Practices

A long stretch at home is never neutral time. It teaches two things at once: staying away stops the dread, and staying away is pleasant.

That double lesson is why a few months out is so much harder to undo than a few days. First comes relief, then the slow morning, the screen, the…

If escape is holding the pattern in place, the plan closes off the escape a step at a time. If what waits at home is holding it, the plan moves those good things to the other side of the effort.

Most stuck cases are stuck because only one half was addressed. A careful ladder of steps does very little while the afternoon at home is still the…

If a child is at home, run the day as though it were a school day. Same wake time, same breakfast, bag packed, work starting when lessons would have started.

Ten hours of sleep followed by a slow morning turns home into somewhere far nicer than school, and a body clock that drifts later makes the next…

Going from talking online to talking in person is not one more step up the same ladder. It is a different ladder, and it deserves rungs of its own.

Those rungs might run from voice notes, to a phone call, to a video call with the camera on, to meeting one person you already know somewhere quiet,…

When a step does not happen, cut the next one down without any speech about it. Smaller, and carry on.

Progress here is often slower than anyone would like, and that is the method working rather than the method failing. What does real damage is a run…

A group can help a great deal, and it is rarely the place to begin. Being in a room of people is a strong dose, and doses climb rather than start at the top.

Left too early it often ends with someone dropping out, and dropping out gets read as proof they were right about themselves all along. Once there is…

Panic rarely comes out of nowhere. It usually lands on a body already short of sleep, running on coffee and eating at odd hours, so whatever tipped it over did not have far to push.

This is not a telling off about your habits. It is that the same argument or deadline arrives very differently at a rested body than at a wrecked…

Stay with a step until it stops being interesting. Not until you have survived it once, but until it is ordinary, and then move up.

Moving on too early turns the ladder into a run of narrow escapes, and each escape teaches that you got out just in time. The marker worth waiting…

If you run a group for people with ADHD, keep it to about five or six, or bring in a second facilitator. Past that you spend the session keeping order instead of doing the work.

The limit is not really about behaviour. It is about how many people one person can genuinely track while also holding the thread of the session.…

A belief you have carried since childhood will not fall over because you asked it a good question this afternoon. You are planting something, not winning an argument.

The temptation, once a thought starts to look flimsy, is to press harder, and pressing usually makes the belief dig in. Leave the question where it…

Pick one series and watch it together on the same evening each week. The point is not the programme. It is that something puts the two of you in the same room on purpose.

With an older teenager or a young adult, a set night can carry a relationship through stretches when talking is hard. Some weeks you will pause it…

The therapy that helps adult ADHD is not really about arguing with your thoughts. It is practical work on how your week is built, and it works because you are the one who can go and rebuild it.

Sessions tend to circle the same handful of things. Where the list lives, what the calendar actually does when you are not looking at it, how a large…

If attention and planning are already hard work for you, then the very tools for handling anxiety are the things you find difficult. That is not a failure to try. It means the plan needs more scaffolding and more repetition.

Expect to need things that sit outside your head: written steps, alarms, someone who checks in, a shorter ladder with smaller rungs. Go slower than a…

Short sessions spread over days beat one long night. The settling of what you learned happens after you stop, and a short night undoes a good deal of the day's work.

A perfectionist will not cut their hours to be kinder to themselves, but they will cut them to get a better mark. So argue it on those terms.…