Practices

Learn how they were comforted as a child.

How someone was soothed long ago still shapes what feels like love now.

When your partner shares the dream behind their stance, make it safe: listen like a friend, suspend judgment, do not solve.

Your only job is to hear it and understand, not to fix it or judge it. Ask gentle questions and let them unfold.

On a core disagreement, tell your partner the story behind your position: where it comes from, what it means to you.

Behind a firm stance is usually a history and a dream. Share yours honestly instead of just defending it.

When the usual route into reading or arithmetic does not form, children build another one, and it nearly always runs through memory. It works for years, and it costs far more effort than anyone watching realises.

This is the bright child who is somehow always tired, always slow with written work, quietly memorising what everyone else is working out. The route…

Some people get all the way to university before anything is named, then meet eighty pages of reading a night and cannot do it. Nothing broke that night. The volume simply outgrew a way of coping that had held for years.

The history reads the same way every time afterwards: always needed longer, avoided reading aloud, dreaded timed tests, stomach trouble in exam…

Take the sorrow you cannot say to anyone else and pour it out to God, in your own plain words.

You do not have to hold it alone or find the right phrase. Say the raw thing to the One who already knows it.

Under every complaint or hard feeling there is a longing. Listen for the wish underneath.

Behind the anger or sadness is a desire. Find the longing and you find what they actually need.

When your partner is angry, do not take it personally or rush to apologize. Ask what the anger is protecting.

All anger has a goal and something blocking it. Find both. What do you need is a good question.

When your partner is sad, do not try to cheer them up or fix it. Find out what is lost or missing.

You are a traveler; they are the guide into their own landscape of sadness. Let them show you.

When your partner is afraid, do not minimize it or reassure it away. Ask what is making them feel unsafe.

To a fearful person, do not worry can feel like ridicule. Take the fear seriously and understand it.

Do not stay hidden. Tell your partner about your day, your worries, your inner world.

Hiding your reality to protect them keeps you strangers. Let them know you.

The chemistry story runs backwards from how it is usually told. Nobody found a low chemical and then built a drug. They noticed what certain drugs did to mood and reasoned back to what must have been missing.

Reserpine emptied out the monoamines and people became depressed. Iproniazid and imipramine raised them and mood lifted. Out of that came the account…

Depression is not one thing with one address. Fatigue, blank concentration, lost libido and the loss of pleasure do not all come from the same place, so it helps to name which one you most want moved.

This is why two people with the same diagnosis get offered different tablets. A flat, pleasureless presentation points one way, a fatigued and achey…

Nearly all of them do the one thing: keep a monoamine hanging about in the synapse for longer. So when you hear that some other tablet is stronger, be a little sceptical.

Head to head, the differences in how much they lift mood are modest. Where they really differ is in everything else they do to you, and in how well…

SSRIs became the default for four reasons, and being more effective is not among them. They are easier to tolerate, taken once a day, far safer in overdose, and cheap as generics.

Tricyclics match them for lifting mood and are dangerous in overdose because of what they do to the heart. MAOIs carry food and drug interactions…

The standing side-effect list is sexual difficulty, less appetite, an unsettled stomach, disturbed sleep and headache. Sexual side effects are common, and almost nobody raises them unprompted.

So ask directly, and ask about sleep while you are there. People do not usually announce these things. They quietly stop taking the tablet and say…

Stopping suddenly can bring lethargy, nausea, irritability and headache within a few days. That is discontinuation, not the illness coming back.

Timing is the giveaway. Withdrawal starts within days of the last dose and often has a particular feel to it: dizziness, odd electrical zaps, a…

Discontinuation gets mistaken for relapse constantly, by clients and by clinicians. The mistake runs in both directions and both directions cost something.

Read withdrawal as relapse and a person concludes they will need the tablet for life, when what they needed was a slower taper. Read a real relapse…

Never come off an antidepressant on your own. The taper belongs to the prescriber, and for some drugs it needs to be slower and longer than people expect.

The moment to raise this is before anybody acts, not afterwards. If a client is feeling better and starting to think about stopping, that thought is…

Four things carry most of the difference within the class: how much it sedates, how much it activates, what it does to weight, and what it does to sex.

Before anything is chosen, write down which of the four you cannot live with. Almost nobody is neutral about all four, and the one you will not…