Practices

Reflect your partner's feeling back to them in simple, slow, soft words, using their own words where you can.

Empathic reflection, gently naming and mirroring back what your partner is feeling, tells them they are not alone in it. Keep it slow, simple, and…

Once a day, take your partner's emotional temperature. Ask how are you doing, and mean it.

Not out of politeness, but because you truly want to know. Small check-ins build trust over time.

When your partner talks, shift the focus off yourself. It is not about being interesting, it is about being interested.

Postpone your own agenda for a while. Tune into their world before you bring yours.

Try to see the situation from your partner's side, not your own. Assume there is a good reason they feel as they do.

Their reality has its own validity. Start by looking for why it makes sense, not why it is wrong.

Ask open questions that cannot be answered yes or no, then really listen to the answer.

Tell me the story of that opens the heart. Follow up on what you hear instead of waiting to talk.

Hold your advice until you fully understand, or until it is asked for. Understanding always comes before solutions.

Words of understanding must precede any words of advice. Always. Fix later, if at all.

Say back what you heard, then validate: I hear you saying this, and it makes sense you would feel that way.

Validation is not agreement. It is showing you understand even part of their experience.

Take your love needs to your partner, not outside the relationship. Going outside almost always makes it worse.

When something is missing, ask for it at home. Seeking it elsewhere deepens the wound.

You can say what an SSRI does in one sentence. It blocks the doorway that carries serotonin back out of the gap between two nerve cells, so more of it stays there for longer and is likelier to be picked up.

Worth being able to say plainly, because most people are carrying something vaguer and more frightening than that. It also sets a fair expectation.…

The blockade is partial. Serotonin is not trapped in there forever: enzymes still break it down and the transporters that are not blocked carry on working.

That matters for accuracy and it matters for reassurance, because people do picture something flooding and stuck. It also explains why serotonin…

Serotonin syndrome comes from stacking, and the second agent is usually something nobody thought to mention: a migraine tablet, a cough medicine, a herbal remedy for low mood.

Triptans, tramadol, dextromethorphan, linezolid and St John's wort all count, as do other antidepressants. Someone who mentions in passing that they…

When someone says they react badly to normal doses of almost everything, take it as information about their body rather than as a personality trait.

Bodies differ in how fast they break a medicine down. Give two people the same dose and one of them may be holding far more of it for far longer,…

Whether a medicine works can turn on something as ordinary as taking it with food or moving it to bedtime.

Vilazodone is the clear case. On an empty stomach a good deal less of it is absorbed, and the nausea it can cause is easier to sit with overnight…

If a medicine leaves you wired, restless or with a pulse that will not settle, report it rather than tolerating it quietly.

The antidepressants that act on noradrenaline as well as serotonin can raise blood pressure and put nerves on edge, and with some of them that grows…

The same medicine can be dangerous given one way and safe given another. Slow release is not a marketing word.

Bupropion was pulled from the market over seizures and came back once a slow release form existed, because what drove the risk was the sharp peak…

When someone tells you they have been hurting themselves, keep your face steady and stay curious. Alarm closes the conversation, and you need it open.

A visible flinch teaches the person that this is not something you can hear, and the next disclosure goes elsewhere or nowhere. It can also make the…

What happened to you is not who you are. Speak to yourself as you would to someone you love who was hurt.

Harm done to you is not a verdict on your worth. Trade the harsh inner voice for a kinder, truer one.

When trauma tells you that you are utterly alone and beyond help, treat that as the wound talking, not the truth. Do not despair.

A common voice in trauma says you are cast out, unreachable, beyond care. It feels total, but it is a symptom, not a fact, and acting against it,…

More of the medicine is not automatically better. What you are looking for is a level that sits inside the working range, and going past it usually brings side effects rather than sharper thinking.

It is a natural thought that if some helps a little, double would help twice as much. In practice people describe the higher dose as flat, or wired,…

Do not compare your dose with anybody else's. Two milligrams of one medicine and a hundred milligrams of another can both be perfectly ordinary, because strength per milligram differs from molecule to molecule.

This comes up in waiting rooms and family group chats and it causes real alarm about being on a lot. The number on the box only means something…