Practices

You cannot work out in advance what will light you up. The only reliable method is a wide and slightly undignified search: many activities, many people, plenty of reading and watching, until something catches.

This means giving yourself permission to try things badly and drop them, which is hard if you have been told all your life that you never finish…

Far more people have ADHD than are ever assessed for it. If you have wondered about yourself for years, the odds that an assessment would be worth your time are better than you think.

The usual fear is being told you are making it up, or wasting a professional's morning. In practice adults are missed far more often than they are…

There is no age at which finding out stops being worth it. People have been diagnosed in their eighties and described it as the first explanation that ever fitted.

A late diagnosis will not give back the jobs or the years, and it is fair to grieve those. What it does is rewrite the story: not a person who kept…

Use the established rating scales and a proper developmental history rather than working from the impression someone makes in a first meeting. What you see in a room is a small and unrepresentative sample.

A structured set of questionnaires covering childhood, school, work and daily life turns vague instability into something countable, and it prompts…

Anger moves from person to person in a house, and so does steadiness. Working on your own reactions was never a private project.

You are one of the conditions everyone around you is responding to. When your fuse lengthens, the number of moments that turn into an incident drops…

Get the shouting and the slammed doors down first. The deeper questions about where all this came from will keep, and they are hard to think about while incidents are still happening weekly.

Starting at the practical end can feel shallow. It is really a sequence. Containment buys the quiet that anything slower needs, and plain measures…

The energy behind your anger is not waste. People who feel strongly about what is wrong are often the ones who end up changing something.

This matters because going flat is not a goal many people will accept, and they are right not to. Ask what your anger keeps insisting on, then find a…

The years you spent angry are not written off. The drive that wrecked things is the same drive available now for putting things right.

This is not a way of saying the damage was worth it. It is about what is still in your hands. People who have hurt others through their temper often…

At the start the anger drives and you are in the passenger seat. With practice you get to take the wheel, though the engine stays the same engine.

Nobody makes that move in one go. It tends to arrive in stages: first you only see it afterwards, then you catch it as it happens, then you catch it…

Expect the fear underneath to be denied, and do not push against the denial. This idea has to be worked in gently rather than argued in.

Coming at somebody head on with what they are defending sets off exactly the threat response you were hoping to treat. Small, low pressure versions…

You will not get the honest version in one go. Ask, let it be refused, carry on with something else, then come back to it later in the same conversation.

A defended story does not collapse, it wears down. Each pass takes a little off it, and the person needs the gaps in between to do the actual…

If attention and planning are already hard work for you, then the very tools for handling anxiety are the things you find difficult. That is not a failure to try. It means the plan needs more scaffolding and more repetition.

Expect to need things that sit outside your head: written steps, alarms, someone who checks in, a shorter ladder with smaller rungs. Go slower than a…

Understanding an idea is not the same as being changed by it. The explaining is soil preparation, and the crop comes later.

Somebody can follow the whole argument about respect and self-acceptance, agree warmly with all of it, and lose their temper the same way that…

Short sessions spread over days beat one long night. The settling of what you learned happens after you stop, and a short night undoes a good deal of the day's work.

A perfectionist will not cut their hours to be kinder to themselves, but they will cut them to get a better mark. So argue it on those terms.…

There is a listening programme that filters music into the range of the human voice, given in short sittings that add up to a few hours, to make speech easier for the body to take in.

It is delivered by a trained provider rather than downloaded and run at home, usually in small doses with a pause if things stir up. If you have…

This is given in small doses with pauses built in, and the pace is meant to bend around you. Ask for less if you need less.

There are shorter and longer versions, and versions without a human voice for people who find singing in a particular language hard to hear. A…

If your usual trouble is going blank, feeling unreal or watching yourself from a distance, this is the kind of work that tends to reach that.

When you are numb, techniques that ask you to notice what you feel in your body have very little to work with, because the noticing is the part that…

Neurofeedback reads your brain's electrical activity through sensors on your scalp and turns it into a game. Nothing goes into your head.

You might watch a plane that flies smoothly when your brain produces the pattern being encouraged and wobbles when it does not. Nobody tells you how…

The screen tells you nothing and asks you nothing. The plane simply flies better or worse, and the adjusting happens on its own.

That suits people who cannot easily put what they feel into words, which includes a great many children and a great many adults after trauma. There…

Some people end up fully flipped, awake until three in the morning and unable to surface until evening. That is genuinely hard to reset, and not for want of trying.

Ordinary sleep advice is not built for this. What tends to be needed is help with timing: light at the right hour, a plan to move the whole cycle in…