Practices

Ask plainly: name the facts, say how you feel, say what you want, in a few clear sentences.

Drop the hinting. State the situation, your feeling, and the request. Clear is kind.

Before you hand it over, read the original request again. Not your memory of it. The actual words.

Almost nobody enjoys this, which is why almost nobody does it. But work that is good except for the two things nobody remembered is the commonest…

Take ten quiet minutes to decompress before you walk in the door.

Arriving already softened means the day's stress is not spent on the person you love.

Disruptive mood dysregulation disorder was built partly to keep the bipolar label off children whose future nobody can yet see. Worth remembering when that word lands on a family's paperwork: it describes now, and it does not settle later.

Use it the way it was meant to be used. Review it as the child grows instead of filing it as a fixed fact about their brain, and think about how you…

Two referrals turn up again and again. A young child being asked to leave a school for behaviour, with no developmental or cognitive information anywhere in the file. And a parent saying something is wrong while the school says everything is fine. Both are describing adult frustration rather than a formulation.

In each case the first job is the same: get some data. Not another opinion, not another meeting, but something measured about how this child thinks…

With someone grieving, offer your presence more than your words. Sit with them; let silence be enough.

You do not need the right thing to say. Being there, quietly and again and again, is the help.

When a treatment is offered, it is fair to ask whether it is the licensed version or a use that sits outside the licence, and what monitoring comes with it.

Ketamine for depression is the live example. The doses used are far below anaesthetic ones, the nasal form has approval for treatment resistant…

Let one trustworthy person in slowly. Trust is rebuilt in small, safe steps, not all at once.

You do not owe everyone access, and you do not have to stay walled off forever. One safe person, by degrees.

A child at the nursery door who charms you, then rages, then crumples is running through the whole repertoire in ninety seconds. Nothing has gone wrong yet.

The sequence is ordinary: try connection first, then protest, then collapse when neither works. What decides how the morning lands is what happens…