Practices

With EEG neurofeedback, the weaker the study, the better the results look. Six large trials using sham feedback, with parents and teachers kept unaware of who received what, found nothing beyond placebo.

That shrinking with rigour is itself the finding. Blinding matters especially here because the outcome is a rating made by adults who have watched…

Brain training makes you better at the game, and at things that resemble the game. It does not seem to reach the parts of life you bought it for.

Cogmed, the several hundred apps, the balance based programmes: they all hit the same wall when someone independent tests them with a proper control…

Headsets have become cheap enough to sit in an ordinary consulting room, and the use with the best backing is graded exposure. You can set the intensity exactly and repeat it as often as the person needs.

The value is in the control. A feared situation can be dialled up in small steps, run again the moment it stops being frightening, and ended without…

With some sensory routines, the part doing the work may be a parent's steady hands and full attention rather than the technique itself. Worth knowing, because contact carries into the rest of the day and a protocol does not.

Views differ on this and the research has not sorted it out. What follows practically is that a family who cannot keep the exact routine going has…

When a test trips a child on something it was never meant to measure, change how they answer rather than what is asked. A spelling test spoken aloud is still a spelling test.

One girl saw letters as solid three dimensional shapes that would not sit together on a page, so writing them was a perceptual problem rather than a…

Ask for photographs of every bottle rather than a list from memory, then pass that list to the prescriber. Recall is patchy about names and hopeless about doses.

Intake forms catch some of it and a photo of the shelf catches the rest, including the two things nobody mentions because they seem too minor to…

Food colouring is the one narrow exception in this area. Large studies suggest it may mildly wind up some very young children, so a trial removal in a preschooler is a reasonable thing to do.

Keep it in proportion though. This is a minor irritant in a subset of little children, nowhere near the sweeping dietary cause that was claimed…

The restrictive elimination diet has real methodological problems, and it is expensive and exhausting to run. If a family still wants to try it, they can, because unproven and dangerous are different words.

There is usually more to lose by forbidding it. A family who feels blocked either does it anyway without telling you or spends another year…

Play therapy and insight based psychotherapy do not treat ADHD. There is no buried, unexpressed feeling driving it that talking will let out.

The difficulty sits in executive control and how it develops, not in hidden conflict. That said, a child with ADHD can also be anxious, grieving or…

Drug names ending in pam or lam are almost always benzodiazepines. It is a quick way to pick the class out of somebody's medication list.

The ending tracks a shared chemical backbone, so the shortcut is not a coincidence. Keep a rough rule alongside it: this class suits sharp fear…

Benzodiazepines turn the volume down. They do not change the setting the volume keeps returning to, and it is worth saying that plainly before someone starts one.

They work by strengthening the braking system the brain already runs, which is why they act quickly and why they need that braking chemistry to be…

Within this class the choice is mostly about how long the drug lasts rather than how well it works. They all pull on the same receptor, so the real question is what pattern of cover the person in front of you needs.

A short-acting one taken as panic arrives gives sharp relief and teaches the person to keep it in a pocket. A longer-acting one gives smoother cover…

Once a shape feels safe, it becomes somewhere to explore from. The question stops being am I doing this right and turns into how does my body want to move now.

Stay in an easy position long enough for it to go slightly dull. Dull is the sign that the ground under you is steady. From there, small experiments:…

Picture a cat getting up from a nap. One side lengthens and reaches while the other side curls in, then they swap over. Do that. Add breath and sound if you want them.

After a minute of copying the animal, drop the instructions and let your body carry on however it likes. That is the reason for starting here:…

Take a shape that asks something of you, warrior or mountain, eyes open, the middle of your body switched on. Then, without coming out of it, drop your attention inside and let the pose hold you instead.

Two things get practised in one position. First the doing: strong legs, clear gaze, a body that is ready. Then the yielding: still there, still…

Play belongs here. Being a lion, a tree, a hissing snake, the way children do it with no embarrassment at all.

A lot of people meet trauma work as something solemn, and solemn is easy to sit through without ever softening. Silliness is harder to fake. If a…

Most of what feels wounded when someone slights you is a story you carry about who you are. A story can be looked at, which is a very different thing from having to defend it.

Try naming yours in one plain line. I am the reliable one. I am the one who does not get things wrong. I am nobody's fool. Then notice that the…

Nearly every everyday flare up comes from one small family of stings: being disrespected, disapproved of, invalidated, misunderstood, or brushed aside. Learning the family is easier than learning a thousand separate grievances.

Next time you are angrier than the event seems to deserve, ask which of those just landed. Most people find one or two do the bulk of the work in…

Some people move through the day half expecting to be slighted, and the scanning itself wears them out. If most days seem to contain someone who did not give you your due, part of the pattern may be in the looking.

It helps to notice the scanning rather than to argue with it. Ask how many of today's slights you actually witnessed and how many you inferred from a…

You do not need to get rid of your pride to stop being ruled by it. Having a sense of yourself is ordinary and useful, and the trouble starts only when every exchange has to feed it.

Introductions, small talk, the way you tell someone what you do, all of that runs on a bit of self presentation and there is nothing wrong with it.…