Practices

Point at the body. 'Your hands went up just then', or 'you put your head in your hands', gives a feeling something solid to stand on.

Feelings argued about in the abstract go round and round. A gesture you both just watched is much harder to dispute, and it opens a door: what was…

When someone goes quiet and you can see they have gone inside, that is not your moment to help. Stay still and let the silence run.

You will feel the pull to summarise, to check they are alright, to bring the other person back in. All of it lands as an interruption. Give it a few…

You can say what an SSRI does in one sentence. It blocks the doorway that carries serotonin back out of the gap between two nerve cells, so more of it stays there for longer and is likelier to be picked up.

Worth being able to say plainly, because most people are carrying something vaguer and more frightening than that. It also sets a fair expectation.…

Serotonin syndrome comes from stacking, and the second agent is usually something nobody thought to mention: a migraine tablet, a cough medicine, a herbal remedy for low mood.

Triptans, tramadol, dextromethorphan, linezolid and St John's wort all count, as do other antidepressants. Someone who mentions in passing that they…