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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175 practices

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Learn the family rather than the members. If you know roughly how one drug in a class behaves, you already know most of what the others will do.

The medicines people are most often on collapse into a handful of families. A new arrival is usually a variation inside one of them, and occasionally…

Twenty minutesMedication and how it worksMedical and treatmentQur’an 2:185One 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

For most people who get as far as asking for help with ADHD, medication is the single change that shifts the most. It is not compulsory and plenty live well without it, and it does deserve an honest look rather than a place at the back of the queue.

The reason is unglamorous. Nearly every strategy anyone teaches assumes you can pause before responding, hold a plan in mind while doing something…

Twenty minutesMedication and how it worksADHD skillsQur’an 26:80One line of research

If you are not the one prescribing, you can still take an active part in the medication conversation. You see the person weekly and hold the ordinary detail their prescriber never gets to see.

Ask what they notice and write it down in their own words. With their permission, send the prescriber a short note that can be read in a minute: when…

Twenty minutes

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

Structure and routine

Reading, numbers and learning differences

Making it stick

Treatment and medication

Emotions as signals

Being seen and judged

Feeling from the inside

Breaking the worry loop

Facing it a step at a time

Tolerate distress

When you use something to cope

Remembering to do it

What you are actually defending

Shame

Obsessions and compulsions

Righteous anger and perfectionism

When anger turns to harm

Posture and how you carry yourself

Self-compassion

Anger, alcohol and the body

Living with uncertainty

Rest and pacing

Letting it out safely

Medication and how it works

ADHD skills

Qur’an 42:38

One line of research

When a medicine seems to be underperforming, look at what else is in the room before reaching for a higher dose. Anxiety, low mood and a wrecked sleep pattern can each blunt a good response or imitate a poor one.

Otherwise the dose climbs while the real driver goes untreated, and the side effects arrive without the benefit. Ask what a bad night actually looks…

Twenty minutesMedication and how it worksADHD skillsQur’an 16:43One line of research

A child who has spent years being told they are careless will often say yes to whoever finally seems glad of them. Work on how they see themselves is not a soft extra to the clinical work.

Count the corrections in a single day and it is easy to see what accumulates. By the time an offer comes from someone friendly, the pull is belonging…

LongerMedication and how it worksMedical and treatmentQur’an 39:53One line of research

Being in recovery is not a reason to leave an attention difficulty untreated. The restlessness that made a substance useful is still there once the substance goes.

Clinicians often hold back here, uneasy about a stimulant for someone with a history, and that caution is understandable. The other choice carries a…

LongerMedication and how it worksMedical and treatmentQur’an 21:83One line of research

Blood pressure on a stimulant is an individual matter. For most people it is a non-event, and where it does rise the answer is often a different stimulant rather than none at all.

No blood test or cheek swab will tell you in advance which one suits you. Finding out means trying, measuring and being willing to change, which is…

LongerMedication and how it worksMedical and treatmentQur’an 33:5One line of research

For a small number of children the question was never about school reports. A toddler who runs into a road and keeps running, a child who climbs the pool fence: what is being weighed there is whether they stay alive.

Most decisions about treating a very young child are finely balanced and deserve to be taken slowly. Where the behaviour itself is life threatening,…

LongerMedication and how it worksMedical and treatmentQur’an 21:84One line of research

If the first medicine disappoints, that is information about the first medicine. Plenty of people who get nothing from one class do well on another.

Methylphenidate and amphetamine are not the same drug at different strengths. They work by partly different routes, so a poor result on one says…

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

Most people who try do find something that helps, but often not the first thing they try. Not responding to one class of stimulant says surprisingly little about the other.

The high response figures you may have read come from people who worked through more than one option, not from one prescription going well. Response…

LongerMedication and how it worksMedical and treatmentQur’an 33:5One 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

When medication works, its best effect is often on everything else you were already trying. Coaching, exercise, a routine: each of them needs enough attention to get started, and attention is the thing in short supply.

That is why setting medication against the other approaches usually misses the point. The plan you could not keep last year may be perfectly keepable…

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

Unmanaged ADHD wrecks sleep, food and movement, and wrecked sleep, food and movement make the attention worse the next day. The loop feeds itself, which is also the hopeful part: a small repair anywhere in it pays back more than it should.

Short sleep hits the same front part of the brain that is already struggling, so a late night costs you more than it costs other people. Pick the one…

LongerMedication and how it worksADHD skillsQur’an 7:31One line of research