Practices

Some of these do have real evidence behind them. St John's wort has repeated support in mild to moderate depression, SAMe and methylfolate have reasonable backing as additions to treatment, and omega-3 has looked weaker in the larger and better run trials.

That last part is worth sitting with, because it is what usually happens. An early promising effect shrinks as trials get bigger and better…

If you want to use herbal remedies, two things carry most of the risk. Make sure whoever prescribes for you knows what you are taking, and buy from a source that has been independently tested.

That is a short list on purpose. Nearly all the harm in this area comes from an interaction nobody knew about or a product that was not what it…

Water, sleep, food and digestion are not the boring preamble to the real work. When those are running badly, everything else you try has less to work with.

It can feel almost insulting to be asked about breakfast when what you carry is so much bigger than breakfast. But a body short of sleep and short of…

If you are testing whether a food affects you or your child, the test has to be complete. Among children with suspected sensitivity to artificial colouring, most reacted to as little as 100 mg, so a bit left in is enough to blur the answer.

What usually happens is that a family removes the obvious sources, misses the ones hidden in medicines, sauces and cereals, sees no change, and…

If you are going to test whether a food matters, work out in advance where the plan will leak. School lunch swaps, a grandparent's biscuit tin, your own memory on a hard week: all of it decides whether the answer means anything.

Change one thing at a time and keep everything else steady, otherwise you cannot tell which change did what. Then be honest about who is running the…

When something has gone wrong across several systems, expecting one treatment to fix it is usually the mistake. Movement, processing what happened, changes to food and work on calming the body tend to add up in a way that none of them manages alone.

This is not an argument for doing everything at once until you are exhausted. It is an argument against giving up on the whole idea when the first…

Find a photograph of someone caught unguarded, ashamed or frightened or relieved, and look at it for a while. Notice what happens in your chest and around your own eyes.

Most of the time we glance at a face and move straight on. Holding your gaze long enough for something to stir is a small test of whether the feeling…

Before someone has said a word, you have often already decided what they are: only here because they were made to come, not really interested, wasting your time. That decision changes how the meeting goes.

The person sent by a court, or pushed into the room by a partner or a manager, walks in already read. Try starting the hour with nothing written: no…

Change the question you ask yourself. Not how badly do I want to stay calm, but what have I actually practised for the moment it starts.

Wanting is not a plan. Decide in advance the words you will use, the room you will step into, the person you will ring afterwards. Rehearsed things…

Behind calm that looks superhuman there are usually decades of dull practice. The practice is the part worth copying, not the headline.

Setting your worst moment against somebody else's lifetime of training only produces despair. Ask instead what that person did on an ordinary…

Stoics, Cynics, Buddhist teachers and your own grandmother were all working on the same problem: how to stay steady when life leans on you. You are allowed to use the version that is already yours.

You do not have to import somebody else's whole worldview to get a practice of steadiness. If sitting with a breath count feels foreign, a…

Have three or four openers ready before you need them. For what it is worth. Can I run something by you. You might not like this, so give me the benefit of the doubt.

When you are stirred up you will not compose diplomatic language on the spot, so the phrases have to be picked in advance and worn in. Say them aloud…

This kind of change is slow, and saying so at the start is a kindness. A goal you can actually reach beats a promise that turns the first bad week into proof of failure.

If you are helping someone, name the timescale honestly and say out loud that lapses come with it. If it is your own work, write down what a…

The early rungs do not have to be the real thing. A photograph, a video, or picturing it carefully with your eyes shut is a proper step and not a cheat.

This matters most when the real version is out of reach: the dog you cannot summon, the flight you cannot afford, the classroom that is thirty miles…

Rather than taking on someone else's routine, ask what actually makes you feel ready for a day, or better looked after. The answers tend to be specific and slightly odd, and they hold up better than anything prescribed.

For one person it is a shower before anything else. For another it is having the bag packed the night before, or eating something warm, or ten…

Being shown a breathing technique is not the same as being able to use one. Practise it while nothing is wrong, often enough that it runs without you having to remember the order.

At the height of fear the only skills within reach are the overlearned ones. Something demonstrated once in a quiet room will not turn up in a school…

Pick one picture and keep it. Shallow end, middle, deep end. Then the child, the parents and the school are all talking about the same thing without anybody needing the clinical words.

It makes the next step obvious instead of arbitrary. You are not being sent to the deep end, you are moving a bit further along the shallow end. It…

Let the person facing it choose the first step, and let them choose an easy one. A rung somebody picked gets climbed. A rung assigned to them gets argued about.

Ask which one they would be willing to have a go at this week, not which one they ought to be able to manage. The answer usually sits somewhere in…

Before a step, write down what you will do when the fear arrives. Which breathing, what you will say to yourself, who you will speak to. Nobody invents a plan in the moment, they only follow one.

Keep it short and specific enough to be followed while frightened. It also gives you something to go over afterwards: what you used, what you forgot,…

No step happens without the person agreeing to it. Not ordered, not dragged, not talked round in a bright voice. Agreement is a condition of the thing working, not a courtesy.

Coerced exposure teaches two lessons at once: that the situation is dangerous, and that you are not safe with the people who arranged it. After that…