Practices

Before settling on depression as the whole story, ask for thyroid function and vitamin D to be checked. Both are common, both are cheap to test, and an underactive thyroid produces a picture that looks like depression from the outside.

An untreated thyroid problem also blunts how well antidepressants work, so missing it can mean months on a treatment that was never going to do the…

Stress unsettles the gut and an unsettled gut drags on mood, so the two keep each other going. The good news buried in that is you can step in from either end.

You do not have to establish which came first. Easing the pressure on your nervous system helps digestion, steadying what you eat helps mood, and…

Before settling on a purely psychological account of months of anxiety or broken sleep, it is worth having the ordinary bloods done. Low iron, low vitamin D or low magnesium can produce symptoms that look exactly like a mental health problem.

This is not about swapping therapy for supplements. It is about not spending a year working on something a blood test could have partly explained. If…

If your body has something going on as well, try to get both looked after at the same time rather than in a queue. Therapy for what happened to you does not have to wait for your gut to settle, and it often goes better when the two run side by side.

Plenty of people park the physical thing while they do the psychological work, or the other way round, then wonder why progress keeps sliding back. A…

Low mood that arrives with bloating, fatigue and a foggy head is worth looking at from the food side too. An immune reaction to something you eat regularly can produce all three, and it gets labelled depression far more often than it gets tested.

The point is not to start cutting foods out on a hunch. It is to say the possibility out loud to a doctor, particularly if the gut symptoms and the…

One of the earliest signs that you are drifting out of the present is that your hands and feet go vague. Not numb exactly, just less there.

It tends to happen before you notice you have gone anywhere. If you learn your own version of it, you get an early warning: a chance to press your…

When what is happening inside gets too loud, turn outward. Name what you can see, listen for the furthest sound, press your feet into the floor.

This is not avoidance. The outward senses and the sense of where your body sits both carry information about now, which is exactly what the flooding…

Thirst, hunger, the ache of having sat too long: these are not nagging, they are instructions. When self-care keeps failing, it is often because the instruction never arrived.

People who have been through a lot sometimes stop registering the signal at all, and then eating, sleeping and resting all go sideways. If that is…

When someone is distressed, moving too fast to settle them can land as a message that their distress is not welcome here. Let them set the speed.

Offering a breath, a blanket, a change of subject: all of it can help, and all of it can arrive as a shutting down if it comes before the person has…

Picture what you feel as weather. A clear morning, a wind picking up, a storm sitting on the far hills. Weather is real, and weather moves.

The useful part is the distance. You are the field, not the storm. And every kind of weather in the picture is on its way somewhere, which quietly…

If something will not shift, pair it with the breath: 'I am' as you breathe in, 'letting go' as you breathe out. Let the out breath be the longer one.

Giving the mind two short phrases to hold occupies it just enough that it stops arguing with the feeling. Meanwhile the long exhale does its own…

Let the uncomfortable thing be uncomfortable, without arguing with it. People are often surprised by the relief that follows.

Much of what makes a bad feeling unbearable is the second layer: the objecting, the wishing it gone, the fear that it means something about you. Drop…

You are allowed to move. Wiggle your toes, rub one arm from shoulder to hand, put a palm on your chest. A body that is doing something is much easier to feel than one held still.

Sitting perfectly still and waiting for sensation is hard work if you are numb, and it often ends with the conclusion that you are broken at this.…

If you keep falling asleep whenever you sit quietly, take it as news rather than as a failed attempt. Your body is telling you how tired it is.

Welcome the first few times. Being tired enough to drop off the moment nobody needs anything from you is worth knowing about, and the honest response…

Sleeping until the middle of the afternoon, day after day, is usually not rest. It is closer to the body shutting down, and it tends to leave you flatter rather than restored.

The tell is how you feel on waking: real rest gives something back, while shutdown leaves the day already gone and you no better for it. Nudging the…

Four steps you can do in ten seconds in the middle of anything: stop, take one breath, look at what is actually happening, then carry on.

It fits inside an argument, a shopping queue, the second before you send a message you will regret. The value is not the breath itself, it is the…

Cold water on your face, especially around the eyes and cheeks, slows things down fast. Splash it, or hold a cold flannel there for half a minute.

This is one of the few things that works when you are too far gone to concentrate on anything. It asks for no skill and no privacy beyond a tap. Lean…

Cross your arms over your chest, hook your thumbs together, and tap your shoulders slowly, left then right. You set the pressure and the speed.

Twenty or thirty seconds is enough to feel something shift, and most people find the breath falls into step with the tapping on its own. Warmth in…

When you are helping someone settle, put the technique in their hands rather than your own. They tap themselves, they set the pressure, they stop when they want to.

Being touched by someone else, even kindly and with permission, asks a lot of a person whose body has been handled badly before. Self-administered…

Trace a square in the air with your finger while you breathe: in for four along the first side, hold for four, out for four, hold for four.

The counting slows the breath to roughly the rate that suits the heart best, and the tracing gives your eyes and hand something to do, which is…