Practices

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…

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…

Processing speed is the stubborn one. It shifts a little with repeated, rhythmically paced practice and hardly at all with explanation, so say that to a family at the start rather than when they are disappointed.

Teaching a strategy will not make a slow processor quick, and telling a child to hurry up only makes the work more unpleasant. Graded practice with…

Assess, make a plan, do the work, and then keep measuring while you do it. Without that last part you have no way of knowing whether to push harder, change direction or stop.

Use more than one stream: your own measures, what parents notice at home, what school reports, and what the child says about it. Children will tell…

Skills bring the flare ups down in number and in heat. What they leave standing is the layer underneath: what you believe you are owed, and how you think people ought to behave.

That layer is slower work, closer to rebuilding a view of life than to learning a technique. What counts as fair, what can reasonably be expected of…

Anger gets fed from several places: blame, not being able to bear not knowing, losing sight of the other person, and needs you never said out loud. Each one wants a different kind of work.

So it is worth asking which of them is mostly yours. If it is blame, forgiveness is the road. If it is not knowing, the work is learning to sit with…

The work you are doing on anger does not stay in the anger box. Learning to hold an unanswered question, or to sit with what you cannot change, turns up in worry and in low patches too.

That is quietly encouraging on the days the anger part feels slow. It also means being careful about crediting every improvement to the anger work,…

You do not need to become a reading specialist to be useful in a school meeting. A few hours with the current material on how reading is learned will put you ahead of most of the room, and you can carry it in kindly rather than as a challenge.

Pick two or three good sources and actually read them: an introduction written for teachers, and one clear book on how reading develops. What you…

Ask a struggling ten year old what division actually is and you will often get a blank, or a method with no meaning under it. Going back to what each operation does is usually worth more than another go at this term's work.

Division is sharing out, or taking the same amount away again and again until nothing is left. Multiplication is that same amount repeated. Children…

After a course of intensive work, this student's sound skills moved from the middle of the range to near the top. Average was never the ceiling. It was simply where an untreated difficulty had left them.

Hearing single sounds in a word, holding sounds in memory, repeating made up words: all of them shifted a long way once the teaching was right. That…

One client took two years of steady work to get a single app off her phone. If you are three weeks in and it is still there, you are not doing this wrong.

Change here is slower than nearly everyone expects, including the people helping. Saying so early protects both sides: you do not read a slow month…

Asked what all the scrolling had done to her most, one young woman did not say sad. She said angry, more or less all the time.

Constant irritability in a teenager usually gets worked up as depression or ADHD, and sometimes that is right. Saturation belongs on the list too,…

For some people the online part is not a side issue sitting next to the depression or the anxiety. It is one of the things holding them in place.

One young woman with a history of being bullied found her platform use feeding the depression, the social anxiety, the fear of leaving the house and…