Practices

A young person hears the fear in a house even when nobody says anything. If the adults are frightened about their future, they usually take that fear as a verdict on themselves.

If you are the worried parent, you do not have to perform calm. It works better to say the true version out loud: I am anxious about this, the…

When someone has shut down, pressure to get moving usually pushes them further in. Safety first and activity afterwards, even when the whole household is desperate for a sign of life.

Safety here is ordinary and physical. Food that turns up without being asked for. A room nobody is inspecting. Conversation that is not a progress…

Step in while a child is only starting to wind up, and offer something calming rather than a correction. Slow breathing, counting, a soft toy, a quiet corner for a few minutes.

Three to ten minutes in a set place is plenty. It works best when the offer is warm and matter of fact, one sentence, no lecture about what they did.…

The whole value of a calming corner is that the child can take themselves there. An adult may suggest it, but if it is only ever ordered, what gets learned is obedience rather than self-regulation.

Make it clearly available rather than assigned. They go, they take their few minutes, they come back with a short hello and a nod at whatever they…

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…

Attention and impulse problems that appear for the first time in middle age or later are not ADHD arriving late. They need a doctor to look, not a prescription.

Several conditions affecting the frontal lobes can show up first as new disinhibition, poor judgement or a change in personality, and some are…

When a child with attention difficulties is also at war with every instruction, that pairing is worth taking to someone early rather than waiting to see whether it settles.

The two travel together often, and a minority of children follow a path from constant defiance into more serious trouble later. Every stage of that…

When you are already behind, rest feels like the one thing you cannot afford. That feeling is usually what keeps you behind.

Running from one near disaster to the next burns exactly the abilities you need in order to dig out: planning, holding a thought long enough to use…

There is a rough ladder for tech overuse. Build a schedule together with some outside control at first, add substitutes once the person can stop for a while, then more intensive care, and residential only when someone is entirely taken over by it.

The order matters more than the rungs. You cannot install a better alternative in someone who has no capacity yet to put the thing down, so a bit of…

Before you offer anyone the upside of their ADHD, say the hard part out loud first. One patient's answer to being told it was a gift was to ask where he could return it.

A reframe offered too early does not sound hopeful, it sounds like you were not listening. Name the cost in specifics, the job that went, the…

When a young person with ADHD goes through a first breakup or loses a friendship group, stay closer than usual. Do not wait for the next arranged contact.

Rejection lands harder here, and impulsivity shortens the gap between feeling unbearable and acting on it. A short unannounced check in, a lift…

Put the rules up on the wall where everyone can see them, and put the child's own version on a card on their desk.

A rule that lives only in memory is not there in the second it is needed, which is the second something more interesting has just walked past. A card…

Some children need to move, and the choice is whether that movement is allowed for or whether it arrives as a disruption later on.

A ball chair, a standing desk, a seat near the front, or permission to walk to the back and return with a nod and nothing said: any of these let the…