Include ribbons - maybe replaced with plaited/woven handmade ribbon made by Joe?
Monochrome with highlights, accents or blocks of colour - yellow?
Handwriting over the top of images - perhaps one way to present the poems?
16 page spreads - 48 pages in total? May need to add more if including lots of ADHD info.
Add small photographs in background of text pages with 'mess' to echo home
Full-bleed images opposite text pages. Try and keep the images simple and powerful - like the b&w look, but I do want to incorporate colour somehow.
Label-maker effect for 'hindsight' notes?
Include sketches to add a more personal touch? Maybe a danger that it could it make it too homemade?
Include fold-outs, half-pages or overlays to accommodate the 'hindsight' notes - really want to keep a clean and uncluttered feel to the book.