Practices

Some families make it a house rule that driving happens only on a day the medication has been taken. It works because it ties a privilege to safety rather than to obedience.

Set it with the young person rather than at them, and be clear it is about the road and not about whether you trust them. It also moves medication…

Cognitive testing done on a day without medication can come out well below what a person can actually do. If a score is going to decide a school placement, make sure the conditions on the day are recorded.

The parts of these tests that are timed, or that ask you to hold numbers in your head, are exactly the parts untreated ADHD drags down, and they pull…

A lot of people with ADHD quietly believe they are not clever. Usually it comes from reading a page four times and taking nothing in, and concluding the obvious thing about themselves.

That belief does a great deal of damage. It keeps people out of courses and jobs they could do, and it makes them give up on any new strategy the…

In any quiet practice, dhikr, prayer, sitting still, your mind will go. The practice is not staying put. It is noticing you have gone and coming back, however many times that turns out to be.

Set the bar at a length you can actually manage, two or three minutes to begin with, rather than the twenty minutes somebody recommended. Counting on…

Plenty of adults with ADHD keep tripping over rules nobody ever stated: how long a turn in a conversation lasts, when a story has gone on too long, when a joke reads differently than you meant it.

You can learn these the way you would learn anything else you were not taught. Ask one person you trust to tell you plainly what they notice, since…

Eating and body image are part of this for more people than you would think. Forgetting meals all day and then eating without stopping in the evening is a very ordinary ADHD pattern rather than a separate failing.

The useful move is usually to eat by the clock rather than by hunger, since the signal arrives late or not at all when you are absorbed. Put one…

With children, practise the hard social moment rather than explaining it. Act out asking to join a game, or losing one, a few times at home where nothing is at stake.

Keep it light and short, let them play both parts, and be the one who gets it wrong sometimes so it does not feel like a test. Pick the situation…

Keep two or three trustworthy places to read about ADHD and go there first. Confident, tidy explanations online are easy to find, and most of them have nobody checking them.

Look for organisations that cite their sources and say when something is uncertain, and treat a personal account as a personal account rather than as…

Explain ADHD to the child themselves, in words they can hold. Something like: your brain is brilliant at things it finds interesting and needs extra help with things it finds boring, and we are going to work out that help together.

Children build an explanation whether or not you give them one, and the one they build is usually about being bad. A short, matter of fact account,…

Girls get diagnosed later, and a good deal of the reason is social. A boy who plays the fool gets laughed with, while a girl who does the same is corrected by her friends within a week, so she goes quiet and disappears from view.

Referral usually follows disruption rather than difficulty, so anything that keeps a child quiet also keeps her unassessed. The point it finally…

They are too clever to have ADHD is one of the more expensive mistakes in this field. Being able to understand something and being able to start it, order it and finish it are different abilities.

A very capable person can sit with a task they fully understand and be unable to begin, and then be judged for it far more harshly precisely because…

If you have not been assessed because of money, waiting lists or simply getting to appointments, that is a barrier and not a lack of seriousness on your part.

The loop is unkind: the difficulties themselves make earning and organising harder, and that makes assessment and treatment harder to reach. Before…

Plenty of adults with ADHD grew up being called lazy, difficult or naughty, and some were punished in ways nobody would allow now. That history usually needs saying out loud, because it left a belief behind.

The belief tends to sound like: there is something wrong with me and people will find out. It shows up as bracing for criticism, or hearing an…

Making a child repeat a year rarely fixes what went wrong. The same lessons without different support tend to produce the same result, plus the sting of being the oldest in the room.

If a year has gone badly, the useful questions are what support was missing and whether something else, such as an unrecognised learning difficulty,…

ADHD is not only about focus. Physical health tends to drift down the list, and appointments, sleep, food and movement are exactly the sort of thing this condition makes hard to keep up with.

Pick one health task you have been putting off and make it small and dated: book the check-up, refill the prescription, put a walk in the diary with…

Work is one of the places ADHD does the most damage, and it is usually a question of fit rather than ability. Choose the job that suits how you actually run, not the one that would suit an improved version of you.

Variety, movement, visible deadlines and quick feedback tend to work. Long stretches of quiet paperwork with a deadline months away tend not to. If…