Practices

Balance difficulties do turn up more often in ADHD, by something like half again. That is a fact about company, not about cause, and it does not turn balance training into a treatment.

Plenty of things could sit behind a link like that. More falls and knocks, more risk taken, or genetics feeding both at once. Working on balance…

Protocols that spin a child in a chair or tip them backwards and forwards to train balance do not improve ADHD. What they mainly produce is a dizzy child.

There is a cost beyond the wasted afternoons. Something unpleasant that was introduced as treatment teaches a child what treatment feels like, and…

When you start paying attention to your body, things wake up. More feeling, a deeper breath, memories arriving sideways. That is the practice working, not the practice going wrong.

Say this at the start, not afterwards. People who were not told tend to decide the movement made them worse and stop, when what actually happened is…

You are not here for a longer hamstring. You are here for a nervous system that can change gear, work when work is needed and settle when it is not.

An ordinary class measures you against the shape, and that measuring is the same self driving that wore you out in the first place. The therapeutic…

Before you practise something exposing with someone, say out loud what is not at risk. I will not think less of you, and nothing between us changes here.

It sounds obvious and it does a great deal of work. If the relationship really is on the line, then the discomfort is not symbolic and no amount of…

Whatever line you plan to use on yourself in a hard moment, say it in your own words rather than tidy ones. Polished phrasing tends to evaporate exactly when you need it.

If your inner voice is blunt, let the line be blunt. A therapist working this way will sometimes ask for the crude version of a coping phrase instead…

Before anyone does something exposing, let them check their own conditions and give them a clean way to say no. A public yes given under pressure is not really a yes.

It can be as ordinary as asking someone to consider whether they have the privacy, the time and the state of mind for this today. Ask it first and…

Call the practice whatever fits you. Stress inoculation, rolling with the punches, a Teflon mind, the art of not giving a damn: the name changes nothing about what you do, and a name you can stand makes you likelier to do it.

People come to this with different histories and some of them have been lectured before. If the language sounds like a self help poster to you, use…

Treat these as experiments rather than instructions. You are not obeying a programme, you are finding out what happens, and that difference changes how it feels to do them.

People who are quick to anger are often also quick to bristle at being told what to do, and a challenge sits far better with that than a homework…

The timer you will actually use is the one that takes two seconds. A dial you twist beats an app with four taps, every time, whatever the app can do.

Keep a cheap kitchen timer where you work and another where you get ready. If speaking to a smart speaker is quicker for you, use that instead.…

Rather than arguing that someone ought to get organised, ask one question. Would your life be better if fewer things slipped, fewer people were annoyed with you, and you spent less of the day worrying about what you had forgotten?

The answer is nearly always yes, and it lands differently when the person says it instead of hearing it. Keep the list concrete and drawn from their…

Think of a calendar as memory kept outside your head rather than as a test of discipline. Its whole job is to answer what you should be doing now, so that you do not have to work it out.

That framing matters if planners have ever felt like a judgement on you. Nobody expects anyone to hold a phone number in their head any more. The…

Before you start a practice that needs a pen and paper, have the pen and paper. It sounds too small to matter and it is the difference between doing the exercise and daydreaming about it.

The physical object is what turns something happening inside you into something you can count. If you are doing this with someone over a screen, ask…

What you are doing when you sit on the bank has a name. Researchers call it metacognitive distancing, and it has been studied for decades.

Knowing the name matters more than it should. Plenty of people, and especially people who were sent to get help rather than choosing it, quietly file…

The river is a way of talking, not a scene to imagine. You are not trying to see water, you are looking inward and noticing what turns up.

This is the most common way the practice goes wrong. People build a lovely picture of a stream, get bored of it, and decide the exercise does nothing…

If a river on a summer afternoon does nothing for you, use something plainer. Counting the traffic from a porch, or standing outside a shop counting how many people walk past, does the same job.

Metaphors are personal and there is no prize for liking the poetic one. Some people take to it straight away when it is a road and a stopwatch…

Run it for about ninety seconds, stop, and see how that was. Short and repeated beats one long sit, especially if sitting still is not your strong point.

A minute and a half is short enough that a restless or reluctant person will agree to it, and long enough for something to happen worth talking…

If the language of mindfulness puts you off, drop the language. Call it noticing what your mind is doing, and use it anyway.

Some people hear anything that sounds spiritual and close the door, and then a useful skill goes unused over a word. There is nothing here you have…

If steady sounds like soft to you, notice who actually holds a room. It is not the one who goes off first.

Words matter here more than they should. Call it wise and some people hear weak, and reject the skill along with the label. Whatever you call it, the…

These medicines work on a timescale of four to six weeks, not days. Say the number out loud at the start, because someone expecting relief this week will have decided by Friday that it failed.

Something does happen on the first day, but it is only the first step of a change that takes weeks to finish. The useful version of this is a date:…