Practices

Short sleep is often not a sleep problem at all. It is midnight arriving without being noticed, on top of a day whose work got pushed into the evening.

If that is the shape of it, advice about winding down will keep missing. What tends to help is an alarm for going to bed, the same as the one for…

Rushing out of the door is the most reliable way to leave something behind. The hurry uses up the very attention that would have checked for the keys.

The answer is not to remember harder, it is to move the check earlier. Pack the bag the night before and leave it by the door, and give yourself a…

People rarely stop at you are late. They move on to what sort of person is late, and then it is about respect and reliability rather than about time. You have probably taken that account on board yourself.

Naming the jump out loud helps, at home and at work: this is a difficulty with timing, here is what I am putting in place, and it is not a comment on…

Long stretches of time are where people dissolve. If a whole afternoon is unusable for you, stop trying to use it as an afternoon and cut it into pieces with edges.

Twenty five minutes on, five off, or forty and ten, or whatever suits the work. What you are after is a short enough run that you can tell from…

Write the morning out in small steps with times against them and stick it where you will pass it. Bathroom finished by quarter past, clothes on by half past, at the table by twenty to.

A single hour before you leave is far too long an interval to monitor, so you find out you are late only when you are late. Broken into six pieces,…

Walking away from a course or a job that was never going to fit can be the sensible move rather than a failure of nerve. It is also frightening, particularly when other people are paying for it.

Fit does more work here than effort does. The person who cannot survive a rigid nine to five in an open plan office may be excellent somewhere with…

A blank face is not usually an angry one. If you tend to read disappointment into people who are only tired or thinking, that reading is a habit, and habits can be checked.

Two things feed it. Reading faces accurately is genuinely harder for some people with ADHD, and if you grew up being told off a great deal, expecting…

Before you offer anyone the upside of their ADHD, say the hard part out loud first. One patient's answer to being told it was a gift was to ask where he could return it.

A reframe offered too early does not sound hopeful, it sounds like you were not listening. Name the cost in specifics, the job that went, the…

The idea that attention problems are a moral failing is older than the diagnosis itself. An early medical name for this put it down to defective moral control, so if you grew up hearing that you simply were not trying, you were hearing an echo of that.

The name changed several times after, through minimal brain dysfunction and a childhood hyperkinetic disorder, to what is now called ADHD. Each…

Rejection sensitivity is something clinicians see often in ADHD, and it is not a diagnosis in any manual. It can describe what happens to you accurately without being a label anyone can write in your notes.

The experience is real enough: a look, a short reply or an unanswered message lands like a verdict and takes hours to shake off. Held as a…

Most of what other people do is about their own day rather than about you. That is easier to hold once you have also admitted that in childhood, sometimes, it genuinely was about you.

The two halves have to travel together. Skip the history and the reassurance sounds like someone telling you your memory is wrong. Skip the present…

Sensing that you got something wrong socially, without knowing what, tends to turn into watching yourself constantly. That watching is usually what makes the next conversation go badly, not the original mistake.

This kind of nerves does not clear up by pushing yourself into more social situations. Without knowing what actually went wrong, more exposure only…

Cheer up, calm down, try harder. It is the same instruction wearing three different names, and treating every difficulty as a question of effort turns each symptom into a comment on your character.

This assumption is old and it is everywhere, so most people have absorbed a good deal of it long before anyone offers them another explanation. You…

The disbelief that hurts most rarely comes from strangers. It comes from a parent, a sibling or a cousin who calls the whole thing an excuse.

It carries more weight because they have known you longest, and some part of you still treats their reading of you as the accurate one. It can wear…

The feeling that you were let in by mistake is common among capable people with ADHD, and it has a plain source. A patchy performance history gives you real evidence of inconsistency, and fraud is simply the wrong explanation for it.

Being sharp one week and unable to start anything the next looks, from the inside, like proof that the good weeks were an act. Regulation that varies…

Listen to how you explain your own good news. If every success gets put down to luck, timing or somebody not looking closely enough, while every failure gets put down to you, the books are not balanced.

It is one of the more reliable signs that shame is running underneath. The pattern is worth catching in the act, so next time something goes well,…