Practices

If the irritability came in alongside a low patch, or a spell of racing thoughts and hardly any sleep, have the mood looked at rather than treating the temper on its own.

Irritability is part of depression, and it belongs to the mixed and elevated states of bipolar disorder too. Anger skills are still worth having, and…

Squeeze the hand, hold it for a few seconds, then let it go slowly. The letting go is where the calm is, and it works better once you have practised the long version.

Full muscle relaxation, working through the body group by group, takes about twenty minutes and is worth doing a handful of times. Once your body…

Shouting it out does not empty the tank. Going over it loudly, in your head or at somebody, tends to keep the anger topped up rather than draining it.

There is a difference between letting pressure out of the body and rehearsing the grievance. A walk, a swim, hard cleaning, prayer: all of that…

Anger leaves fuel in the body with nowhere to go. Spend it on something physical, without replaying the argument while you do.

This is not getting it off your chest. The target is the surplus energy, so stairs, a brisk walk, or a hard ten minutes of almost anything will do…

Movement can settle you or wind you further up, and the difference is mostly what your mind is doing while you move.

Pacing the kitchen while you build the case against someone keeps the whole system revved. The same twenty minutes spent counting breaths or noticing…

There are medicines that make stopping smoking easier, and one of them can sometimes cover a mood or attention problem at the same time. That is a fair thing to ask a doctor about.

All of them carry side effects, so the conversation is a weighing up rather than a yes or no. Go in with what you already know about yourself: how…

When someone keeps doing the risky thing after every explanation, the missing piece is usually not information. The pull is simply louder than the knowledge.

Which means another lecture is mostly wasted breath, while changing what is within reach is not. Fewer bottles in the house, a route home that avoids…

If a young person is using regularly, waiting to see whether they grow out of it is a gamble. Help early is nearly always cheaper than help later.

Families often hold off because raising it feels like an accusation. You can raise it without one: say what you have noticed, say you are not going…

Sometimes the drinking or the smoking is not the first problem at all. It is somebody's own treatment for an attention difficulty or an anxiety nobody has looked at yet.

You can usually tell from what it is used for: to speak in a group, to sit still long enough to work, to sleep. Where that is the shape of it, work…

Draw your own chart of the moment you usually give in, with the questions you actually ask yourself, and put it where you will see it.

One woman smoking around ten bowls a day made hers as a set of branches: is it a working day, have I been to work, are the errands done, are the…

Set the room up so that movement is already there for the taking: somewhere to stand, something to hold, a chair that lets you shift. Then nobody has to decide in the moment whether it is allowed.

This is a change to furniture and habit, not to willpower. A standing spot for part of the day, a wobble cushion, knitting or whittling while you…

Difficult things come out more easily when your hands are occupied and you are not looking straight at the other person. Walk side by side, drive somewhere, wash up together, keep the sewing going.

If you are the one listening, offer it first. Most people assume that picking something up would look rude or half interested, so they sit still and…

If attention is the diagnosis and reading, writing or maths is still unusually hard, ask whether there is a second thing sitting underneath. The two travel together often enough that one label is rarely the whole story.

A specific difficulty with reading, written expression or number sits alongside attention problems in a large share of cases, and it needs its own…

Support does not have to stop at eighteen. Plan for it to thin out gradually through the twenties, at a level everyone has agreed rather than one that gets argued over every month.

A workable version names three things: what is still being helped with, how much, and when you will look at it again. Every six months is usually…

Keeping your own prescription going is a skill like any other: when to reorder, who to ring, what to do when the pharmacy has none. Better learned before the week you need it.

Put the whole thing in one place: the name and dose, the surgery or clinic, how far ahead a repeat has to go in, what happens when you travel, who to…