Practices

A promising study can be very small. Thirteen teenagers, teachers doing the rating, and a fortnight of follow up is a good start and not a settled answer.

The clever part of that design is the follow up, because it asks whether anything survives after the classes stop, which is where a lot of attention…

When nobody has checked whether a benefit lasts, that is not the same as finding out it does not. Following people up for a year costs money that most studies never had.

Two mistakes sit either side of this. One is reading a gap in the evidence as bad news. The other is assuming something lasts because a trial…

The lift from a morning run does not last all day. It fades by the afternoon, which is information about when to move rather than a sign it failed.

People often notice they are sharp through the morning and gone by three. If your hardest hours are later, put some movement in before them: a walk…

Move just before the difficult task, not after it as a reward. Five minutes of skipping, stairs or running on the spot, then sit down to the thing.

The window straight after moving is when focus is at its best, so that is the bit worth spending on whatever you have been dreading. For a child,…

Almost nobody needs convincing that exercise helps. The gap is between knowing it and doing it, so spend your effort there.

More facts will not close that gap. What closes it is arranging things so the session happens with fewer decisions in the way: kit by the door, a…

Chasing the big hit is a trap. Aim for the quieter satisfaction you can have most weeks, because that is the one that lasts.

If you are built to seek out intensity, exercise can turn into another place to chase it: further, faster, more extreme, until you are injured or…

Start the movement slow enough that it is almost boring. Speed it up once it has gone smooth, and only then add the thinking part.

Throwing a beanbag back and forth, bouncing a ball, drumming on the table: pick something plain and let it become automatic before you make it…

When somebody does not take up the movement you suggested, ask what got in the way before deciding they did not want to. Usually it is money, childcare, transport or time.

Cost, an awkward class time, nobody to watch the children, a room full of people you would have to make conversation with. None of that is…

If you are the therapist, you do not need to become the movement teacher as well. Sending somebody to a person trained for it is the better version of helping.

The evidence is for movement alongside therapy, not for therapy with a few stretches added by someone who picked them up from a video. Handing it…

Notice your repeating move under stress, please, withdraw, control, and name it. Naming loosens it.

The pattern runs you until you can see it. Once named, it becomes a choice, not a reflex.

Going still and needing nothing is usually something a person worked out young, somewhere it was the sensible answer.

If reaching out met dismissal, or worse, then not reaching out is not a flaw of character. A child who stops asking, stops showing what they feel and…

You can take someone's fear entirely seriously without walking through the frightening story with them. Say you can see how frightening it feels, and leave the plot alone.

It reads colder written down than it lands in the room. What the person needs is to feel believed. What they do not need is a second person weighing…

It can help to give the parts of your brain jobs. The front of your head is the manager, the memory system is the librarian, and the alarm is a security guard who is good at his work and far too keen on it.

The point is not accuracy, it is having language you can reach for quickly. Saying the guard is overreacting again gets you further than trying to…

Offer choices rather than instructions. With a problem that runs on control, being told what to do gives that control somewhere to dig in.

Two or three real options, the trade-offs said plainly, and then the pick is genuinely theirs. That holds for the big decisions too, like moving to a…

When a parent is set on something that will not hold, one honest story often lands better than a pile of studies. A family finished the better part of a year of neurofeedback and watched their child slide back to where he started within weeks.

Told plainly, with no note of triumph in it, a story like that raises durability without telling a parent they were foolish. They were not foolish.…

Brain training games make you better at the game. Sadly, that improvement tends to stay inside the game.

Sorting shapes faster or planning a conveyor belt more smoothly comes from learning the task, not from stretching a capacity, so the classroom and…

The fair test for anything offered alongside medication is whether it adds something on top. In one small imaging study, cognitive training added to a stimulant left inhibition no better than the stimulant on its own.

Add on designs are unkind to hopeful ideas, which is exactly why they are worth running. About twenty children took part, so this is one small piece…

If someone has genuine positional vertigo, get it treated, and do not expect the treatment to touch their ADHD. Both things can be true at the same time.

Benign paroxysmal positional vertigo often follows a sinus infection or a bang to the head, and it responds well to repositioning manoeuvres that…

Saying that something does not work leaves a parent holding the same worry that sent them looking in the first place. Say what the time and money would buy instead, and put exercise at the top of the list.

The energy behind an unevidenced treatment is usually love with nowhere to go, and if it is not given somewhere to go it moves on to the next…

Sensory processing difficulties are real and worth accommodating, and they are not a standalone diagnosis. The proposal for one was turned down for lack of evidence that it stands apart from the conditions it appears with.

In practice it usually shows up alongside ADHD or autism, so it is best written up as a feature of the person: what they cannot tolerate, what they…