Practices

Two stretches of childhood carry most of this: the first years of school, and the middle years around the move to secondary. Knowing that lets you prepare instead of react.

The early wobble is usually about being apart from home for a long day for the first time. The later one lands when peer opinion becomes the loudest…

Say the difficult parts out loud before you begin: the parent doing this alone, the younger sibling who now wants to stay home too, two adults who disagree, the week when it all slips.

None of those mean the plan was wrong. They are the ordinary weather of this work, and a family who heard them named in advance treats a bad week as…

Give the ladder a name that sounds like yours. Challenges you set yourself land completely differently from tasks you have been handed.

Write the steps out with whoever is helping rather than receiving a finished list. The words matter more than they should: a challenge invites you to…

If you are helping someone set up a practice like this, ask them for ideas before you offer yours. Keep a few in your back pocket for when they run dry.

What people invent for themselves fits their actual life, and they are far more likely to do it. Have suggestions ready anyway, because a brainstorm…

Offer a practice as a question rather than an instruction. What do you think it would be like to wake yourself up once a day? That is a very different sentence from you should.

People argue with instructions, particularly people who were sent rather than came. A question leaves them to make the case, and the case they make…

Open with the difficulty instead of the accusation. "This is hard for me to say" and "I am worried you will not like this" buy you a hearing that "you always" never will.

Two things happen at once when you start this way. The other person stops preparing a defence, because nothing has been thrown at them yet. And you…

If someone already has a practice in their life, hang the new skill on that rather than handing them something foreign.

Someone who does yoga already knows what a hand gesture is for and will not find it odd. Someone who prays already has fixed times in the day and a…

People arrive at anger work braced for a lecture and an instruction to breathe deeply. Handing them something they did not see coming buys you their attention.

This matters most with people who did not choose to be there. If the session matches what they expected, they can sit through the whole thing without…

If open awareness sounds like too much, put it plainly: look at the background instead of the thing in front of it. That is the entire instruction.

People who bounce off contemplative language will happily follow a physical direction about where to point their eyes. Say background, say the space…

Open gazing and long unfocused staring do not suit everyone. If things start to feel unreal or far away, stop and look at something you can name.

This caution is usually left out, and it should not be. Practices that are open, unguided and without an anchor are the ones most often followed by…

Have three or four openers ready before you need them. For what it is worth. Can I run something by you. You might not like this, so give me the benefit of the doubt.

When you are stirred up you will not compose diplomatic language on the spot, so the phrases have to be picked in advance and worn in. Say them aloud…

Rather than taking on someone else's routine, ask what actually makes you feel ready for a day, or better looked after. The answers tend to be specific and slightly odd, and they hold up better than anything prescribed.

For one person it is a shower before anything else. For another it is having the bag packed the night before, or eating something warm, or ten…

Pick one picture and keep it. Shallow end, middle, deep end. Then the child, the parents and the school are all talking about the same thing without anybody needing the clinical words.

It makes the next step obvious instead of arbitrary. You are not being sent to the deep end, you are moving a bit further along the shallow end. It…

Let the person facing it choose the first step, and let them choose an easy one. A rung somebody picked gets climbed. A rung assigned to them gets argued about.

Ask which one they would be willing to have a go at this week, not which one they ought to be able to manage. The answer usually sits somewhere in…

No step happens without the person agreeing to it. Not ordered, not dragged, not talked round in a bright voice. Agreement is a condition of the thing working, not a courtesy.

Coerced exposure teaches two lessons at once: that the situation is dangerous, and that you are not safe with the people who arranged it. After that…

Start with a couple of minutes of movement before any of the difficult talking. Not a warm up for its own sake: a body that has moved is easier to think in.

Two or three minutes is enough. Roll the shoulders, round and lengthen the spine, turn gently side to side. It also says something without anyone…

When you offer a practice to someone, use their words for it rather than yours. Keep the fuller version ready for the day they ask where it comes from.

A plain, unmystical version suits most people and costs them nothing to accept. Anyone who gets curious can have all of it, and they will take more…

Match the tablet to the person rather than to the diagnosis. For someone flattened and slowed who has said clearly that they will not accept sexual side effects, paroxetine is close to the worst choice available.

It is the most sedating in the class, the least activating, and carries a high risk of exactly the effect they ruled out, with weight gain and the…

If you are the therapist, hand the prescriber the profile and leave them the pick. What you hold that they do not is what this person is like across a week, and what they will absolutely not tolerate.

So write those two things down and send them: the presentation, in plain description rather than jargon, and the non-negotiables. Not a drug name.…

If a treatment reliably produces strange sensations, describe them beforehand. Expected strangeness is far easier to sit through than strangeness that arrives unannounced.

With esketamine, feeling oddly detached from your body or the room is the drug doing what it does, not a sign of harm, and it usually clears within a…