Practices

Some signals cannot be acted on. Ringing in the ears, an old ache, a resentment about something long finished: the alarm is real and there is nothing to answer it with.

Fighting a signal you cannot switch off lays a second misery on top of the first. People who live well with long term pain tend to do something else…

Sometimes the thing that stops your tears is an order somebody gave you decades ago, and you are the one carrying it out now. One woman found her father's words sitting behind a habit of wiping her face dry the moment she cried.

That is worth knowing because it changes who the rule belongs to. It was his voice, in her hands, running long after he had gone. Naming the source…

A hard feeling is not damage and it is not a bad attitude. It is a feeling, meant to be felt, and the only real question is at what pace.

Plenty of people were raised to treat their own sadness or anger as a failure of character, so the feeling arrives and shame arrives just behind it.…

Some people are not frightened of a place or an animal. They are frightened of their own racing heart, their own tears, their own anger, and it behaves like any other fear: it grows on avoidance and shrinks on careful contact.

That framing is useful because it tells you what to do next. You do not have to understand where it came from before anything can change. What you…

If a movement keeps cutting a feeling short, work with the movement rather than the feeling. Stay with the dabbing of the eyes itself, slowly, and see what turns up.

The defence is usually easier to be with than the raw emotion, and it often carries the memory. Repeat it gently, notice the arm, the hand, the…

When one bit of you wants to let the feeling come and another bit is frightened of it, you are not being difficult. You are two things at once, and both of them have their reasons.

The frightened side is usually the one that kept you going for years, so shoving past it tends to make it dig in harder. It works better to turn…

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…

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…

If several medications have failed, ask whether anyone else in the family had the same experience. A pattern of non response runs in some families.

It is a question that rarely gets asked and can save a year. If a parent or sibling went through the same list without success and then responded to…

You choose what to work on and how big a piece of it. A sore shoulder, a low mood, the belief that you are too much: all of them are allowed, and so is starting small.

The useful phrase is whatever is standing in the way of you being all right just now. Some days that is a headache and some days it is the thing you…

Deep change tends to follow self acceptance rather than the other way round. Waiting until you have fixed the thing before you are allowed to be kind to yourself usually keeps the thing exactly where it is.

This shows up most clearly with eating, drinking, and everything else people do to manage a feeling. Shame makes the feeling worse, and the behaviour…

If pain is the thing you live with, start the session with the stroking sequence rather than the conversation. Arms, forehead, crown, cheeks, slowly.

It does two jobs in one go: gentle wide contact takes some edge off the pain, and it brings a person out of guarded alertness into being able to…

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…

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.…

Most people are a mixture rather than a clean example of one thing. If treatment has taken the edge off one part and left another standing, that is usually two problems, not one failure.

Someone whose panic has settled but who still spends every evening rehearsing tomorrow has had the fear part treated and the worry part left alone.…

ADHD is managed rather than cured, across a whole life. Anything advertising a cure is telling you it is not working from the evidence.

Managed sounds like a disappointment until you look at what it means in practice: treatment that fits your life now, adjusted when the life changes,…

After a working lifetime in this field, Barkley names the change in how a family sees the child as the most important step of all. Not the medication, not the charts.

The reason is practical rather than sentimental. Every other part of treatment asks parents to keep going for weeks with very little to show for it,…

Being told ADHD is largely inherited can sound like being told nothing can be done. It does not follow, and the two questions are separate ones.

How much of something a person shows, day to day, moves a good deal with what is around them, even when the underlying trait is strongly heritable.…

Massage may well leave you calmer, and calmer is worth having. It is not a treatment for ADHD, and the two are worth keeping in separate boxes.

Living with ADHD is stressful in a measurable way, so anything that genuinely lowers that load is doing real good and deserves a place. The error is…