Practices

This kind of change is slow, and saying so at the start is a kindness. A goal you can actually reach beats a promise that turns the first bad week into proof of failure.

If you are helping someone, name the timescale honestly and say out loud that lapses come with it. If it is your own work, write down what a…

Nobody arrives with restraint already fitted. If holding your tongue feels like unnatural work, that is what it is for everyone, and it says nothing about what you are underneath.

This matters because the story you tell about a flare decides what you do next. Broken means give up quietly. Unbuilt means pick one situation, the…

The old reaction does not get erased. You lay a new one over the top of it, and on a tired or unfamiliar day the old one can still come through.

So a flare after months of doing well is not everything undone. That is what relearning looks like, and it tends to turn up alongside broken sleep,…

This is not a milestone you pass. The two year old's version goes, then a version comes back at twenty two, and again at fifty two, wearing whatever clothes that stage of life provides.

So think maintenance rather than course completion. When conditions change, a new baby, a new manager, an illness in the family, expect the old…

Do not say the small unkind thing about them to someone else.

Today, notice the moment when you could make an easy joke at your spouse's expense, to a friend, a sibling, your mother, the group chat. Don't. Say…

Take the sarcasm out of one conversation today.

Contempt is the most corrosive tone in a marriage; its opposite is plain, warm respect.

Do not make the easy joke at their expense to someone else.

Guarding their dignity when they are not in the room is a quiet, powerful loyalty.

Raise the complaint without the words always or never.

One specific moment can be repaired; a sweeping verdict on their character cannot.

Notice the tone you use with them that you would never use with a guest.

The people closest to us too often receive our least careful manners; this gently reverses that.

It runs the other way as well. Among children referred for dyslexia, a sizeable minority also have ADHD and many have coordination difficulties too. Whatever is written on the referral, treat it as one part of the picture.

Where the reading difficulty is severe, motor involvement is more likely to be there alongside it, which is why the first look should be wider than…

Dyspraxia and developmental coordination disorder are the same thing carrying different passports. Search only the American term and you will miss a large European literature on assessing and helping these children.

Search both, and try the older names while you are there. It matters most when you are looking for what actually helps, since much of the…

When a bright, talkative autistic child arrives looking mainly behavioural, look underneath for a coordination or reading difficulty. Once the first label is in place, whatever comes after tends to get filed under it and never assessed on its own.

Watch for the child who does well in conversation and badly on paper, or who is fine in class and miserable at PE. Those gaps are usually a second…

Choose the subtests that answer the question you were actually asked, and read whatever reports the family already has before adding anything of your own. Children arrive with thick folders, and they also arrive with nothing at all.

Where occupational therapy, speech and language or neuropsychology have already covered ground, do not cover it again for the sake of a complete…

Two referrals turn up again and again. A young child being asked to leave a school for behaviour, with no developmental or cognitive information anywhere in the file. And a parent saying something is wrong while the school says everything is fine. Both are describing adult frustration rather than a formulation.

In each case the first job is the same: get some data. Not another opinion, not another meeting, but something measured about how this child thinks…

A clinician trained thoroughly in autism and ADHD may know almost nothing about coordination or reading difficulties, and can spend years working above foundations nobody ever checked. Ask yourself which of those categories your own training left out.

Go back over a handful of old cases rather than only reading about it. Where a child made less progress than you expected, ask what you never…

Assessing a child's thinking used to mean a referral, a waiting list and a report some months later. Brief cognitive tools an ordinary clinician can run have changed that, and the gap between noticing something and having a plan can now be a session rather than a season.

Learn one of them properly instead of dabbling in three. Know what it measures, what it does not, and how to talk about a score without turning it…