Practices

Some of what feels like a flaw in your character is really a job that can be handed to something outside your head: a calendar, a list on the wall, a person who helps you lay out the week.

Coaching for attention difficulties is mostly this, and nothing more mysterious. Someone sits with you, builds the week, works out what comes first,…

Medication can make the learning possible. It does not do the learning. If no tools get built while things are steadier, there is nothing standing there when the dose wears off.

A common disappointment runs like this: the medication helps, then it seems not to be enough, then it gets stopped. Often what happened is that…

Some foods are formulated to be hard to stop eating. That is a design brief rather than a flaw in you, and it goes some way to explaining why one particular snack is the one you think about at eleven at night.

Knowing this moves the fight somewhere you can win it. Willpower at the moment of craving is a poor bet, and a decision made in the shop is a much…

Most claims about food and behaviour rest on weak studies. The ones worth taking seriously give each person both the real thing and a dummy at different times, with nobody knowing which is which, so that hope and expectation cannot do the work.

The food colouring trials are the standard example. Around 150 children each received drinks containing a preservative plus one of two dye mixes, or…

The same brand of sweets is often made with plant based colours in one country and artificial ones in another. If a company can make it without the dyes elsewhere, the dyes are not essential to the food.

Nine artificial colours are approved in the US, and the volume approved for use rose roughly fivefold between 1950 and 2012. One of them, Red No. 3,…

A real food allergy shows itself on the body: a rash, a swollen or inflamed throat, something you can see. Behaviour on its own does not identify one, although behaviour often improves once a genuine allergy is dealt with.

One child's attention and mood went back to her usual level once berries came out of her diet, and what made that findable was the rash and the sore…

The studies linking pesticide levels to ADHD are tangled up with income, since families least able to buy organic differ in plenty of other ways too. If organic food is affordable for you, fine. If it is not, you are not failing your child.

In one study of 1,140 children, 94% had detectable pesticide in their urine, and ADHD was about twice as common among those with higher…

Most eating advice quietly assumes a budget. Fresh food is expensive and does not keep, so a household relying on food assistance ends up buying what lasts, and what lasts comes in tins and packets.

If money is the constraint, say it out loud rather than nodding along and then failing quietly at home. The advice can be rebuilt around what is…

Saying a difficulty is in the past is not the same as saying it was never real. Sometimes a picture changes because something that was making it worse got taken away, and the honest words for that are neither cured nor imagining it.

People who have been disbelieved by doctors are very sensitive to this, and with reason. The choice usually gets offered as either it was all in your…

If your attention runs low on stimulation, salty and sweet food is the fastest legal source of a lift and it is available all day. Worth knowing about yourself, because it explains a pattern that willpower alone never seems to touch.

Rates of overweight and type 2 diabetes are higher in people with ADHD, and the reasons are not moral ones. A reward system that is under stimulated…

Caffeine buys about half an hour of sharper focus and takes the payment out of your sleep. It is a decent tool for a particular hour, and using it in place of treatment usually leaves you worse off across the day.

Four cups a day and upwards starts producing insomnia, irritability, tremor, an unsettled stomach and a racing heart, and a few people go sleepy on…

A child struggling with attention, anxiety and daily reflux at once may be dealing with one problem wearing three coats. Undiagnosed coeliac disease and other food reactions can produce all of it, and the gut symptom is the clue worth following.

Symptoms that arrive together are worth asking about together. If reading, mood and stomach all went wrong over the same period, that pattern is…

Cutting artificial preservatives out can genuinely help a child who reacts to them, because a child who feels unwell behaves worse. What it does not do is treat the ADHD underneath, which will still be there once they feel better.

Worth being clear with yourself about what you are hoping for, because these diets are expensive and hard to keep up. If your child does have…

Gluten free and dairy free eating is essential in coeliac disease and in a genuine milk allergy. Neither one treats ADHD, and putting a child on them without a reason carries costs of its own.

The cost is not only money and nutrition. It is the birthday party where they cannot have the cake and the lunch table where their food is different…

If someone is saying so much that you have lost the thread, stop them kindly and check. Sorry, that is a lot and it matters, can I say back what I have got so far.

It feels rude and it is usually received as the opposite, because it says the words were worth keeping. Listening while quietly drowning helps…

When someone goes quiet and you can see they have gone inside, that is not your moment to help. Stay still and let the silence run.

You will feel the pull to summarise, to check they are alright, to bring the other person back in. All of it lands as an interruption. Give it a few…

When someone pours out a lot at once, catch the two or three words carrying the weight and give those back to them, in order.

You said you felt cold in your own house, and like a nuisance. Nothing added, nothing solved. It sounds almost too simple, and it does the thing a…

Let what they say land in you before you answer. The word that catches somewhere in your own chest is usually the live one.

Cold. Empty. A nuisance. Take each one for a second rather than sailing past it to the reply. Then give back the one that carried the charge, and you…

When somebody says they just get on with it, take the getting on with it seriously. That is the door, and arguing with the nothing is a wall.

This happens a lot, I just roll with it, I forget about it: there is a whole strategy in that sentence and it is visible, unlike the feeling…

When someone finally gets one true word out about how they feel, resist explaining it to them. Ask what that word is like from the inside and let them find the rest.

The temptation is to say the clever thing: of course you felt rejected, anyone would. It is often accurate and it usually ends the moment, because…