you is capacity: a little more room to hold your attention,…

Five minutesMedication and how it worksMedical and treatmentQur’an 2:286One line of research

Ask for the actual list. Not some side effects, but the specific ones people commonly get in the first week or two, and roughly when they tend to settle.

A vague warning leaves you reading every ache as a sign that something is going wrong. Being told that an unsettled stomach, loose bowels, headache…

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

A generic holds the same active molecule as the brand. What can differ is how much of it reaches you and how fast, because the permitted range is a range and the other ingredients are not the same.

So somebody who says their generic feels different is not being fanciful, and is not usually being cheated either. Tablets are held to a band rather…

Five minutesMedication and how it worksMedical and treatmentQur’an 17:35One line of research

A few medicines leave very little space between the amount that helps and the amount that harms. Lithium is the classic one, and with those the blood test is part of the treatment rather than paperwork.

With a narrow window, things that would be trivial elsewhere start to matter: a bout of dehydration in hot weather, a course of anti inflammatory…

Five minutesMedication and how it worksMedical and treatmentQur’an 55:8One line of research

For someone who cannot swallow tablets, or whose mornings fall apart long before the tablet gets taken, patches exist that release medicine slowly through the skin over hours.

Going through the skin skips the first pass through the liver and smooths out the peak, which changes the timing and sometimes how well it is…

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

One kind of long acting tablet works like a tiny pump. Water is drawn in, an inner layer swells, and the medicine is pushed out steadily through a laser drilled hole. The empty shell comes out whole in the stool, which alarms anybody who was not warned.

The design gives a level that climbs gently through the day instead of peaking early, which helps because the body becomes a little less responsive…

Five minutesMedication and how it worksMedical and treatmentQur’an 65:3One line of research

Some medicines arrive inactive and only become active once the body has broken them apart. Because that conversion happens at a fixed rate, the peak is blunted, the effect stretches out, and getting the drug in faster does not make it work faster.

That last part answers a fear a lot of families carry quietly, since crushing or snorting such a product gains nothing at all. It also explains why…

Five minutesMedication and how it worksMedical and treatmentQur’an 49:6One line of research

The same loss of appetite means very different things in different children. A slight child who was already struggling to gain weight may need a different formulation or a different medicine altogether.

For a sturdy child a smaller lunch is a nuisance. For one with nothing spare it is a reason to change the plan. Non-stimulant options exist and are…

Twenty minutesMedication and how it worksMedical and treatmentQur’an 2:286One line of research

Every workplace runs on a map nobody prints: who really decides, who to ask, what the polite route is. Picking that up by osmosis is exactly the channel that struggles here.

So you follow the written process, do it correctly, and it goes wrong anyway, and nobody can tell you why. The repair is to have it taught rather…

Twenty minutesMedication and how it worksMedical and treatmentQur’an 20:114One line of research

When appetite disappears at lunchtime, work with the child's rhythm instead of against it. Feed them properly at the hours they are actually hungry, which is usually breakfast and then the late afternoon and evening.

What counts over a week is the total, not whether it arrived at the socially correct hour. A decent breakfast before the medicine takes hold, a light…

Twenty minutesMedication and how it worksMedical and treatmentQur’an 7:32One line of research