Practices

If a task gives you nothing, bring something to it. Ring the cousin you never speak to and paint while you talk. Do the filing beside a friend who has their own filing to do.

This is a design fix rather than a failure of discipline. Dull work asks your brain to stay somewhere that offers it no reason to stay. Pair it with…

Go down the list and find the two items that have been sitting there for months. One of them needs doing this week. The other needs deleting, honestly and out loud.

A list full of things that never move quietly drains everything else on it, because you meet all of them each time you look. Clearing in either…

Before treating something as your failure to get going, check whether you ever agreed it was yours. A job that bothers one person and genuinely does not bother the other has not been agreed by anybody.

That turns a stuck task back into a conversation, which is where it belongs. Say plainly that the unpainted wall does not trouble you, ask what it…

Keep your clearest hours for the work that needs a clear head. Fold the laundry when you are half awake, not at ten in the morning when you have finally come alive.

Most of us have a window or two in the day when thinking is genuinely cheaper, and we spend it on email and tidying because those are easy to pick…

Sitting exactly halfway between two options is its own kind of exhausting, and it produces nothing. If you have been weighing something for weeks, the weighing has quietly become the activity.

Give it a deadline and a method. One more week, the three things that matter most, and then you choose, knowing the choice will be imperfect. If you…

When you are torn about something, get both sides out of your head and onto paper. Two columns, everything you can think of, no tidying as you go.

Holding both cases in mind at once is what wears you out, and it is why the same argument keeps starting from the beginning every evening. Once it is…

Pick a system that is good enough, spend one evening on it at most, and then use it for a month without changing anything.

You can spend a very long time sharpening tools and never get round to the woodwork. An ordinary calendar used every day beats a beautiful one used…

Sometimes the first job is working out what the job is. Go back to whoever asked, or spend twenty minutes finding out, and count that as the work it is.

Ask the plain questions: what is this for, who reads it, what matters most, how long should it be. People hold back because they feel they should…

The other way through fog is to walk into it. Start badly, on purpose, and let the shape of the thing appear while you are working on it.

With some jobs you genuinely cannot know what you are doing until you are inside them, and waiting for clarity first just keeps you outside. Give…

If the same three names keep coming up, compare those three and stop looking. Twenty options will not give you a better answer, only a later one.

Past a handful of choices, more searching adds very little while the cost of deciding keeps climbing, and if you are prone to circling it can stop…

If reminders, other people's deadlines and a bit of chivvying are what keep you moving, you are allowed to keep them. Inner drive arrives later for some of us, and taking the scaffolding away early does not hurry it along.

Families often pull the supports back on a birthday, as though a certain age should switch on self-direction. What tends to happen is that the only…

If not knowing makes you itch, the work is learning to sit with the itch rather than making it go away. The plan can stay unfinished while you get on with today.

For some of us an unresolved question hums in the background until it is settled, and settling it becomes urgent even when nothing depends on it.…

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…

When someone says they feel restless inside, ask what the restlessness wants. Restless to move, or restless to do one particular thing until it feels right?

The two feel similar from the inside and point in different directions. With ADHD it is usually undirected: the legs go, the chair is wrong, you need…

A distracted person can be brought back with a nudge. Someone who has gone elsewhere cannot, and the difference shows itself in a couple of seconds.

Say their name, ask something simple, and watch what returns. Attention that has drifted comes back with a small apology and picks the thread up…

Try not to ask why. If the person knew why, they would probably have sorted it out already, and the question tends to land like an accusation.

Ask what happened just before instead. What was going on, what they felt, what came after, what sort of day it had been. Those answers can be worked…

If someone was adopted, or simply does not know their family history, say early and plainly that this is not a problem. It helps to have and it is not needed.

Otherwise the question lands as one more reminder of what is missing, and some people will spend the rest of the appointment feeling they brought the…

Some of what looks like muddle is the system's fault. Our tenth month is named for eight, because two months were added later and nobody renamed the rest.

Worth saying to anyone who feels stupid about dates and forms. A calendar whose numbers are out of step, a tax year starting in April, forms asking…

When someone says their heart races on their medication, ask whether it ever did before they started. It is the cheapest question you have and it usually sorts the answer out.

Go looking for the old settings: waiting to be called on in class, standing outside a room before a difficult conversation, three in the morning with…

While you are taking the family history, ask about seizure disorders and psychosis too, not only about attention. A family carrying other neurological or psychiatric conditions is worth knowing about whatever you end up concluding.

Keep the list short and ask it plainly: epilepsy, psychosis, learning difficulties, head injuries, anything neurological. Some of it will matter for…