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4203 Montrose Boulevard, Suite 240
Houston, TX, 77006
United States

713-376-9822

Child, teen and family therapy in Houston, TX. Joan's specializations include: ADD/ADHD, Anxiety, LGBTQIA+ Support, Trauma, 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.

Why Is It So Difficult for Individuals with ADHD to Set Boundaries?

Joan Lipuscek

Setting boundaries can be especially challenging for kids, teens and adults with ADHD. Impulsivity, trouble with self-regulation, social struggles, low self-esteem, difficulties with planning, and a need for instant gratification all contribute to this challenge. By understanding these obstacles and offering supportive strategies, parents, teachers, caregivers, and those with ADHD can create and maintain healthy boundaries. This is essential for overall well-being and can lead to more positive and fulfilling relationships.

Impulsivity

ADHD is characterized by impulsivity, which can make it difficult for individuals to think before they act or speak. This impulsiveness can lead to situations where they overcommit, agree to things they don't want to do, or fail to enforce their own limits. The tendency to act on immediate desires without considering long-term consequences can undermine their ability to set and maintain boundaries.

Difficulty with Self-Regulation

Self-regulation involves managing one's emotions, thoughts, and behaviors in different situations. Individuals with ADHD often struggle with self-regulation, making it hard for them to control their reactions and enforce boundaries consistently. They may experience strong emotional responses, such as frustration or anxiety, which can make it challenging to assert their needs or say no to others.

Social Challenges

Many individuals with ADHD face social difficulties, including challenges in interpreting social cues and understanding the perspectives of others. These social challenges can make it hard for them to navigate complex social interactions and set appropriate boundaries. They might fear rejection or want to fit in, leading them to agree to things they are uncomfortable with.

Low Self-Esteem

Individuals with ADHD may struggle with low self-esteem due to academic difficulties, social challenges, and negative feedback from peers and adults. This low self-esteem can make them hesitant to assert themselves or set boundaries, as they might fear being disliked or seen as difficult. They may also doubt their ability to enforce their boundaries effectively.

Executive Functioning Deficits

Executive functioning skills, which include planning, organizing, and prioritizing tasks, are often impaired in individuals with ADHD. These deficits can make it challenging for them to anticipate the need for boundaries, recognize when they are being challenged, and implement strategies to enforce them. Poor time management skills can also lead to overcommitting and difficulty saying no.

Desire for Instant Gratification

Individuals with ADHD often seek instant gratification and may prioritize immediate rewards over long-term benefits. This desire can lead them to agree to requests or engage in activities without considering the potential negative impact on their time, energy, or well-being. The preference for immediate pleasure can undermine their ability to set and maintain boundaries.

Strategies to Help Individuals with ADHD Set Boundaries

Teach Self-Awareness

Encourage individuals to recognize their own needs, preferences, and limits. Help them identify situations where they feel uncomfortable or overwhelmed and discuss the importance of setting boundaries in those contexts.

Role-Play Scenarios

Practice setting boundaries through role-playing exercises. This can help individuals develop the language and confidence to assert themselves in real-life situations. Role-playing can also provide opportunities to explore different responses and strategies for maintaining boundaries.

Develop Communication Skills

Work on improving communication skills, including assertiveness training. Teach individuals how to express their needs clearly and respectfully, and how to say no without feeling guilty. Reinforce the idea that it's okay to set boundaries and that their feelings and needs are valid.

Provide Consistent Feedback

Offer positive reinforcement and constructive feedback when individuals successfully set and maintain boundaries. Acknowledge their efforts and celebrate their successes, no matter how small. This positive feedback can boost their confidence and motivation.

Model Boundaries

Model healthy boundary-setting behaviors in your own interactions. Demonstrate how to say no, set limits, and respect the boundaries of others. Children, teens, and adults learn a lot from observing the people around them, so modeling these behaviors can be very impactful.

Create a Supportive Environment

Ensure that the environment at home, school, or work supports boundary-setting. Encourage open communication, provide a safe space for individuals to express their feelings, and establish clear expectations and limits. A supportive environment can make it easier for them to practice and enforce boundaries.

Use Visual Aids and Reminders

Visual aids, such as charts, checklists, or cue cards, can help individuals remember to set and enforce boundaries. These tools can serve as reminders and provide a visual framework for managing their interactions and commitments.

Setting boundaries is a complex skill that can be particularly challenging for children, teens, and adults with ADHD due to impulsivity, difficulty with self-regulation, social challenges, low self-esteem, executive functioning deficits, and a desire for instant gratification. By understanding these challenges and implementing supportive strategies, parents, teachers, caregivers, can help those with ADHD develop the ability to set and maintain healthy boundaries. This skill is essential for overall well-being and can lead to more positive and fulfilling relationships throughout their lives.

Understanding Dyslexia and Dyscalculia: Navigating Life with Learning Differences

Joan Lipuscek

Living with dyslexia and dyscalculia presents unique challenges that can affect individuals across all stages of life, from childhood to adulthood. Understanding these conditions and their implications is crucial for fostering empathy and providing effective support. We will explore what it is like to live with dyslexia and dyscalculia, their effects on different age groups, and strategies to manage the associated stress, self-esteem issues, and emotional and behavioral symptoms.

What Are Dyslexia and Dyscalculia?

Dyslexia is a specific learning disability that affects reading and language processing. Individuals with dyslexia often struggle with word recognition, spelling, and decoding, which can make reading and writing tasks particularly challenging. Dyscalculia, on the other hand, is a learning disability that affects mathematical skills. People with dyscalculia may have difficulties with number sense, mathematical reasoning, and calculations, leading to struggles with basic arithmetic, understanding mathematical concepts, and performing calculations accurately.

Impact on Children, Teens, and Adults

Children

In early education, children with dyslexia may find it hard to keep up with their peers in reading and writing. They might struggle to follow written instructions, read aloud, or spell correctly. Similarly, children with dyscalculia may find counting, basic arithmetic, and understanding math concepts challenging. These difficulties can lead to frustration, anxiety, and a sense of inadequacy, affecting their overall academic performance and self-esteem.

Teens

As academic demands increase in middle and high school, teens with dyslexia and dyscalculia might face heightened stress and pressure. They may avoid reading and math-related activities, leading to learning gaps and reduced academic performance. Socially, they might feel isolated or embarrassed, particularly if their learning differences are misunderstood by peers. The fear of being judged or ridiculed can further exacerbate their anxiety and self-esteem issues.

Adults

In adulthood, dyslexia and dyscalculia can impact professional and personal life. Adults may encounter difficulties in jobs that require strong reading, writing, or mathematical skills. Managing finances, following written instructions, and completing job applications can be particularly challenging. These ongoing struggles can affect self-esteem and lead to feelings of frustration or anxiety. However, with the right support and strategies, adults can navigate these challenges and achieve their goals.

Managing Stress, Self-Esteem Issues, and Emotional Symptoms

Children and Teens

Parents and teachers play a crucial role in creating a supportive and understanding environment for children and teens with dyslexia and dyscalculia. At home, parents can foster a positive atmosphere by being patient, offering encouragement, and celebrating small achievements. They can also help by breaking down tasks into manageable steps and using visual aids to enhance learning.

In an academic setting, schools can provide various accommodations to support students with these learning differences. Extra time on tests allows students to process information at their own pace without the pressure of time constraints. Access to audiobooks can be particularly beneficial for students with dyslexia, enabling them to absorb content without the added challenge of reading text. Similarly, allowing the use of calculators can help students with dyscalculia manage computation and focus on understanding broader mathematical concepts.

Teachers should employ a variety of instruction methods, tailoring lessons to meet the diverse needs of their students. Incorporating multisensory teaching techniques such as using hands-on activities, visual aids, and interactive tools can help make learning more accessible and engaging. Regular check-ins with students can also ensure they feel supported and understood.

Encouragement and positive reinforcement are essential to boost confidence and self-esteem. Acknowledge and celebrate progress, no matter how small, to help build a sense of achievement and motivate continued effort. By fostering a compassionate and accommodating environment, parents and teachers can empower children and teens with dyslexia and dyscalculia to reach their full potential and thrive academically and personally.

Adults

Navigating the professional world with dyslexia or dyscalculia can present unique challenges, but seeking support from employers and colleagues can make a significant difference. Start by having an open conversation with your employer about your needs. Many workplaces are committed to inclusivity and are willing to provide reasonable accommodations to help you succeed.

Employers can offer various accommodations to support employees with learning differences. Assistive technology, such as text-to-speech software, can help with reading and processing written information. Speech-to-text tools can assist with writing tasks, and specialized software can aid in managing numbers and calculations. Additionally, flexible work arrangements, like modified deadlines or remote work options, can reduce stress and allow you to work in a way that suits your strengths.

Taking advantage of training programs and workshops can enhance your skills and boost your confidence. Many organizations offer professional development opportunities focused on using assistive technology and other tools designed to support individuals with learning differences.

Effective communication is key. Clearly articulate your needs and preferences to your employer and colleagues. Advocating for yourself helps create a supportive work environment and ensures you have the necessary resources to perform your job effectively. Consider requesting regular feedback sessions to discuss your progress and any additional support you might need.

Lifelong learning can be empowering. Enroll in courses or workshops that interest you and align with your career goals. Continuing education not only enhances your skills but also builds confidence and demonstrates your commitment to personal and professional growth.

The importance of emotional support for all ages

Joining support groups can provide a sense of community and shared experiences. Connecting with others who face similar challenges can offer valuable insights, emotional support, and practical advice. Many online and in-person groups are available, tailored specifically for adults with dyslexia and dyscalculia. Managing the stress and emotional impact of learning differences is crucial. Consider seeking therapy or counseling to develop coping strategies and address any self-esteem issues. Cognitive-behavioral therapy (CBT) can be particularly effective in helping you build resilience and maintain a positive outlook.

Living with dyslexia and dyscalculia presents unique challenges, but with the right support and strategies, individuals can lead successful and fulfilling lives. By fostering a supportive environment, developing effective coping mechanisms, and addressing emotional and self-esteem issues, children, teens, and adults can navigate their learning differences with confidence and resilience. Learning differences do not define one's worth or potential. With understanding and support, every individual can thrive.

Body Positive Affirmations

Joan Lipuscek

Body positive affirmations are powerful statements that encourage self-acceptance, self-love, and a healthy body image. These affirmations help individuals focus on their strengths and appreciate their bodies for what they can do rather than how they look. 

By regularly repeating positive affirmations, people can counteract negative self-talk, build self-esteem, and foster a more compassionate and respectful relationship with their bodies. Incorporating body positive affirmations into daily routines can be a transformative practice, promoting mental and emotional well-being while celebrating the unique beauty of every individual.

  1. "My worth is not determined by my appearance. I am valuable, worthy and deserving of love and respect."

  2. "I embrace my uniqueness and celebrate my individuality. I am beautifully and wonderfully made."

  3. "I am more than my physical appearance. My true beauty shines from within, radiating kindness, compassion, and strength."

  4. "I refuse to compare myself to others. I am on my own journey and I celebrate my progress and growth every step of the way."

  5. "I am deserving of self-care and self-compassion. I treat my body with kindness, nourishing it with healthy choices and positive thoughts."

  6. "I challenge society's narrow standards of beauty. I define beauty on my own terms, embracing diversity and celebrating all body types."

  7. "I am not defined by the opinions of others. I am confident in who I am and I refuse to let anyone else dictate my self-worth."

  8. "I am strong, capable, and resilient. I overcome obstacles with courage and determination and I am proud of the person I am becoming."

  9. "I choose to focus on what my body can do, rather than how it looks. I appreciate my body for its strength, vitality, and resilience."

  10. "I am worthy of love and acceptance exactly as I am. I embrace my flaws and imperfections, knowing that they make me uniquely me."

These affirmations can serve as reminders of self-love, empowerment, and acceptance for adolescents, teenagers and adults navigating the challenges of body shaming. I encourage you to repeat these affirmations daily and internalize the positive messages they convey.