Practices

Every practice in the library, in one list. Narrow it by how long you have, who it is written for, and where you are right now.

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11 practices

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Telling somebody one thing you are quietly embarrassed about will bring you closer than a month of pleasant conversation.

It does not have to be dramatic. The worry you have never said out loud, the mistake you still think about at night, the thing you are no good at.…

Five minutesGrowing empathyMedical and treatmentQur’an 28:23One line of research

The thing worth admitting is not that you were angry. It is what you were frightened of underneath it: being made a fool of, being left, being counted as useless.

Anger is the easy half to say and it rarely lands well. The fear underneath is harder to say and it is the part that gets you heard. One sentence…

Five minutesGrowing empathyMedical and treatmentQur’an 17:24One line of research

By response rate, extended release stimulants are among the most effective medicines in psychiatry, and most people tolerate them well. That is worth hearing plainly, particularly from people who are not generally keen on medication.

What the long acting form buys you is coverage. A dose that has faded by four in the afternoon leaves the evening bare, and the evening is where home…

A minuteTreatment and medicationMedical and treatmentQur’an 26:80One line of research

Medication does not make somebody care more. It narrows the distance between meaning to do the thing and doing it, and that distance is exactly what the other person has been feeling as being let down.

It helps a couple enormously to have the right name for what has been happening. The intention was real every single time. What went missing was the…

Five minutesTreatment and medicationMedical and treatment

Looking for a whole subject rather than a single practice? Start from the nine areas.

Qur’an 48:17

One line of research

People who use several kinds of help tend to report more benefit than people relying on one. Medication, therapy, coaching, reading, sleep and movement all seem to add something rather than compete.

That turns a hard conversation into an easier one. Instead of pressing a reluctant partner towards the single thing they least want, you can offer a…

Five minutesTreatment and medicationMedical and treatmentQur’an 16:69One line of research

Managing the ADHD is not the goal. Being happy together is the goal, and the ADHD work is only worth doing to the extent that it gets you there.

Keeping that order straight changes the atmosphere of the whole effort. A partner who has spent years being a project stops being one. Requests stop…

Five minutesTreatment and medicationMedical and treatmentQur’an 10:57One line of research

A great many people are diagnosed and then left with a starting dose nobody ever revisited, no reading, no group, nothing else at all. If things have stalled, the first thing to check is whether the treatment was ever actually finished.

Optimising is unglamorous and often the quickest thing available. Was the dose ever adjusted upwards, and on what basis. Does the cover reach the…

Twenty minutesTreatment and medicationMedical and treatmentQur’an 65:2One line of research

If the prescriber, coach or therapist is not delivering much, say so and ask for someone else. Working around poor care quietly is the thing that convinces a couple this is simply as good as it gets.

A dose never revisited, or a therapist who has never worked with ADHD, sets a low ceiling. The trouble is that the ceiling gets read as the person:…

Twenty minutesTreatment and medicationMedical and treatmentQur’an 12:87One line of research

Sleep, food and movement will not cure anything, but they lengthen the fuse. Bad moments still arrive, and you handle them differently when your body is not already running on empty.

This matters more here than it sounds, because ADHD tends to wreck exactly these three and then the wreckage feeds back into the flare ups. Late…

Twenty minutesTreatment and medicationMedical and treatmentQur’an 4:28One line of research

Paying someone to help sort the house will not mend the marriage. It will remove one of the things you fight about most weeks, and that counts for more than it sounds.

Nobody should pretend this reaches anything deep. The point is arithmetic. A couple has a certain number of rows in them, and if the living room is…

LongerTreatment and medicationMedical and treatmentQur’an 94:5One line of research

People who are sleeping properly, eating properly and moving a bit tend to want each other more. The unglamorous parts of life management run closer to the bedroom than either of you might expect.

It is worth saying out loud when desire has quietly gone from a marriage, because the usual explanations reach for something heavier: he has lost…

LongerTreatment and medicationMedical and treatmentQur’an 2:185One line of research