Practices

Often the most useful thing a clinician does is not delivered by the clinician. It is delivered by the teacher, or the parent, after a conversation you had with them.

Taking that seriously changes how the hour gets spent, towards talking with the school, coaching the parents and designing the arrangement, and away…

The classroom is the strongest place to help and most clinicians cannot get into one. That is a reason to work well in the next best place, not a reason to give up.

ADHD sits in how a brain is built, and the work is on the executive skills themselves rather than on attitude or effort. Where the moment of…

If you are testing whether a food affects you or your child, the test has to be complete. Among children with suspected sensitivity to artificial colouring, most reacted to as little as 100 mg, so a bit left in is enough to blur the answer.

What usually happens is that a family removes the obvious sources, misses the ones hidden in medicines, sauces and cereals, sees no change, and…

Cutting artificial preservatives out can genuinely help a child who reacts to them, because a child who feels unwell behaves worse. What it does not do is treat the ADHD underneath, which will still be there once they feel better.

Worth being clear with yourself about what you are hoping for, because these diets are expensive and hard to keep up. If your child does have…

Gluten free and dairy free eating is essential in coeliac disease and in a genuine milk allergy. Neither one treats ADHD, and putting a child on them without a reason carries costs of its own.

The cost is not only money and nutrition. It is the birthday party where they cannot have the cake and the lunch table where their food is different…

If you are going to test whether a food matters, work out in advance where the plan will leak. School lunch swaps, a grandparent's biscuit tin, your own memory on a hard week: all of it decides whether the answer means anything.

Change one thing at a time and keep everything else steady, otherwise you cannot tell which change did what. Then be honest about who is running the…

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…

When something has gone wrong across several systems, expecting one treatment to fix it is usually the mistake. Movement, processing what happened, changes to food and work on calming the body tend to add up in a way that none of them manages alone.

This is not an argument for doing everything at once until you are exhausted. It is an argument against giving up on the whole idea when the first…

Two people who spend time in step really do become more attuned. Nothing passes between your brains while it happens, though, so put the hours in rather than waiting for the wiring.

The phrase about brains wiring together is a picture, and a lovely one. What is actually available to you is ordinary: the same room, the same walk…

If you are around people constantly and falling out with them constantly, a quiet weekend on your own may do more for your temper than any conversation will.

Company loses its flavour when there is never a break in it, and irritation fills the gap. A deliberate stretch alone, a day or a weekend, lets you…

Closeness arrives much faster in a small group that keeps meeting than in a wide circle you see now and then. If you want to feel less alone, pick the small thing that repeats.

Six people who show up every Tuesday and say something real will know each other within a couple of months. Sixty acquaintances will not. It does not…

There is a particular relief in hearing a room of strangers admit the same frightened thing you have never said aloud. It is why groups reach people that advice does not.

You go in expecting contempt. What comes back is usually recognition, along with a few nods from people who have been ruder to their families than…

This kind of change is slow, and saying so at the start is a kindness. A goal you can actually reach beats a promise that turns the first bad week into proof of failure.

If you are helping someone, name the timescale honestly and say out loud that lapses come with it. If it is your own work, write down what a…

Nobody arrives with restraint already fitted. If holding your tongue feels like unnatural work, that is what it is for everyone, and it says nothing about what you are underneath.

This matters because the story you tell about a flare decides what you do next. Broken means give up quietly. Unbuilt means pick one situation, the…

The old reaction does not get erased. You lay a new one over the top of it, and on a tired or unfamiliar day the old one can still come through.

So a flare after months of doing well is not everything undone. That is what relearning looks like, and it tends to turn up alongside broken sleep,…

This is not a milestone you pass. The two year old's version goes, then a version comes back at twenty two, and again at fifty two, wearing whatever clothes that stage of life provides.

So think maintenance rather than course completion. When conditions change, a new baby, a new manager, an illness in the family, expect the old…

Panic rarely comes out of nowhere. It usually lands on a body already short of sleep, running on coffee and eating at odd hours, so whatever tipped it over did not have far to push.

This is not a telling off about your habits. It is that the same argument or deadline arrives very differently at a rested body than at a wrecked…

Nobody puts a child who cannot swim into the shallow end and calls it teaching. Before anyone goes near the thing they dread, they need something to do with their body and their head when the fear arrives.

It takes only one overwhelming attempt to teach the opposite of what was intended: that it really was too much, and that the adults will push anyway.…

Stay with a step until it stops being interesting. Not until you have survived it once, but until it is ordinary, and then move up.

Moving on too early turns the ladder into a run of narrow escapes, and each escape teaches that you got out just in time. The marker worth waiting…