Practices

Breath work goes straight into the body, and for some people that is the problem. If your panic has ever been about not getting enough air, putting your attention on your breathing can set it off rather than settle it.

Asthma, a history of choking or smothering, panic that arrives through the chest: any of these makes the breath a loaded place to put your attention.…

When you are flat rather than wound up, try this. Rub your palms together until they feel awake, let them rest, then breathe in as your arms lift and out as they lower, two or three times.

Sluggish, heavy, far away: those states rarely respond to more calming. A bit of friction in the hands, some movement through the arms and a fuller…

For when you are stuck in shutdown there is a faster practice: short sharp exhales driven from the belly, letting each in breath happen by itself, about twenty of them.

It is meant to rouse, so expect to feel more awake and a little buzzy afterwards rather than calm. Twenty is plenty. Sit down before you start so…

Breathe in for about five and out for about ten, and do not hold at the top. Go straight from the in breath into the out breath, five to ten times over.

That pause after the inhale feels natural to add, and it can raise your heart rate rather than lowering it, which undoes what you came for. If ten…

Fighting, running and freezing are the ones everybody can name. There is a fourth: going along with things, smoothing them over, making yourself easy to be around so that nothing bad happens.

It gets read as being agreeable, or as a personality, and it is often neither. If you grew up being criticised, or spent years around someone…

You are not trying to talk yourself into feeling calm. You are trying to move your body from one setting into another, and the breath is the handle you can reach.

Once the alarm system is running, stress hormones are already in the blood and telling yourself to relax does very little about them. Changing the…

If you keep only one thing, make the out breath longer than the in breath. Four in and eight out is enough, and nothing clever is needed on top of it.

This is the closest thing to a dependable settling lever. It suits the end of the day, a queue you are stuck in, the ten minutes before sleep. Some…

If big breathing feels like too much, make it smaller instead. Breathe so smoothly that the in breath rolls into the out breath with no sound and no edges.

This asks almost nothing of you, and that is the point. Nothing to count, nothing to hold, no depth to reach for. For anyone whose panic runs through…

Let the in breath come however it comes, then breathe out through pursed lips as though through a straw for a count of eight, finishing with two more counts through the nose. Three ordinary breaths, then go again.

Three rounds is the usual dose. Notice what is deliberately left uncounted: the inhale. Counting the in breath when someone is already panicking…

The soft sound and the feel of this breath in your throat give your attention somewhere to sit. When the mind is loud, something you can hear holds better than something silent.

It is called the victorious breath, and the victory meant is over the noise in your own head rather than over anybody else. The vibration in the…

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.…

Where ADHD and disordered eating meet, the pattern is more often bingeing, or bingeing and purging, than strict restriction. Restriction tends to travel with over-control, while bingeing travels with impulse and reward seeking.

This matters because the questions asked at assessment are usually the restriction ones, so a binge pattern can sit unnoticed for years. If you…

Pick one small change and leave the rest alone. A full overhaul asks the most of you at the point when you have the least to give, and it usually collapses in the second week.

One change, small enough to be almost boring, kept for a month. Then another. It feels slow while you are in it, and it is the version that tends to…

Health advice usually assumes a kitchen, a fridge and money for the week. If you are working with less than that, the answer is not to try harder at the advice. It is to shrink the plan until it fits what you actually have.

A plan you cannot keep does more than fail. It quietly adds to the pile of evidence that nothing you do makes any difference, and that pile is heavy…

When digestion goes wrong there are usually two things to look at rather than one: something you are eating that does not suit you, and a body too braced to digest properly. Checking only one door tends to leave you stuck.

Digestion mostly happens when your body believes it is safe. If you eat every meal with your shoulders up round your ears, that alone can show up as…

Months of fog, where thinking feels like wading, is a real complaint and deserves looking into rather than waving away. It usually has more than one cause, which is part of why it gets dismissed.

Fog sits where several things overlap: dissociation, anxiety, poor sleep, thyroid and iron problems, infections, medication. Because it belongs…

Irritable bowel symptoms turn up more often in people with ADHD, and they tend to track stress. If your stomach is at its worst in the weeks when everything else is at its worst, that is information rather than coincidence.

Two things help more often than they get suggested. Cutting caffeine frequently settles symptoms on its own, since it speeds the gut up and raises…

If your mood drops reliably as the light goes, that is worth naming as a thing in its own right. Seasonal low is more common alongside ADHD, and a light box first thing in the morning helps a lot of people.

Use it early in the day and use it consistently, since the timing is part of how it works. It is also worth asking whoever prescribes for you about…

Very low vitamin D produces fatigue, low mood and a flatness that looks exactly like depression, and it is not part of routine bloods in most places. If you have never had it measured, it is a fair thing to ask for.

One clinician telling this story about himself had a level that was almost undetectable, and no antidepressant would have raised it, because what was…