Practices

When someone's shame fills the room, check your own state before you say anything. If you start to shrink, or to worry that you are handling this badly, they will feel it.

Shame is catching. The particular risk is a quiet spiral of your own, along the lines of I am no good at this, which pulls you out of the room at the…

With someone carrying old shame, ask about the closeness itself. Is it alright that I am sitting here with you? Would a bit more space help? Then adjust, and let them see you adjust.

Small changes work best. Shifting your chair back slightly, looking away for a moment, softening your voice, then checking what that was like for…

If you can see shame arriving in someone, say so gently and make it welcome. Something like: it looks like there is some shame here, and it is alright that it came.

Naming it does the opposite of exposing it. Left unnamed it works away in private, and the person assumes you have noticed and are judging. Said out…

A friend or a counsellor telling you that you are not a monster helps, and it only takes you so far. The shame usually sits with one particular person, and it eases most when that person hears the thing and stays.

So aim a disclosure carefully rather than widely. Choose the person the shame is actually about, pick a moment with room in it, and say the small…

Telling someone it was not their fault often bounces straight off, and there is a reason for that. Self blame can be the safer of the two stories, and you are asking them to give up shelter.

So do not lead with the correction. Say instead that it makes complete sense they landed there, that a child needs their parents to be good more than…

With someone deep in shame, your steady presence is not the warm up before the useful part. It is the useful part.

That means resisting the urge to fix, to explain the psychology of it, or to hurry them along to a better feeling. Sit at their pace. Keep your tone…

Moving between lessons is where things fall apart, so plan the move out loud before it happens. What to bring, where to go, and who will be waiting.

Before the child leaves maths, walk them through what comes with them and tell them to check in with the next teacher on arrival. That teacher greets…

In a bad moment your attention, your seeing and your remembering all narrow onto the threat. So your memory of the row is a partial recording, and so is theirs.

Worth holding on to before you go back over who said what. Neither of you is necessarily lying when the two accounts differ. Starting with here is…

When the person in front of you starts yawning during body work, it is usually not boredom. Bodies yawn as they let go of what they were holding.

Say so out loud, because most people apologise for it and then clamp down on the very thing that was starting to shift. A simple 'that is a good…

Before sending anyone for hands on work, ask what touch has meant in their life. A massage table is a poor place to discover that touch brings something back.

The person delivering it is not there to hold what surfaces, and often has no training for it. So ask directly, ask about what parts of the body are…

If several medications have failed, ask whether anyone else in the family had the same experience. A pattern of non response runs in some families.

It is a question that rarely gets asked and can save a year. If a parent or sibling went through the same list without success and then responded to…

Telling someone what a treatment will actually be like improves how they respond to it. What it feels like, how long, what is normal afterwards.

Uncertainty makes everything sharper, so filling it in with plain description takes some of the edge off before anything starts. Do not oversell it…

Lead with what has evidence behind it. Save the thinly supported options for when the person brings them up themselves.

Mentioning something is a form of recommending it, whatever hedges you attach, and families will spend money and hope accordingly. If they raise it,…

Most people are already doing something for themselves outside your room: herbs, a chiropractor, breathing videos, a weekly massage. Ask, plainly and without a raised eyebrow.

If you treat it as fringe behaviour, you will simply stop being told about it, and then you are working half blind. You want to know what is…

There comes a moment when the tissue under your fingers gives a little and allows more depth. Wait for that instead of pressing your way to it.

It sounds fanciful until you have felt it once, and then it is obvious. Rest your hand, keep the pressure steady, and let the softening decide the…

Regular massage has been studied with restless, distractible children and teenagers, and their teachers noticed the difference in class as well as the young people noticing it in themselves.

The pattern in these studies is modest and repeated: short sessions, twice a week, over several weeks, with mood and behaviour improving rather than…

In placebo studies, people improve even when they have been told outright that the pill is inert. They also usually spend half an hour talking with someone who is paying attention.

That half hour is easy to dismiss as a detail of the study design, and it may be most of the treatment. Which is oddly encouraging: careful listening…

A lot of what people now know about ADHD came from a video. Some of it is genuinely good, some of it is not, and asking someone what they have been watching is a fair question to open with.

Creators who live with ADHD have done real good here. They have made people feel recognised and made asking for help less frightening, and some…

Long acting does not automatically suit everybody. Some people genuinely do better on shorter doses, and it is worth saying so rather than assuming the newer option must be right.

There is a folk belief that a person's own chemistry takes over in the afternoon once the medicine wears off, and the research does not support it.…

Medication does not make somebody care more. It narrows the distance between meaning to do the thing and doing it, and that distance is exactly what the other person has been feeling as being let down.

It helps a couple enormously to have the right name for what has been happening. The intention was real every single time. What went missing was the…