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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28 practices

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The target is getting through the door, not feeling calm about it. Calm tends to arrive afterwards, and mostly for people who went.

It is tempting to wait for a good week, a settled mood, a morning that feels different. Waiting hands the decision to the anxiety, and the anxiety…

A minuteThe cost of avoidingCBTQur’an 9:105One line of research

Put it the way a grandmother would. Eat your peas and carrots and then you can have your pudding: go in, and then the thing you have been wanting.

Technical language falls out of your head at seven in the morning. A homely sentence survives, and it survives the argument too, because it is hard…

A minuteThe cost of avoidingCBTQur’an 41:35One line of research

Parents keeping a pattern going are almost never doing it knowingly. Say so out loud, before you explain any of the rest.

A parent who hears that their comfort has been part of the problem will either argue or quietly stop coming, and both of those cost the child far…

A minuteThe cost of avoidingCBTQur’an 39:53One line of research

Try this with someone you trust. They say a word, you say the first word back, fast, ten or so in a row. Black, white, mum, dad, sky. Then notice that nothing strange came out of you.

Underneath a lot of social fear sits the belief that speaking without preparing will let something humiliating escape. A minute of quick word…

A minuteBeing seen and judgedCBTQur’an 53:32One line of research

There is more about worry and anxiety than the practices: the worry and anxiety area has the themes and the courses too.

Next rung: remark on something in the room. The plant, the noise outside, the length of the queue. Nothing about the person yet, just something out loud about where you both are.

It is the lowest stakes opening there is, because the subject is neutral and the other person can pick it up or leave it. Most of the time a small…

A minuteBeing seen and judgedCBTQur’an 2:264One line of research

When you are ready, make it personal and small. Something you noticed about the person in front of you, said lightly, is the rung most people dread and most need.

Personal remarks are the feared category, because they cannot be passed off as neutral. Do it first with someone safe, a therapist, an easy relative,…

A minuteBeing seen and judgedCBTQur’an 49:11One line of research

Rehearsing your lines makes things worse rather than better. It hands you a fresh way to fail, delivering the line wrong, on top of the conversation you were already dreading.

A script is a safety behaviour. It quietly confirms that unrehearsed speech is dangerous, and it gives you a second job to do while talking:…

A minuteBeing seen and judgedCBTQur’an 4:142One line of research

When something good comes out of a conversation you started, say plainly that you started it. Chance may have put the person there. You were the one who spoke.

One young woman asked a contact, in passing, whether a gallery owner needed any help. The question turned into an application and then an internship,…

A minuteBeing seen and judgedNarrativeQur’an 4:149One line of research

It helps to have one small set of moves you use whatever the worry is wearing today. Not a fresh technique for each fear, just the same few steps, learned well enough to reach for without thinking.

Anxiety changes costume. This month it is contamination, next month it is being late, next year it is your health. If every version needs its own…

A minuteFacing it a step at a timeCBTQur’an 2:45One line of research

When a child digs in, try reading it as frightened rather than difficult. Most of them want to get this right and simply do not yet know how.

Refusal that looks like defiance is usually fear sitting on top of a missing skill, and those two call for different responses. Treat it as defiance…

A minuteFacing it a step at a timeCBTQur’an 4:28One line of research

When the words for feelings are not there, ask for a number instead. How much did the handwashing take over this week, one to ten, is a question someone can answer on a bad day.

A number asks far less of a person than a description, which matters when putting feelings into language is hard for them, and you still end up with…

A minuteObsessions and compulsionsCBTQur’an 2:286One line of research

Agree a short phrase to use at home. Saying I am having OCD worries tells a parent what is going on without handing them the worry to solve.

Once a parent hears the details they will nearly always try to help by answering, and answering is the thing that feeds it. A label gives them…

A minuteObsessions and compulsionsCBTQur’an 23:97One line of research

Drug names ending in pam or lam are almost always benzodiazepines. It is a quick way to pick the class out of somebody's medication list.

The ending tracks a shared chemical backbone, so the shortcut is not a coincidence. Keep a rough rule alongside it: this class suits sharp fear…

A minutePanic and the bodyMedical and treatmentQur’an 27:10One line of research

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…

A minuteTreatment and medicationMedical and treatmentQur’an 49:6One line of research

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…

A minuteTreatment and medicationMedical and treatmentQur’an 41:44One line of research

Sleeping tablets, sedatives, antihistamines and alcohol all pull on the same brake. Whoever is prescribing needs the whole list, including the things that do not feel like medicine.

People rarely mention a nightly drink or a sleep aid bought off the shelf, because neither feels like part of the treatment. Together they can add up…

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

If you do not know how much of something you are taking, you cannot tell whether it is helping you. That is the honest problem with most calming products bought off the shelf, quite apart from whether the ingredient works.

Testing of these products keeps turning up contents that do not match the label, sometimes including things the label never mentions. So a good week…

A minuteTreatment and medicationMedical and treatmentQur’an 17:36One line of research

With anything you use to take the edge off, note what you took and when, and how you felt a few hours later. Small changes in amount can turn the same substance from calming into the opposite.

Cannabis is the clearest example. Strength and make up vary enormously between products, a small amount often settles people, and a larger amount…

A minuteTreatment and medicationMedical and treatmentQur’an 16:69One line of research

If you have been given a drug from one category for a problem in another, it is fair to ask which part of it is doing the work. Often the useful effect is a side effect that has been borrowed.

The common example is an antipsychotic given in a small dose for sleep, where the drowsiness comes from its antihistamine action rather than from…

A minuteTreatment and medicationMedical and treatmentQur’an 21:7One line of research

A small dose that has not changed in years is not automatically something to fix. Stopping carries risks of its own, and they have to be weighed rather than assumed away.

Coming off can bring withdrawal, a rebound of the original anxiety, and worse if it is done abruptly. Set against the risks of staying on, which are…

A minuteTreatment and medicationMedical and treatmentQur’an 39:53One line of research