Practices

Drug names ending in pam or lam are almost always benzodiazepines. It is a quick way to pick the class out of somebody's medication list.

The ending tracks a shared chemical backbone, so the shortcut is not a coincidence. Keep a rough rule alongside it: this class suits sharp fear…

The studies tying childhood screen hours to later attention problems are correlational. They cannot tell you which way the arrow points, and there is a very ordinary reading where it points the other way.

The child who cannot settle is the child most likely to be put in front of a screen so that dinner gets cooked. A parent who is scattered themselves…

Fast cuts, saturated colour, constant motion, a level that ticks over just as you were about to stop. Screens are not accidentally gripping for a distractible brain, and preferring them says something about how you are wired rather than about what has gone wrong with you.

There is a second use for knowing this. If those features are what holds attention, they are also the features worth stealing for the things that…

Ask a child how long they were on the tablet and the answer comes back low. Ask their parent and that answer comes back low too. Neither of them is exactly lying to you.

A child does not volunteer that they went over the limit, and a parent doing their best on every other front rounds their own household down. This…

If light touch makes you squirm but firm deep pressure feels wonderful, that is worth knowing about yourself. It is the same preference behind weighted blankets and a very tight hug.

Once you know it, you can arrange for it: a heavier duvet, a firm rather than gentle massage, sitting with your back against something solid,…

When a treatment is described as approved, ask what it is approved for. Magnetic brain stimulation is licensed for depression, and using it for attention problems is off label.

Off label is not the same as forbidden or useless, and it does change three things: how much evidence stands behind it for your situation, what the…

The study most often quoted for magnetic stimulation in attention difficulties had eight people in it, and half of those on the dummy treatment improved too.

That dummy half is the interesting number. It tells you how much improvement can come from attention, hope and being taken seriously, before any…

The same treatment in two different clinics can go two different ways, and the difference is often the people. Kind, unhurried staff who explain things get better results.

So when you refer someone, or choose somewhere yourself, ask about that as well as the equipment. Do they remember your name, do they answer…

If something is safe, affordable and it helps you, the fact that the effect may be mostly expectation is not a reason to stop.

The test worth applying is practical: is it safe, can I afford it, is it taking the place of something that works better, and would that money and…

Aching shoulders and a bad back are not separate from finding it hard to concentrate. Pain takes up room in your head, and there is less left for anything else.

People who are restless tend to hold more tension and pick up more injuries, and then the pain makes the focus worse, and round it goes. So it is…

Reviews do not support acupuncture as a treatment for attention difficulties. Some studies of acupuncture alongside counselling have done better than dummy needling alongside counselling, which is a more modest claim than it first sounds.

The likeliest reading is that a warm, unhurried practitioner who examines you carefully is doing much of the work. Needles are very fine and harm is…

People who are sure they could never lie still for an hour tend to be asleep within ten minutes of getting on the table. Being unable to fidget seems to do it.

Worth saying in advance to anyone who is putting off booking. It is the same effect as a car journey knocking out a child who has not stopped moving…

The chapter a diagnosis sits in was decided by a committee, and the medicines did not rearrange themselves to match. When you are thinking about treatment, it helps to look past the name on the file to what the person is actually carrying.

Anxiety used to sit in one place in the manual and now sits in three, with trauma conditions and obsessive ones given rooms of their own. That…

If something helped one part of your anxiety and did nothing for the rest, that is not proof it failed or that you are beyond help. Different parts of this run on different machinery.

The sudden bodily kind and the grinding thinking kind are handled by different systems, and a treatment that reaches one may have very little to grip…

Nothing you take can act on something that is not there to be acted on. It is a plain limit, and it explains a good deal of the disappointment people carry about treatment.

A medicine travels everywhere in the body and only does something where there is something for it to work through. So the question is not whether a…

Something that settles a surge of panic within minutes and something that changes how often the surges come are doing two different jobs. A person can need both, and it helps to say which is which.

The fast option is a rescue. It works quickly, it is meant for the worst moments, and its usefulness is measured in that hour. The slower option is…

Sedatives are good at damping the body down and much less good at quieting a mind that keeps going round. If the trouble is chronic worry, being made drowsy is not the same as being helped.

This is one of the commonest mismatches there is: something sedating given for grinding worry, leaving a person tired, foggy and still worrying.…

If you do not know how much of something you are taking, you cannot tell whether it is helping you. That is the honest problem with most calming products bought off the shelf, quite apart from whether the ingredient works.

Testing of these products keeps turning up contents that do not match the label, sometimes including things the label never mentions. So a good week…

With anything you use to take the edge off, note what you took and when, and how you felt a few hours later. Small changes in amount can turn the same substance from calming into the opposite.

Cannabis is the clearest example. Strength and make up vary enormously between products, a small amount often settles people, and a larger amount…

A small dose that has not changed in years is not automatically something to fix. Stopping carries risks of its own, and they have to be weighed rather than assumed away.

Coming off can bring withdrawal, a rebound of the original anxiety, and worse if it is done abruptly. Set against the risks of staying on, which are…