Practices

Someone who will tell you the part that was not good is someone whose 'that was fine' you can believe. That is what settles the doubt, not reassurance.

Blanket praise carries no information, so it slides off and the doubt is back within the hour. If you tend to worry about how you came across, ask…

With attention difficulties the organising side often runs a few years behind the birthday. A nineteen year old may be running life more like a sixteen year old, and that is a lag rather than a verdict.

Set expectations against where someone actually is instead of what year they were born in. That way the support that felt normal at school does not…

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…

Not knowing how to do an ordinary thing, a bank transfer, a form, a phone call to book something, says nothing about your intelligence. It says nobody ever sat down and showed you.

These gaps hide well, because they embarrass people in a way that larger problems somehow do not. Someone can talk fluently about difficult ideas and…

The next step has to be theirs. A job that looks like nothing to you might be the first thing in two years they chose without being pushed, and that is exactly why it holds.

Parents tend to want the step that recovers the lost ground. The young person needs the step they can actually take on Monday. Shifts in a shop, one…

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…

A wave across the road, a joke with the man in the shop, asking someone how they are and meaning it. These unplanned seconds count for more than they look like they should.

They are also the easiest place to start when arranging a proper meet up feels like too much. Almost nothing is at stake in a greeting, so a fear of…

When somebody looks like they have stopped caring, it is often that they have stopped expecting it to go well. Giving up on yourself tends to come after a long run of trying and being told it was not enough.

That changes what helps. Another plan, another chart, another talk about wasted potential all land on the wrong problem. What shifts things is a…

Some of what looks like muddle is the system's fault. Our tenth month is named for eight, because two months were added later and nobody renamed the rest.

Worth saying to anyone who feels stupid about dates and forms. A calendar whose numbers are out of step, a tax year starting in April, forms asking…

When a child truly does not mind losing the privilege, taking more away will not get you anywhere. That is the moment to change approach rather than raise the stakes, usually to a structured parent programme that works on the pattern between parent and child.

Star charts fail with these children because the reward was never the point of the behaviour. What helps is a proper course of parent management…

You can mean something completely, drive most of the way there with it in your head, and still turn left instead of right. Meaning it and doing it are two separate events, and only one of them is visible to anyone else.

To a partner, the missed errand looks like a verdict on where they come in your order of things. It helps to say out loud, at a calm moment rather…

Saying it is done when it is not is a common next step, and it makes more sense than it looks. The lie is rarely about the parcel, it is a way out of the look on somebody's face.

It also makes everything worse, because being found out turns a forgotten task into a trust problem, and that is a much longer repair. If this is…

You will still forget things. What decides how much damage a missed task does is usually the ten minutes after you notice, not the miss itself.

Two moves reliably make it worse: sinking into shame until you cannot look at the person, and defending yourself as though nothing had been dropped.…

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…

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…

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…

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…

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…