Practices

Several professional bodies came together to say that vision therapy is not a treatment for ADHD. A joint statement like that is unusual, and it is worth quoting to a family word for word.

Convergence problems, where the eyes struggle to work together on something close up, are a little more common in ADHD and deserve treating in their…

If you are trying omega supplements, give them four to six weeks and then decide. Imaging work has picked up changes in how neurons communicate after around four weeks, which is fast as these things go.

Fixing the end point at the start protects you twice over. It takes the sting out of nothing happening by Thursday, and it stops an open ended habit…

One senior researcher in this field is approached by ADHD app startups roughly once a month and no longer takes part, on the view that the companies are not seriously trying to build something that works.

You do not have to share his judgement to borrow the question. Before paying for a digital product, ask who tested it, whether those testers were…

If you are going to take supplements, it is worth paying a small subscription to a service that assays what is actually in them. ConsumerLab is one, at roughly sixty dollars a year.

The thing to check about any such service is who funds it, because a tester paid by manufacturers is a marketing department with a laboratory…

You are not here for a longer hamstring. You are here for a nervous system that can change gear, work when work is needed and settle when it is not.

An ordinary class measures you against the shape, and that measuring is the same self driving that wore you out in the first place. The therapeutic…

Calm is only half the training. Plenty of people are more frightened of stillness than of adrenaline, because stillness puts the guard down.

If everything you practise is a settling practice, half the range goes untrained, and you may be asking someone to drop a defence they still need. So…

Whatever line you plan to use on yourself in a hard moment, say it in your own words rather than tidy ones. Polished phrasing tends to evaporate exactly when you need it.

If your inner voice is blunt, let the line be blunt. A therapist working this way will sometimes ask for the crude version of a coping phrase instead…

Call the practice whatever fits you. Stress inoculation, rolling with the punches, a Teflon mind, the art of not giving a damn: the name changes nothing about what you do, and a name you can stand makes you likelier to do it.

People come to this with different histories and some of them have been lectured before. If the language sounds like a self help poster to you, use…

Treat these as experiments rather than instructions. You are not obeying a programme, you are finding out what happens, and that difference changes how it feels to do them.

People who are quick to anger are often also quick to bristle at being told what to do, and a challenge sits far better with that than a homework…

Before you go looking for practice at staying steady, make sure you already have something to do instead of your usual reaction. Practising with nothing to put in its place mostly rehearses the old response.

Pick the alternative first and keep it small: a slow breath, one fixed phrase, a decision to say nothing until your hands unclench. Then you can let…

Ask yourself what you would least like the person in front of you to be thinking about you right now. Whatever surfaces is usually what your anger has been guarding.

It tends to be one short sentence and an old one. That you are weak. That you are stupid. That you do not matter. In a session a therapist can ask…

Almost everyone says the same thing afterwards, that the waiting was worse than the thing itself. Say it out loud in your own words, because your own words land differently from anyone else's reassurance.

Before a difficult conversation, write one line about how bad you expect it to be. Afterwards, write one line about how it actually went. Over a few…

Rather than manufacturing a calm you do not feel, borrow one you have really had. Bring a settled memory to mind and hold it against the thing that usually stings.

Actors do this instead of faking a feeling: they call up a real moment and attach it to the cue until it starts arriving on its own. The same works…

Pick the calm memory with some care. Sun on a beach, a bike ride, someone cleaning up a scraped knee: what matters is that it is genuinely safe ground for you.

Childhood scenes are often the most vivid, which is what makes them useful and also why they can misfire. If your early years were not safe, a prompt…

Steadiness under provocation is built the way immunity is, in small doses taken on purpose, at a size you can still handle. Waiting for a real fight to test yourself is too big a dose to learn anything from.

In practice that means choosing something that stings a little and staying with it rather than swerving: the colleague whose tone you brace against,…

What you are proudest of will tell you where you are most easily wounded. The two grow on the same root.

Write down two or three things you would hate to be thought about you, then look at where they meet your ordinary week. Who is likely to imply it, in…

Not every reminder is the same kind of reminder. Call at three is a clock job, when I next see my manager is a person job, and that thing at the conference next year is a diary job.

Mixing them up is where a lot of honest intentions leak away. A note on the desk will not survive until next March, and an alarm cannot tell you your…

Some things can be done a day late with an apology, and others cannot: the ticket doubles, the window shuts, the form is simply gone. Sorting your obligations into those two piles tells you where the effort is worth spending.

Lateness tends to get treated as one big failing, which makes every missed thing feel equally awful and gives you nowhere to aim. Go through what is…

A sticky note is fine for something happening within the hour. Anything further out needs something that goes off by itself, because holding a plan in mind for three days is not a thing memory does.

Most reminder failures are this mismatch rather than a lack of trying. Someone uses a note where an alarm was needed, it fails, and they conclude…

Anything that comes round every month should be leaving your account without you. Direct debits and standing orders take the remembering out of the job altogether, which beats any reminder you could set.

It is worth an afternoon. List what recurs, automate what can be automated, and put one calendar note to check the statement each month instead of…