Practices

Anger sends people back to the thing they had stopped, and the thing they had stopped makes the anger worse. Any plan that treats these as two separate projects tends to come apart.

Write anger into the relapse plan by name, alongside the parties, the old friends and the difficult anniversary. Then when you look at the anger, ask…

Hormones are part of this for everyone, not only for men and not only in adolescence. If your flares seem to arrive with a rhythm, that rhythm is worth writing down.

Episodes that look random from close up often turn out to have a shape once there is a record of them: a point in a monthly cycle, a change of…

Anger has a chemistry of its own. There is nothing to pour down the sink and nobody to stop selling it to you, which is why letting it go feels like losing something rather than putting something down.

The lift is real. Heat, clarity, energy, a body that suddenly knows exactly what to do. Take that away and leave a gap where it was, and within a…

There are medicines that make stopping smoking easier, and one of them can sometimes cover a mood or attention problem at the same time. That is a fair thing to ask a doctor about.

All of them carry side effects, so the conversation is a weighing up rather than a yes or no. Go in with what you already know about yourself: how…

Set the room up so that movement is already there for the taking: somewhere to stand, something to hold, a chair that lets you shift. Then nobody has to decide in the moment whether it is allowed.

This is a change to furniture and habit, not to willpower. A standing spot for part of the day, a wobble cushion, knitting or whittling while you…

If your attention runs low on stimulation, salty and sweet food is the fastest legal source of a lift and it is available all day. Worth knowing about yourself, because it explains a pattern that willpower alone never seems to touch.

Rates of overweight and type 2 diabetes are higher in people with ADHD, and the reasons are not moral ones. A reward system that is under stimulated…

Caffeine buys about half an hour of sharper focus and takes the payment out of your sleep. It is a decent tool for a particular hour, and using it in place of treatment usually leaves you worse off across the day.

Four cups a day and upwards starts producing insomnia, irritability, tremor, an unsettled stomach and a racing heart, and a few people go sleepy on…

Irritable bowel symptoms turn up more often in people with ADHD, and they tend to track stress. If your stomach is at its worst in the weeks when everything else is at its worst, that is information rather than coincidence.

Two things help more often than they get suggested. Cutting caffeine frequently settles symptoms on its own, since it speeds the gut up and raises…

If your mood drops reliably as the light goes, that is worth naming as a thing in its own right. Seasonal low is more common alongside ADHD, and a light box first thing in the morning helps a lot of people.

Use it early in the day and use it consistently, since the timing is part of how it works. It is also worth asking whoever prescribes for you about…

Very low vitamin D produces fatigue, low mood and a flatness that looks exactly like depression, and it is not part of routine bloods in most places. If you have never had it measured, it is a fair thing to ask for.

One clinician telling this story about himself had a level that was almost undetectable, and no antidepressant would have raised it, because what was…

The vitamin D in a general multivitamin is a maintenance amount, nowhere near what is used to correct a real deficiency. If your level is genuinely low, that is a prescribing conversation with blood tests behind it, not a shelf in the chemist.

Correcting a deficiency usually means a high dose for a defined period and then a steady daily amount, with the level rechecked to see where you have…

Before settling on depression as the whole story, ask for thyroid function and vitamin D to be checked. Both are common, both are cheap to test, and an underactive thyroid produces a picture that looks like depression from the outside.

An untreated thyroid problem also blunts how well antidepressants work, so missing it can mean months on a treatment that was never going to do the…

If a health habit keeps sliding, attach something immediate to it. The apps where you put real money on hitting a step target work for a reason: the payoff arrives now instead of in twenty years.

The natural reward for walking more is invisible and decades away, which is no use to a brain running on what happens next. A small stake, a streak,…

Stress unsettles the gut and an unsettled gut drags on mood, so the two keep each other going. The good news buried in that is you can step in from either end.

You do not have to establish which came first. Easing the pressure on your nervous system helps digestion, steadying what you eat helps mood, and…

Before settling on a purely psychological account of months of anxiety or broken sleep, it is worth having the ordinary bloods done. Low iron, low vitamin D or low magnesium can produce symptoms that look exactly like a mental health problem.

This is not about swapping therapy for supplements. It is about not spending a year working on something a blood test could have partly explained. If…

There are around twenty five antidepressants and nowhere near twenty five mechanisms. What comes next is decided mostly by side effects, other conditions, and what has already worked for you.

Which is why your own record is worth more than any comparison chart. Keep a plain list: what you took, at what dose, for how long, what it helped,…

The reason depression is mostly treated by GPs now is pharmacological. A drug you can start without an ECG, blood monitoring or a diet sheet is a drug that fits inside a ten minute appointment.

That has been good for access, and it puts a lot of weight on a very short conversation. Go in with the specifics written down: which symptoms, since…

When something has helped a little and then stalled, adding a different kind of help often does more than pushing harder on the first one.

That is the thinking behind adding a second medicine with a different action rather than only raising the dose of the first, and it is the same…

Prescribers usually begin below the dose likely to work and build upwards. That means the first weeks can be underwhelming by design, and it is not the moment to decide the whole thing has failed.

Ask at the outset what the plan is: the starting dose, what it is being built towards, how quickly, and what you should be noticing at each step.…

If you take a prescribed stimulant and your workplace tests, sort the paperwork before anyone asks. A labelled bottle and a short letter from your prescriber turn an alarming result into a filing matter.

Prescribed amphetamine shows up on a standard screen as amphetamine, because that is what it is. The test cannot tell the pharmacy from anything…