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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10 practices

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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 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

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 42:38

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

Breathing

Cool the body first

Anger, alcohol and the body

Screens and attention

Shame and stigma

The moment before you snap

Breaking the worry loop

What you are actually defending

What worry does

What ADHD actually is

Living with uncertainty

Touch and bodywork

Tolerate distress

Structure and routine

Practising under provocation

Obsessions and compulsions

Feeling from the inside

One 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

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