Practices

Before you go anywhere near the hard memory, you need to be able to stay in your own body while something difficult is happening in it. That capacity is part of the work, not a delay before it starts.

Phase based approaches put this first for a plain reason: people who cannot bear the arousal either drop out or push through and come away worse. If…

The study most often quoted for magnetic stimulation in attention difficulties had eight people in it, and half of those on the dummy treatment improved too.

That dummy half is the interesting number. It tells you how much improvement can come from attention, hope and being taken seriously, before any…

ADHD does not look the same in two people. If someone tells you that you cannot have it because you are calm, or organised at work, or did well at school, they are describing one version of it.

Two people with the same diagnosis can look nothing alike: one talkative and always moving, the other quiet and away inside their own head. Other…

Roughly one person in twenty has ADHD, and the figure holds up across very different countries. You are not part of a modern trend.

That number matters in two directions. It means you are not rare, so in a class of thirty or an office of forty there will be others. It also means…

ADHD tends to run in families, and the differences in reported rates between countries say more about how a country counts than about its people.

It is common to find, part way through your own assessment, that you are recognising a parent, a sibling or a child. That is not a coincidence and it…

Cognitive testing done on a day without medication can come out well below what a person can actually do. If a score is going to decide a school placement, make sure the conditions on the day are recorded.

The parts of these tests that are timed, or that ask you to hold numbers in your head, are exactly the parts untreated ADHD drags down, and they pull…

Keep two or three trustworthy places to read about ADHD and go there first. Confident, tidy explanations online are easy to find, and most of them have nobody checking them.

Look for organisations that cite their sources and say when something is uncertain, and treat a personal account as a personal account rather than as…

Explain ADHD to the child themselves, in words they can hold. Something like: your brain is brilliant at things it finds interesting and needs extra help with things it finds boring, and we are going to work out that help together.

Children build an explanation whether or not you give them one, and the one they build is usually about being bad. A short, matter of fact account,…

Use the established rating scales and a proper developmental history rather than working from the impression someone makes in a first meeting. What you see in a room is a small and unrepresentative sample.

A structured set of questionnaires covering childhood, school, work and daily life turns vague instability into something countable, and it prompts…

If anger management sounds like something being done to you, call it impulse control instead. The work is the same and the word is easier to live with.

Plenty of people who will not sit through feelings talk will happily work on catching an impulse, because that sounds like training rather than…

A certain wariness is standard equipment. Nothing in this work is trying to leave you soft and open to whatever comes along.

People often hesitate here because it sounds like being asked to stop protecting themselves. The opposite is nearer the truth: you keep the guard and…

There is no single correct account of anger that works on everyone. Keep a few to hand and offer the one this person can actually take.

Some people settle the moment they hear that the body moves before thought arrives. Others need it put as an old survival system, or as something…

One clear explanation is rarely enough. Say the important part again later in different words, and expect to say it again after that.

The thing you most want someone to have in a hot moment is the first thing that goes missing. Reactivity arriving ahead of thought is worth stating…

This is just how I am ends more attempts at change than anything else. It is also less true than it feels.

Temperament is real and some people do run hotter than others. What is not fixed is what you do in the ten seconds after something lands, and that is…

Humans have a long history of harming each other, and pretending otherwise keeps nobody safe. Assume the capacity is there and plan around it.

Saying this plainly is not gloom. If you expect people to be naturally peaceable, an aggressive impulse looks like a monstrous exception, and you…

Before you reach for a technique, notice what you privately think anger is. A room can hear disapproval underneath even a well chosen intervention.

It is worth spending real time on your own account of the thing: where it comes from, what it is trying to do, what it costs. If you hold it as bad…

For most people anger is weather that passes. For some it is closer to climate: quicker to arrive, bigger when it lands, slower to leave.

Knowing which you are changes what you plan for. Weather can be waited out. Climate needs arrangements: sleep kept regular, fewer things stacked on…

At the start the anger drives and you are in the passenger seat. With practice you get to take the wheel, though the engine stays the same engine.

Nobody makes that move in one go. It tends to arrive in stages: first you only see it afterwards, then you catch it as it happens, then you catch it…

Sound based work is aimed at a particular set of troubles: noise that feels too loud, voices that turn to mush, jumpiness, difficulty reading people. If that is you, it is worth asking about.

It gets chosen by what your system does rather than by a diagnosis, which is why the same programme is used with very different people, from toddlers…

Most of the research on this programme was done with autistic children. For trauma, what exists is case reports and studies still under way.

That does not make it useless. It does mean you would be trying something promising rather than something established, and you deserve to know that…