Practices

After a course of intensive work, this student's sound skills moved from the middle of the range to near the top. Average was never the ceiling. It was simply where an untreated difficulty had left them.

Hearing single sounds in a word, holding sounds in memory, repeating made up words: all of them shifted a long way once the teaching was right. That…

With the fast acting treatments, the plan for what happens afterwards matters as much as the treatment itself.

Electroconvulsive therapy can shift severe depression quickly, and without something in place afterwards the relapse rate is high, which is why…

Sometimes the honest answer is that there is nothing in your surroundings to feel good about. Changing them counts as treatment, not as running away.

A life with no friends nearby, no work that means anything and a steady drip of criticism will produce low mood in most people, and skills practised…

A child who has spent years being told they are careless will often say yes to whoever finally seems glad of them. Work on how they see themselves is not a soft extra to the clinical work.

Count the corrections in a single day and it is easy to see what accumulates. By the time an offer comes from someone friendly, the pull is belonging…

Being in recovery is not a reason to leave an attention difficulty untreated. The restlessness that made a substance useful is still there once the substance goes.

Clinicians often hold back here, uneasy about a stimulant for someone with a history, and that caution is understandable. The other choice carries a…

For a small number of children the question was never about school reports. A toddler who runs into a road and keeps running, a child who climbs the pool fence: what is being weighed there is whether they stay alive.

Most decisions about treating a very young child are finely balanced and deserve to be taken slowly. Where the behaviour itself is life threatening,…

If the first medicine disappoints, that is information about the first medicine. Plenty of people who get nothing from one class do well on another.

Methylphenidate and amphetamine are not the same drug at different strengths. They work by partly different routes, so a poor result on one says…

Give a new habit two months rather than two weeks, and change one thing at a time. The old line about thirty days sets you up to feel like a failure on day thirty one.

Routines that wobble make repetition harder, and repetition is the whole mechanism, so it simply takes longer for some of us. Pick one change, keep…

Unstructured play in a big open space settles a child. A structured class teaches them how to be with other children. You want some of each, for different reasons.

If you only ever book the class, you take away the roaming that calms them down. If you only ever send them out to roam, they miss the taking turns…

Whatever gets you outside and quiet for a stretch of time counts. Fishing, sitting in a hide, weeding, waiting in the car park with the window down.

Nobody has to call it mindfulness for it to work like mindfulness. Hours of low demand attention outdoors, with nothing much required of you, is the…

Martial arts happen to bundle four useful things at once: hard physical work, a fixed structure, feedback in the moment, and a teacher who stays. That is why they suit restless minds so well.

Any one of those on its own helps a little. Together they cover the arousal, the shapelessness of time, the need for a reward that arrives today…

Long goals need markers you can reach this month. Belts work because you get a visible, earned step every so often instead of one distant summit.

Build the same thing into anything you are trying to keep up: a distance, a number of sessions, a move you could not do in January. Make it something…

For a child having a hard time, one adult who plainly thinks well of them makes more difference than almost anything else. A coach or a teacher can be that person.

Studies of children growing up through poverty, hunger and worse keep landing on the same finding: those who did well usually had somebody who…

A practice kept up for years stops being something you do and becomes part of who you are. That is when it no longer needs willpower.

People who started something physical as children and carried on often point to it as where their steadiness came from. The early years are the…

Keep a movement practice going long enough and your body starts doing it without you. People who have practised for decades describe the form running itself while their mind is elsewhere.

In the early months it takes all your concentration, which is why it feels expensive. Later it stops asking for that, and you get the calm without…

A few sessions give you an effect that fades. A few months of it starts to change your baseline. Plan for the longer version if you can.

One class leaves you calmer for an afternoon, which is real and also temporary. Fifteen weeks of the same practice is where people start reporting…

With a small child who is struggling with both movement and speech, start with the body. Balance and steadiness come before a child can take in much language or learning.

A child who is using most of what they have simply to stay upright in a chair has little left for the words on the page. Sorting out the physical…

If talking about it has not shifted things, a body based practice is worth trying next. It is not a consolation prize.

Some of what trauma leaves behind sits underneath words: the flinch, the going blank, the pull towards hurting yourself. Practices that work through…

Food colouring is the one narrow exception in this area. Large studies suggest it may mildly wind up some very young children, so a trial removal in a preschooler is a reasonable thing to do.

Keep it in proportion though. This is a minor irritant in a subset of little children, nowhere near the sweeping dietary cause that was claimed…

The restrictive elimination diet has real methodological problems, and it is expensive and exhausting to run. If a family still wants to try it, they can, because unproven and dangerous are different words.

There is usually more to lose by forbidding it. A family who feels blocked either does it anyway without telling you or spends another year…