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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1297 practices

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The number worth watching is not the dose but the direction. A dose that keeps creeping upward says something that a steady one does not.

You are often the person who sees this, because you hear about it in passing across months while the prescriber sees someone twice a year. Note it…

Five minutesTreatment and medicationMedical and treatmentQur’an 42:38One line of research

Before choosing what to try, work out which kind of anxiety you are dealing with. What settles a sudden surge and what wears down months of low grade worry are rarely the same thing.

For the surging kind, the things that help act fast and work on the body. For the worrying kind, they are slower and work on how the days are built:…

Five minutesTreatment and medicationMedical and treatmentQur’an 38:41One line of research

The dose that lifts low mood is often not enough for anxiety, and for obsessive symptoms it is usually well short. Needing more of it is a feature of the problem rather than anything wrong with the person taking it.

This matters because a fair trial of something has to include a fair dose. A person can spend eight weeks on a starting amount, decide the medicine…

Five minutesTreatment and medicationMedical and treatmentQur’an 2:185One 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 medication

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

Bringing the future closer

Feeling from the inside

The cost of avoiding

Structure and routine

What you are actually defending

Reading, numbers and learning differences

Breaking the worry loop

Growing empathy

Being seen and judged

Facing it a step at a time

When you use something to cope

Treatment and medication

Remembering to do it

Making it stick

Righteous anger and perfectionism

Obsessions and compulsions

Tolerate distress

When anger turns to harm

Self-compassion

Shame

Posture and how you carry yourself

When you go numb

Question the thought

Living with uncertainty

Anger, alcohol and the body

Use your strengths

Rest and pacing

Panic and the body

Letting it out safely

Medical and treatment

Qur’an 94:5

One line of research

Some anxiety medicines have no fast setting at all. They work on the receiving side of the system and take two to four weeks to show anything, so taking one in a bad moment does nothing and proves nothing.

For the right person the trade is a good one: nothing to become dependent on, no withdrawal, no dangerous mixing with alcohol, and nothing to reach…

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

The gentler alternatives are for avoiding a habit forming medicine in the first place. They cannot carry someone who is already dependent, and offering one as a straight swap mid crisis sets everybody up to fail.

Once a body has adapted to one of these medicines, only a careful reduction of that same medicine will get a person off it, and a different drug will…

Five minutesTreatment and medicationMedical and treatmentQur’an 39:53One line of research

Three things are worth noticing before you buy any treatment: whether the only research on it is their own, whether they will say plainly what it is meant to change, and whether you have to sign something.

Each one covers a different way of being caught out. Research a company funded and ran itself has never been checked by anyone with nothing to lose.…

Five minutesTreatment and medicationMedical and treatmentQur’an 4:29One line of research

Decide at the start what you are actually aiming at. Eight difficulties down to six, then to four, then perhaps to two. Never zero, because zero was never on offer.

Everybody has some of these traits, and ADHD is largely inherited, so a life with none of it was never a realistic target for anyone. Naming a number…

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

Brain training and therapeutic games raise one question above all others. Does the improvement show up anywhere except inside the game, and does it last once you stop playing?

People do get better at what they practise, and the scores go up, which makes for a persuasive chart on a website. The harder question is whether…

Five minutesTreatment and medicationMedical and treatmentQur’an 13:11One line of research

Supplements are not checked before they go on sale, so what is in the bottle may not match the label. Look for a third party mark such as USP or NSF before you buy.

This is not about whether a given supplement helps. It is about the plainer question of whether you are getting the dose written on the front, since…

Five minutesTreatment and medicationMedical and treatmentQur’an 2:195One line of research

CBT has more research behind it than most other therapies, and part of that is because it is easy to count. Its steps and its outcomes can be scored, so it gets studied more often.

That is worth saying because a thin research base is not the same as a therapy that fails. Approaches that work through relationship, imagery or the…

Five minutesTreatment and medicationMedical and treatmentQur’an 39:9One line of research

Two things happening together is not one causing the other. Learn that once and you have a reply to most of the claims you will meet.

Children with ADHD may use more screens, and screens may not be the reason. The same shape turns up with sugar, with additives, with organic food and…

Five minutesTreatment and medicationMedical and treatmentQur’an 17:36One line of research

Long acting does not automatically suit everybody. Some people genuinely do better on shorter doses, and it is worth saying so rather than assuming the newer option must be right.

There is a folk belief that a person's own chemistry takes over in the afternoon once the medicine wears off, and the research does not support it.…

Five minutesTreatment and medicationMedical and treatmentQur’an 65:3One line of research

What a person expects from a treatment genuinely changes what they get from it. That is not a trick to be exploited, and it is not nothing either.

In some trials the dummy treatment helps around half the people who receive it, and there is work showing benefit even when people were told outright…

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

The point of treatment is not a tidier score on a questionnaire. It is fewer accidents, a finished course, work that holds, relationships that survive, a longer and better life.

Symptoms are worth reducing because of what they do downstream, and that is where the goal should be set. It changes what you review, too. Instead of…

Five minutesTreatment and medicationADHD skillsQur’an 9:105One line of research

After a working lifetime in this field, Barkley names the change in how a family sees the child as the most important step of all. Not the medication, not the charts.

The reason is practical rather than sentimental. Every other part of treatment asks parents to keep going for weeks with very little to show for it,…

Five minutesTreatment and medicationADHD skillsQur’an 13:11One line of research

The point of explaining ADHD to a parent is to produce a particular kind of parent: one who is kind about it, quick to forgive the day's failures, and willing to make a nuisance of themselves at school.

Those three are results, not manners. Harsh days breed pushing back, pushing back breeds harsher days, and that loop is the main road from ADHD to a…

Five minutesTreatment and medicationADHD skillsQur’an 2:286One line of research

Being told ADHD is largely inherited can sound like being told nothing can be done. It does not follow, and the two questions are separate ones.

How much of something a person shows, day to day, moves a good deal with what is around them, even when the underlying trait is strongly heritable.…

Five minutesTreatment and medicationADHD skillsQur’an 12:87One line of research

A child can be almost trouble free with a grandparent who has all afternoon for them, and impossible in a class of twenty five. Same child, same condition, very different demand.

What a setting asks for is the ratio between the self control a person has to supply and the structure being supplied for them. One adult, close…

Five minutesTreatment and medicationADHD skillsQur’an 94:5One line of research