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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2485 practices

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Think of ADHD as sitting at the centre of an onion. Poor sleep, sleep apnoea, low vitamin levels, allergy, ongoing pain, untreated anxiety or low mood all sit in layers around it, and each one makes the centre look worse than it is.

This explains something that otherwise looks strange: treatments that do nothing whatever for ADHD can still make a real difference, because they…

LongerTreatment and medicationMedical and treatmentQur’an 9:105One line of research

There is no single treatment that covers all of this. What works looks more like five things running alongside each other, and understanding the condition comes first.

Each piece reaches a different part of the day. Medication does something the environment cannot, changing what a room asks of someone does something…

LongerTreatment and medicationADHD skillsQur’an 22:78One line of research

The stack goes: understand it, medicate where that is right, change what the adults do, change what the day asks, and keep arguing the child's corner. Each layer does a job the others cannot.

None of them stands in for another, which is why swapping one out leaves a gap rather than a smaller plan. Medication does not reorganise a…

LongerTreatment and medicationADHD skillsQur’an 42:38One line of research

Behaviour work for ADHD is mostly about changing what the adults do. The child's behaviour shifts afterwards, as a consequence.

Consequences live in other people's responses, and a child who cannot yet hold a reward in mind across three days cannot supply them for themselves.…

LongerTreatment and medicationADHD skillsQur’an 16:127

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

Reading, numbers and learning differences

Structure and routine

What worry does

Making it stick

Treatment and medication

Emotions as signals

Being seen and judged

Feeling from the inside

When you use something to cope

Tolerate distress

Facing it a step at a time

Breaking the worry loop

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

Letting it out safely

One line of research

When a child with ADHD and a parent get stuck in daily rows, the rows themselves start doing damage. Getting the ADHD properly managed early takes some heat out of those exchanges before defiance settles in as a habit.

The chain people worry about runs from constant friction at home to entrenched defiance, and from there to difficulties in the teenage years that are…

LongerTreatment and medicationMedical and treatmentQur’an 3:159One line of research

A child's reputation is made in the classroom, mostly out of adult earshot, and it follows them from one year to the next. Teachers who work on how the class treats the child, and not only on the child, can move it.

The version that has been trialled has the teacher doing small deliberate things: pairing children with some thought, noticing this child out loud…

LongerTreatment and medicationCoreQur’an 24:61One line of research

The therapy that helps adult ADHD is not really about arguing with your thoughts. It is practical work on how your week is built, and it works because you are the one who can go and rebuild it.

Sessions tend to circle the same handful of things. Where the list lives, what the calendar actually does when you are not looking at it, how a large…

LongerTreatment and medicationCBTQur’an 2:286One line of research

The most convincing programme for teenagers does the obvious thing. It runs at school, twice a week, so nobody has to be driven anywhere: homework systems, organisation, some social practice and sport, in the place where the trouble actually happens.

By the teenage years the leverage parents had is thinning, and a clinic appointment is the first thing to fall off the week. Putting the help inside…

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

The trouble now is not that nothing works. It is that the things which work are spread unevenly, and whether a family gets any of them depends heavily on where they happen to live.

Medication travels reasonably well, since a prescriber can be found in most places. The psychological and behavioural work travels badly, because it…

LongerTreatment and medicationADHD skillsQur’an 16:69One 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

Listen for the condition you have attached to acting: I will apply once I know I will get it, I will go once I know I will like it. If that condition could never actually be met, it is not caution, it is a door you have quietly locked.

From the inside it rarely feels like avoidance. It feels sensible, even responsible, because who would go to all that trouble without knowing. The…

Five minutesLiving with uncertaintyCBTQur’an 31:34One line of research

A no is usually information about fit rather than a report on your worth. Some of them have to happen before you can tell which places are right for you.

This is a real reframe rather than a comforting one, because a rejection does carry usable information: about what they were after, about what you…

Five minutesLiving with uncertaintyCBTQur’an 2:216One line of research

When a decision feels impossible, put a date on it rather than pressing for the commitment. We will try this and look at it again in three months turns a life sentence back into a choice.

Plenty of people hear any decision as permanent, so picking a course or a job or a city feels like sentencing themselves to it. A review date changes…

Five minutesLiving with uncertaintyCBTQur’an 18:23One line of research

When something feels unbearable to risk, follow it downwards. If that did happen, what would it mean, and what would happen after that?

Keep asking gently, and stop when you reach something that is a statement about the person rather than about the situation, such as it would prove I…

Twenty minutesLiving with uncertaintyCBTQur’an 18:78One line of research

An exam is a task with requirements. It is not a ruling on whether you are capable, however much it feels like one while you are sitting inside it.

Saying that once changes very little. The person this comes from took a long time to arrive at it, and that is worth knowing so you do not expect it…

LongerLiving with uncertaintyCBTQur’an 57:23One line of research

A calm, undemanding life is supposed to be the goal, and for a lot of people with ADHD it is quietly unbearable. Comfort does not hold you. Something with a bit of pull to it does.

This is worth knowing when you are building a plan around less: fewer commitments, lighter workload, nothing too taxing. Take out all the demand and…

Five minutesUse your strengthsADHD skillsQur’an 17:84One line of research

A relationship with no friction in it can leave an ADHD partner restless rather than content. A bit of heat is not the same as a bad marriage. What matters is what happens afterwards.

Plenty of couples decide that any argument means something is broken, and then start managing each other into blandness, which nobody enjoys. The…

Five minutesUse your strengthsADHD skillsQur’an 2:148One line of research

One psychiatrist took up a dance class in lockdown, three times a week, at something he was frankly not good at. Being bad at it was the reason it kept working.

A repetitive session on a machine asks very little of you once your body knows it. Something with steps to follow, in time with other people, keeps…

Twenty minutesUse your strengthsADHD skillsQur’an 29:69One line of research

Some of the low, grey stretches are not depression. They are what happens when there has been nothing on the go for a while, and the colour comes back when a project starts.

It is a quieter thing than depression and it does not look like much from outside. Sleep is fine, you are still working, but the zest has gone out of…

Twenty minutesUse your strengthsADHD skillsQur’an 62:10One line of research

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Practices

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