Practices

There are two jobs here, not one. Free up the time, and then be able to sit in it without feeling like a fraud.

Working more efficiently buys hours back, and that is the easier half. The harder half is the belief that rest is only for people who have finished…

A screen is a privilege, not something a person is owed. Food, clothes, a warm home, medical care, school, being loved: those are owed, and a phone is not on that list.

Saying this plainly gives a household something firmer than mood to stand on when limits are set. It also keeps two things apart. The care and the…

When someone misuses a device, sending explicit messages or piling on to someone or going where they should not, the useful read is that they were not ready for that much freedom yet. Not that they are a bad person.

Readiness gives you somewhere to go. You can name the skill that was missing, hand back a smaller amount of access, and set out what would show they…

Tell someone their phone is wrecking their sleep and you have handed them something to argue with. Ask instead what they notice on the mornings after a late scroll, and let them say it.

This is the difference between a conclusion arriving from outside and one a person reaches themselves, which they then have to take seriously because…

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…

When someone has missed the deadline again, the talk about how they always do this changes nothing except how they feel. If you want a different Friday, the conversation belongs on Monday, and it is about the plan rather than the person.

This is a hard one, because the frustration is real and often fair. But the lecture lands on a system that was never the failure point, and it adds…

Instead of one warning, give several: half an hour, fifteen minutes, five, one. The child then has time to arrive at the ending rather than having it dropped on them.

A single warning asks a child to track the gap on their own, which is the thing they cannot do. A ladder of prompts turns a stretch of time into a…

People rarely stop at you are late. They move on to what sort of person is late, and then it is about respect and reliability rather than about time. You have probably taken that account on board yourself.

Naming the jump out loud helps, at home and at work: this is a difficulty with timing, here is what I am putting in place, and it is not a comment on…

A child who is blind to time is not ignoring the deadline. They are living in whatever is happening right now, with no sense that the bell is close or that Friday's test has anything to do with today.

It shows up as reacting to each moment rather than moving through a day with a shape. Adults read that as not caring, and the child usually cannot…

The pattern usually ends the same way. Nothing feels urgent, then the deadline lands all at once, and the child panics and produces something poor or nothing at all.

Once you can see the sequence, you can step in near the beginning instead of managing the wreckage at the end. Say it out loud with the child,…

If the test is on Friday and it is Monday, Friday is doing almost no work. Put something today on the end of today's revision, however small.

This is not spoiling a child. It is matching the reward to the timescale they can actually feel, which is roughly the one they are living in. Half an…

If the only real feedback a child gets arrives every ten weeks, it will not shape a single Tuesday. A report at the end of term is a record, not a motivator.

This is worth saying gently to teachers and to parents who feel that grades ought to be motivation enough. For this child they are not, and no amount…

For younger children, make the reward small, concrete and soon. Stickers, points, a smiley face, five minutes of something good, handed over the same hour rather than at the end of the week.

Points that build towards something bigger work well, as long as the point itself arrives immediately. Hourly is not too often for a young child, and…

Keep consequences for the sake of honesty, but let praise and reward do most of the work. Punishment can tell a child what to stop and it cannot tell them what to do instead.

Children with this difficulty collect an extraordinary amount of correction over a childhood, from teachers, from parents, from other children.…

Go looking for the moment the child does the thing you have been asking for, and say so while it is still happening. Most of us watch for the problem and only notice the good behaviour when we have run out of trouble.

It helps to decide in advance what you are hunting for, so that starting the homework without being asked, or waiting a turn, actually registers…

If the internal clock is not there, put clocks in the room. Somewhere the child can see without turning round, a timer on the desk, one on the wall by where they work.

Think of it as a prop rather than a cure. The aim is not to train an ability into existence before the child is allowed to cope, it is to let them…

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…

Before you explain anything about ADHD to someone, ask what they already think it is. What they tell you decides what your explanation can land on.

People arrive with family stories, cultural rules about mental health and firm views about medication, and none of it shows up unless you invite it.…

By the time somebody comes for an assessment, the poor opinion of themselves is usually decades old. Assume it is there even when the person in front of you is visibly doing well.

It rarely arrives as a complaint. It shows up as apologising for taking up your time, as brushing off achievements, as a joke about being useless…

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…