Practices

Say it plainly: my anger is allowed here. It is a healthy feeling and it is usually the thing telling me where a line should go.

For anyone who learned that their anger made them dangerous or unlovable, it now arrives with shame attached, and the shame is what turns it into…

With your eyes closed, bring to mind someone who is glad to see you, and let your face receive that look. A small smile usually arrives in the eyes on its own.

It can be someone you love, someone who loved you, a teacher from years ago, or an animal. The point is not the memory but the feeling of being…

When the person in front of you starts yawning during body work, it is usually not boredom. Bodies yawn as they let go of what they were holding.

Say so out loud, because most people apologise for it and then clamp down on the very thing that was starting to shift. A simple 'that is a good…

Let the corners of your mouth lift about as much as they would if you had just remembered something mildly pleasant. Not a smile anybody would notice.

This comes from dialectical behaviour therapy, where it is used as a way of softening without pretending. You are not being asked to feel happy, and…

Sometimes eyes water during body work with no sad thought attached to it. Nothing has gone wrong, and there is nothing that needs explaining.

If it happens to you, let it happen. If it happens to someone you are working with, say something plain and warm: that this is common, that they do…

Tap the fleshy outside edge of your hand and say something like: even though I feel this, I accept myself completely. Three times, in whatever words are actually true for you.

The shape of the sentence is the point. It names the problem and refuses to make your worth conditional on solving it, which is the exact opposite of…

Work one side of your face or body first, then stop and compare. The difference between the treated side and the untreated one is often surprisingly clear.

This is a useful trick if you tend to finish a practice thinking nothing happened. Rather than asking whether you feel better, which is a vague…

End by pressing your palms together and staying there a moment. Each hand is giving and being given to at the same time.

It is a small thing that lands hard for people who only know how to be the one who helps. Notice the warmth and the pressure and notice that you…

Finish by letting your eyes travel slowly from one side to the other a few times, open or closed, then bring them back to the middle and notice how you are.

The idea borrowed from EMDR is that this helps the calmer state settle in rather than evaporate at the door. Whether it does that is not established,…

The chapter a diagnosis sits in was decided by a committee, and the medicines did not rearrange themselves to match. When you are thinking about treatment, it helps to look past the name on the file to what the person is actually carrying.

Anxiety used to sit in one place in the manual and now sits in three, with trauma conditions and obsessive ones given rooms of their own. That…

If something helped one part of your anxiety and did nothing for the rest, that is not proof it failed or that you are beyond help. Different parts of this run on different machinery.

The sudden bodily kind and the grinding thinking kind are handled by different systems, and a treatment that reaches one may have very little to grip…

Nothing you take can act on something that is not there to be acted on. It is a plain limit, and it explains a good deal of the disappointment people carry about treatment.

A medicine travels everywhere in the body and only does something where there is something for it to work through. So the question is not whether a…

Sedatives are good at damping the body down and much less good at quieting a mind that keeps going round. If the trouble is chronic worry, being made drowsy is not the same as being helped.

This is one of the commonest mismatches there is: something sedating given for grinding worry, leaving a person tired, foggy and still worrying.…

Sleeping tablets, sedatives, antihistamines and alcohol all pull on the same brake. Whoever is prescribing needs the whole list, including the things that do not feel like medicine.

People rarely mention a nightly drink or a sleep aid bought off the shelf, because neither feels like part of the treatment. Together they can add up…

If you do not know how much of something you are taking, you cannot tell whether it is helping you. That is the honest problem with most calming products bought off the shelf, quite apart from whether the ingredient works.

Testing of these products keeps turning up contents that do not match the label, sometimes including things the label never mentions. So a good week…

With anything you use to take the edge off, note what you took and when, and how you felt a few hours later. Small changes in amount can turn the same substance from calming into the opposite.

Cannabis is the clearest example. Strength and make up vary enormously between products, a small amount often settles people, and a larger amount…

If you have been given a drug from one category for a problem in another, it is fair to ask which part of it is doing the work. Often the useful effect is a side effect that has been borrowed.

The common example is an antipsychotic given in a small dose for sleep, where the drowsiness comes from its antihistamine action rather than from…

A small dose that has not changed in years is not automatically something to fix. Stopping carries risks of its own, and they have to be weighed rather than assumed away.

Coming off can bring withdrawal, a rebound of the original anxiety, and worse if it is done abruptly. Set against the risks of staying on, which are…

Plenty of people carry a tablet for years and almost never take it. What it is mostly doing is reassurance, and that is worth knowing about it.

Being able to reach for it is what makes the shop or the motorway bearable, which is a real help and a quiet cost at the same time. The cost is that…

Saying that you do not know, and then showing where you would look, beats an answer improvised on the spot. It also teaches the person asking how to check things for themselves.

Name the limit, name the source you would go to, and offer to come back with what you find. Systematic reviews and an ordinary scholarly search will…