Practices

The fast forceful practices are not for everyone. With high blood pressure, heart trouble or glaucoma, leave them out and use the slow ones, which carry no such warning.

Rapid breathing with effort behind it raises pressure inside the chest, the head and the eyes for as long as you keep it going. The gentler lift,…

Any breathing instruction that reaches you through a screen or a book comes from someone who cannot see you. Keep the final say over what your body does.

Recorded instructions have to be general. You are the one who knows that your chest tightens on holds, or that counting makes you anxious. Treat each…

Say out breath, not breath. Told to take a signal breath, most people pull air in hard, which stirs them up rather than settling them.

This is a small wording change that decides whether the technique works. Whether you are teaching someone else or reminding yourself, put the phase…

The planning part of the brain is the last to finish growing, and it keeps developing well into the twenties. Eighteen is a legal age rather than a developmental one.

This is worth saying plainly in a family where someone is being asked why they cannot just be responsible now. Nobody expects a fourteen year old to…

If a year out is coming, call it a bridge rather than a gap. A gap is a hole in a record. A bridge is going somewhere.

That word will be repeated at every family gathering for twelve months, so it is worth choosing carefully. A bridge year has a direction and an end,…

Writing things down is not evidence that your memory has failed. It is what happens once there is more in your life than one head can hold.

Most people who refuse a system are protecting something: the sense of being capable, of not being the sort of person who needs help with this. Argue…

Here is a question that costs nothing: has anyone in your family been told their vitamin D was low? It runs in families through genes, skin tone, where you live and how much time anyone spends outside.

The clinician telling this story found out only afterwards that his mother, father and brother had all been low. Nobody had mentioned it, because it…

Around seven in ten people who use herbal products never mention it to their doctor. Not out of secrecy, mostly because a tea or a gummy does not feel like it belongs on a list of medications.

The useful move is to answer a wider question than the one you were asked. When someone asks what medication you take, tell them what else you take…

Before inviting anyone to turn attention to their body, ask first. How do you feel about trying this now, and would you like to?

The asking is part of the practice, not the preamble to it. Someone whose body was once not theirs to control needs the choice handed back in small…

Telling someone they have changed their brain lands harder than telling them they have changed their mind. That is worth knowing, and worth handling carefully.

Brain language feels solid and permanent, so a person can lean on it. That same weight is why it should not be stretched: promising rewiring you…

If the word mindfulness makes you wince, leave the word out. Paying attention to your breath, or to the sounds in the room, is the whole of it.

A lot of people turn the practice down before trying it, because the label sounds like it belongs to somebody else's religion or somebody else's sort…

Saying that medication helps is not the same as saying everyone should be on it. If you have walked in braced for a push, it is fine to say so at the start.

Plenty of people do well with sleep, movement, work that suits them and someone in their corner, and plenty of people need all of that and a tablet…

Writing 'do not substitute' on a prescription tells the pharmacist what to hand over. It does not tell an insurer to pay for it, and that surprise at the counter is where a lot of prescriptions quietly get abandoned.

If a particular brand is being chosen for a reason, say out loud what it might cost and what the fallback is if the price turns out to be impossible.…

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…

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…

Rather than arguing that someone ought to get organised, ask one question. Would your life be better if fewer things slipped, fewer people were annoyed with you, and you spent less of the day worrying about what you had forgotten?

The answer is nearly always yes, and it lands differently when the person says it instead of hearing it. Keep the list concrete and drawn from their…

What you are doing when you sit on the bank has a name. Researchers call it metacognitive distancing, and it has been studied for decades.

Knowing the name matters more than it should. Plenty of people, and especially people who were sent to get help rather than choosing it, quietly file…

If a river on a summer afternoon does nothing for you, use something plainer. Counting the traffic from a porch, or standing outside a shop counting how many people walk past, does the same job.

Metaphors are personal and there is no prize for liking the poetic one. Some people take to it straight away when it is a road and a stopwatch…

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…

These medicines work on a timescale of four to six weeks, not days. Say the number out loud at the start, because someone expecting relief this week will have decided by Friday that it failed.

Something does happen on the first day, but it is only the first step of a change that takes weeks to finish. The useful version of this is a date:…