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4200 Montrose Boulevard, Suite 550
Houston, TX, 77006
United States

(713) 376-9822

Child, teen and family therapy in Houston, TX. Joan's specializations include: ADD/ADHD, Anxiety, LGBT Issues, Abuse Issues, Adjustment Issues, Depression, Eating Disorders, School Trouble, Learning Disabilities, Trauma, Behavioral Problems, and Self-Mutilation. 

My Blog

This is a collection of psychiatry and psychology news and studies related to child, teen and family therapy.  These resources may be useful to parents interested in learning more about current topics influencing child, teen and family therapy.

Filtering by Category: Teen Therapy

Effective Strategies for Parents: How to Help Your Child or Teen Control Impulses

Joan Lipuscek

Impulse control is a crucial skill for children and teens, affecting their ability to make thoughtful decisions, manage their emotions, and interact positively with others. While it’s normal for young people to struggle with impulsivity as they grow and develop, teaching them how to manage their impulses can set the foundation for healthier relationships, better academic performance, and overall well-being. As a parent, you play a vital role in helping your child or teen develop this essential skill. This blog will provide practical strategies to guide you in nurturing impulse control in your children and teens.

Understanding Impulse Control

Impulse control refers to the ability to pause, think, and choose actions that are appropriate and beneficial, rather than acting on immediate desires or emotions. For children and teens, impulse control can be challenging due to the ongoing development of the brain, particularly the prefrontal cortex, which is responsible for decision-making, planning, and self-regulation.

Impulsivity can manifest in various ways, such as interrupting others, acting without thinking, difficulty waiting for turns, or making hasty decisions that lead to negative consequences. While some impulsivity is normal, especially in younger children, consistent issues with impulse control can impact social relationships, academic success, and emotional well-being.

Strategies to Help Your Child or Teen Develop Impulse Control

Model and Teach Self-Regulation

Children and teens learn a great deal by observing their parents. Model self-regulation in your own behavior by demonstrating how to manage frustration, delay gratification, and think before acting. When you make a decision, explain your thought process out loud. For example, if you’re deciding whether to make a purchase, you might say, “I really want this, but I’m going to think about whether I need it or if it’s within my budget before I buy it.”

Teaching your child specific techniques for self-regulation, such as deep breathing, counting to ten, or taking a moment to think before responding, can help them learn to manage their impulses.

Practice Delayed Gratification

Delayed gratification is the ability to wait for a more significant reward rather than opting for immediate satisfaction. Encourage your child to practice this skill through small, manageable challenges. For example, you could set up a system where they can earn a reward by saving their allowance over several weeks instead of spending it right away.

You can also use games and activities that require waiting or taking turns, such as board games or card games, to help reinforce the concept of delayed gratification.

Create a Structured Environment

A structured environment with clear expectations and routines can help children and teens develop impulse control. Establishing consistent daily routines, such as homework time, meal times, and bedtime, can create a sense of predictability and reduce impulsive behavior. When children know what to expect, they are less likely to act impulsively out of uncertainty or boredom.

Additionally, setting clear rules and consequences for behavior helps children understand the boundaries and encourages them to think before acting. Be consistent in enforcing these rules, as inconsistency can lead to confusion and increase impulsivity.

Teach Problem-Solving Skills

Helping your child develop problem-solving skills can improve their impulse control by encouraging them to think through their actions and consider the consequences before acting. When your child faces a challenge or conflict, guide them through the process of identifying the problem, brainstorming possible solutions, evaluating the pros and cons of each option, and choosing the best course of action.

Encourage them to ask themselves questions like, “What will happen if I do this?” or “Is there a better way to handle this situation?” By practicing this process, they can develop the habit of thinking before acting.

Use Positive Reinforcement

Positive reinforcement can be a powerful tool in helping children and teens develop impulse control. When you notice your child making an effort to control their impulses, praise them and offer specific feedback on what they did well. For example, you might say, “I noticed that you waited patiently for your turn. That was great self-control!”

You can also use a reward system to encourage impulse control. For younger children, a sticker chart or token system can be effective, while older children and teens might respond to privileges like extra screen time or a special outing.

Encourage Mindfulness

Mindfulness practices can help children and teens become more aware of their thoughts, feelings, and impulses, making it easier for them to pause and reflect before acting. Introduce your child to mindfulness techniques such as deep breathing exercises, body scans, or guided imagery.

For younger children, mindfulness can be practiced through simple activities like focusing on their breathing or paying attention to the sensations in their body. Teens might benefit from more structured practices, such as meditation or yoga, which can help them develop a greater sense of self-awareness and self-control.

Set Age-Appropriate Expectations

It’s important to set realistic, age-appropriate expectations for impulse control. Younger children naturally have less self-control than older children and teens, so it’s essential to adjust your expectations based on their developmental stage. Be patient and recognize that developing impulse control is a gradual process that takes time and practice.

For example, a preschooler may struggle with waiting their turn, while a teenager may have difficulty managing their emotions in stressful situations. Tailor your approach to your child’s age and individual needs, and provide support and guidance as they learn to regulate their behavior.

Helping your child or teen develop impulse control is a crucial aspect of their emotional and social development. By modeling self-regulation, creating a structured environment, teaching problem-solving skills, and encouraging mindfulness, you can support your child in learning to manage their impulses effectively. Developing impulse control takes time, so be patient and consistent. With your support, your child or teen can build the self-discipline they need to handle challenges, make good choices, and succeed in their relationships and daily life.

ADHD Back-to-School Survival Guide: Tips for Parents and Students to Overcome Challenges and Thrive

Joan Lipuscek

Back to School Guide for Children, Teens, and Young Adults with ADHD

As the school year approaches, many families are gearing up for the transition back to classrooms, homework, and daily routines. For children, teens, and young adults with Attention Deficit Hyperactivity Disorder (ADHD), this period can bring unique challenges. ADHD affects not just academic performance but also social interactions, emotional regulation, and organizational skills. This guide aims to provide a comprehensive overview of the hurdles faced by students with ADHD and practical strategies to help them and their families navigate the school year successfully.

Understanding the Challenges

Organizational and Time Management Difficulties

One of the hallmark symptoms of ADHD is difficulty with organization and time management. Students with ADHD may struggle to keep track of assignments, manage their time effectively, and organize their materials. This can lead to missed deadlines, incomplete work, and feeling overwhelmed.

Focus and Attention Issues

ADHD is characterized by challenges with sustaining attention, particularly in tasks that require prolonged concentration, such as studying or completing homework. Students may find it hard to stay focused during lessons, leading to gaps in understanding and retention of information.

Emotional and Social Challenges

Children and teens with ADHD often experience heightened emotions, which can make it difficult to navigate social interactions and handle stress. They may be more prone to outbursts or feel overwhelmed by the demands of school and social situations. Additionally, they might struggle with forming and maintaining friendships, as impulsivity and inattentiveness can impact social cues.

Transitioning from Summer to School Routine

The shift from the relaxed summer schedule to the structured school day can be particularly jarring for students with ADHD. This transition may lead to increased anxiety, difficulty waking up on time, and resistance to the change in routine.

Preparing for the School Year

Establish a Routine Early

To ease the transition back to school, begin establishing a routine a few weeks before school starts. Gradually adjust bedtimes and wake-up times to align with the school schedule. Introduce morning and evening routines that include time for breakfast, packing school bags, and setting out clothes for the next day. Predictability and structure can help reduce anxiety and make the transition smoother.

Create a Visual Schedule

A visual schedule is an effective tool for students with ADHD. Use a calendar or planner to map out the school week, including class times, homework, extracurricular activities, and breaks. This visual representation can help students anticipate what’s coming next and manage their time more effectively. Encourage the use of color-coding for different subjects or activities to make the schedule more engaging and easier to follow.

Organize School Supplies and Workspaces

Invest in organizational tools such as binders, folders, and labeled bins to keep school supplies in order. Designate a specific area at home for studying and homework. This space should be free from distractions and equipped with everything the student needs to complete their work. Regularly declutter and reorganize this space to maintain a sense of order.

Communicate with Teachers

Before the school year begins, reach out to teachers to discuss your child’s specific needs and challenges. Providing teachers with insight into how ADHD affects your child can help them offer appropriate support and accommodations. This might include seating arrangements, extended time for tests, or assistance with organizing assignments. Establishing open communication with teachers sets the stage for a successful partnership throughout the school year.

Navigating Challenges During the School Year

Break Tasks into Manageable Chunks

Large assignments and projects can be overwhelming for students with ADHD. Help them break down tasks into smaller, more manageable steps. Create a checklist or timeline for each part of the assignment, and celebrate small accomplishments along the way. This approach not only makes the task feel less daunting but also builds the student’s confidence in their ability to complete it.

Use Positive Reinforcement

Positive reinforcement can be a powerful motivator for students with ADHD. Praise and reward efforts, no matter how small. This could be as simple as offering verbal encouragement or allowing extra screen time after completing homework. Positive reinforcement helps build self-esteem and encourages continued effort.

Practice Mindfulness and Stress-Relief Techniques

Teaching mindfulness and stress-relief techniques can help students manage their emotions and stay focused. Deep breathing exercises, meditation, and physical activity are effective ways to reduce anxiety and improve concentration. Incorporate these practices into daily routines to help students feel more centered and in control.

Encourage Healthy Lifestyle Habits

Adequate sleep, a balanced diet, and regular physical activity are crucial for managing ADHD symptoms. Ensure that your child gets enough rest each night, eats a nutritious diet, and engages in physical activities they enjoy. These habits can improve focus, mood, and overall well-being.

Stay Involved and Monitor Progress

Regularly check in with your child about their school experience. Discuss any challenges they’re facing and work together to find solutions. Stay in touch with teachers and school counselors to monitor academic progress and make adjustments to support strategies as needed.

Heading back to school can be a challenging time for children, teens, and young adults with ADHD, but with the right preparation and support, they can thrive. By establishing routines, communicating with educators, and implementing effective strategies, parents and students can navigate the school year with confidence. Remember, the key to success is patience, persistence, and a willingness to adapt. With these tools, the school year can be a positive and productive experience for everyone involved. Schedule an appointment with me today to address back to school challenges for students with ADHD.

Teens and Adults: How to Talk to Your Peers About Depression When You Are Afraid of Oversharing

Joan Lipuscek

Opening up about depression is a daunting task, and it becomes even more challenging when you’re uncertain about whom to trust. For both teens and adults, the fear of being judged or misunderstood can make this process even more intimidating. However, sharing your struggles is an essential step toward healing and finding the support you need. Here are some tips to help you navigate these conversations while protecting your emotional well-being.

Reflect on Past Interactions

Before you open up, take a moment to think about your past interactions with the person. Have they shown empathy and respect for others' feelings? Reflecting on these interactions can help you decide if they might be trustworthy.

Start Small

Begin by sharing something minor and observe their reaction. For example, mention feeling a bit overwhelmed or stressed. Their response to these small disclosures can give you insight into how they might handle more serious information about your depression.

Use "I" Statements

When you do decide to talk, use "I" statements to express your feelings. For instance, say "I’ve been feeling really low lately" rather than "You don’t understand what I’m going through." This approach helps keep the conversation focused on your experiences and feelings.

Set Clear Boundaries

Clearly communicate your boundaries at the start of the conversation. Let them know that what you’re sharing is personal and that you need them to respect your privacy. For example, you could say, "I'm sharing something very personal with you, and I hope you can keep it confidential."

Educate Them About Depression

Sometimes people don't understand depression because they haven't experienced it. Providing a brief explanation can help them understand what you're going through. Explain that depression is a medical condition that affects your mood, thoughts, and behavior, and it’s not something you can just snap out of.

Share Selectively

You don't have to share everything. Choose specific aspects of your experience that you feel comfortable disclosing. If you're unsure how they will react, it's okay to withhold some details.

Observe Their Reaction

Pay attention to their reaction. Are they listening attentively? Do they respond with empathy and support? If their reaction is dismissive or judgmental, it might be a sign to end the conversation and seek support elsewhere.

Seek Support from Trusted Sources First

If you’re hesitant about trusting your peers, consider seeking support from more reliable sources first. This could be a family member, a close friend, or a mental health professional. They can provide you with the support and guidance you need while you decide who else to trust.

Prepare for Various Outcomes

Understand that not everyone will respond the way you hope. Be prepared for different reactions, including positive, negative, or indifferent responses. Remember, their reaction is not a reflection of your worth or the validity of your feelings.

Protect Your Well-being

If the conversation doesn't go well or you feel hurt by their response, prioritize your well-being. Reach out to someone who has consistently been supportive or consider talking to a therapist. It’s important to have a safety net of people who can offer genuine support.

Talking to your peers about your depression when you’re unsure of their trustworthiness can be intimidating for both teens and adults. By taking small steps, setting boundaries, and being selective about what you share, you can navigate these conversations more safely. Remember, it’s okay to protect yourself and seek support from trusted sources. Your mental health and well-being are paramount, and finding the right people to support you is a crucial step in your journey toward healing.