Practices

Anger sends people back to the thing they had stopped, and the thing they had stopped makes the anger worse. Any plan that treats these as two separate projects tends to come apart.

Write anger into the relapse plan by name, alongside the parties, the old friends and the difficult anniversary. Then when you look at the anger, ask…

Social fear usually has a first address. School corridors, a year when appearance decided everything, a group that made a project of you. Knowing where it began does not undo it, but it stops it feeling like a fact about your character.

What often keeps it alive is that the rules of that place travelled with you. The hierarchy ended at graduation and the watchfulness carried on.…

Sometimes a parent who seemed cold or impossible to please turns out to have been working with a different wiring altogether. Learning that can loosen something no amount of arguing with yourself would.

One young woman spent years reading her father's behaviour as a verdict on her, and later came to understand him as autistic, which she had never…

A break only counts if you come back. Notice the anger, leave the room, actually settle yourself, then return and finish the conversation.

Most people manage the leaving and skip the settling, so they spend twenty minutes rehearsing their case and come back more wound up than when they…

You may need to leave and come back two or three times before one conversation is finished. That is normal, not a sign that the skill is not working.

Bodies come down slowly. You can feel steady enough to return, sit down, hear one sentence and be right back at the top again. Knowing that in…

Anger numbs. If it is doing the work of a painkiller for you, it will be hard to put down while the pain underneath is still untreated.

Ask what tends to be there in the half hour before you flare: a bit of shame, feeling small, an old fear about being left. The anger often arrives to…

If the irritability came in alongside a low patch, or a spell of racing thoughts and hardly any sleep, have the mood looked at rather than treating the temper on its own.

Irritability is part of depression, and it belongs to the mixed and elevated states of bipolar disorder too. Anger skills are still worth having, and…

Shouting it out does not empty the tank. Going over it loudly, in your head or at somebody, tends to keep the anger topped up rather than draining it.

There is a difference between letting pressure out of the body and rehearsing the grievance. A walk, a swim, hard cleaning, prayer: all of that…

Anger leaves fuel in the body with nowhere to go. Spend it on something physical, without replaying the argument while you do.

This is not getting it off your chest. The target is the surplus energy, so stairs, a brisk walk, or a hard ten minutes of almost anything will do…

Sometimes the drinking or the smoking is not the first problem at all. It is somebody's own treatment for an attention difficulty or an anxiety nobody has looked at yet.

You can usually tell from what it is used for: to speak in a group, to sit still long enough to work, to sleep. Where that is the shape of it, work…

Draw your own chart of the moment you usually give in, with the questions you actually ask yourself, and put it where you will see it.

One woman smoking around ten bowls a day made hers as a set of branches: is it a working day, have I been to work, are the errands done, are the…

Whatever system you build has to survive a bad day. When feeling comes in a wave, the calendar and the checklist are the first things to go, so decide now what that hour looks like.

Write down the smallest possible version of the day: the two things that still happen, everything else forgiven until tomorrow. Have somewhere for…

When something has become impossible, start far below it. Sitting in the parked car with the engine off is a real first step, and it is the one that gets somewhere.

Choose a version so small it feels slightly ridiculous, repeat it until it is dull, then add one notch. Sit in the car. Then start the engine. Then…

If everything you do is both urgent and important, you are living in the emergency corner. It is exhausting, and the exhaustion is real even though the week looks thin from outside.

Crisis living is a place rather than a personality, which is the good news, because places can be left. Look for one emergency that keeps coming back…

If deleting makes you anxious, do not delete. Keep two lists: a short one for this week, and a long one where things are safe but out of the way.

The anxiety is usually about losing the idea rather than about the task itself, and a separate holding list answers that. Nothing is gone, it is…

Irritable bowel symptoms turn up more often in people with ADHD, and they tend to track stress. If your stomach is at its worst in the weeks when everything else is at its worst, that is information rather than coincidence.

Two things help more often than they get suggested. Cutting caffeine frequently settles symptoms on its own, since it speeds the gut up and raises…

If your mood drops reliably as the light goes, that is worth naming as a thing in its own right. Seasonal low is more common alongside ADHD, and a light box first thing in the morning helps a lot of people.

Use it early in the day and use it consistently, since the timing is part of how it works. It is also worth asking whoever prescribes for you about…

Very low vitamin D produces fatigue, low mood and a flatness that looks exactly like depression, and it is not part of routine bloods in most places. If you have never had it measured, it is a fair thing to ask for.

One clinician telling this story about himself had a level that was almost undetectable, and no antidepressant would have raised it, because what was…

Before settling on depression as the whole story, ask for thyroid function and vitamin D to be checked. Both are common, both are cheap to test, and an underactive thyroid produces a picture that looks like depression from the outside.

An untreated thyroid problem also blunts how well antidepressants work, so missing it can mean months on a treatment that was never going to do the…

Stress unsettles the gut and an unsettled gut drags on mood, so the two keep each other going. The good news buried in that is you can step in from either end.

You do not have to establish which came first. Easing the pressure on your nervous system helps digestion, steadying what you eat helps mood, and…