Practices

When somebody decides against medication, respect the decision and then say the rest plainly. Some of the struggle will stay, and no amount of therapy or another clever app will fully close that gap.

Left unsaid, the person keeps trying harder and reads the shortfall as personal inadequacy, which is the very belief you are working to undo. Said…

Ask how many hours the cover really lasts, not only whether it helps. A long acting stimulant is meant to carry roughly ten to twelve hours, so if everything collapses by mid afternoon that is worth reporting.

Very few lives need only six good hours. Evenings hold homework, cooking, driving, tempers and the people you live with, and those hours get written…

Put today next to the night before it, out loud and often. How did today go after seven hours of sleep, next to the day that followed staying up until three?

ADHD makes it hard to link a consequence back to a choice made hours or days earlier, so the link has to be supplied from outside until it starts…

The same sentence lands completely differently depending on who says it. If nothing stirs when it is described second hand, let the person it belongs to say it to you directly.

A therapist repeating what your partner said is information. Your partner turning to you and saying it, in their own voice, is an event. That is why…

Rather than arguing with someone who says they feel nothing, say plainly what would ordinarily hurt about it. Hearing that the person you love is disappointed in you is a hard thing to hear.

Said warmly, this is not a challenge. It sets out what a person would usually feel and leaves them to notice the gap between that and what they are…

You can take someone's fear entirely seriously without walking through the frightening story with them. Say you can see how frightening it feels, and leave the plot alone.

It reads colder written down than it lands in the room. What the person needs is to feel believed. What they do not need is a second person weighing…

A good deal of what stings in a tense moment is what you imagine the other person is thinking. Sitting inside a silence and watching your own mind fill it shows you that plainly.

Practitioners run this on purpose. Half a minute or so of held silence, with the client asked to notice what happens inside them. Since nothing is…

Run the same moment twice. The second time, change nothing except what you do with it, and let yourself not mind what the other person might be thinking.

Keeping the situation identical is the point, because then the only thing that moved was you. In a session that means the same silence and the same…

Practice gets more useful when someone is really watching. It also gets harder, so agree that part before you begin instead of adding it once the person is already in the middle of it.

An audience raises the stakes in a way that makes the rehearsal more like life, which is exactly why it helps. It is also where consent gets…

Practise not needing the praise, not only the approval. If a compliment can lift you that much, the same dial is being turned when somebody criticises you.

The mirror version of this exercise has someone hold a flattering thought about you while you sit with it and stay level. It feels odd, because few…

If you have someone safe to do it with, ask them to say the thing you dread being thought about you, on purpose, while you practise staying level.

Home is usually where the anger actually happens, so practice that stays in a therapy room or in your head only goes so far. Agree the words…

There is a steadiness worth aiming for: hearing someone disagree with you without either going off at them or going quiet and small.

Those are the two ways it usually falls over. Either the temper goes and the point is lost, or the confidence goes and you find yourself agreeing…

Who pays the bill does give a household some say. That argument weakens every year a child gets older, and it runs out entirely once they are an adult sitting in front of you asking for help.

With a sixteen year old at home on the family plan, parents setting terms is reasonable and worth saying out loud. With an adult, the same move…

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…

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…

While the feeling is at full volume, no argument gets through, including a good one of your own. Settle the body first and talk afterwards.

Reasoning with someone at their peak, or with yourself, nearly always adds heat rather than sense. The order that works is calm, then conversation:…

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,…