Practices

There is no age at which finding out stops being worth it. People have been diagnosed in their eighties and described it as the first explanation that ever fitted.

A late diagnosis will not give back the jobs or the years, and it is fair to grieve those. What it does is rewrite the story: not a person who kept…

Use the established rating scales and a proper developmental history rather than working from the impression someone makes in a first meeting. What you see in a room is a small and unrepresentative sample.

A structured set of questionnaires covering childhood, school, work and daily life turns vague instability into something countable, and it prompts…

If anger management sounds like something being done to you, call it impulse control instead. The work is the same and the word is easier to live with.

Plenty of people who will not sit through feelings talk will happily work on catching an impulse, because that sounds like training rather than…

A certain wariness is standard equipment. Nothing in this work is trying to leave you soft and open to whatever comes along.

People often hesitate here because it sounds like being asked to stop protecting themselves. The opposite is nearer the truth: you keep the guard and…

There is no single correct account of anger that works on everyone. Keep a few to hand and offer the one this person can actually take.

Some people settle the moment they hear that the body moves before thought arrives. Others need it put as an old survival system, or as something…

One clear explanation is rarely enough. Say the important part again later in different words, and expect to say it again after that.

The thing you most want someone to have in a hot moment is the first thing that goes missing. Reactivity arriving ahead of thought is worth stating…

This is just how I am ends more attempts at change than anything else. It is also less true than it feels.

Temperament is real and some people do run hotter than others. What is not fixed is what you do in the ten seconds after something lands, and that is…

Humans have a long history of harming each other, and pretending otherwise keeps nobody safe. Assume the capacity is there and plan around it.

Saying this plainly is not gloom. If you expect people to be naturally peaceable, an aggressive impulse looks like a monstrous exception, and you…

Before you reach for a technique, notice what you privately think anger is. A room can hear disapproval underneath even a well chosen intervention.

It is worth spending real time on your own account of the thing: where it comes from, what it is trying to do, what it costs. If you hold it as bad…

For most people anger is weather that passes. For some it is closer to climate: quicker to arrive, bigger when it lands, slower to leave.

Knowing which you are changes what you plan for. Weather can be waited out. Climate needs arrangements: sleep kept regular, fewer things stacked on…

At the start the anger drives and you are in the passenger seat. With practice you get to take the wheel, though the engine stays the same engine.

Nobody makes that move in one go. It tends to arrive in stages: first you only see it afterwards, then you catch it as it happens, then you catch it…

Some situations genuinely run on how you are seen. A job interview, a court hearing, a first meeting with in-laws: the image matters there, and it is honest to say so.

The claim is only that most of life is not one of those, and that the fear of disrespect is far larger than its actual cost. Keeping the exceptions…

Before you go towards the thing you are afraid of, it helps to have two things to hand: a way to settle your body, and a fairer account of what is likely to happen.

Neither of them is meant to take the fear away. They are there so you can stay in the situation long enough for it to teach you something, and that…

Sound based work is aimed at a particular set of troubles: noise that feels too loud, voices that turn to mush, jumpiness, difficulty reading people. If that is you, it is worth asking about.

It gets chosen by what your system does rather than by a diagnosis, which is why the same programme is used with very different people, from toddlers…

Most of the research on this programme was done with autistic children. For trauma, what exists is case reports and studies still under way.

That does not make it useless. It does mean you would be trying something promising rather than something established, and you deserve to know that…

A useful picture: the parts of your brain are sections of an orchestra. In dysregulation they are playing different tunes at different speeds. The aim is timing, not repair.

This is a kinder frame than damage, and a more accurate one. Nothing is broken or missing. What has gone is the coordination between parts that used…

Neurofeedback usually starts with an assessment, then a block of sessions, then a review, and it is mostly paid for privately. Ask about all of that before you begin.

It is a referral rather than something your therapist adds to a session, so you are taking on a second appointment, a second bill and a second…

Neurofeedback has its strongest support in attention difficulties, decent support in depression and anxiety, and for trauma it is promising rather than proven.

Reported gains include better sleep and attention, less irritability and fewer trauma symptoms. The honest caveats are cost, wide variation in how…

The first several attempts at any of this will feel awkward and slightly fake. That is not a sign it is not for you.

Repetition is what makes a practice smooth, in the way a piece of music or a gear change stops needing your whole attention after a few weeks. Early…

If nobody helped you learn to settle when you were small, you can still learn it now. Slower and more deliberately, but genuinely.

Reading about early development can leave people feeling sentenced, as though the window shut at three and that was that. The same capacity to adapt…