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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874 practices

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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

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

Untreated ADHD is not free. It turns up in appointments, in repeat trips to A and E, in school reports and in lost work, and the bill lands on the family either way.

So when the cost of treatment is the reason for waiting, it is worth adding up what is already going out, in money and in hours and in the things…

Five minutesTreatment and medicationMedical and treatmentQur’an 4:28One line of research

Gathering disruptive children into one room to learn social skills leaves about a quarter of them worse than before. They pick things up from each other far faster than from the adult at the front.

This is not a reason to give up on helping a child socially. It is a reason to look hard at who else is in the group before you accept a place in it.…

Five minutesTreatment and medicationCoreQur’an 2:195

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

The moment before you snap

Food, caffeine and fuel

Choosing your response

When you use something to cope

Righteous anger and perfectionism

Growing empathy

When anger turns to harm

Reading, numbers and learning differences

Making it stick

When everything feels flat

Self-compassion

Emotions as signals

Facing it a step at a time

Anger, alcohol and the body

Tolerate distress

Use your strengths

Getting assessed and diagnosed

Obsessions and compulsions

Being seen and judged

Touch and bodywork

Help someone grieving

Shame

Rest and pacing

Question the thought

Practising under provocation

One line of research

The warning about group social skills work is about loud, disruptive children. A quiet, anxious child who simply has not had much practice with other children is a different case, and a gentle group may be exactly right.

So the question is not whether groups work, but which child is sitting in front of you. If the difficulty really is inexperience, a group offers…

Five minutesTreatment and medicationCoreQur’an 49:6One line of research

Play based programmes that build executive skills in young children have done reasonably well with children at risk of struggling at school. None has yet been tested in children actually diagnosed with ADHD, and that is a real difference rather than a technicality.

Results found in a broad at risk group tend to shrink, sometimes to nothing, when the same thing is tried with clinically diagnosed children, where…

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

Showing a teenager live pictures of activity in one targeted part of their own brain has been tried once, in a small trial, and it looked encouraging. That was around a dozen young people, and nobody has repeated it yet.

This is worth knowing about mainly so you can tell it apart from the neurofeedback that is widely sold. The clinic version reads surface brain…

Five minutesTreatment and medicationMedical and treatmentQur’an 16:43One line of research

There is a headband worn at night that stimulates a nerve in the face, cleared by regulators and tested against a dummy version in a single trial. Some children improved. Some felt sick or slept badly and stopped.

Regulatory clearance answers whether a device is safe enough to be sold, not whether it beats what you are already doing. One trial, funded by the…

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

Magnetic stimulation of the brain has been tried for ADHD and has not yet shown anything. The studies are small, often single cases, and not built in a way that could give a trustworthy answer.

Small uncontrolled studies are generous places. Hope, attention and the freedom to report only the good parts all push results upwards. That does not…

Five minutesTreatment and medicationMedical and treatmentQur’an 21:7One line of research

Two ideas will let you judge most claims for yourself. In a good trial nobody involved knows who got the real treatment, and a study of five people can be swung by one of them having a good month.

Researchers want their treatment to work, and that hope leaks into how they rate what they see, which is why the person handing out the pill and the…

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

Programmes built on crossing the midline or on balance and inner ear work do not appear to beat ordinary exercise. If movement is what you are after, movement is available free.

These packages come with a theory about why they work, and the theory is usually where the confidence comes from rather than from the results. What…

Twenty minutesTreatment and medicationMedical and treatmentQur’an 22:78One line of research

A ramp does nothing for someone's legs, and it gets them into the building. Timers, visible clocks, a shorter task list and a calendar somebody else keeps do the same job here.

Accommodations are not treatment and they are not pretending to be. What they do is take the parts of the work that live inside a person's head,…

Twenty minutesTreatment and medicationADHD skillsQur’an 4:28One line of research

One social approach does have a real evidence base behind it, and what makes it different is who delivers it. Parents do the coaching, in the middle of actual play with actual friends.

In practice it looks small and ordinary. You set up a play date, you stay within earshot, you give a nudge before things tip over, and afterwards you…

Twenty minutesTreatment and medicationCoreQur’an 13:11One line of research

The diet evidence has drifted away from cutting particular things out and towards eating decently overall. That is easier on everyone at the table.

Removing additives or colourings helps a small number of children, and the trouble is that you cannot tell in advance who they are, so most families…

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

Think of it the way you would think about diabetes. Something to manage with several things at once, most days, for as long as it is there.

That frame does a lot of quiet work. It says the treatment is ongoing rather than a course you finish, it explains why things slide back when…

LongerTreatment and medicationADHD skillsQur’an 2:185One 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 16:127One 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

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

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