Practices

Two weeks away is the point to stop waiting and ask for help. A year away is beyond what one appointment a week can carry.

Short absences often sort themselves out. Once a fortnight has gone, the pattern has usually begun to set, and the amount of practice needed to undo…

Somewhere between five and ten children in every hundred struggle to get to school at some point, and one or two of those need real help with it. Your family is not a strange case.

It feels rare because nobody mentions it at the school gate. In a school of a thousand that is a dozen or more children needing active support at any…

Avoiding something makes today easier and tomorrow harder. Say that plainly, to yourself and to whoever is in it with you.

Without that sentence, asking someone to face a frightening thing looks like cruelty, and every conversation about it goes badly. With it, the choice…

Anxiety is the most common mental health difficulty of childhood, with something like a third of young people meeting the threshold at some point and a smaller group badly held back by it. Both halves of that are worth saying.

The first half is for the shame: this is ordinary, and keeping it secret is its own kind of avoiding. The second half is so that nobody hears…

Offer school again at ten, and at eleven, and after lunch. One refusal at half past seven should not be allowed to decide the whole day.

Morning dread usually peaks around the time they would be leaving and then drains away over a couple of hours. A child who could not face it at half…

Nobody is asking you to go cold. Comfort your child properly, and watch where it lands: alongside them as they go, rather than waiting for them if they stay.

A hug at the door and a hand on the back on the way to the car sit on the side of going. A whole afternoon of being looked after because they did not…

If staying home means an anxious child gets more of you, your comfort is quietly part of what keeps them there. That is not a failure of love.

This one is hard to see precisely because the soothing is kind and the distress is real. The usual shape is a fought over morning, the child stays,…

On a day at home, be the person who supervises rather than the person who keeps them company. The warmth is not cancelled, it moves to the evening.

Hovering, chatting, sitting alongside them with a cup of tea: all of it is lovely, and all of it makes the day at home better than the day at school.…

Find one adult in the building the child already trusts, and have them meet the child at the entrance. The doorway is the hardest minute of the day.

The job is small and specific: be there at the door, walk with them to their locker, get them started, be findable later on. It turns the worst…

A plan followed on some days and not others can be worse than no plan at all. Choose the smallest version you are sure you can keep to, and keep to that.

When staying home works on one morning in four, that occasional success makes the pleading more determined rather than less. Cut the plan back until…

When someone with attention difficulties loses the structure around them, the difficulty shows in full. Nothing has got worse in them; the scaffolding that carried part of it has gone.

Bells, a timetable, a teacher at the front, other people visibly working: all of that was taking some of the load. At home the load falls on whoever…

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…

Before you walk out, say three things: this is getting heated, I need a bit of space, I will be back and we will carry on. The sentence is the skill, not the walking.

An exit with no words is read as punishment, and the other person will usually follow you to finish it, which is how a break turns into the worst…

For a child who is boiling over: eyes closed, fingers gently over the ears, and a long humming breath out. They can feel the buzzing inside their own head.

Blocking their ears is something an upset child often does already, so you are borrowing a movement their hands know rather than teaching a new one.…

If telling your doctor or midwife what you are using feels impossible, you can ask someone you already trust to pass it on for you, with your permission and in your words.

People often stay quiet with the very clinician who could help, because saying it out loud feels heavier than the problem does. Handing the message…

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…