Practices

The good news is that most of us only run three or four of these. A short list is something you can genuinely keep an eye on.

Notice your distortions is far too big an instruction to follow. Three named sentences in your own words is not. Write them on a card, keep it where…

Next time you tell yourself you will remember it, ask what you would bet on that. A month's rent, for or against. The answer usually arrives before you have finished asking.

Turning a comfortable belief into a wager makes its odds obvious, and it does it without a row. Keep it light and a bit silly, because the point is…

When you finish the dull task, give yourself something you actually like. A reward you do not really want does no work at all.

Choose it before you start and make it specific: the good coffee rather than whatever is in the cupboard, half an hour of the thing you keep…

When you get something hard done, resist waving it off with "anyone could have done that". Let it count.

That reflex is common in people who have spent years falling short of what they meant to do, and it quietly cancels the good of finishing. Try the…

There is a sort of avoidance that looks like getting things done. Sorting the drawer, clearing the inbox, any mildly useful job that is not the one you are dreading.

It is harder to catch than obvious time wasting because it leaves you nothing to feel guilty about. At the end of the day the shelf is tidy, the…

Rather than asking whether what you are doing is worthwhile, ask what it is keeping you away from.

The first question is too easy to pass. Almost anything you are doing can be defended as useful, which is why it never catches you out. The second…

Shrink the first step until it takes two minutes, and do only that.

The wall is usually the size of the first step, not the whole task. Make the step tiny enough to fall over.

Do not wait to feel ready. Say Musa's prayer, ease my task, and take one step; the wish to go on comes after.

Motivation usually follows action, not the other way round. Start badly if you must, but start.

If you are being assessed for attention, say something about your mood and your worry as well, even if nobody asks.

Anxiety and low mood sit alongside ADHD often enough that a thorough assessment will go looking for them anyway. But shame is quiet, and years of…

When someone says they feel restless inside, ask what the restlessness wants. Restless to move, or restless to do one particular thing until it feels right?

The two feel similar from the inside and point in different directions. With ADHD it is usually undirected: the legs go, the chair is wrong, you need…

A distracted person can be brought back with a nudge. Someone who has gone elsewhere cannot, and the difference shows itself in a couple of seconds.

Say their name, ask something simple, and watch what returns. Attention that has drifted comes back with a small apology and picks the thread up…

Try not to ask why. If the person knew why, they would probably have sorted it out already, and the question tends to land like an accusation.

Ask what happened just before instead. What was going on, what they felt, what came after, what sort of day it had been. Those answers can be worked…

If someone was adopted, or simply does not know their family history, say early and plainly that this is not a problem. It helps to have and it is not needed.

Otherwise the question lands as one more reminder of what is missing, and some people will spend the rest of the appointment feeling they brought the…

Some of what looks like muddle is the system's fault. Our tenth month is named for eight, because two months were added later and nobody renamed the rest.

Worth saying to anyone who feels stupid about dates and forms. A calendar whose numbers are out of step, a tax year starting in April, forms asking…

When someone says their heart races on their medication, ask whether it ever did before they started. It is the cheapest question you have and it usually sorts the answer out.

Go looking for the old settings: waiting to be called on in class, standing outside a room before a difficult conversation, three in the morning with…