Practices

Asked what all the scrolling had done to her most, one young woman did not say sad. She said angry, more or less all the time.

Constant irritability in a teenager usually gets worked up as depression or ADHD, and sometimes that is right. Saturation belongs on the list too,…

For some people the online part is not a side issue sitting next to the depression or the anxiety. It is one of the things holding them in place.

One young woman with a history of being bullied found her platform use feeding the depression, the social anxiety, the fear of leaving the house and…

There is a rough ladder for tech overuse. Build a schedule together with some outside control at first, add substitutes once the person can stop for a while, then more intensive care, and residential only when someone is entirely taken over by it.

The order matters more than the rungs. You cannot install a better alternative in someone who has no capacity yet to put the thing down, so a bit of…

It tends to run the same way each time. You struggle with something, you feel awful about it, so you keep away from it, and anyone who raises it gets a sharp answer, which makes you keep away harder.

The relief when you avoid it arrives instantly, which is exactly why the loop tightens. Meanwhile the pile of unopened post has not moved, so next…

The goal was never to enjoy the dull task. It is to arrive at something more like: I hate this and I can still do it well enough.

Both halves are doing work. Moving towards the thing you dislike, rather than away from it, is what loosens the avoidance. And well enough is what…

Choosing the dull useful thing over the bright easy one starts with a pause, not with willpower. If the pause never happens, nothing downstream of it gets a chance to happen either.

The chain runs roughly like this: something stops you for a second, you notice what you are doing, the later consequence comes into view, and only…

Rushing out of the door is the most reliable way to leave something behind. The hurry uses up the very attention that would have checked for the keys.

The answer is not to remember harder, it is to move the check earlier. Pack the bag the night before and leave it by the door, and give yourself a…

Shame is visible before it is spoken. Shallow breath, eyes down, shoulders curling in, a voice gone small: the body says it first.

Learn your own version so you can catch it early, and learn to spot it in others without pointing at it like a diagnosis. When you notice the…

When someone's shame fills the room, check your own state before you say anything. If you start to shrink, or to worry that you are handling this badly, they will feel it.

Shame is catching. The particular risk is a quiet spiral of your own, along the lines of I am no good at this, which pulls you out of the room at the…

Change the sentence from 'I am bad' to 'I am feeling bad right now'. It is a small grammatical move and it changes what you are actually dealing with.

One is a permanent description of you, the other is weather. Weather you can wait out, describe, get curious about, tell someone about. Try saying…

Shame does something cruel. It makes you want to disappear from the very person whose warmth would settle it, so if you notice yourself going quiet and pulling back, that pull is the shame talking rather than the truth about you.

Watch for the small retreats. Not answering a message, keeping an answer short, changing the subject when someone asks how you are. You do not have…

If you can see shame arriving in someone, say so gently and make it welcome. Something like: it looks like there is some shame here, and it is alright that it came.

Naming it does the opposite of exposing it. Left unnamed it works away in private, and the person assumes you have noticed and are judging. Said out…

Telling someone it was not their fault often bounces straight off, and there is a reason for that. Self blame can be the safer of the two stories, and you are asking them to give up shelter.

So do not lead with the correction. Say instead that it makes complete sense they landed there, that a child needs their parents to be good more than…

Shame works like a lid. While it is on, the anger and the sadness underneath stay out of reach, which is why going straight for them so rarely works.

If you keep trying to cry and nothing comes, or you know you should be furious and feel only flat and small, look at what is sitting on top. Naming…

Under most shame something else is waiting: anger at what was done, or grief for what was missed. That is the material worth reaching for.

You will know you are getting close when the flatness starts to move, often as heat in the chest or a lump in the throat. Anger in particular tends…

Some people will not believe this exists whatever you show them. You are allowed to give a short honest answer and then let the conversation go.

Keep one or two plain facts ready for people who are genuinely curious, because that conversation is often worth having. It is a different…

Before you offer anyone the upside of their ADHD, say the hard part out loud first. One patient's answer to being told it was a gift was to ask where he could return it.

A reframe offered too early does not sound hopeful, it sounds like you were not listening. Name the cost in specifics, the job that went, the…

When you have stopped believing you can change anything, the reflex is to avoid and to scroll. What breaks that is not encouragement, it is one small thing actually finished.

Pick something small enough to be sure of: one drawer, one email, one form. The point is not the drawer. The point is a fresh piece of evidence that…

The same plan works in a calm week and falls apart in a chaotic one. That is not motivation coming and going. You began the chaotic week with less in reserve and spent most of it before the decisions that mattered arrived.

By the time you reach the important thing, a good deal has already gone on finding keys, apologising, rerouting and starting over. Which is why the…

When a young person with ADHD goes through a first breakup or loses a friendship group, stay closer than usual. Do not wait for the next arranged contact.

Rejection lands harder here, and impulsivity shortens the gap between feeling unbearable and acting on it. A short unannounced check in, a lift…