Practices

When someone protests that swallowing their feelings is unnatural, agree with them, because it is. Then add the part they have not said: it is also necessary, and there are better ways to do it than swallowing.

Arguing that calm comes naturally costs you your credibility in a single sentence. Conceding the true half leaves nothing to defend, and the…

There is an old set of pictures: a boy loses an ox, catches sight of it, chases it, tames it, and finally rides it home. Asking which picture you are in this week is kinder and more useful than asking whether you are doing well.

Searching, glimpsing, wrestling and riding each have their own next step, and none of them is a grade. Someone still looking for the ox needs to…

Losing your grip has a sequence too, running the other way: the hold loosens, thinking thins out, and then you are simply angry. Finding where it loosened is more use than going over how it ended.

Work backwards from the flare. The slip is usually earlier and duller than the shouting: a skipped meal, a second replay of the conversation in the…

Fighting your own anger tends to make it louder. The part of you that flares does better treated as something to work with than something to defeat.

In the moment that can be as small as thinking, there you are, instead of, not this again. Pushing it under works for a while and then it arrives…

Some reactions really do just happen, like a wind up toy pointed forwards, banging into whatever is in the way. That is a description of the problem rather than an excuse for it.

Automatic does not mean permanent. Notice which situations you keep colliding with: the same shop, the same hour of the evening, the same person's…

Not all anger is a reaction to something. Sometimes a person goes looking, standing exactly where someone is likely to snap, and it is worth being honest with yourself if that is you.

The signs are small: replying to a comment you could have scrolled past, holding your ground where nothing is at stake, choosing the route where the…

Behind calm that looks superhuman there are usually decades of dull practice. The practice is the part worth copying, not the headline.

Setting your worst moment against somebody else's lifetime of training only produces despair. Ask instead what that person did on an ordinary…

A story that grips one person can harm another. Before reaching for something graphic to make a point, be sure you know who is in front of you.

Shocking images work because they stick, which is exactly the danger for someone who has hurt themselves before or who thinks about it when things go…

Carry the rough proportions into every ADHD assessment. Executive function difficulty in the great majority, coordination difficulty in around half, dyslexia in something like a quarter to two fifths. A workup that never asks about handwriting, sport or reading is not finished.

The behaviour problem you were called about is often the visible end of an unidentified reading or coordination difficulty. Ask what PE is like, what…

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…

Expect more anxiety, low mood, drinking and drug use in the young people coming through now. And expect the boys to say less about it, so go looking for irritability, trouble and substances instead of waiting to be told.

Ask parents what they are seeing rather than only what they have been told, and ask the young person directly and privately. Screening that rests on…

Parents with one affected child often ask what they might do differently before the next one. Answer honestly: there are lists of suggestions in circulation, the evidence behind most of them is thin, and the question underneath is usually about blame.

Take the question seriously and take the guilt seriously alongside it. Give what is genuinely known, say plainly where recommendations run ahead of…

Keep the tasks short, a couple of minutes each, with results back the same day. A long test given to a child who cannot sustain attention measures how long they can last, not the thing you were trying to measure.

Brevity is not a convenience you are allowing yourself. It is what keeps the data honest, and it keeps the child willing for whatever you ask next.…