Practices

If most of the difficulty is happening at home, most of the work needs to happen with the household in the room. Otherwise the hour of good conversation gets quietly undone by Tuesday.

In a settled stretch, seeing the young person on their own with occasional family time is fine. In a crisis, turn it round: everyone together,…

Sorting goes better fast than carefully. If every item stalls you, ask someone to sit in the room while you work, not to help but to keep the pace up.

A person nearby changes what the hour feels like, and they can be reading their own book the whole time. What they supply is momentum, which is…

Often the most useful thing a clinician does is not delivered by the clinician. It is delivered by the teacher, or the parent, after a conversation you had with them.

Taking that seriously changes how the hour gets spent, towards talking with the school, coaching the parents and designing the arrangement, and away…

The classroom is the strongest place to help and most clinicians cannot get into one. That is a reason to work well in the next best place, not a reason to give up.

ADHD sits in how a brain is built, and the work is on the executive skills themselves rather than on attitude or effort. Where the moment of…

The unkind thoughts tend to arrive in a handful of familiar shapes. One friend is busy so nobody wants you. One bad mark so you are going to fail everything. Someone did not say hello so they must dislike you.

Rather than fighting the content, try naming the shape: that is the all or nothing one, that is the mind reading one. Most people find they only have…

When you genuinely cannot know what someone thought of you, the harsh guess is no more accurate than the kind one. Since you are inventing either way, invent the version that lets you carry on with your day.

This is not positive thinking. It is noticing the moment you moved from evidence to invention, because at that point you get a say. A short reply…

Try turning 'I will not mess this up today' into 'today I am going to do this well'. You do not have to believe it yet. Said the other way round, it keeps the disaster in front of you all morning.

Notice how many of your goals are stated as things that must not happen. Do not be late, do not lose your temper, do not forget the form. Each one…

Picture spilling coffee down your shirt on the way in. One version: the day is ruined and everyone will see. Another: this is going to be a good story by eleven. Same coffee, two different days.

The part that decides is the sentence you say about the event, and it usually arrives so fast that it feels like part of the event itself. Slowing…

Put something small at stake and you turn up more. Groups that charge a token amount get better attendance than free ones, and the same trick works on yourself.

It does not have to be money. Book the class you would have to cancel a day ahead, tell a friend you will meet them there, pay the small deposit. The…

A small child does not have a feeling, they are the feeling, entirely, until it passes. Growing up is largely a gap opening between feeling something and doing something about it.

If that gap is narrower for you than for other people your age, it is a lag on a road everyone is on rather than a defect. The framing is worth…

Turning the volume down on a feeling in front of the wrong audience is not being fake. Being annoyed with your manager and raising it mildly is a skill, and it keeps you employed.

There is a version of honesty that costs people jobs and friendships. What you feel and how much of it you show are two separate decisions, and the…

A strong feeling makes the rest of your life go quiet for a while. That is when people resign, send the message, or start something they cannot undo, for reasons that seem good and are not enough.

So make a rule now, while it is calm, about which decisions are never made on the day: leaving a job, ending a relationship, spending a large amount,…

The big promise is usually made in a rush of love rather than after a calculation. It is meant sincerely, which is exactly why it keeps happening, and why the disappointment keeps landing.

The gap here is between feeling something and announcing it. Try a rule: nothing involving money, dates or other people gets said out loud on the day…

A small annoyance can be steered. A full blaze cannot. Nearly all of the winnable work happens in the first thirty seconds, before the feeling has finished arriving.

Which means the skill to practise is noticing, not calming down. Learn your own early signs: the jaw, the hot face, talking faster, the flat voice,…

Halfway up the argument, ask yourself one question. What do I want here, and who am I trying to be. Winning the sentence is rarely worth what it costs by bedtime.

It is a simple move and it is genuinely hard, because the moment is loud and the long view is quiet. A short version helps. Not in front of the…

If cognitive behavioural therapy is the approach you keep being offered for ADHD, part of the reason is that it is easy to measure. It has good evidence behind it, and being the most studied is not the same as being the only thing that helps.

Structured, session by session approaches produce tidy numbers, so they get trialled more often and written up more often. That leaves quieter…

The change mostly happens between the sessions rather than in them. Catching a thought where it actually turns up, at the kitchen table or in the car park, is what makes a new one stick.

Make it small enough to survive a bad week. One thought written down as it came, and one line underneath saying what else might be true. If you have…

You are allowed more than one feeling about the same thing. Relief and grief when someone dies. Love for a job you would walk out of today. Neither one cancels the other.

A lot of the distress is not the feelings themselves but the argument over which one is the real one. Try saying both plainly, out loud: I am…

What you expect from a treatment shapes what you get from it. That is worth a conversation before you start, not months later when it has not worked.

If you are beginning something new and half of you thinks it is nonsense, say so. A doubt that stays unspoken tends to come out as a missed…

If rating a feeling out of ten means nothing to you, use something that does. Colour in bubbles, point at a picture, hold your hands apart to show how big it is today.

This began as an adaptation for children, swapping the numbered anxiety ladder for bubbles to colour in, and it is just as useful for anyone who goes…