Practices

Being strong, trained or brave does not decide which way your body goes. People who could easily have fought have frozen instead.

This one matters for anyone whose sense of themselves was built on being capable: soldiers, police, door staff, athletes, older brothers. The shame…

The steadiness you are training shows up in more than your mood. Sleep, digestion and how quickly you come down after a fright tend to move together.

Worth knowing when progress on the thing you came for feels slow. People often notice they are sleeping better, or snapping less, before they notice…

Body based practices sit alongside medication rather than replacing it. If you take something, you can do both.

They are worth having on the menu for people who cannot take medication, do not want to, or want something of their own to do as well. The skill you…

Sound based work is aimed at a particular set of troubles: noise that feels too loud, voices that turn to mush, jumpiness, difficulty reading people. If that is you, it is worth asking about.

It gets chosen by what your system does rather than by a diagnosis, which is why the same programme is used with very different people, from toddlers…

Irritability, a hot face, itchiness, a mild earache or feeling slightly off balance are common while doing this. People often say it feels like getting off a long flight.

Knowing that in advance matters, because unexplained body sensations are easy to read as harm when your alarm system is already sensitive. Say what…

Most of the research on this programme was done with autistic children. For trauma, what exists is case reports and studies still under way.

That does not make it useless. It does mean you would be trying something promising rather than something established, and you deserve to know that…

A healthy heart rate is not a metronome. The small variations between beats are a sign your body can still adjust to what is in front of it.

Heart rate variability is exactly that: how much the gaps between beats change. More of it generally goes with a system that can speed up when needed…

If your usual trouble is a racing heart, a crowded head and never quite coming down, slow paced breathing with a feedback device is the one to try first.

Part of the appeal is that you can watch it work. Five or ten minutes of breathing at the pace the app sets, with the trace on the screen smoothing…

Rest your attention in the middle of your chest, let your breath slow as though it were moving in and out through there, and bring to mind something you feel warmly about.

A hand on your chest can help you find the place. The feeling does not have to be big: gratitude for something small, or the ordinary fondness you…

Slow breathing on its own does less than slow breathing with a warm feeling attached and something showing you how you are doing.

That is the difference between the deep breathing most people have tried and found underwhelming, and this. The feedback matters because otherwise…

If you try to call up a good feeling and nothing arrives, you are in ordinary company. That blankness is common after a long stretch of hard years, and it is workable.

It helps to do this part with someone else at first, because another person will notice the flicker you dismissed. Look for what is reliably there…

Practise this when you are calm and again when you are wound up. The second one is what makes it available in the moment you need it.

Skills learned in one state can be strangely hard to find in another, which is why people say they forgot to use it. Do the first round with someone…

A skill that lives in your own body and your own phone stays with you after the appointments stop. That is worth choosing for.

Plenty of what helps during treatment ends when the relationship does. This does not. People often say afterwards that the breathing thing was the…

Three minutes of slow breathing between one person and the next is not a break. It is part of the work.

Whoever you sit with next is reading your state before they hear a word of what you say, so arriving settled is a professional act rather than a…

A useful picture: the parts of your brain are sections of an orchestra. In dysregulation they are playing different tunes at different speeds. The aim is timing, not repair.

This is a kinder frame than damage, and a more accurate one. Nothing is broken or missing. What has gone is the coordination between parts that used…

Neurofeedback usually starts with an assessment, then a block of sessions, then a review, and it is mostly paid for privately. Ask about all of that before you begin.

It is a referral rather than something your therapist adds to a session, so you are taking on a second appointment, a second bill and a second…

Neurofeedback has its strongest support in attention difficulties, decent support in depression and anxiety, and for trauma it is promising rather than proven.

Reported gains include better sleep and attention, less irritability and fewer trauma symptoms. The honest caveats are cost, wide variation in how…

Calm is not automatically the goal, and arousal is not automatically the enemy. What you are after is a system that can move between them.

The older idea was simple: stress bad, relaxation good. It missed that the same slowing down which feels like peace when you are safe is shutdown…

Gut trouble during a hard stretch is not imaginary and it is not a character flaw. Your gut has its own branch of the nervous system, and it answers threat like the rest of you.

It senses chemical change, runs digestion and talks to your immune system, and it is wired into the same circuits that handle fear. So the churning,…

A stress response is built to finish. The rush comes up, you do something with it, and then it drains away and you are back to yourself.

The trouble is that the doing something rarely happens, because you cannot run or shout in the middle of a meeting. The aim is not to stop the surge.…