Practices

The planning part of the brain is the last to finish growing, and it keeps developing well into the twenties. Eighteen is a legal age rather than a developmental one.

This is worth saying plainly in a family where someone is being asked why they cannot just be responsible now. Nobody expects a fourteen year old to…

With attention difficulties the organising side often runs a few years behind the birthday. A nineteen year old may be running life more like a sixteen year old, and that is a lag rather than a verdict.

Set expectations against where someone actually is instead of what year they were born in. That way the support that felt normal at school does not…

If a year out is coming, call it a bridge rather than a gap. A gap is a hole in a record. A bridge is going somewhere.

That word will be repeated at every family gathering for twelve months, so it is worth choosing carefully. A bridge year has a direction and an end,…

If you are living on campus, ask the pharmacist to split the month's supply across two labelled bottles. Then whichever one you are carrying has a valid prescription label on it.

Carrying a controlled medicine loose in a bag, or in an unlabelled tin, is a disciplinary and sometimes legal problem quite separate from any medical…

Use a timer you can see rather than a warning you have to remember. A dial that shrinks, or a light that goes from green to red, does the work that five more minutes never quite does.

Time is not something everyone feels passing. Turning it into something you can look at moves the job from guessing to seeing, which is much easier.…

One minute of moving between tasks. Star jumps, a lap of the corridor, anything that gets the blood going before you sit down to the next thing.

Classrooms that do this report smoother changeovers and better recall of whatever was just taught. The same trick works at a desk: end one job, move…

One man with ADHD described the goal as no longer suffering from it, only having it. The diagnosis had not changed. What it cost him had.

Half of that shift comes from removing particular sources of pain: the job that was never going to work, the arrangement at home that left everything…

Instead of one warning, give several: half an hour, fifteen minutes, five, one. The child then has time to arrive at the ending rather than having it dropped on them.

A single warning asks a child to track the gap on their own, which is the thing they cannot do. A ladder of prompts turns a stretch of time into a…