Practices

Bolt the movement onto something you would want to do anyway. A game with a friend, a walk to somewhere with good coffee at the end, a route past the river.

People keep up a weekly game with a mate for forty years and never once call it exercise. The friendship is what they turn up for and the moving…

Not every family can get occupational therapy. Almost anyone can get outside with a skipping rope, a long rope turned by two people, or a board.

Skipping and boarding ask for much of what a therapist would be working on anyway: both sides of the body keeping time with each other, judging the…

Talk first, move second. Ending a hard conversation with something physical gives the body a route back down.

This works for a therapy group and it works for an evening at home. Say the difficult thing, then walk, stretch, wash up, anything that puts you back…

Unstructured play in a big open space settles a child. A structured class teaches them how to be with other children. You want some of each, for different reasons.

If you only ever book the class, you take away the roaming that calms them down. If you only ever send them out to roam, they miss the taking turns…

For a child having a hard time, one adult who plainly thinks well of them makes more difference than almost anything else. A coach or a teacher can be that person.

Studies of children growing up through poverty, hunger and worse keep landing on the same finding: those who did well usually had somebody who…

Pulling back makes you harder to reach, which makes people give up on reaching, which looks like proof that nobody was coming. The loop closes itself.

Being told to open up rarely breaks it, because opening up in one go is exactly the risk the whole strategy exists to prevent. What breaks it is…

If every step you try keeps not working, however small you make it, that is information rather than failure. A more intensive programme is the next thing to look at, and it should be put to you as an option.

The whole point of shrinking the steps is to find one that moves. When nothing moves at any size, staying in the same weekly arrangement out of…

Try swapping the word picky for particular. A fair number of people with ADHD have more densely packed taste buds, so the bitterness in a sprout arrives at full volume.

That changes what is going on at the table. A child is not refusing in order to be difficult, they are tasting something stronger than you are.…

Keep something to eat and drink within reach for hard conversations. Handing someone a biscuit and a glass of water often settles a room faster than any instruction does.

Part of why it works is that nobody has to be told how. A person too wound up to follow a breathing exercise can still take a sip and chew. Sharing…

More clinicians now raise supplements themselves, and more of them will suggest something like omegas. The shift matters less for what gets recommended and more for what it does to disclosure.

People hide what they expect to be laughed at. Someone braced for an eye roll simply does not mention the four bottles in the kitchen cupboard, and…

A child can learn a self control routine beautifully in the therapy room and not use it once all week at school. Knowing the steps and performing them under pressure are two different skills.

This is why supports that sit in the moment tend to beat supports that sit in the mind. A prompt at the point of need, a changed seat, a rule the…

Ask for photographs of every bottle rather than a list from memory, then pass that list to the prescriber. Recall is patchy about names and hopeless about doses.

Intake forms catch some of it and a photo of the shelf catches the rest, including the two things nobody mentions because they seem too minor to…

Benzodiazepines turn the volume down. They do not change the setting the volume keeps returning to, and it is worth saying that plainly before someone starts one.

They work by strengthening the braking system the brain already runs, which is why they act quickly and why they need that braking chemistry to be…

The strengthened warning on this class covers misuse, addiction, physical dependence and withdrawal. The part most people miss is that dependence builds with ordinary correct use over weeks, with nobody doing anything wrong.

That distinction needs handling gently, because patients hear dependence and hear addict. Physical dependence is the body settling around something…

What frightens a body is usually not how hard a thing is, it is having no way out. So put movement as an offer. If it feels alright, you might try lifting your arms.

The wording is doing quiet work here. Lift your arms, and see what happens if you lift your arms, are the same physical event, but only one of them…

Whatever a person walks in carrying belongs in the practice. The ache in the hip, the irritation, tears that arrive for no reason, the part that thinks all of this is nonsense.

Complex trauma teaches people to leave pieces of themselves at the door, and a yoga mat is an easy place to carry on doing exactly that, particularly…

When you start paying attention to your body, things wake up. More feeling, a deeper breath, memories arriving sideways. That is the practice working, not the practice going wrong.

Say this at the start, not afterwards. People who were not told tend to decide the movement made them worse and stop, when what actually happened is…

Keeping your eyes open holds you in the room while you feel what is going on inside. One channel on where you actually are, one on yourself.

Closed eyes are the default in most classes and they are not always kind. When a lot is stirring, letting the eyes stay soft but open, so the light…

Play belongs here. Being a lion, a tree, a hissing snake, the way children do it with no embarrassment at all.

A lot of people meet trauma work as something solemn, and solemn is easy to sit through without ever softening. Silliness is harder to fake. If a…

Going silent and hard is not a neutral act. A fixed stare and a set brow land on the other person's body as threat, even though you have not said a word.

People often think they are being restrained when they go cold, and are then surprised by how frightened or defensive the other person becomes. If…