Practices

One medicine can reach both the surging kind of anxiety and the circling kind, while another really only touches the surging kind. That is why the slower and broader option is usually the one people are started on.

It explains a pattern that looks arbitrary from the outside. The broad option is unglamorous: nothing happens on the first day and it takes weeks to…

Making someone calmer is not the same as treating what is making them anxious. Obsessive worry is the clearest case: something sedating can take the edge off the distress and leave whatever drives it completely untouched.

You can see it in the shape of the day. The person is quieter, slower, maybe sleeping better, and the same thought arrives just as often as it did.…

A lot of what people now know about ADHD came from a video. Some of it is genuinely good, some of it is not, and asking someone what they have been watching is a fair question to open with.

Creators who live with ADHD have done real good here. They have made people feel recognised and made asking for help less frightening, and some…

Most children with ADHD can tell you exactly what they should have done. The knowing was never the missing piece, which is why a course teaching the knowing changes so little.

Watch closely and you see the skill appear in quiet moments and vanish in loud ones, when another child has already grabbed the ball and there is…

If mindfulness is going to help with ADHD, the version with a chance is small and spread out. A few seconds of noticing, several times a day, rather than one long sitting you come to dread.

A forty five minute block asks you to get settled in one place and then somehow carry that into the afternoon, and the carrying is exactly what tends…

By response rate, extended release stimulants are among the most effective medicines in psychiatry, and most people tolerate them well. That is worth hearing plainly, particularly from people who are not generally keen on medication.

What the long acting form buys you is coverage. A dose that has faded by four in the afternoon leaves the evening bare, and the evening is where home…

Before you fix or argue, validate: that makes sense, I can see why you feel that. It cools the heat.

People calm down when they feel understood, not corrected. Understanding first, solutions later.

Validate your own feeling first: of course this stung. You do not need permission to feel it.

Do not add self-blame on top of a hard feeling. Let it be real, then decide what to do.

The name is a little misleading. What tends to be hard is not seeing or understanding a task, it is getting your brain to switch on for something it finds no reward in, and to switch off from something it loves.

You may have noticed you can lose four hours to something that grips you and then be unable to start a ten minute form. That gap is the thing itself,…

More people being recognised is not the same as more people having it. What has changed over recent decades is awareness, not the number of minds built this way.

Parents often carry a quiet fear that something they did, or something modern, caused this. Grandparents with the same traits simply grew up without…

When you speak about a death by suicide, say died by suicide or completed suicide rather than committed. Committed sets a crime beside the person's name.

Families hear these words at the worst moment of their lives and carry them for years afterwards. The wording also reaches people who are struggling…

When somebody insists angrily that they do not care, they usually care a great deal. The heat is the giveaway.

Indifference does not raise its voice. Answer the words and you get an argument about whether they care. Answer the caring underneath and you often…

You will meet striking claims about which genes or which brain region produce your temper. Interesting is not the same as established, and none of it should settle what you think of yourself.

Several of these ideas are still argued over by the people who study them, and they keep getting repeated in training rooms long after the caution…

What overpowered Darwin at that glass was not the snake. It was his picture of what the snake was about to do, and that is usually what overpowers you too.

Which is oddly hopeful. The thing driving the reaction is a reading of the situation, and readings can be slowed, questioned and sometimes corrected…

An alarm that goes off at every shadow is a nuisance, but one that misses the real intruder is worse. Your system was tuned with that trade in mind.

So overreacting is a setting rather than a defect, and it is a setting that once kept people alive. What it means now is that the alarm will be wrong…

There is movement inside the word emotion, which turns out to be a fair description. Something starts moving in you before you have named anything.

The early signs are physical: breath shortening, jaw setting, a leg going, hands doing something they were not doing a minute ago. People who learn…

The nervous system grows in the womb out of the same layer as your skin. Sensing and being touched come from one origin, which is part of why threat is felt on the surface of you.

The biology does not have to be exact for the picture to be useful. Attention paid to the surface, the temperature of your hands, the tightness…

There is a dense network of nerves lining the gut, which is part of why a bad feeling turns up in your stomach before you can say what is wrong.

Take it as information without treating it as a verdict. A tightening gut might mean real danger, or an old pattern recognised, or that you have not…

Some of what you will hear about anger is solid, and some is a teacher's own theory delivered with the same confidence. It is fair to ask which one you are getting.

The tell is usually the scale of the claim. Careful accounts stay near what has been measured, while a grand story explaining everything from cells…

Anger takes speech in one of two directions. Some of us go silent and let the face carry it, others turn suddenly fluent and very precise.

Being articulate under provocation feels like being in control, and the two are easy to confuse. A cleanly aimed sentence often does more damage than…