Practices

When someone with attention difficulties loses the structure around them, the difficulty shows in full. Nothing has got worse in them; the scaffolding that carried part of it has gone.

Bells, a timetable, a teacher at the front, other people visibly working: all of that was taking some of the load. At home the load falls on whoever…

Social fear usually has a first address. School corridors, a year when appearance decided everything, a group that made a project of you. Knowing where it began does not undo it, but it stops it feeling like a fact about your character.

What often keeps it alive is that the rules of that place travelled with you. The hierarchy ended at graduation and the watchfulness carried on.…

Sometimes the help you need is not insight. It is someone sitting with you while you sort out what actually happened this week and which bit of it mattered.

When anxiety is running at full speed, everything arrives at the same volume and nothing can be ranked. A bad week becomes one undifferentiated bad…

Sometimes a parent who seemed cold or impossible to please turns out to have been working with a different wiring altogether. Learning that can loosen something no amount of arguing with yourself would.

One young woman spent years reading her father's behaviour as a verdict on her, and later came to understand him as autistic, which she had never…

If the urge to arrange has to go somewhere, point it at something that can actually be finished. A kitchen drawer ends. A desk you keep re-sorting never does.

The ending is the part that matters. Finishing leaves you with something real to have done, which competes with the small relief that compulsive…

When something feels unbearable to risk, follow it downwards. If that did happen, what would it mean, and what would happen after that?

Keep asking gently, and stop when you reach something that is a statement about the person rather than about the situation, such as it would prove I…

Once the surge is up it takes something like a quarter of an hour to drop, and nothing sensible said inside that window will land. Give it the time first.

This is the point where a parent, a partner or a friend reaches for reasons, and the reasons make it worse. Keep your words few, stay nearby, offer…

Pulling away from people sits upstream of a good deal: low mood, social fear, and the slow shrinking of where someone is willing to go. Whatever the eventual label, getting a person back into contact is rarely wasted work.

You do not need the diagnosis settled before you start. One regular arrangement with one person, at a fixed time, somewhere easy to reach, does work…

Sometimes there really is evidence for the fear. Say so. The balance comes from the other column being fuller, not from pretending the first column is empty.

Children are being bullied, are laughed at, do get things wrong in front of everyone. If you wave that away, they learn the exercise is fixed and…