Practices

Some signals cannot be acted on. Ringing in the ears, an old ache, a resentment about something long finished: the alarm is real and there is nothing to answer it with.

Fighting a signal you cannot switch off lays a second misery on top of the first. People who live well with long term pain tend to do something else…

Most of us think there are two things to do with anger: hold it in or let it out. There is a third, which is to stop, stay still, and watch it without doing either.

Holding it in has you clamped shut and seething. Letting it out has you saying things you will be repairing for weeks. The third one feels like doing…

A calming skill handed over at the wrong moment reads as your anger is not welcome here. For someone taught as a child that their anger was unacceptable, that is the old prohibition arriving again in kinder clothes.

Let the anger be seen first. Say that it makes sense, that there is a reason for it, and only then offer anything that settles the body. The order…

Accepting reality as it is means dropping the fight with what has already happened. It does not mean staying somewhere that is still harming you.

The two get confused often, usually by people who were told to be patient by whoever benefited from their patience. A rough test: acceptance is for…

Watch for the small thing that happens right as a feeling starts: the reach for a tissue, the laugh, the change of subject. Notice it once and say nothing, notice it again, and only then mention it.

One instance is an incident and three is a pattern, and the difference matters when you name it, because a pattern can be looked at together without…

Sometimes the thing that stops your tears is an order somebody gave you decades ago, and you are the one carrying it out now. One woman found her father's words sitting behind a habit of wiping her face dry the moment she cried.

That is worth knowing because it changes who the rule belongs to. It was his voice, in her hands, running long after he had gone. Naming the source…

Before going towards a hard feeling, decide what will hold you while you are inside it: a way of breathing, a way of standing, a sentence, a person you can picture or ring.

Going in with nothing is not brave, it is flooding, and it teaches your system that feelings really are dangerous. Pick two or three supports in…

Whoever is going to do the feeling picks what to work with. The tightness in the chest, the closing throat, the anger, the grief, whichever one they are ready for today.

Choosing keeps the person in charge of the dose, and being in charge is a fair part of what makes this different from whatever happened to them. If…

Whether a feeling is nowhere to be found or far too much, the questions are the same: what breath, what movement, what sentence, what person helps me stay with this?

Numbness and overwhelm look like opposites and they are both a problem of not being able to stay with the material. The same supports work in either…

Anger wants the body to do something, so let it. Breathe deeper and higher into the chest, stand up, press both palms hard into a wall, walk on the spot, push down through your feet.

Pressing against something solid gives the mobilisation an outlet with nothing broken and nobody hurt. Keep going until the charge drops a little,…

Say it out loud before you start: you decide how much of this you feel, and when. Stopping for a bit is part of the plan, not a failure of it.

Being in charge of the dial is most of what separates useful contact with a hard feeling from being flooded by it again. If you are helping someone,…

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…

If light touch makes you squirm but firm deep pressure feels wonderful, that is worth knowing about yourself. It is the same preference behind weighted blankets and a very tight hug.

Once you know it, you can arrange for it: a heavier duvet, a firm rather than gentle massage, sitting with your back against something solid,…

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…

If several medications have failed, ask whether anyone else in the family had the same experience. A pattern of non response runs in some families.

It is a question that rarely gets asked and can save a year. If a parent or sibling went through the same list without success and then responded to…

The study most often quoted for magnetic stimulation in attention difficulties had eight people in it, and half of those on the dummy treatment improved too.

That dummy half is the interesting number. It tells you how much improvement can come from attention, hope and being taken seriously, before any…

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…

Lead with what has evidence behind it. Save the thinly supported options for when the person brings them up themselves.

Mentioning something is a form of recommending it, whatever hedges you attach, and families will spend money and hope accordingly. If they raise it,…

If something is safe, affordable and it helps you, the fact that the effect may be mostly expectation is not a reason to stop.

The test worth applying is practical: is it safe, can I afford it, is it taking the place of something that works better, and would that money and…