Practices

If getting to the appointment frightened you, then you have already done the first hard thing. Walking in and talking to a stranger about yourself is the ladder, not the preparation for it.

Nobody watching later can see it. What they see is someone sitting there talking, and they miss the week of dread and the near cancellation. Say it…

Your body gets up in the morning and your mind often does not. Half a day can go by in a sort of waking dream, and whatever meets you in it gets the sleepwalker's answer.

So make waking the moment you decide something, before the day has handed you anything to react to. Thirty seconds on the edge of the bed will do:…

Before someone has said a word, you have often already decided what they are: only here because they were made to come, not really interested, wasting your time. That decision changes how the meeting goes.

The person sent by a court, or pushed into the room by a partner or a manager, walks in already read. Try starting the hour with nothing written: no…

If you are being assessed for attention, say something about your mood and your worry as well, even if nobody asks.

Anxiety and low mood sit alongside ADHD often enough that a thorough assessment will go looking for them anyway. But shame is quiet, and years of…

Before you walk into a room with someone, ask what you are carrying in with you, and what you are likely to leave behind when you go.

State travels ahead of words. A hard conversation an hour ago, a bad night, a piece of news you have not dealt with: any of it will be in the room…

A kind, clear no is a full answer. You can decline without a long defence.

You do not owe a case file for every no. Warm, brief, and firm is enough.

Every yes you do not mean spends a yes you do. Guard what you commit to.

Saying yes to everything is a slow way of letting yourself down. Protect your real priorities.

Say it, out loud if you can manage it: I am done for the day. A decision, rather than a slow guilty drift away from the desk.

The hours after a proper clocking off feel different from the same hours drifted into, even when nothing else about them changes. It does mean facing…

Do not let leaving or arriving happen silently.

Today, mark both thresholds. Before you leave, find your spouse and say goodbye properly, face to face. When you come back, find them before you do…

When you come home, find them first, before the post, the phone, the kitchen.

The first half-minute of reunion often sets the tone for the whole evening.

If someone selling you a treatment for ADHD uses the word cure, that is your cue to leave. There is no cure. What good treatment offers is fewer symptoms, and that is a real and worthwhile thing.

A registered clinician is not allowed to promise you an outcome, because nobody can honestly guarantee one. So a provider who promises makes you a…