Practices

Medication does not make somebody care more. It narrows the distance between meaning to do the thing and doing it, and that distance is exactly what the other person has been feeling as being let down.

It helps a couple enormously to have the right name for what has been happening. The intention was real every single time. What went missing was the…

A great many people are diagnosed and then left with a starting dose nobody ever revisited, no reading, no group, nothing else at all. If things have stalled, the first thing to check is whether the treatment was ever actually finished.

Optimising is unglamorous and often the quickest thing available. Was the dose ever adjusted upwards, and on what basis. Does the cover reach the…

If the prescriber, coach or therapist is not delivering much, say so and ask for someone else. Working around poor care quietly is the thing that convinces a couple this is simply as good as it gets.

A dose never revisited, or a therapist who has never worked with ADHD, sets a low ceiling. The trouble is that the ceiling gets read as the person:…

People who are sleeping properly, eating properly and moving a bit tend to want each other more. The unglamorous parts of life management run closer to the bedroom than either of you might expect.

It is worth saying out loud when desire has quietly gone from a marriage, because the usual explanations reach for something heavier: he has lost…

Relationships take a lot of the strain here, and the usual shape is one person quietly carrying all the planning while the other feels constantly told off. Both halves are worth naming out loud before resentment sets hard.

The practical work is splitting the load by what each of you is actually good at rather than down the middle, and putting the shared admin somewhere…

Anger works by sorting the world into me and not me. Once someone has landed on the wrong side of that line, everything they do starts reading as evidence.

You can feel the sorting happen if you watch for it. Their tone becomes proof, their silence becomes proof, the way they load the dishwasher becomes…

Some anger is really about being left. It flares when someone pulls away, goes quiet or seems less interested, and it comes out as an accusation rather than as the fear it is.

The giveaway is that it happens with the same one or two people, the ones whose closeness you rely on. Anger skills alone do little here, because the…

Reaching for another person when you are wound up is not a distraction from coping. Contact can turn the alarm down at the source.

This is why a short call, a message to someone who knows you, or sitting in the same room as family is worth doing before you get as far as the…