Practices

Some people find they drive better in a manual, because there is always something to be done. Treat that as an experiment rather than a finding.

The reasoning is the same as a fidget toy or a standing desk. A little constant demand can keep an under-occupied system in the room instead of…

Blood pressure on a stimulant is an individual matter. For most people it is a non-event, and where it does rise the answer is often a different stimulant rather than none at all.

No blood test or cheek swab will tell you in advance which one suits you. Finding out means trying, measuring and being willing to change, which is…

For a small number of children the question was never about school reports. A toddler who runs into a road and keeps running, a child who climbs the pool fence: what is being weighed there is whether they stay alive.

Most decisions about treating a very young child are finely balanced and deserve to be taken slowly. Where the behaviour itself is life threatening,…

If the first medicine disappoints, that is information about the first medicine. Plenty of people who get nothing from one class do well on another.

Methylphenidate and amphetamine are not the same drug at different strengths. They work by partly different routes, so a poor result on one says…

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…

Most people who try do find something that helps, but often not the first thing they try. Not responding to one class of stimulant says surprisingly little about the other.

The high response figures you may have read come from people who worked through more than one option, not from one prescription going well. Response…

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…

When medication works, its best effect is often on everything else you were already trying. Coaching, exercise, a routine: each of them needs enough attention to get started, and attention is the thing in short supply.

That is why setting medication against the other approaches usually misses the point. The plan you could not keep last year may be perfectly keepable…

Give a new habit two months rather than two weeks, and change one thing at a time. The old line about thirty days sets you up to feel like a failure on day thirty one.

Routines that wobble make repetition harder, and repetition is the whole mechanism, so it simply takes longer for some of us. Pick one change, keep…

Unstructured play in a big open space settles a child. A structured class teaches them how to be with other children. You want some of each, for different reasons.

If you only ever book the class, you take away the roaming that calms them down. If you only ever send them out to roam, they miss the taking turns…

Whatever gets you outside and quiet for a stretch of time counts. Fishing, sitting in a hide, weeding, waiting in the car park with the window down.

Nobody has to call it mindfulness for it to work like mindfulness. Hours of low demand attention outdoors, with nothing much required of you, is the…

Martial arts happen to bundle four useful things at once: hard physical work, a fixed structure, feedback in the moment, and a teacher who stays. That is why they suit restless minds so well.

Any one of those on its own helps a little. Together they cover the arousal, the shapelessness of time, the need for a reward that arrives today…

Long goals need markers you can reach this month. Belts work because you get a visible, earned step every so often instead of one distant summit.

Build the same thing into anything you are trying to keep up: a distance, a number of sessions, a move you could not do in January. Make it something…

For a child having a hard time, one adult who plainly thinks well of them makes more difference than almost anything else. A coach or a teacher can be that person.

Studies of children growing up through poverty, hunger and worse keep landing on the same finding: those who did well usually had somebody who…

A practice kept up for years stops being something you do and becomes part of who you are. That is when it no longer needs willpower.

People who started something physical as children and carried on often point to it as where their steadiness came from. The early years are the…

Keep a movement practice going long enough and your body starts doing it without you. People who have practised for decades describe the form running itself while their mind is elsewhere.

In the early months it takes all your concentration, which is why it feels expensive. Later it stops asking for that, and you get the calm without…

A few sessions give you an effect that fades. A few months of it starts to change your baseline. Plan for the longer version if you can.

One class leaves you calmer for an afternoon, which is real and also temporary. Fifteen weeks of the same practice is where people start reporting…

With a small child who is struggling with both movement and speech, start with the body. Balance and steadiness come before a child can take in much language or learning.

A child who is using most of what they have simply to stay upright in a chair has little left for the words on the page. Sorting out the physical…

An hour a day of moving enough to warm you and shorten your breath. Keep a record of it, on a watch or on a scrap of paper, because meeting a number you can see turns out to be quietly satisfying.

It does not have to arrive in one block and it does not have to look like exercise. Walking to the shop, taking the stairs, standing at the desk for…

Food colouring is the one narrow exception in this area. Large studies suggest it may mildly wind up some very young children, so a trial removal in a preschooler is a reasonable thing to do.

Keep it in proportion though. This is a minor irritant in a subset of little children, nowhere near the sweeping dietary cause that was claimed…