Practices

A break only counts if you come back. Notice the anger, leave the room, actually settle yourself, then return and finish the conversation.

Most people manage the leaving and skip the settling, so they spend twenty minutes rehearsing their case and come back more wound up than when they…

You may need to leave and come back two or three times before one conversation is finished. That is normal, not a sign that the skill is not working.

Bodies come down slowly. You can feel steady enough to return, sit down, hear one sentence and be right back at the top again. Knowing that in…

When all you can say is that something happened and you went off, take it apart in five pieces: what set it off, how you read it, what your body did, what you made it mean, and what you wanted to do next.

Written out on paper it usually stops being a blur. You often find the trigger was small and the meaning was enormous, or that your body was already…

Going deeper into a feeling only helps if it is being put in order at the same time. Depth without order is just flooding.

So as the feeling rises, keep laying it out: this is what happened, this is what my body did, this is what I was afraid it meant. If your chest is…

Take one episode from this week and give it five lines: what set it off, how you read it, what happened in your body, what you took it to mean, and what you wanted to do.

Doing this with an actual event, rather than in general, is what makes it useful. Keep the lines short and resist tidying them into something more…

When you cannot skip it, shorten it. Come for the meal and skip the drinks afterwards. Two hours of you at your best is worth more to everyone than five hours ending badly.

Decide the leaving time before you arrive and say it out loud on the way in, so that it is a plan rather than a walkout. Booking something afterwards…

Where the harm has truly stopped, begin to set down a grievance you have carried.

Not forgetting, releasing. Once the wound is no longer being made, let it start to close.

Take one concrete action this week toward a goal your spouse cares about.

Watch the kids so they can study. Make the call they dread. Move their dream one inch.

A great many people are diagnosed and then left with a starting dose nobody ever revisited, no reading, no group, nothing else at all. If things have stalled, the first thing to check is whether the treatment was ever actually finished.

Optimising is unglamorous and often the quickest thing available. Was the dose ever adjusted upwards, and on what basis. Does the cover reach the…

If the prescriber, coach or therapist is not delivering much, say so and ask for someone else. Working around poor care quietly is the thing that convinces a couple this is simply as good as it gets.

A dose never revisited, or a therapist who has never worked with ADHD, sets a low ceiling. The trouble is that the ceiling gets read as the person:…

Sleep, food and movement will not cure anything, but they lengthen the fuse. Bad moments still arrive, and you handle them differently when your body is not already running on empty.

This matters more here than it sounds, because ADHD tends to wreck exactly these three and then the wreckage feeds back into the flare ups. Late…