Practices

A long acting injection into muscle releases its medicine slowly over weeks. It lifts the daily burden of remembering, at the price of not being able to stop quickly if the medicine disagrees with you.

That trade is worth naming out loud rather than settling on someone's behalf. For a person whose entire difficulty is the daily doing, weeks of cover…

Finding the dose is a search rather than a calculation. It goes up in small steps until either the effect you want turns up, or the side effects get annoying enough that you come back down a step and settle there.

There is no way to work the right dose out from body weight or from how bad things look, which surprises people who expect medicine to be more exact…

One of the founding figures of biological psychiatry summed the whole business up as some medicine helping some people at some doses some of the time. Knowing that before you start makes the first disappointment much easier to survive.

Most people need more than one adjustment: the dose, then the timing, sometimes the drug itself. Go in expecting the first prescription to be the…

Use a timer you can see rather than a warning you have to remember. A dial that shrinks, or a light that goes from green to red, does the work that five more minutes never quite does.

Time is not something everyone feels passing. Turning it into something you can look at moves the job from guessing to seeing, which is much easier.…

One minute of moving between tasks. Star jumps, a lap of the corridor, anything that gets the blood going before you sit down to the next thing.

Classrooms that do this report smoother changeovers and better recall of whatever was just taught. The same trick works at a desk: end one job, move…

Do not stop dead. Give the end of anything energetic a few minutes of winding down, so the change of gear is a routine rather than a demand.

Stopping is a transition, and transitions are where things fall apart for a lot of people. A short unwinding phase, the same one every time, takes…

Move just before the difficult task, not after it as a reward. Five minutes of skipping, stairs or running on the spot, then sit down to the thing.

The window straight after moving is when focus is at its best, so that is the bit worth spending on whatever you have been dreading. For a child,…

The strengthened warning on this class covers misuse, addiction, physical dependence and withdrawal. The part most people miss is that dependence builds with ordinary correct use over weeks, with nobody doing anything wrong.

That distinction needs handling gently, because patients hear dependence and hear addict. Physical dependence is the body settling around something…

These medicines work on a timescale of four to six weeks, not days. Say the number out loud at the start, because someone expecting relief this week will have decided by Friday that it failed.

Something does happen on the first day, but it is only the first step of a change that takes weeks to finish. The useful version of this is a date:…

Describe what the first fortnight might feel like before the first tablet, not after the first worried phone call. A warning given in advance turns a bad week into a milestone.

The wording can be plain. Some people feel more wound up for the first week or ten days, it usually passes, and nobody changes anything without…

The first week or so on one of these can feel worse rather than better: jittery, restless, sleeping badly. For most people it settles within a fortnight, and it is a known part of starting rather than a sign of harm.

Untold, a person quite reasonably concludes the medicine is making them ill and stops. Told beforehand, the same week becomes something to sit out,…

Hear this before you start rather than after: change here is gradual. Habits built over twenty years do not come apart in three weeks.

Waiting is genuinely harder with ADHD, and a treatment whose reward is months away is exactly the sort of thing that gets dropped in week five.…

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…

Getting ill the week after the exams, the deadline or the funeral is not bad luck. It is the pattern.

You hold together through the push, and the moment it stops you are in bed with something. Often it was already brewing while you were still going.…