Practices

When someone keeps doing the risky thing after every explanation, the missing piece is usually not information. The pull is simply louder than the knowledge.

Which means another lecture is mostly wasted breath, while changing what is within reach is not. Fewer bottles in the house, a route home that avoids…

If a young person is using regularly, waiting to see whether they grow out of it is a gamble. Help early is nearly always cheaper than help later.

Families often hold off because raising it feels like an accusation. You can raise it without one: say what you have noticed, say you are not going…

When all you can say is that something happened and you went off, take it apart in five pieces: what set it off, how you read it, what your body did, what you made it mean, and what you wanted to do next.

Written out on paper it usually stops being a blur. You often find the trigger was small and the meaning was enormous, or that your body was already…

Take one episode from this week and give it five lines: what set it off, how you read it, what happened in your body, what you took it to mean, and what you wanted to do.

Doing this with an actual event, rather than in general, is what makes it useful. Keep the lines short and resist tidying them into something more…

You cannot taste food you are eating fast. Feeling works the same way, so slow the pace until there is something to actually notice.

In practice that means one sentence at a time, with a pause after it, and questions like what happened in you just then. Both of you will want to…

There are around twenty five antidepressants and nowhere near twenty five mechanisms. What comes next is decided mostly by side effects, other conditions, and what has already worked for you.

Which is why your own record is worth more than any comparison chart. Keep a plain list: what you took, at what dose, for how long, what it helped,…

The reason depression is mostly treated by GPs now is pharmacological. A drug you can start without an ECG, blood monitoring or a diet sheet is a drug that fits inside a ten minute appointment.

That has been good for access, and it puts a lot of weight on a very short conversation. Go in with the specifics written down: which symptoms, since…

For some young people self-harm carries something besides relief: belonging, recognition, a name for who they are among friends who do the same.

That is uncomfortable to sit with and it changes what helps. If a behaviour is the reason someone feels understood, taking it away without touching…

Ask what the behaviour does for them, and then ask how they would like to feel instead. Both questions open more than telling them to stop ever does.

The first question maps what is being managed: numbness, rage, panic, a need to make something visible. The second gives you a goal in their words…

Ask what you were taught about crying, about anger, about needing anything. Not what you believe now, but what you were told then, in the words that were actually used.

Most rules about feelings were installed rather than chosen, and once you can hear the original sentence, boys do not cry, do not be so sensitive, it…