Practices

If you have been the one holding someone's schedule, meals and reminders together, do not put all of it down on the day they leave. Pass it over a piece at a time, each with a date on it.

Write out what you are actually doing for them: waking, appointments, repeat prescriptions, food, deadlines, forms. Most families are surprised by…

Here is a question that costs nothing: has anyone in your family been told their vitamin D was low? It runs in families through genes, skin tone, where you live and how much time anyone spends outside.

The clinician telling this story found out only afterwards that his mother, father and brother had all been low. Nobody had mentioned it, because it…

Around seven in ten people who use herbal products never mention it to their doctor. Not out of secrecy, mostly because a tea or a gummy does not feel like it belongs on a list of medications.

The useful move is to answer a wider question than the one you were asked. When someone asks what medication you take, tell them what else you take…

If you are testing whether a food affects you or your child, the test has to be complete. Among children with suspected sensitivity to artificial colouring, most reacted to as little as 100 mg, so a bit left in is enough to blur the answer.

What usually happens is that a family removes the obvious sources, misses the ones hidden in medicines, sauces and cereals, sees no change, and…

If you are going to test whether a food matters, work out in advance where the plan will leak. School lunch swaps, a grandparent's biscuit tin, your own memory on a hard week: all of it decides whether the answer means anything.

Change one thing at a time and keep everything else steady, otherwise you cannot tell which change did what. Then be honest about who is running the…

Have three or four openers ready before you need them. For what it is worth. Can I run something by you. You might not like this, so give me the benefit of the doubt.

When you are stirred up you will not compose diplomatic language on the spot, so the phrases have to be picked in advance and worn in. Say them aloud…

Rather than taking on someone else's routine, ask what actually makes you feel ready for a day, or better looked after. The answers tend to be specific and slightly odd, and they hold up better than anything prescribed.

For one person it is a shower before anything else. For another it is having the bag packed the night before, or eating something warm, or ten…

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…

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…

Explain the calming corner on a quiet Tuesday, not in the middle of a meltdown. New instructions do not go in once a child is already rising.

Walk them through it when nothing is happening. This is where it is, this is what you can do there, this is how you come back. Let the whole class…

Whatever the correction is, teach it before you need it. A routine the child already knows can be started with two words instead of a negotiation in front of everybody.

Show them the table, the worksheets, what happens when they finish, and let them try it once while nothing is wrong. After that the instruction is…