Practices

Words for feelings tend to arrive after the body has been noticed, not before. Find the sensation first, then see what it wants to be called.

Try it in that order: tight across the chest, hot in the face, heavy behind the eyes. Then a name, if one comes, and no forcing if it does not.…

Not all of this is a matter of how you say you feel. Breathing, exercise and hands on work shift things that can be measured from outside: heart rhythm, stress hormones, muscle tone.

That matters if you are the kind of person who suspects their own good moods, or if you have to make a case to a colleague who wants numbers. It also…

You choose what to work on and how big a piece of it. A sore shoulder, a low mood, the belief that you are too much: all of them are allowed, and so is starting small.

The useful phrase is whatever is standing in the way of you being all right just now. Some days that is a headache and some days it is the thing you…

Deep change tends to follow self acceptance rather than the other way round. Waiting until you have fixed the thing before you are allowed to be kind to yourself usually keeps the thing exactly where it is.

This shows up most clearly with eating, drinking, and everything else people do to manage a feeling. Shame makes the feeling worse, and the behaviour…

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…

There is a route the calming nerve takes through you: eyes, then jaw and mouth, then throat and neck, then shoulders and chest, then belly. You can visit each stop in turn and simply notice what is there.

Give every area a moment before you move on. Soften around the eyes, let the jaw hang, sigh the throat loose, feel the chest lift, then rest a hand…

Talking is not the only door in. Exercise, massage, acupressure, yoga, tai chi and the rest go at the body first and let the mind follow, which is the opposite direction from most therapy.

That is why they sit well beside talking work rather than competing with it. If words keep circling the same ground, changing what your body is doing…

Body based approaches have been linked with better physical and mental health, easier relationships, and in some settings lower use of painkillers and psychiatric medication.

That last one tends to interest the people holding the budget, so it is worth knowing if you are trying to get this kind of work taken seriously…

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…

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…

Plenty of people carry a tablet for years and almost never take it. What it is mostly doing is reassurance, and that is worth knowing about it.

Being able to reach for it is what makes the shop or the motorway bearable, which is a real help and a quiet cost at the same time. The cost is that…

One medicine can reach both the surging kind of anxiety and the circling kind, while another really only touches the surging kind. That is why the slower and broader option is usually the one people are started on.

It explains a pattern that looks arbitrary from the outside. The broad option is unglamorous: nothing happens on the first day and it takes weeks to…

Making someone calmer is not the same as treating what is making them anxious. Obsessive worry is the clearest case: something sedating can take the edge off the distress and leave whatever drives it completely untouched.

You can see it in the shape of the day. The person is quieter, slower, maybe sleeping better, and the same thought arrives just as often as it did.…