Practices

A heart tracing before starting a stimulant is not routinely needed. Some practices still ask for one anyway, and it can hold a child up for months.

What the guidance asks for is a careful history and an examination, with a tracing kept for children whose own or family history warrants it. An…

Licences start at six years old, and that number comes from how trials have to be run rather than from a safety finding. Younger children do get treated where the case is strong.

Trials need the child's own assent alongside a parent's consent, and assent means a form the child can read and understand, so studies stop where…

Rules about ADHD and military service move with recruiting needs. Send a family to a recruiter for the current position rather than answering from memory.

Every version has been seen: medication allowed, medication stopped before basic training, the diagnosis treated as disqualifying, the diagnosis…

There are three families of medicine here: the stimulants, the agents that work on noradrenaline alone, and the alpha-2 drugs that began as blood pressure treatments. Three routes rather than three brands of one thing.

That matters when one of them does not work or cannot be used. A poor response inside one family says little about the others, so a sequence has…

Waiting to see how they get on carries a cost that is easy to miss. Every year a child spends behind narrows what is available to them the year after.

Treatment does not settle a life. What happens is that school reports, friendships and confidence build on one another, so a stretch of doing better…

Before you decide a club is out of reach, ask. Some let children earn the uniform through the levels, and plenty have quiet arrangements for families who need them.

Cost keeps more children out of these things than lack of interest does. A single phone call is worth making, and the answer is often better than the…

Tai chi, qigong, karate, whatever is running near you at a time you can make. Choose on availability, cost and what you actually like, because those decide whether you keep going.

The ingredients are much the same across these: steady movement, a structure somebody else designed, and a session that happens whether or not you…

Before committing to a course that runs into thousands, set the same money next to the other things it could buy. Tutoring, a proper assessment, a medication review and a well tested psychosocial programme all sit in the same envelope.

Neurofeedback courses often run for a month or more, insurers rarely pay, and the training of whoever delivers it varies a great deal. The cost is…

Regulators let devices through by several different routes, and only some of them mean what a family assumes. A game cleared for further investigation has not passed the bar a medicine passes.

The word approval carries an authority that advertising borrows freely, and device pathways are shorter and lighter than the ones drugs travel. It is…

A weighted vest seems to do its work in roughly the first quarter of an hour. Twenty minutes did not beat fifteen, so longer is not more help.

Use it as a tool for a moment rather than a garment for the day: on before the piece of work that needs the most sitting still, off once that is…

Before anyone does something exposing, let them check their own conditions and give them a clean way to say no. A public yes given under pressure is not really a yes.

It can be as ordinary as asking someone to consider whether they have the privacy, the time and the state of mind for this today. Ask it first and…

Almost everyone says the same thing afterwards, that the waiting was worse than the thing itself. Say it out loud in your own words, because your own words land differently from anyone else's reassurance.

Before a difficult conversation, write one line about how bad you expect it to be. Afterwards, write one line about how it actually went. Over a few…

Say it, out loud if you can manage it: I am done for the day. A decision, rather than a slow guilty drift away from the desk.

The hours after a proper clocking off feel different from the same hours drifted into, even when nothing else about them changes. It does mean facing…

Ask everybody, at the start, what they use and how it goes for them there. Not only the ones who arrive with an obvious phone problem.

Two questions do most of the work: which platforms are you on, and what is it like for you on them. Asked early, without any warning tone, it makes…

When someone tells you they have failed, the most useful thing you can do is nothing clever. Let your face stay soft and keep looking at them.

Shame is braced for disgust, so it reads your face before it hears your words. A quick reassurance can even land as a rush to move on. Slower is…

A friend or a counsellor telling you that you are not a monster helps, and it only takes you so far. The shame usually sits with one particular person, and it eases most when that person hears the thing and stays.

So aim a disclosure carefully rather than widely. Choose the person the shame is actually about, pick a moment with room in it, and say the small…

Before sending anyone for hands on work, ask what touch has meant in their life. A massage table is a poor place to discover that touch brings something back.

The person delivering it is not there to hold what surfaces, and often has no training for it. So ask directly, ask about what parts of the body are…

When a treatment is described as approved, ask what it is approved for. Magnetic brain stimulation is licensed for depression, and using it for attention problems is off label.

Off label is not the same as forbidden or useless, and it does change three things: how much evidence stands behind it for your situation, what the…

The same treatment in two different clinics can go two different ways, and the difference is often the people. Kind, unhurried staff who explain things get better results.

So when you refer someone, or choose somewhere yourself, ask about that as well as the equipment. Do they remember your name, do they answer…

Telling someone what a treatment will actually be like improves how they respond to it. What it feels like, how long, what is normal afterwards.

Uncertainty makes everything sharper, so filling it in with plain description takes some of the edge off before anything starts. Do not oversell it…