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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9 practices

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ADHD is managed rather than cured, across a whole life. Anything advertising a cure is telling you it is not working from the evidence.

Managed sounds like a disappointment until you look at what it means in practice: treatment that fits your life now, adjusted when the life changes,…

A minuteTreatment and medicationMedical and treatmentQur’an 2:286One line of research

After a working lifetime in this field, Barkley names the change in how a family sees the child as the most important step of all. Not the medication, not the charts.

The reason is practical rather than sentimental. Every other part of treatment asks parents to keep going for weeks with very little to show for it,…

Five minutesTreatment and medicationADHD skillsQur’an 13:11One line of research

Being told ADHD is largely inherited can sound like being told nothing can be done. It does not follow, and the two questions are separate ones.

How much of something a person shows, day to day, moves a good deal with what is around them, even when the underlying trait is strongly heritable.…

Five minutesTreatment and medicationADHD skillsQur’an 12:87One line of research

Massage may well leave you calmer, and calmer is worth having. It is not a treatment for ADHD, and the two are worth keeping in separate boxes.

Living with ADHD is stressful in a measurable way, so anything that genuinely lowers that load is doing real good and deserves a place. The error is…

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

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

Tolerate distress

Moving your body

Structure and routine

Being seen and judged

Grounding and settling

Feelings and focus

What worry does

Exercise, food and other supports

Feeling from the inside

Emotions as signals

Treatment and medication

Cool the body first

Practising under provocation

Choosing your response

Question the thought

The cost of avoiding

Growing empathy

Breaking the worry loop

Living with uncertainty

When you go numb

Posture and how you carry yourself

Facing it a step at a time

Making it stick

What you are actually defending

Use your strengths

Bringing the future closer

Breathing

Self-compassion

Remembering to do it

Do not write off simply sitting with someone. When researchers looked into why dummy treatments helped, one of the things they kept finding was half an hour of a person's full attention.

Thirty minutes of someone listening properly to your difficulties is not filler around the real treatment. Across the talking therapies, who the…

Twenty minutesTreatment and medicationMedical and treatmentQur’an 3:159One line of research

A great many people are diagnosed and then left with a starting dose nobody ever revisited, no reading, no group, nothing else at all. If things have stalled, the first thing to check is whether the treatment was ever actually finished.

Optimising is unglamorous and often the quickest thing available. Was the dose ever adjusted upwards, and on what basis. Does the cover reach the…

Twenty minutesTreatment and medicationMedical and treatmentQur’an 65:2One line of research

If the prescriber, coach or therapist is not delivering much, say so and ask for someone else. Working around poor care quietly is the thing that convinces a couple this is simply as good as it gets.

A dose never revisited, or a therapist who has never worked with ADHD, sets a low ceiling. The trouble is that the ceiling gets read as the person:…

Twenty minutesTreatment and medicationMedical and treatmentQur’an 12:87One 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

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