Carla Richards Psychologist- Therapy & Assessment

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16/11/2025
15/11/2025
14/11/2025

The real work of nervous system regulation: learning to feel without becoming the feeling.

When you stop merging with the story: “I’m angry at...,” “I’m scared about...,” “I’m helpless becuase...,”
and instead notice, “Anger is here,” “Fear is here,” something shifts...
You become the witness, rather than stuck in the storm of the narrative.

Feel it. Don’t get attached to the story around it.
Notice as the emotion moves like a wave through your body.
That’s where healing begins.

Try this: next time something hits hard, name the emotion without believing the minds story about it.

Comment below what you notice when you give it space to move.

Follow for daily tools in emotional regulation and nervous system healing.

10/11/2025

Thanks via The Playroom Lubbock: Therapy Solutions for Kids 💗

10/11/2025

Masking

10/11/2025

How to Focus with Unmedicated ADHD: Working with Your Brain, Not Against It

For many individuals with ADHD, medication can be life-changing — but it’s not the only path toward better focus and function. Whether by choice, circumstance, or access, some people navigate ADHD without medication. That doesn’t mean they’re left without tools. It means they must learn how to work with the unique wiring of their brain — not against it.

ADHD is not a lack of focus; it’s a difficulty regulating focus. The ADHD brain naturally swings between states of hyperfocus (complete immersion in something stimulating) and distraction (when a task feels under-stimulating). Success, then, comes not from forcing “discipline” but from designing environments and habits that sync with these rhythms.

Below is a breakdown of practical, evidence-informed methods — supported by both neuroscience and lived experience — for managing focus without medication.

1. Work with Your Brain’s Natural Rhythms

The ADHD brain doesn’t operate linearly. Energy, attention, and creativity fluctuate throughout the day. Instead of fighting that, structure your work around it.

Use the Focus Sprint Method — work in short, intentional bursts (15–20 minutes) followed by a 5-minute break. This harnesses the brain’s natural capacity for intense but limited engagement. A timer like Pomofocus can help. During breaks, move, stretch, or hydrate — not scroll.

This method capitalizes on the ADHD brain’s sensitivity to time and novelty. Knowing that you only need to focus for a short sprint reduces resistance and makes starting easier — the hardest part of any task for someone with ADHD.

2. Set Micro Goals, Not Mega Goals

ADHD makes “big picture” goals feel overwhelming. The brain’s executive functions — task initiation, sequencing, and prioritization — struggle when faced with abstract or multi-step objectives. The solution is to shrink the task.

Instead of setting “Finish my report,” break it into micro-goals like:

Open document

Write one paragraph

Add a reference

Format headings

Each step gives the brain a dopamine boost from completion, keeping motivation alive. Use sticky notes, digital planners, or a “brain dump” journal to visualize progress. ADHD minds thrive on momentum — small wins sustain focus far longer than vague, distant outcomes.

3. Create a Focus Routine, Not a Schedule

Traditional schedules rarely work for ADHD because they depend on consistency and time awareness — two areas of natural difficulty. Instead, build a focus routine that triggers productivity through cues, not clocks.

For example:

Wake up and hydrate

Take a 5-minute walk

Light a candle or play focus music (signals the brain that it’s “go time”)

Choose one task from your list

This flexible system works because it relies on sensory and contextual cues, not rigid timeframes. The goal is to make focus feel familiar, not forced.

4. Use Brain Music or Background Noise

Silence can be uncomfortable for an ADHD mind — it leaves space for intrusive thoughts and distractions. Background sound creates a gentle level of stimulation that helps anchor focus.

Try:

Binaural beats or lo-fi music for rhythm and flow

Brown noise for emotional regulation (proven effective for many ADHD individuals)

Rain or café sounds to mimic an external environment

These sounds occupy the restless parts of the brain that crave sensory input, allowing the prefrontal cortex — the seat of focus — to stay on task.

5. Create Dopamine Bridges

Dopamine drives motivation. ADHD brains have a deficit in dopamine transmission, making tasks that don’t offer immediate reward feel impossible. Dopamine bridges are intentional ways to link effort with pleasure.

Examples include:

Doing a hard task while sipping your favorite drink

Setting micro-rewards (“Once I send this email, I can check my messages”)

Making a ta-da list — celebrating what you’ve already done instead of shaming what you haven’t

When you make effort feel rewarding in real time, the brain stays engaged. This replaces the “all or nothing” cycle with a more sustainable rhythm of effort and reward.

6. Move Your Body

ADHD is a neurodevelopmental condition that affects not only cognition but the entire nervous system. Physical movement helps regulate neurotransmitters, reduce restlessness, and reboot attention.

Try:

Short dance or stretch breaks

Working while standing

Walking while listening to podcasts or planning tasks

Even brief movement resets the brain’s chemistry, increasing dopamine and norepinephrine — the very chemicals ADHD medication targets.

7. Design an Environment That Supports Focus

Your surroundings can either sabotage or support your attention. ADHD brains are context-sensitive — meaning they respond powerfully to environmental cues.

Declutter visible spaces to reduce cognitive load. Keep only what you need in sight. Use lighting, scents, or textures that soothe, not overstimulate. And most importantly, make work visible — sticky notes, whiteboards, or digital dashboards keep your brain externally organized when internal memory struggles.

If possible, designate specific “zones” — one for work, one for rest, one for hobbies. The ADHD brain relies on environmental boundaries to know what mode it’s in. When your body moves into the right space, your brain follows.

The Science Behind These Tools

Each of these strategies aligns with the neurological realities of ADHD:

Short bursts match fluctuating attention cycles.

Micro-goals engage the reward system through frequent completion.

Sensory cues replace weak time perception with tangible signals.

Movement and sound balance under- and overstimulation.

Dopamine bridges compensate for motivation deficits.

In essence, the goal is not to force the ADHD brain into neurotypical patterns but to build frameworks that honor how it functions.

Living Without Medication: A Balanced View

While these strategies can be transformative, it’s important to acknowledge that ADHD is a medical condition, not a personality quirk. Unmedicated management can work for some, but it often requires structure, community support, and professional guidance.

Medication, therapy, lifestyle adjustments, and coaching are all valid tools — and none diminish personal strength or effort. What matters most is self-understanding. Once you recognize how your brain operates, you can stop blaming yourself for the struggles and start designing systems that align with your wiring.

Final Reflection

ADHD without medication isn’t about willpower — it’s about strategy. It’s about replacing shame with self-awareness and learning to optimize rather than suppress your brain’s rhythms.

Focus doesn’t mean force. It means flow — and for the ADHD mind, flow begins when you stop fighting your brain and start collaborating with it.

You’re not lazy. You’re not broken. You just need a toolkit designed for your operating system.

08/11/2025
07/11/2025

Maternal psychological distress at 1 year postpartum is more strongly linked to neurodevelopmental delay in toddlers than distress during pregnancy, highlighting the need to support maternal mental health from pregnancy through 1 year postpartum. https://ja.ma/4olrE9N

07/11/2025
05/11/2025

Address

Johannesburg Western Suburbs
1715

Opening Hours

Tuesday 08:30 - 15:00
Wednesday 08:30 - 15:00
Thursday 08:30 - 15:00
Friday 08:30 - 15:00

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