Practices

A weighted vest seems to do its work in roughly the first quarter of an hour. Twenty minutes did not beat fifteen, so longer is not more help.

Use it as a tool for a moment rather than a garment for the day: on before the piece of work that needs the most sitting still, off once that is…

If you are thinking about a weighted blanket or vest for a child, let an occupational therapist set the weight. It is a specific number for a specific body, not something to guess at in a shop.

The pull to order one straight away is understandable, especially after months of bad nights. What an OT does is match the weight to the child's size…

When a test trips a child on something it was never meant to measure, change how they answer rather than what is asked. A spelling test spoken aloud is still a spelling test.

One girl saw letters as solid three dimensional shapes that would not sit together on a page, so writing them was a perceptual problem rather than a…

Food colouring is the one narrow exception in this area. Large studies suggest it may mildly wind up some very young children, so a trial removal in a preschooler is a reasonable thing to do.

Keep it in proportion though. This is a minor irritant in a subset of little children, nowhere near the sweeping dietary cause that was claimed…

The restrictive elimination diet has real methodological problems, and it is expensive and exhausting to run. If a family still wants to try it, they can, because unproven and dangerous are different words.

There is usually more to lose by forbidding it. A family who feels blocked either does it anyway without telling you or spends another year…

Before anyone does something exposing, let them check their own conditions and give them a clean way to say no. A public yes given under pressure is not really a yes.

It can be as ordinary as asking someone to consider whether they have the privacy, the time and the state of mind for this today. Ask it first and…

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…

If you are going to ask someone to remind you, tie it to something they want as well. Reminding you to book the car in is much easier when it is also their car.

Asked as a favour it becomes a job they never applied for, and resentment collects quietly on both sides. Asked as a shared arrangement it lasts. Be…

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…

That flash of temper when someone meets a fact that undoes their story is not stupidity. It is a mind defending its own shape, which is a real need rather than a shameful one.

Say this to yourself before you say anything to them, because contempt carries in the voice even when it stays out of the words. Being wrong and not…

When something in the room or in the wider world unsettles you, saying so as your own unease usually travels further than handing down a verdict.

A verdict invites a counter verdict, and then the two of you are in a match. Naming what you notice in yourself gives the other person somewhere to…

Someone who holds themselves to an exact standard will often hear a gentle correction as an attack. With them the useful thing is timing: build some trust before you offer the other way of seeing it.

The reframe you have ready is probably right and probably too early. Consistency matters enormously to this person, so an alternative view is not…

One gentle way to name it: those are being used as words to play with, and they were never really words for playing with. Said kindly, it lands without anyone being told off.

The young person in front of you almost certainly says it too, so any version that sounds like a reprimand will close the conversation down. Naming…

If the screen limit in your house is only your preference, every evening turns into a negotiation about your preference. Borrowing a published figure, roughly two hours a day of leisure screen time for a child over two, moves the argument off you.

The carve-outs matter as much as the number. A video call with a grandparent is a conversation, and a laptop open for homework is schoolwork, so…

For a child who finds face to face conversation frightening, a game where they talk to friends while doing something else may be the only place they socialise at all. Worth noticing before you count the hours.

Talking through a headset takes out most of what makes conversation hard: no eye contact to hold, no faces to read in real time, no silence to fill.…

It is a genuine relief to hear that what someone did online may not reflect who they are. Say that gently, and say the other half in the same breath: the people who saw it will judge it as though it does.

Both halves are true and they need each other. Offer only the first and you have handed over a reason for nothing to change. Offer only the second…

More hours on social media goes with more anxiety and low mood. That is a reason to aim at fewer hours, a conversation you can actually have, rather than at none, which usually ends the conversation.

Pick a number genuinely below the current one and low enough to notice, then look at what has changed in a fortnight. Sleep and mood are the things…

Some of what circulates makes being unwell look good. Drugs filmed like a party, low mood styled into something delicate and photogenic, until the illness starts to feel like a personality.

This is worth spotting because of what it does to recovery. If sadness has become part of how someone is known, getting better means losing something…

Real footage of people dying circulates without any warning, sometimes buried inside a video that starts off looking harmless. Young people rarely raise this themselves, so it is worth asking.

Ask plainly what they have come across that they wish they had not seen, and how often it happens. There is no preparation before it and nothing…