Practices

When you speak about a death by suicide, say died by suicide or completed suicide rather than committed. Committed sets a crime beside the person's name.

Families hear these words at the worst moment of their lives and carry them for years afterwards. The wording also reaches people who are struggling…

Being able to disappear into something for six hours does not cancel the diagnosis out. Getting stuck on and getting stuck off are the same switch failing in two directions.

People often use their own absorption as evidence against themselves, or a family member uses it against them: if you can play that game all night,…

If you reach the bottom of a page and nothing has stayed, reading it again more slowly usually will not fix it. Change something about how you are reading instead.

Read a paragraph and then say it back in your own words before moving on, or write one line per section, or read with a pen underlining as you go.…

ADHD tends to run in families, and the differences in reported rates between countries say more about how a country counts than about its people.

It is common to find, part way through your own assessment, that you are recognising a parent, a sibling or a child. That is not a coincidence and it…

Before you decide who in front of you looks like ADHD, notice the picture you are already carrying. The loud boy gets sent for assessment and the quiet, drifting girl often does not.

The research on how race affects who gets diagnosed is genuinely mixed, and it is more honest to read the studies than to adopt a position from a…

When you meet a confident claim about ADHD, look it up before passing it on. A search of recent papers, limited to the last few years, takes a couple of minutes and often changes the picture.

Free scholarly search engines will show you abstracts without an institutional login. Two habits do most of the work: filter by date so you are…

You will see wildly different figures for how many children still have ADHD as adults. The range mostly reflects what is being counted: symptoms on a childhood list, or whether life is actually being made harder.

Counted by childhood symptom lists, many people look as though they grew out of it. Counted by whether it still gets in the way, far more have not.…

With ADHD, self-management usually runs a few years behind the birthday. Expecting a child to handle what other children their age handle sets you both up to fail.

A rough working guide many clinicians use is to expect around two thirds of the chronological age for this kind of self-regulation, so an eighteen…

A child who is tall for their age gets treated as older, and with ADHD their self-management may be running years behind. Pitch what you expect to the skills in front of you rather than to the height.

This lands hardest at school, where a big ten year old who cannot sit still reads as defiant rather than young for his skills. It is worth saying…

Not knowing a child's family history is not evidence against ADHD. Where a child is adopted, a blank family history should keep the question open rather than close it.

Assessment leans a good deal on family history, and adoption often means that history is simply unavailable. An unknown gets read as a negative,…

Anything that gives a quick lift, a bet, a purchase, speed, a risk taken late at night, pulls harder when your brain is short of reward. The workable move is not more willpower, it is putting friction between you and the thing.

Friction is a delay you build while you are calm: the card left at home, the app deleted, a rule that anything over a set amount waits until…

Many people who end up in trouble with the law have never had their ADHD recognised. Behaviour read as defiance can be the same difficulty with stopping and thinking ahead.

That is not a claim that ADHD explains crime, and most people with ADHD never go near a courtroom. It does mean that where impulsive trouble keeps…

The same mistake costs far more when you have no money behind you. Legal trouble is not handed out evenly, and that sits on top of the earning difficulties ADHD already brings.

This is worth naming when somebody is carrying shame about a record: what happened was shaped by what they could afford at the time and not only by…

Driving is one long attention task with a very high cost of failure, so it is worth deliberately giving yourself more margin than you think you need.

In practice: phone out of reach and silent, route set before you move off, nothing to eat at the wheel, and no long drives on short sleep. If a…

Cognitive testing done on a day without medication can come out well below what a person can actually do. If a score is going to decide a school placement, make sure the conditions on the day are recorded.

The parts of these tests that are timed, or that ask you to hold numbers in your head, are exactly the parts untreated ADHD drags down, and they pull…

A lot of people with ADHD quietly believe they are not clever. Usually it comes from reading a page four times and taking nothing in, and concluding the obvious thing about themselves.

That belief does a great deal of damage. It keeps people out of courses and jobs they could do, and it makes them give up on any new strategy the…

In any quiet practice, dhikr, prayer, sitting still, your mind will go. The practice is not staying put. It is noticing you have gone and coming back, however many times that turns out to be.

Set the bar at a length you can actually manage, two or three minutes to begin with, rather than the twenty minutes somebody recommended. Counting on…

Plenty of adults with ADHD keep tripping over rules nobody ever stated: how long a turn in a conversation lasts, when a story has gone on too long, when a joke reads differently than you meant it.

You can learn these the way you would learn anything else you were not taught. Ask one person you trust to tell you plainly what they notice, since…

Eating and body image are part of this for more people than you would think. Forgetting meals all day and then eating without stopping in the evening is a very ordinary ADHD pattern rather than a separate failing.

The useful move is usually to eat by the clock rather than by hunger, since the signal arrives late or not at all when you are absorbed. Put one…

Keep two or three trustworthy places to read about ADHD and go there first. Confident, tidy explanations online are easy to find, and most of them have nobody checking them.

Look for organisations that cite their sources and say when something is uncertain, and treat a personal account as a personal account rather than as…