Practices

A heart tracing before starting a stimulant is not routinely needed. Some practices still ask for one anyway, and it can hold a child up for months.

What the guidance asks for is a careful history and an examination, with a tracing kept for children whose own or family history warrants it. An…

There are three families of medicine here: the stimulants, the agents that work on noradrenaline alone, and the alpha-2 drugs that began as blood pressure treatments. Three routes rather than three brands of one thing.

That matters when one of them does not work or cannot be used. A poor response inside one family says little about the others, so a sequence has…

Waiting to see how they get on carries a cost that is easy to miss. Every year a child spends behind narrows what is available to them the year after.

Treatment does not settle a life. What happens is that school reports, friendships and confidence build on one another, so a stretch of doing better…

Before you decide a club is out of reach, ask. Some let children earn the uniform through the levels, and plenty have quiet arrangements for families who need them.

Cost keeps more children out of these things than lack of interest does. A single phone call is worth making, and the answer is often better than the…

Tai chi, qigong, karate, whatever is running near you at a time you can make. Choose on availability, cost and what you actually like, because those decide whether you keep going.

The ingredients are much the same across these: steady movement, a structure somebody else designed, and a session that happens whether or not you…

Before committing to a course that runs into thousands, set the same money next to the other things it could buy. Tutoring, a proper assessment, a medication review and a well tested psychosocial programme all sit in the same envelope.

Neurofeedback courses often run for a month or more, insurers rarely pay, and the training of whoever delivers it varies a great deal. The cost is…

Regulators let devices through by several different routes, and only some of them mean what a family assumes. A game cleared for further investigation has not passed the bar a medicine passes.

The word approval carries an authority that advertising borrows freely, and device pathways are shorter and lighter than the ones drugs travel. It is…

Before anyone does something exposing, let them check their own conditions and give them a clean way to say no. A public yes given under pressure is not really a yes.

It can be as ordinary as asking someone to consider whether they have the privacy, the time and the state of mind for this today. Ask it first and…

Almost everyone says the same thing afterwards, that the waiting was worse than the thing itself. Say it out loud in your own words, because your own words land differently from anyone else's reassurance.

Before a difficult conversation, write one line about how bad you expect it to be. Afterwards, write one line about how it actually went. Over a few…

Let one trustworthy person in slowly. Trust is rebuilt in small, safe steps, not all at once.

You do not owe everyone access, and you do not have to stay walled off forever. One safe person, by degrees.

Say it, out loud if you can manage it: I am done for the day. A decision, rather than a slow guilty drift away from the desk.

The hours after a proper clocking off feel different from the same hours drifted into, even when nothing else about them changes. It does mean facing…

Before you leave today, find your spouse and say goodbye properly, face to face.

Not a shout from the door. A real parting, a word about when you will be back.

When you come home today, find your spouse before anything else, and give a full minute.

Before the post, the phone, the fridge. Them first, with your eyes and attention.

Do not let leaving or arriving happen silently.

Today, mark both thresholds. Before you leave, find your spouse and say goodbye properly, face to face. When you come back, find them before you do…

When you come home, find them first, before the post, the phone, the kitchen.

The first half-minute of reunion often sets the tone for the whole evening.

Before you part in the morning, take two minutes to learn one thing happening in your partner's day.

A short chat and a warm goodbye at parting keeps you connected through the hours apart.

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…

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…

If someone selling you a treatment for ADHD uses the word cure, that is your cue to leave. There is no cure. What good treatment offers is fewer symptoms, and that is a real and worthwhile thing.

A registered clinician is not allowed to promise you an outcome, because nobody can honestly guarantee one. So a provider who promises makes you a…

Three things are worth noticing before you buy any treatment: whether the only research on it is their own, whether they will say plainly what it is meant to change, and whether you have to sign something.

Each one covers a different way of being caught out. Research a company funded and ran itself has never been checked by anyone with nothing to lose.…