Practices

People with ADHD are reported to run low on both tryptophan and homocysteine. Low homocysteine is a good thing to have, since it is the high version that damages hearts.

The reflex to correct any number under the reference range is worth resisting. Levels can be tested where there is a reason to test them. Eating a…

More clinicians now raise supplements themselves, and more of them will suggest something like omegas. The shift matters less for what gets recommended and more for what it does to disclosure.

People hide what they expect to be laughed at. Someone braced for an eye roll simply does not mention the four bottles in the kitchen cupboard, and…

Omega supplementation for ADHD began with encouraging results, including a Swedish study where about a quarter of inattentive children seemed to improve. Blinded, placebo controlled work did not reproduce it, and a Cochrane meta-analysis found no effect.

The manufacturers themselves largely moved on to other conditions, which tells you something. None of this makes omegas worthless, and levels do run…

Cutting sugar does not improve ADHD, and nor does stripping out additives. Both have been tested repeatedly, including under conditions where nobody knew which child had eaten what.

The belief survives because parties are where children eat sweets, and parties are also loud, crowded and thrilling. The sugar takes the blame for…

Megavitamins, antioxidant products such as pycnogenol and assorted trace minerals have not beaten placebo for ADHD. They stay popular on the strength of a good story about how they ought to work.

The gap between a mechanism and an outcome is the thing worth teaching, because it will still be useful when the next product appears. Ask what…

Sensory integration training is popular and it does not help ADHD. Whatever value it has elsewhere, the capacity it works on is not the one that is impaired here.

What is impaired in ADHD is holding back a response and steering your own behaviour over time. Sensory modulation is a different thing altogether.…

Chiropractic neurologic organisation training, the kind involving manipulation of the skull, has no credible theory behind it for ADHD. The main harm is not the treatment itself but the months and the money that go into it.

Families meet this because it is marketed at them at the exact moment they are most willing to try anything. Naming it plainly, once, is usually…

A child can learn a self control routine beautifully in the therapy room and not use it once all week at school. Knowing the steps and performing them under pressure are two different skills.

This is why supports that sit in the moment tend to beat supports that sit in the mind. A prompt at the point of need, a changed seat, a rule the…

With EEG neurofeedback, the weaker the study, the better the results look. Six large trials using sham feedback, with parents and teachers kept unaware of who received what, found nothing beyond placebo.

That shrinking with rigour is itself the finding. Blinding matters especially here because the outcome is a rating made by adults who have watched…

Brain training makes you better at the game, and at things that resemble the game. It does not seem to reach the parts of life you bought it for.

Cogmed, the several hundred apps, the balance based programmes: they all hit the same wall when someone independent tests them with a proper control…

One senior researcher in this field is approached by ADHD app startups roughly once a month and no longer takes part, on the view that the companies are not seriously trying to build something that works.

You do not have to share his judgement to borrow the question. Before paying for a digital product, ask who tested it, whether those testers were…

Benzodiazepines turn the volume down. They do not change the setting the volume keeps returning to, and it is worth saying that plainly before someone starts one.

They work by strengthening the braking system the brain already runs, which is why they act quickly and why they need that braking chemistry to be…

Within this class the choice is mostly about how long the drug lasts rather than how well it works. They all pull on the same receptor, so the real question is what pattern of cover the person in front of you needs.

A short-acting one taken as panic arrives gives sharp relief and teaches the person to keep it in a pocket. A longer-acting one gives smoother cover…

Once a shape feels safe, it becomes somewhere to explore from. The question stops being am I doing this right and turns into how does my body want to move now.

Stay in an easy position long enough for it to go slightly dull. Dull is the sign that the ground under you is steady. From there, small experiments:…

Picture a cat getting up from a nap. One side lengthens and reaches while the other side curls in, then they swap over. Do that. Add breath and sound if you want them.

After a minute of copying the animal, drop the instructions and let your body carry on however it likes. That is the reason for starting here:…

Find the place that is always tight, your jaw, your shoulders, the top of your back. Take it over deliberately. Squeeze it harder than it holds itself, then let it go.

Do that a few times and something changes. The holding stops being weather that happens to you and becomes something you are doing, which means it is…

Take a shape that asks something of you, warrior or mountain, eyes open, the middle of your body switched on. Then, without coming out of it, drop your attention inside and let the pose hold you instead.

Two things get practised in one position. First the doing: strong legs, clear gaze, a body that is ready. Then the yielding: still there, still…

Keeping your eyes open holds you in the room while you feel what is going on inside. One channel on where you actually are, one on yourself.

Closed eyes are the default in most classes and they are not always kind. When a lot is stirring, letting the eyes stay soft but open, so the light…

Grounding and relaxing are two different prescriptions. A squat with your back against a wall puts you back into your legs. Deep guided rest takes you downwards. Reach for whichever one is missing.

When someone has gone numb or absent, often from the waist down, weight bearing work in the legs gives the body something loud and unmistakable to…

Before you go looking for practice at staying steady, make sure you already have something to do instead of your usual reaction. Practising with nothing to put in its place mostly rehearses the old response.

Pick the alternative first and keep it small: a slow breath, one fixed phrase, a decision to say nothing until your hands unclench. Then you can let…