Practices

Instead of sending a child out to sit and stew, send them to a side table for three very easy worksheets, then straight back to whatever everyone else is doing.

It takes them out of whatever was rewarding about the behaviour without leaving them with nothing to do and an audience to play to. Keep the work…

A reward that is far off has almost no weight in ADHD. Tying the task to something you actually care about gives you a reason that does not depend on the payoff arriving soon.

So instead of 'I should file these', try 'I want to be someone my family can rely on, and this is part of that'. The other half of this approach is…

Time with people is not the nice extra you get to once the real work is done. Put it alongside sleep, medication and exercise rather than underneath them.

It helps to treat it like any other part of a plan, with something specific in the week rather than a general intention to be more social. One…

Belonging to the group does nothing. Going does. Having a friend does nothing either, unless you see them.

So count the actual events. How many times this week did you sit with someone, not message them. A number you can check beats a resolution to be more…

One sign that the heat has come off a little: you can hold I am furious with you and you probably did not mean it in the same moment, without dropping either one.

In the middle of an argument that second thought is simply not available, and its absence is not a failure of character. It comes back as the arousal…

Some people are done with an argument in ten minutes. If the person you live with needs three hours, your quick recovery can look to them like proof that you never cared.

Say the mismatch out loud when things are calm, so that it is understood before the next row rather than argued about during it. If you are the fast…

ADHD rarely turns up on its own. If anxiety or low mood is in the room as well, it needs treating in its own right, and that includes when it is the other partner who is struggling.

This is the part that gets missed in couples. One person becomes the identified patient and everybody works on them, while the other one's untreated…

Saying I need a break only works if you have agreed beforehand what a break means. How long it lasts, what the other person does meanwhile, and when the two of you come back to it.

Settle it on a calm evening. Twenty minutes, no following, no messages in between, and we sit back down at nine. Then keep the return time exactly,…

If you run a group for people with ADHD, keep it to about five or six, or bring in a second facilitator. Past that you spend the session keeping order instead of doing the work.

The limit is not really about behaviour. It is about how many people one person can genuinely track while also holding the thread of the session.…

You can be connected to a thing as well as to a person. A cause, a project, something you are making. On the days people feel like too much, it is still there.

This works best when it asks something of you regularly: a rehearsal, a shift, a chapter a week. The obligation is the useful part, more than the…

If you tell people that company is part of their treatment, it is worth noticing whether it is part of yours. Sitting in a training room with colleagues is the same medicine, taken by you.

There is a quiet loss of credibility in prescribing connection from a life that has none in it. It also flattens something that ought to be flat. You…

There is a difference between being calm because your partner manages you and being able to steady yourself. The first works right up until the person is not there.

Plenty of adults with ADHD have got by on outside regulation without ever noticing it: a spouse who makes the difficult phone calls, a deadline that…

Sleep, food and moving your body will not cure ADHD, and they do change how much of yourself you have available. Aim for good enough here rather than excellent.

The gain shows up in the margin more than in the symptoms. Rested, you have a bit of room before you snap. Short of sleep, you arrive at the evening…

You cannot ask anyone to work harder on your difficulty than you are working on it yourself. That is the condition attached to every adjustment you ask for.

It is what keeps help from curdling into supervision. If your partner is holding the calendar, softening the tone and steering round your worst…