Practices

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…

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,…

Feeling bad about being late is a consequence you can talk yourself out of in about four seconds. Telling a friend you are buying dinner if you are late is not.

Pick something small and real, and pick a person who will hold you to it without being unkind about it. Dinner, the coffees, the taxi fare. The size…

The conversation only counts if the decisions end up in the calendar. 'You take Tuesday, I'll take Thursday' has to be written down or it did not really happen.

Both of you were relying on the same tired memory that caused the trouble in the first place. So do the writing during the conversation rather than…

Put the stake outside your own head. Tell a colleague that if you are late to the meeting, lunch is on you.

The link between being late and buying lunch is arbitrary, and that does not matter at all. What matters is that it is real, it happens soon, and…

Choose one person and tell them you will send the finished thing by a set time. Not a conversation about how it is going, just the file, the photo, or the word done.

The sending is the whole mechanism, so keep it small and exact: what, and by when. It does not have to be someone qualified to judge the work, and it…

Let the child score themselves on the same sheet the teacher scores. Two columns, filled in separately, then looked at together.

At first the two columns can be miles apart, and that is the useful bit rather than a problem. Nobody is being caught out. Over the weeks the gap…

If someone is saying so much that you have lost the thread, stop them kindly and check. Sorry, that is a lot and it matters, can I say back what I have got so far.

It feels rude and it is usually received as the opposite, because it says the words were worth keeping. Listening while quietly drowning helps…

You can drop the neuroscience and keep the instruction. Look at the person's face, and at their eyes in particular, and let what you see land on you.

The advice does not need a mechanism to be worth following. Look at the person while they are speaking instead of at your own next sentence. Let…

When someone is telling you something hard, quietly let your body come closer to theirs. Similar posture, similar pace, your voice at their volume rather than your own.

Do it lightly. This is not an impression, and if it looks like one it will land as mockery. A small shift is plenty: leaning in when they lean in,…

You can feel for the child in front of you and still keep the consequence you set. Being moved was never meant to be the thing that decides.

It happens to everybody. You are firm, then you see the crumpled face, something turns over in you, and the consequence quietly disappears. What the…

When you notice you have stopped really being there with someone, change your body before you try to change your effort. Sit forward, unfold your arms, turn to face them properly.

Attention goes late in the day, and trying harder to care rarely brings it back. Moving does. Feet planted, hands open, shoulders squared to them,…

When someone says they feel restless inside, ask what the restlessness wants. Restless to move, or restless to do one particular thing until it feels right?

The two feel similar from the inside and point in different directions. With ADHD it is usually undirected: the legs go, the chair is wrong, you need…

A distracted person can be brought back with a nudge. Someone who has gone elsewhere cannot, and the difference shows itself in a couple of seconds.

Say their name, ask something simple, and watch what returns. Attention that has drifted comes back with a small apology and picks the thread up…

Try not to ask why. If the person knew why, they would probably have sorted it out already, and the question tends to land like an accusation.

Ask what happened just before instead. What was going on, what they felt, what came after, what sort of day it had been. Those answers can be worked…

While you are taking the family history, ask about seizure disorders and psychosis too, not only about attention. A family carrying other neurological or psychiatric conditions is worth knowing about whatever you end up concluding.

Keep the list short and ask it plainly: epilepsy, psychosis, learning difficulties, head injuries, anything neurological. Some of it will matter for…

You can screen for a processing difficulty with no test at all. Just notice, in ordinary conversation, whether the child is answering what you actually said.

A child who drifts off topic, answers a slightly different question, or needs things said twice may not be avoiding you or daydreaming. The words may…

The most useful question about a dose is whether the person can tell. A shrug and 'I think it sort of helps a bit' usually means it is not yet doing its job.

At a dose that suits them, most people can say when it comes on, what the middle of the day feels like, and when it leaves. Vagueness points…

Half the useful health information arrives sideways. Someone says 'I am so tired' on the way into another subject, and that is an opening worth taking gently.

People rarely bring sleep or food to a session as a topic, because they do not file them as symptoms. So the tiredness, the skipped meals and the…

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…