Practices

ADHD tends to run in families, and the differences in reported rates between countries say more about how a country counts than about its people.

It is common to find, part way through your own assessment, that you are recognising a parent, a sibling or a child. That is not a coincidence and it…

The parts of the brain that plan and hold back keep developing into the mid twenties, so the person struggling at nineteen is not the finished version. Real gains come with time, though they do not add up to becoming someone without ADHD.

Hold that both ways. It is a reason for patience, and for not writing anybody off at nineteen. It is also a reason to plan for ongoing management…

Keep two or three trustworthy places to read about ADHD and go there first. Confident, tidy explanations online are easy to find, and most of them have nobody checking them.

Look for organisations that cite their sources and say when something is uncertain, and treat a personal account as a personal account rather than as…

ADHD tends to surface at the points where life asks for more organising: a new school year with seven teachers, the first term at university, a first job, a promotion into managing other people.

The pattern is always the same. Something that was holding things together is removed, or the amount you have to run yourself goes up, and what was…

Things often seem to get worse in the weeks after a diagnosis. Usually nothing has got worse. You are simply seeing what was always there, and now you have a name to hang it on.

You will start joining things up: the lost keys, the half finished projects, the reason that job ended. It can feel like the diagnosis broke…

Plenty of people with ADHD do far better in hands-on work than in another four years of sitting in a classroom. Wanting a trade is a reasonable read of your own mind, not giving up.

Work with something finished at the end of the day and feedback as you go tends to fit better than long abstract study whose payoff arrives years…

The first year away at university takes away nearly every bit of structure at once and asks a young person to build their own. It is one of the commonest points at which ADHD finally shows itself.

Nobody wakes you, nobody notices you missed a lecture, and the work has no shape until the week it is due. The things that help are dull and…

Far more people have ADHD than are ever assessed for it. If you have wondered about yourself for years, the odds that an assessment would be worth your time are better than you think.

The usual fear is being told you are making it up, or wasting a professional's morning. In practice adults are missed far more often than they are…

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…

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…

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…

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…