ADHD • A Pianist’s Guide

Supporting Your Piano Pathway
Written by Andrew Eales


ADHD, or Attention Deficit Hyperactivity Disorder, has become a hot topic of discussion in recent years, the apparent explosion of both child and adult diagnoses much commented on in the media and society at large.

This article has been cowritten with my wife Louise, who has three decades clinical experience working with children, and latterly adults, who have ADHD. She is now an advanced practitioner at ADHD 360, a leading private ADHD diagnosis and treatment clinic. We gratefully acknowledge that the Clinical Director has peer-reviewed this article prior to its publication here.

For my part, I have lived with this condition for a lifetime, only belatedly recognised and formally diagnosed in my fifties. ADHD has had a huge impact on my piano journey.

Our shared aim is to provide pianists and educators with a unique, relevant, and practical perspective which combines Louise’s clinical expertise with my personal experience, and which specifically addresses the challenges those with ADHD face in the practice room, piano lesson and at live events.

The article which follows addresses many common questions, explaining what ADHD is, its causes, history, the signs and symptoms. We then go on to apply this to piano practice, lessons and performance, offering strategies to help those with ADHD and their teachers. Finally, Louise outlines the process of diagnosis and available medications.


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The Pianist’s Humiliation

Supporting Your Piano Pathway
Written by Andrew Eales


Written in partnership with Louise Eales RMN
Louise has more than 30 years of clinical experience as an advanced mental health practitioner, with specialisms in child and adolescent psychiatry, and neurodiversity.
I am grateful for her professional insights, specialist advice, and collaboration in the writing of this important article.

Humiliation is a deeply painful emotional state caused by public exposure of a person’s mistakes or weaknesses. Recognised by psychologists as one of the most potent of emotions, it can have a long-lasting impact on a person’s self-esteem, wellbeing, and mental health.

A mounting body of research shows the connection between humiliation and social anxiety disorder. Additionally, it is associated with episodes of clinical depression and linked to suicidal ideation or acts.

Humiliation is fundamentally done to us. Neel Burton M.D. explains in his article The Psychology of Humiliation, which appeared in Psychology Today,

Most piano educators, from local teachers to adjudicators, examiners, and conservatoire professors, would balk at the suggestion that we would ever humiliate a student. But realistically, many of us will have inadvertently done so, and will likely also have experienced humiliation ourselves.

We have fostered a culture around piano playing that leaves players of all ages and abilities precariously vulnerable. I find many adults returning to playing recount painful episodes in their piano journey where they have felt humiliated and debilitated.

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A Streak of Calm

Supporting Your Piano Pathway
Reflection by Andrew Eales


A few years back I purchased an app called Calm, which has subsequently become one of the most popular mindfulness apps around. With its range of guided meditations, ambient music, soundscapes, breathwork exercises and ‘sleep stories’, Calm has grown to become a superb lifestyle resource, and a deserved success.

Interestingly though, Calm also delivers user stats after each session, with a badge showing one’s ‘streaks’ of consecutive days of practice. I’ve regarded this feature with vague amusement; it seems to owe more to the culture of the gambling arcade than to the ethos of the meditation traditions.

There’s even the opportunity to share your official streaks on social media platforms, something I recently did myself having reached the modest achievement of 100 consecutive days, and curious to see whether it would generate much discussion with friends.

But then an odd, and instructive thing happened: it must have been less than a week later that I ‘missed’ a day…

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The Pianist’s Silence

Supporting Your Piano Pathway
Written by Andrew Eales


These days perhaps more than ever, the world is a pretty rowdy place. And by definition, as pianists we add to that noise (albeit of course, very positively!). Lest we lose our way, let’s consider how we might bring a little bit more peace and quiet into our lives.

Okay, so the practicalities of making space for silence in our lives probably require little explanation: surely all we need to do is switch off the gadgets, stop the music, find a spot where we won’t be interrupted, and spend a few minutes quietly minding our own business.

We can (and of course I will…) expand on that. But first we should perhaps consider an important question: why does it matter?

To help answer that, I will offer a few observations about environmental noise, mental chatter, and suggest a few really simple ways to introduce a few moments of respite into our busy daily routines.

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Making Peace with your Inner Musician

Supporting Your Piano Pathway
Written by Andrew Eales


At time of writing, many around the world are celebrating Diwali, the festival of lights which signifies victory over darkness, and a beacon of hope that speaks to the heart of our present condition.

Digging out and dipping into my copy of the Bhagavad Gita, one of India’s most important sacred texts, the following verse jumped off the page:

“Those who are motivated only by desire for the fruits of action are miserable, for they are constantly anxious about the results of what they do.”

The Bhagavad Gita (2.48)

This set me wondering: to what extent do ‘results’ cause me anxiety?

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