Practices

The pull towards bread, pasta and biscuits when you are low is not simply greed. Carbohydrate makes it easier for the brain to get hold of the raw material it needs for serotonin, so it gives a real if short lived lift.

Calling it self medication instead of a failure of character changes what you do next. You stop trying to out-discipline the craving and start asking…

Put a rubber band round your water bottle for each refill you want to get through today, and slide one off each time you finish it. Nothing to remember, nothing to buy, and you can see where you are at a glance.

Tracking anything in your head is hard when your head is already full, and harder still when concentration is one of the things that has taken a hit.…

If sleep has gone since starting, look at what time the dose is being taken before deciding the medicine is the problem. A long acting dose swallowed at one in the afternoon is still working at bedtime.

Extended release preparations are built to cover eight to twelve hours from whenever they are taken, so a late start pushes the whole thing into the…

Missing a day is not the end of the programme. You missed a day. Tomorrow you carry on.

The dangerous part is not the missed session, it is the story that follows it, the one where you have blown it so you may as well stop altogether.…

The speed is why these work and also what they cost. Relief that lands within the half hour is the most teachable kind there is, and what it teaches is to reach for it sooner next time.

How fast a drug comes on drives that learning more than how long it hangs around afterwards. Better to name it out loud with someone than leave them…

The studies tying childhood screen hours to later attention problems are correlational. They cannot tell you which way the arrow points, and there is a very ordinary reading where it points the other way.

The child who cannot settle is the child most likely to be put in front of a screen so that dinner gets cooked. A parent who is scattered themselves…

If something helped one part of your anxiety and did nothing for the rest, that is not proof it failed or that you are beyond help. Different parts of this run on different machinery.

The sudden bodily kind and the grinding thinking kind are handled by different systems, and a treatment that reaches one may have very little to grip…

Something that settles a surge of panic within minutes and something that changes how often the surges come are doing two different jobs. A person can need both, and it helps to say which is which.

The fast option is a rescue. It works quickly, it is meant for the worst moments, and its usefulness is measured in that hour. The slower option is…

Sedatives are good at damping the body down and much less good at quieting a mind that keeps going round. If the trouble is chronic worry, being made drowsy is not the same as being helped.

This is one of the commonest mismatches there is: something sedating given for grinding worry, leaving a person tired, foggy and still worrying.…

How well something works in the moment and whether it is right for the long run are two separate questions. Fast relief is extremely convincing, which is exactly why it is worth pausing over.

When something reliably ends the worst feeling within twenty minutes, what your body learns is to reach for it sooner next time. That is not…

There is an older antihistamine used for anxiety that works by making you drowsy and carries no risk of dependence. It suits a rough stretch, and it is a bridge rather than somewhere to settle.

The costs are the ordinary antihistamine ones: dry mouth, constipation, and for older people a genuine risk of confusion and falls, with effects on…

ADHD is managed rather than cured, across a whole life. Anything advertising a cure is telling you it is not working from the evidence.

Managed sounds like a disappointment until you look at what it means in practice: treatment that fits your life now, adjusted when the life changes,…