Practices

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…

Keep the tasks short, a couple of minutes each, with results back the same day. A long test given to a child who cannot sustain attention measures how long they can last, not the thing you were trying to measure.

Brevity is not a convenience you are allowing yourself. It is what keeps the data honest, and it keeps the child willing for whatever you ask next.…

Choose the subtests that answer the question you were actually asked, and read whatever reports the family already has before adding anything of your own. Children arrive with thick folders, and they also arrive with nothing at all.

Where occupational therapy, speech and language or neuropsychology have already covered ground, do not cover it again for the sake of a complete…

When you explain executive function to parents and teachers, four words will do: attention, reasoning, speed, memory. Each one can be worked on, and four is a number people can still repeat at the school gate a week later.

The academic models have a dozen headings and nobody outside the field retains them. A short list gives parents something to hang observations on, so…

Two referrals turn up again and again. A young child being asked to leave a school for behaviour, with no developmental or cognitive information anywhere in the file. And a parent saying something is wrong while the school says everything is fine. Both are describing adult frustration rather than a formulation.

In each case the first job is the same: get some data. Not another opinion, not another meeting, but something measured about how this child thinks…

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…

The benefit of a settling practice is cumulative. A fortnight of it now and then does little; the people who get most out of it are the ones who kept going for years.

This cuts both ways, and both are worth knowing. Two weeks of daily practice with no obvious result is not proof that it will not work for you. And…

Your mind wandering off during meditation is not you failing at it. Noticing that it went, and coming back, is the whole exercise.

People with restless attention often try meditation, find their head full of noise, decide they are uniquely bad at it and never go back. Nobody…

Think of your thoughts as traffic on a road. Practice thins the traffic. It does not close the road, and nobody has ever managed to close it.

This is a more useful target than clearing your mind, because you can tell whether it is happening. Some days it is bumper to bumper and the practice…

Practise with the noise on, at least some of the time. The quiet room is not where you are going to need the skill.

A calm that only exists in a silent house is not much use in an open plan office or a kitchen at teatime. Once you can settle in the quiet, do a…

Once a day, go from head to feet and notice what is there. A good deal of what you find will be plain need: thirsty, hungry, needing the loo, needing to stand up.

When you get absorbed in something these signals go unheard for hours, and then you wonder why you feel dreadful by four o'clock. The scan is dull,…

Brain imaging does show that practice changes something. Be careful with anyone who tells you a great deal more than that.

It genuinely helps to know that sitting and breathing is not nothing, particularly if you have been told your whole life to just try harder. It also…

Five minutes chosen for the state you are actually in beats twenty minutes of open sitting. Pick the one labelled stressed, or cannot sleep, or about to walk into work.

Two things end a practice early: it was longer than the attention you had that day, and you had to decide what to do before you could start. Short…

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…

In muscle relaxation you are usually told to let go slowly. If slow leaves you fidgeting, let go all at once. The version you will keep doing is the better version.

The standard sequence is to tense a muscle group, hold it, then release gradually, and for some people that long release is unbearable to sit…

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…