Practices

Hurting yourself is not always about coping. Sometimes it is aimed at somebody else, and until you know which it is you cannot know what would help.

This is uncomfortable to ask about and it is not an accusation. An act can be a way through an unbearable hour, or a message to someone who has…

See what you made me do to myself. When self-harm is carrying a message like that, naming the message is not dismissing it, it is looking for the thing that could be said instead.

The question can be asked kindly and straight. Do you ever get angry enough with them to want to hurt yourself so that they feel it. People often say…

Physically taking a refusing child should be rare, and only with a young child, two adults at home, two staff waiting at school, and a plan for keeping everybody safe.

It goes wrong easily. Someone gets hurt, a younger sibling watches it happen, and a child learns that the adults will use force, which is not a…

Sometimes the help you need is not insight. It is someone sitting with you while you sort out what actually happened this week and which bit of it mattered.

When anxiety is running at full speed, everything arrives at the same volume and nothing can be ranked. A bad week becomes one undifferentiated bad…

If most of the difficulty is happening at home, most of the work needs to happen with the household in the room. Otherwise the hour of good conversation gets quietly undone by Tuesday.

In a settled stretch, seeing the young person on their own with occasional family time is fine. In a crisis, turn it round: everyone together,…

When you are trying to reach a feeling, stay with the actual sentence that caused it rather than paraphrasing it into something milder.

She said you are too difficult. Said again, gently, it keeps the moment alive in the room instead of turning it into a memory being reported.…

Worry done on your own goes round in circles. Said out loud to one other person, it usually turns into a problem with edges, and sometimes into a next step.

The rule is short enough to remember at midnight: never worry alone. It does not have to be someone who can fix anything. A friend, a colleague, your…

Instead of stopping the worry, follow it all the way to the end. And then what happens. And then what. At each step, ask whether you could bear that.

Most catastrophes stop being catastrophes somewhere along the chain, and the place where you say no, I could not bear that, is the useful discovery.…

Ask for the most frightening moment of their life, then the next one down, then the next, until there is a scale running from one to a hundred. You get the ladder you needed, and they get something they did not expect: fear comes in sizes.

Do it slowly and write it in their words rather than yours. Most people arrive believing anxiety is one solid block that either has hold of them or…

Rolling or throwing a ball back and forth with someone is more useful than it looks when one of you has gone blank. It gives the body a job and the two of you a rhythm at the same time.

It works over a video call as well: ask them to fetch a ball from another room and bounce it while you talk. Say what you are doing and why, so it…

Put something in before you take something out. Removing the only way a person has of coping leaves them with nothing, which is not safer.

In practice this looks like smaller steps than a promise to stop: cutting the frequency, changing what is used, agreeing to wait ten minutes and do…

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…

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…