Practices

If a river on a summer afternoon does nothing for you, use something plainer. Counting the traffic from a porch, or standing outside a shop counting how many people walk past, does the same job.

Metaphors are personal and there is no prize for liking the poetic one. Some people take to it straight away when it is a road and a stopwatch…

If the language of mindfulness puts you off, drop the language. Call it noticing what your mind is doing, and use it anyway.

Some people hear anything that sounds spiritual and close the door, and then a useful skill goes unused over a word. There is nothing here you have…

Learn a new practice in that order: the picture of what it is, then the plain steps, then actually doing it. Knowing what is coming settles most of the resistance before it starts.

Say to yourself, or to the person you are teaching, that in a minute the talking stops and the doing begins. It sounds trivial and it removes the low…

Say the difficult sentence out loud, on your feet, in something like the real conditions. Thinking it through in your head is a different skill from getting it out of your mouth when your pulse is up.

Acting it out feels awkward and that awkwardness is part of why it works: the version of you who has to speak is the aroused one, so that is the…

Whoever is going to do the feeling picks what to work with. The tightness in the chest, the closing throat, the anger, the grief, whichever one they are ready for today.

Choosing keeps the person in charge of the dose, and being in charge is a fair part of what makes this different from whatever happened to them. If…

Say it out loud before you start: you decide how much of this you feel, and when. Stopping for a bit is part of the plan, not a failure of it.

Being in charge of the dial is most of what separates useful contact with a hard feeling from being flooded by it again. If you are helping someone,…

These medicines work on a timescale of four to six weeks, not days. Say the number out loud at the start, because someone expecting relief this week will have decided by Friday that it failed.

Something does happen on the first day, but it is only the first step of a change that takes weeks to finish. The useful version of this is a date:…

Describe what the first fortnight might feel like before the first tablet, not after the first worried phone call. A warning given in advance turns a bad week into a milestone.

The wording can be plain. Some people feel more wound up for the first week or ten days, it usually passes, and nobody changes anything without…

Somebody will eventually ask you whether you want what is best for your child. It is a sales line, and knowing that in advance is most of what you need to withstand it.

Parents of a newly diagnosed child are frightened, motivated and often exhausted, which is exactly the state that gets marketed to. The question is…

Decide at the start what you are actually aiming at. Eight difficulties down to six, then to four, then perhaps to two. Never zero, because zero was never on offer.

Everybody has some of these traits, and ADHD is largely inherited, so a life with none of it was never a realistic target for anyone. Naming a number…

Hear this before you start rather than after: change here is gradual. Habits built over twenty years do not come apart in three weeks.

Waiting is genuinely harder with ADHD, and a treatment whose reward is months away is exactly the sort of thing that gets dropped in week five.…

Everything has side effects, including doing nothing. The only real question is whether what you gain outweighs what it costs you.

The conversation about medication often gets set up as a risky drug against a safe natural alternative, and that is not the choice anyone is actually…

Treatment is not only about school reports. Lower rates of accidental injury and of other serious harms are reasons in their own right, even for a child whose marks are perfectly fine.

This is the answer to the question about the bright child who is coping academically and whose impulsivity worries you in traffic, on a bike, or…

Said plainly, because it should be: medication is the most effective treatment for ADHD, and by a good margin. Everything else in this area is something you add to that decision, not something that replaces it.

This is not a push to medicate. Families weigh side effects, age, other conditions and their own convictions, and those are proper things to weigh.…

If a treatment comes with a contract, take it to a solicitor before signing. Not because you cannot read it, but because that puts a few days between the pitch and your signature.

Being told not to sign rarely helps, and it asks somebody to admit in the moment that they might act rashly, which almost nobody does in front of a…

Before anything else, the people around the child need to understand what ADHD actually is. Everything else works better once that has happened.

The chain is quite direct. Understanding changes how behaviour gets read, how it is read sets what a parent expects, and expectations shape the tone…