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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13 practices

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If stopping has been harder for you than it seems to be for other people, that is worth taking seriously rather than reading as a flaw in your character.

Some people are working against more than a habit. The thing they are giving up was quietly doing a job for them, holding attention steady or keeping…

Five minutesWhen you use something to copeMedical and treatmentQur’an 4:28One line of research

If you are living on campus, ask the pharmacist to split the month's supply across two labelled bottles. Then whichever one you are carrying has a valid prescription label on it.

Carrying a controlled medicine loose in a bag, or in an unlabelled tin, is a disciplinary and sometimes legal problem quite separate from any medical…

A minuteMedication and how it worksMedical and treatmentQur’an 42:38One line of research

Writing 'do not substitute' on a prescription tells the pharmacist what to hand over. It does not tell an insurer to pay for it, and that surprise at the counter is where a lot of prescriptions quietly get abandoned.

If a particular brand is being chosen for a reason, say out loud what it might cost and what the fallback is if the price turns out to be impossible.…

A minuteMedication and how it worksMedical and treatmentQur’an 12:67One line of research

Prescribers usually begin below the dose likely to work and build upwards. That means the first weeks can be underwhelming by design, and it is not the moment to decide the whole thing has failed.

Ask at the outset what the plan is: the starting dose, what it is being built towards, how quickly, and what you should be noticing at each step.…

Twenty minutesMedication and how it works

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Medical and treatment

Qur’an 94:5

One line of research

A long acting injection into muscle releases its medicine slowly over weeks. It lifts the daily burden of remembering, at the price of not being able to stop quickly if the medicine disagrees with you.

That trade is worth naming out loud rather than settling on someone's behalf. For a person whose entire difficulty is the daily doing, weeks of cover…

Twenty minutesMedication and how it worksMedical and treatmentQur’an 4:28One line of research

Finding the dose is a search rather than a calculation. It goes up in small steps until either the effect you want turns up, or the side effects get annoying enough that you come back down a step and settle there.

There is no way to work the right dose out from body weight or from how bad things look, which surprises people who expect medicine to be more exact…

LongerMedication and how it worksMedical and treatmentQur’an 94:5One line of research

One of the founding figures of biological psychiatry summed the whole business up as some medicine helping some people at some doses some of the time. Knowing that before you start makes the first disappointment much easier to survive.

Most people need more than one adjustment: the dose, then the timing, sometimes the drug itself. Go in expecting the first prescription to be the…

LongerMedication and how it worksMedical and treatmentQur’an 94:5One line of research

The strengthened warning on this class covers misuse, addiction, physical dependence and withdrawal. The part most people miss is that dependence builds with ordinary correct use over weeks, with nobody doing anything wrong.

That distinction needs handling gently, because patients hear dependence and hear addict. Physical dependence is the body settling around something…

LongerPanic and the bodyMedical and treatmentQur’an 4:28One line of research

These medicines work on a timescale of four to six weeks, not days. Say the number out loud at the start, because someone expecting relief this week will have decided by Friday that it failed.

Something does happen on the first day, but it is only the first step of a change that takes weeks to finish. The useful version of this is a date:…

A minuteTreatment and medicationMedical and treatmentQur’an 20:114One line of research

Describe what the first fortnight might feel like before the first tablet, not after the first worried phone call. A warning given in advance turns a bad week into a milestone.

The wording can be plain. Some people feel more wound up for the first week or ten days, it usually passes, and nobody changes anything without…

A minuteTreatment and medicationMedical and treatmentQur’an 12:87One line of research

The first week or so on one of these can feel worse rather than better: jittery, restless, sleeping badly. For most people it settles within a fortnight, and it is a known part of starting rather than a sign of harm.

Untold, a person quite reasonably concludes the medicine is making them ill and stops. Told beforehand, the same week becomes something to sit out,…

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

Hear this before you start rather than after: change here is gradual. Habits built over twenty years do not come apart in three weeks.

Waiting is genuinely harder with ADHD, and a treatment whose reward is months away is exactly the sort of thing that gets dropped in week five.…

Five minutesTreatment and medicationMedical and treatmentQur’an 20:114One line of research

Neurofeedback usually starts with an assessment, then a block of sessions, then a review, and it is mostly paid for privately. Ask about all of that before you begin.

It is a referral rather than something your therapist adds to a session, so you are taking on a second appointment, a second bill and a second…

Five minutesYour nervous systemMedical and treatmentQur’an 78:11One line of research