Practices

Very sweet, very salty, very fatty food acts on the reward system in a way that has more in common with a drug than with dinner. Reaching for it when you are flat is self-medication, not greed.

Knowing that changes what you do about it. Counting calories and resolving to try harder both aim at willpower, which was never the mechanism in the…

With gambling machines the pull may be the lights and the noise as much as the chance of winning. That changes what you actually need to stay away from.

If the sensory buzz is doing the work, the triggers are not only the betting shop. They are the phone games built with the same flashing and chiming,…

Not every bout of eating too much belongs to an eating disorder. Ask whether how the body looks is part of it, because that is where the two paths separate.

When bingeing comes out of ADHD it is often boredom, or the food simply being there with nothing stepping in to stop it, and the person is not…

Ask for a number first, then go hunting for exceptions. How is today on a scale of one to ten, and when was it last higher than that?

An assessment can turn into an hour of everything that is wrong, which leaves a person flatter than when they arrived. Exception questions do the…

The relative who was shut in a cupboard, tied to a chair or expelled was being managed for the same thing you are assessing now. There was simply no name for it then and no help attached to it.

Told carefully, this changes the story a family tells about itself. Not a line of difficult people, but a trait that has been present for generations…

Before you decide a strategy has failed, check whether the medication underneath it is doing its job. If someone is sitting in front of you still struggling, the honest first answer is usually that it is not, quite.

Ask about the shape of the day rather than the dose alone. When does it come on, when does it wear off, which hours are the hard ones, is there any…

Time management is only the fit between tasks and the hours you have: planning them against time, then doing them against time. It is a skill with parts, not a verdict on what kind of person you are.

Most people arrive having already decided they are lazy, and that decision is doing them no good at all. Describing it mechanically gives you both…

Parents with one affected child often ask what they might do differently before the next one. Answer honestly: there are lists of suggestions in circulation, the evidence behind most of them is thin, and the question underneath is usually about blame.

Take the question seriously and take the guilt seriously alongside it. Give what is genuinely known, say plainly where recommendations run ahead of…

If your attention has no filter, everything in the room arrives at once, and you are tired before the day's actual work begins. That is not laziness, it is a bill coming due.

Two things drain you at the same time: the unfiltered noise itself, and the effort of holding yourself together in spite of it. That is why the…

If you have spent thirty years being told you are careless, lazy or too much, no attention technique will touch that. Kindness practice, aimed at yourself, is the part that does.

It usually feels absurd at first, and slightly embarrassing, which is worth expecting rather than reading as a sign that it is not for you. Start…

Keep a short list of things that settle you, and choose from it by how you actually are, not by which one you like best. Wound up and racing needs something different from flat and switched off.

When you are speeding, the things that help slow you down: a long out breath, cold water on the face, attention to your feet and hands, pushing…

If your body is braced to run and there is nowhere to run to, try running in extreme slow motion. One knee lifting over several seconds, then the other.

The urge to bolt does not disappear when you sit on it, it just stays in the muscles as shaking, tightness or ache. Doing the movement so slowly that…

Picture something that could hold what you cannot deal with today. A box, a safe, a chest with a lid. You choose the size, what it is made of and where it is kept.

The details matter more than they sound: deciding what holds it, and knowing you can open it again, is what makes this different from pushing…

If the even square does not touch it, stretch the shape: in for six, hold for four, out for six, hold for four.

Having a second version matters more than which numbers you use. When one pattern does nothing, people usually conclude that breathing techniques do…

Some people find it helps to tap lightly on points around the face and hands while saying out loud what they are feeling and that they accept feeling it. It is easy to try and hard to be sure about.

The full method comes with a sequence of points and a set number of rounds, and free manuals for it are everywhere. What it puts together is rhythmic…

Rolling or throwing a ball back and forth with someone is more useful than it looks when one of you has gone blank. It gives the body a job and the two of you a rhythm at the same time.

It works over a video call as well: ask them to fetch a ball from another room and bounce it while you talk. Say what you are doing and why, so it…

When you have collapsed rather than escalated, more calming will only take you further down. What helps is gentle rousing: rhythm, weight, sound, movement.

A weighted blanket, rocking, drumming your hands on your thighs, singing or chanting something you know by heart, running on the spot for twenty…

Slide your right hand under your left arm so it rests at the side of your chest, and lay your left hand on your right shoulder. Then just sit, and notice whatever happens between your hands.

There is nothing to do beyond holding the position and waiting. Most people find a long breath arrives on its own after a while, sometimes a slight…

If turning attention inward makes you feel more unreal rather than less, stop turning it inward. Go outward instead: what you can see, what you are grateful for, where you are and what day it is.

The usual advice to notice what is happening in your body assumes there is an inside that feels solid enough to visit. When it feels empty or fake,…

When you are wound up and when you are flat, you need opposite things. Sweet tastes, soft light, slow rocking and steady weight bring you down; sharp smells, crunchy food, bright images and quick movement bring you up.

Before reaching for anything, work out which way you actually need to go. Racing, jaw tight, heart going: choose from the settling side. Foggy,…