Practices

Not all of this is a matter of how you say you feel. Breathing, exercise and hands on work shift things that can be measured from outside: heart rhythm, stress hormones, muscle tone.

That matters if you are the kind of person who suspects their own good moods, or if you have to make a case to a colleague who wants numbers. It also…

You choose what to work on and how big a piece of it. A sore shoulder, a low mood, the belief that you are too much: all of them are allowed, and so is starting small.

The useful phrase is whatever is standing in the way of you being all right just now. Some days that is a headache and some days it is the thing you…

Deep change tends to follow self acceptance rather than the other way round. Waiting until you have fixed the thing before you are allowed to be kind to yourself usually keeps the thing exactly where it is.

This shows up most clearly with eating, drinking, and everything else people do to manage a feeling. Shame makes the feeling worse, and the behaviour…

There comes a moment when the tissue under your fingers gives a little and allows more depth. Wait for that instead of pressing your way to it.

It sounds fanciful until you have felt it once, and then it is obvious. Rest your hand, keep the pressure steady, and let the softening decide the…

If pain is the thing you live with, start the session with the stroking sequence rather than the conversation. Arms, forehead, crown, cheeks, slowly.

It does two jobs in one go: gentle wide contact takes some edge off the pain, and it brings a person out of guarded alertness into being able to…

Regular massage has been studied with restless, distractible children and teenagers, and their teachers noticed the difference in class as well as the young people noticing it in themselves.

The pattern in these studies is modest and repeated: short sessions, twice a week, over several weeks, with mood and behaviour improving rather than…

Aching shoulders and a bad back are not separate from finding it hard to concentrate. Pain takes up room in your head, and there is less left for anything else.

People who are restless tend to hold more tension and pick up more injuries, and then the pain makes the focus worse, and round it goes. So it is…

In placebo studies, people improve even when they have been told outright that the pill is inert. They also usually spend half an hour talking with someone who is paying attention.

That half hour is easy to dismiss as a detail of the study design, and it may be most of the treatment. Which is oddly encouraging: careful listening…

Reviews do not support acupuncture as a treatment for attention difficulties. Some studies of acupuncture alongside counselling have done better than dummy needling alongside counselling, which is a more modest claim than it first sounds.

The likeliest reading is that a warm, unhurried practitioner who examines you carefully is doing much of the work. Needles are very fine and harm is…

There is a route the calming nerve takes through you: eyes, then jaw and mouth, then throat and neck, then shoulders and chest, then belly. You can visit each stop in turn and simply notice what is there.

Give every area a moment before you move on. Soften around the eyes, let the jaw hang, sigh the throat loose, feel the chest lift, then rest a hand…

Talking is not the only door in. Exercise, massage, acupressure, yoga, tai chi and the rest go at the body first and let the mind follow, which is the opposite direction from most therapy.

That is why they sit well beside talking work rather than competing with it. If words keep circling the same ground, changing what your body is doing…

Body based approaches have been linked with better physical and mental health, easier relationships, and in some settings lower use of painkillers and psychiatric medication.

That last one tends to interest the people holding the budget, so it is worth knowing if you are trying to get this kind of work taken seriously…

People who are sure they could never lie still for an hour tend to be asleep within ten minutes of getting on the table. Being unable to fidget seems to do it.

Worth saying in advance to anyone who is putting off booking. It is the same effect as a car journey knocking out a child who has not stopped moving…

The chapter a diagnosis sits in was decided by a committee, and the medicines did not rearrange themselves to match. When you are thinking about treatment, it helps to look past the name on the file to what the person is actually carrying.

Anxiety used to sit in one place in the manual and now sits in three, with trauma conditions and obsessive ones given rooms of their own. That…

If something helped one part of your anxiety and did nothing for the rest, that is not proof it failed or that you are beyond help. Different parts of this run on different machinery.

The sudden bodily kind and the grinding thinking kind are handled by different systems, and a treatment that reaches one may have very little to grip…

Nothing you take can act on something that is not there to be acted on. It is a plain limit, and it explains a good deal of the disappointment people carry about treatment.

A medicine travels everywhere in the body and only does something where there is something for it to work through. So the question is not whether a…