Practices

Some children need to move, and the choice is whether that movement is allowed for or whether it arrives as a disruption later on.

A ball chair, a standing desk, a seat near the front, or permission to walk to the back and return with a nod and nothing said: any of these let the…

While you are talking, have them writing. Notes give attention something to hold onto, and they let you see at a glance who has gone.

Listening on its own asks a child to do nothing visible for a long stretch, and attention quietly drains away with nobody able to tell. A pen moving…

Where you can, let the learning be something done rather than something sat through. Typing instead of writing, a calculator instead of longhand, a built model instead of an essay.

The knowledge is usually already there. What fails is showing it through a long, still, low feedback task, and that is the part worth redesigning.…

Once it starts rolling, it gathers. A small exchange becomes a shouting match becomes something with consequences, and every step feels reasonable given the one before.

The cheapest place to stop is early, at the first sharp reply, long before you can see how far it has gone. Naming it out loud helps: "we are…

If the language of mindfulness puts you off, drop the language. Call it noticing what your mind is doing, and use it anyway.

Some people hear anything that sounds spiritual and close the door, and then a useful skill goes unused over a word. There is nothing here you have…

Sometimes you dislike a person or a room before you can say why. The fast part of you stores feelings, not explanations, so the reaction arrives whole and wordless.

If you cannot account for your reaction, you are not being evasive, and neither is anyone else who cannot account for theirs. Asking "why are you…

There is a stretch after anger fires when a person is feeling rather than thinking. In it, only information that matches the emotion gets through, so reasoning at yourself or at anyone else is wasted breath.

What does land in that stretch is physical and relational: a slower breath, a change of room, a hand on your own chest, a kind tone that asks for…

Say the difficult sentence out loud, on your feet, in something like the real conditions. Thinking it through in your head is a different skill from getting it out of your mouth when your pulse is up.

Acting it out feels awkward and that awkwardness is part of why it works: the version of you who has to speak is the aroused one, so that is the…

Before telling someone what you have noticed about them, ask whether they want it. Do you mind if I offer something back to you? Then describe only what you saw, plainly.

Close attention is not neutral for a person who grew up being watched for a reason. Asking first turns being observed into something they agreed to,…

A calming skill handed over at the wrong moment reads as your anger is not welcome here. For someone taught as a child that their anger was unacceptable, that is the old prohibition arriving again in kinder clothes.

Let the anger be seen first. Say that it makes sense, that there is a reason for it, and only then offer anything that settles the body. The order…

Somebody will eventually ask you whether you want what is best for your child. It is a sales line, and knowing that in advance is most of what you need to withstand it.

Parents of a newly diagnosed child are frightened, motivated and often exhausted, which is exactly the state that gets marketed to. The question is…

Most children with ADHD can tell you exactly what they should have done. The knowing was never the missing piece, which is why a course teaching the knowing changes so little.

Watch closely and you see the skill appear in quiet moments and vanish in loud ones, when another child has already grabbed the ball and there is…

Decide at the start what you are actually aiming at. Eight difficulties down to six, then to four, then perhaps to two. Never zero, because zero was never on offer.

Everybody has some of these traits, and ADHD is largely inherited, so a life with none of it was never a realistic target for anyone. Naming a number…

Everything has side effects, including doing nothing. The only real question is whether what you gain outweighs what it costs you.

The conversation about medication often gets set up as a risky drug against a safe natural alternative, and that is not the choice anyone is actually…

What a person expects from a treatment genuinely changes what they get from it. That is not a trick to be exploited, and it is not nothing either.

In some trials the dummy treatment helps around half the people who receive it, and there is work showing benefit even when people were told outright…

The point of explaining ADHD to a parent is to produce a particular kind of parent: one who is kind about it, quick to forgive the day's failures, and willing to make a nuisance of themselves at school.

Those three are results, not manners. Harsh days breed pushing back, pushing back breeds harsher days, and that loop is the main road from ADHD to a…

Treatment is not only about school reports. Lower rates of accidental injury and of other serious harms are reasons in their own right, even for a child whose marks are perfectly fine.

This is the answer to the question about the bright child who is coping academically and whose impulsivity worries you in traffic, on a bike, or…

Two ideas will let you judge most claims for yourself. In a good trial nobody involved knows who got the real treatment, and a study of five people can be swung by one of them having a good month.

Researchers want their treatment to work, and that hope leaks into how they rate what they see, which is why the person handing out the pill and the…

Said plainly, because it should be: medication is the most effective treatment for ADHD, and by a good margin. Everything else in this area is something you add to that decision, not something that replaces it.

This is not a push to medicate. Families weigh side effects, age, other conditions and their own convictions, and those are proper things to weigh.…

If a treatment comes with a contract, take it to a solicitor before signing. Not because you cannot read it, but because that puts a few days between the pitch and your signature.

Being told not to sign rarely helps, and it asks somebody to admit in the moment that they might act rashly, which almost nobody does in front of a…