Practices

Girls get diagnosed later, and a good deal of the reason is social. A boy who plays the fool gets laughed with, while a girl who does the same is corrected by her friends within a week, so she goes quiet and disappears from view.

Referral usually follows disruption rather than difficulty, so anything that keeps a child quiet also keeps her unassessed. The point it finally…

They are too clever to have ADHD is one of the more expensive mistakes in this field. Being able to understand something and being able to start it, order it and finish it are different abilities.

A very capable person can sit with a task they fully understand and be unable to begin, and then be judged for it far more harshly precisely because…

If you have not been assessed because of money, waiting lists or simply getting to appointments, that is a barrier and not a lack of seriousness on your part.

The loop is unkind: the difficulties themselves make earning and organising harder, and that makes assessment and treatment harder to reach. Before…

Plenty of adults with ADHD grew up being called lazy, difficult or naughty, and some were punished in ways nobody would allow now. That history usually needs saying out loud, because it left a belief behind.

The belief tends to sound like: there is something wrong with me and people will find out. It shows up as bracing for criticism, or hearing an…

ADHD is not only about focus. Physical health tends to drift down the list, and appointments, sleep, food and movement are exactly the sort of thing this condition makes hard to keep up with.

Pick one health task you have been putting off and make it small and dated: book the check-up, refill the prescription, put a walk in the diary with…

Work is one of the places ADHD does the most damage, and it is usually a question of fit rather than ability. Choose the job that suits how you actually run, not the one that would suit an improved version of you.

Variety, movement, visible deadlines and quick feedback tend to work. Long stretches of quiet paperwork with a deadline months away tend not to. If…

Write out your real work history, every job, with why each one ended. In conversation people skip the short ones and the sackings, and that is precisely where the pattern lives.

Set it down as a list with dates rather than as a story. Then look for what repeats: bored after eight months, fell out with a manager, missed too…

Ask yourself two questions: how did I actually do, and what do I think I could have done. The gap between those two answers is real, and it is usually where the grief sits.

Most people can name that gap within seconds, which tells you they have been carrying it a long time without saying it. Writing both answers down…

Use the established rating scales and a proper developmental history rather than working from the impression someone makes in a first meeting. What you see in a room is a small and unrepresentative sample.

A structured set of questionnaires covering childhood, school, work and daily life turns vague instability into something countable, and it prompts…

You will meet striking claims about which genes or which brain region produce your temper. Interesting is not the same as established, and none of it should settle what you think of yourself.

Several of these ideas are still argued over by the people who study them, and they keep getting repeated in training rooms long after the caution…

Darwin once stood with his face against the glass in front of a viper, quite determined not to move, and jumped backwards anyway when it struck. Deciding in advance does not govern a startle.

Keep that in mind on the days you conclude that flinching or snapping proves something shameful about your character. The determination was real and…

You are built to react before you have thought about it. That is why the intention you held this morning loses so easily to the moment itself.

This is worth hearing properly, because most people take the failure personally. The reaction runs first and the thinking arrives a beat later, often…

An alarm that goes off at every shadow is a nuisance, but one that misses the real intruder is worse. Your system was tuned with that trade in mind.

So overreacting is a setting rather than a defect, and it is a setting that once kept people alive. What it means now is that the alarm will be wrong…

If anger management sounds like something being done to you, call it impulse control instead. The work is the same and the word is easier to live with.

Plenty of people who will not sit through feelings talk will happily work on catching an impulse, because that sounds like training rather than…

A certain wariness is standard equipment. Nothing in this work is trying to leave you soft and open to whatever comes along.

People often hesitate here because it sounds like being asked to stop protecting themselves. The opposite is nearer the truth: you keep the guard and…

Some of what you will hear about anger is solid, and some is a teacher's own theory delivered with the same confidence. It is fair to ask which one you are getting.

The tell is usually the scale of the claim. Careful accounts stay near what has been measured, while a grand story explaining everything from cells…

Muttering under your breath is not nothing. It is the quiet end of the same behaviour as raising your voice, a small warning shot that costs you almost nothing to fire.

A dog growling at something it is unsure about is doing the same job. The useful part is that the mutter arrives early, well before any shouting,…

Not every bit of anger is a problem to be solved. Two people squaring up over something that matters, or a mother going hard at whatever threatens her child, is anger doing exactly what it is for.

Having somewhere to put ordinary anger stops you treating all of it as damage. If it fits what happened, says something true, and ends when the…

How you explain anger decides how you handle it. Call it a flaw and you will end up asking for suppression. Call it an alarm firing too fast and you will end up teaching skills.

The belief usually sits below the level anyone talks about, so it is worth checking honestly. Someone who takes their anger as a character defect…

Anger is not something to get round to next month. One bad half hour can cost a job, a marriage or a criminal record.

Most difficulties give you time. This one can hand you an outcome that cannot be undone, and it can do it before you have finished deciding whether…