Practices

Behaviour work for ADHD is mostly about changing what the adults do. The child's behaviour shifts afterwards, as a consequence.

Consequences live in other people's responses, and a child who cannot yet hold a reward in mind across three days cannot supply them for themselves.…

When a child with ADHD and a parent get stuck in daily rows, the rows themselves start doing damage. Getting the ADHD properly managed early takes some heat out of those exchanges before defiance settles in as a habit.

The chain people worry about runs from constant friction at home to entrenched defiance, and from there to difficulties in the teenage years that are…

A child's reputation is made in the classroom, mostly out of adult earshot, and it follows them from one year to the next. Teachers who work on how the class treats the child, and not only on the child, can move it.

The version that has been trialled has the teacher doing small deliberate things: pairing children with some thought, noticing this child out loud…

The most convincing programme for teenagers does the obvious thing. It runs at school, twice a week, so nobody has to be driven anywhere: homework systems, organisation, some social practice and sport, in the place where the trouble actually happens.

By the teenage years the leverage parents had is thinning, and a clinic appointment is the first thing to fall off the week. Putting the help inside…

Look for something genuinely hard that sits on top of something you are already good at. Too easy and your attention wanders off. Too far beyond you and it just becomes another thing you failed at.

The narrow band in between is where you stay engaged without noticing you are trying. It is usually a bit further up than feels comfortable when you…

For a lot of people with ADHD, making things is not a hobby but closer to an appetite. The itch to start something is always there, and when nothing is being made it does not go quietly.

Read that way, the restlessness that arrives when you have no project on is information rather than a character flaw. The same drive that gets called…

When the right piece of work finally has you, you are entirely there. Hours go, nothing intrudes, and the difficulty that flattens you elsewhere is nowhere in the room.

That state is the same machinery as the hyperfocus that gets you into trouble, pointed at something worth doing. Worth noticing so you can go looking…

You cannot work out in advance what will light you up. The only reliable method is a wide and slightly undignified search: many activities, many people, plenty of reading and watching, until something catches.

This means giving yourself permission to try things badly and drop them, which is hard if you have been told all your life that you never finish…

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…

Anger moves from person to person in a house, and so does steadiness. Working on your own reactions was never a private project.

You are one of the conditions everyone around you is responding to. When your fuse lengthens, the number of moments that turn into an incident drops…

The years you spent angry are not written off. The drive that wrecked things is the same drive available now for putting things right.

This is not a way of saying the damage was worth it. It is about what is still in your hands. People who have hurt others through their temper often…

Expect the fear underneath to be denied, and do not push against the denial. This idea has to be worked in gently rather than argued in.

Coming at somebody head on with what they are defending sets off exactly the threat response you were hoping to treat. Small, low pressure versions…

You will not get the honest version in one go. Ask, let it be refused, carry on with something else, then come back to it later in the same conversation.

A defended story does not collapse, it wears down. Each pass takes a little off it, and the person needs the gaps in between to do the actual…

If attention and planning are already hard work for you, then the very tools for handling anxiety are the things you find difficult. That is not a failure to try. It means the plan needs more scaffolding and more repetition.

Expect to need things that sit outside your head: written steps, alarms, someone who checks in, a shorter ladder with smaller rungs. Go slower than a…

Understanding an idea is not the same as being changed by it. The explaining is soil preparation, and the crop comes later.

Somebody can follow the whole argument about respect and self-acceptance, agree warmly with all of it, and lose their temper the same way that…

Short sessions spread over days beat one long night. The settling of what you learned happens after you stop, and a short night undoes a good deal of the day's work.

A perfectionist will not cut their hours to be kinder to themselves, but they will cut them to get a better mark. So argue it on those terms.…

There is a listening programme that filters music into the range of the human voice, given in short sittings that add up to a few hours, to make speech easier for the body to take in.

It is delivered by a trained provider rather than downloaded and run at home, usually in small doses with a pause if things stir up. If you have…

The screen tells you nothing and asks you nothing. The plane simply flies better or worse, and the adjusting happens on its own.

That suits people who cannot easily put what they feel into words, which includes a great many children and a great many adults after trauma. There…

Some people end up fully flipped, awake until three in the morning and unable to surface until evening. That is genuinely hard to reset, and not for want of trying.

Ordinary sleep advice is not built for this. What tends to be needed is help with timing: light at the right hour, a plan to move the whole cycle in…