Practices

If you are not the one prescribing, you can still take an active part in the medication conversation. You see the person weekly and hold the ordinary detail their prescriber never gets to see.

Ask what they notice and write it down in their own words. With their permission, send the prescriber a short note that can be read in a minute: when…

Arrange to meet someone. A neighbour at the gate at eight, a friend expecting you, even an app counting a streak. Turning up for someone else is easier than turning up for yourself.

Benefits that arrive in six months are weak motivators. Something that pays out today works better: a person waiting, a number that goes up, a…

If a child is climbing the walls, green space helps most, a walk down a busy street helps a bit, and staying in the room helps least. Any of the three beats none.

The research on this puts them in that order rather than saying only a forest will do. A park, a scruffy playing field, the bit of grass behind the…

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…

Clumsy is not a description you can work with. Balance, core strength, shifting your weight, big movements, small ones, catching a ball, keeping a beat: those you can look at one at a time.

Break it down and you usually find a child is fine in four of those and struggling in two. That turns a vague sense that they are awkward into…

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…

Children need to move before school, during it and after it. Keeping a child in at break until the work is finished takes the movement away from the very child whose finishing depended on it.

Break time is not the whole of it either. A few minutes on their feet between lessons, a walk before the day starts, something physical when they…

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…

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…

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…

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…

After a betrayal, heal by talking the injury through together, fully, rather than skipping past it in silence.

Couples who avoid the subject drift apart; those who talk it through, honestly and thoroughly, are the ones who make it.

Atonement is not only apology; it is changed behavior over time. Let your actions become the apology.

Words open the door; sustained new behavior walks through it. Trust returns through consistency, not speeches.

Let the hurt partner set the pace of healing. It takes as long as it takes; there is no rushing trust back.

You cannot demand that trust return on a schedule. Honor the injured partner's timeline without pressure.

Name one old hurt with your spouse that still aches, gently and without re-litigating.

When you were not there that day, it marked me. Naming it is not attacking, it is asking to heal.

When your spouse names a wound you caused, listen without defending, even once.

Not I didn't mean to. First: I hear that I hurt you, and I am sorry. Defence can wait.

Revisit a past fight only once you are both calm, from the balcony, without climbing back into it.

Processing means talking about the incident, not re-fighting it. Wait until the heat is gone.

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…