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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.

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.

Demystifying Self-Harm: Help for Teens, Adults & Parents

Joan Lipuscek

Why Do People Self-Harm?

Self-harm is a serious behavior that affects individuals of all ages, and understanding its underlying causes is crucial for effective support and recovery. Self-harm is often a coping mechanism used to manage overwhelming emotions or distressing situations. People self-harm for various complex reasons, and it is essential to understand that self-harm is not simply attention-seeking behavior or an attempt to end one's life. Here are some common reasons why people engage in self-harm.

Emotional Regulation: Self-harm may temporarily relieve intense emotional pain or overwhelming feelings such as sadness, anger, anxiety, or numbness. It can serve as a way to cope with emotions that feel unbearable.

Communication of Pain: Some individuals find it difficult to express their emotional pain verbally. Self-harm may serve as a way to communicate their inner turmoil or distress to others.

Sense of Control: When other aspects of life feel out of control, self-harm can provide a temporary sense of control over one's body and emotions. It may be a way to assert autonomy in situations where one feels powerless.

Self-Punishment: Feelings of guilt, shame, or self-loathing can lead individuals to self-harm as a form of punishment for perceived failures or shortcomings. It may also be a way to seek relief from overwhelming feelings of guilt.

Distraction: Engaging in self-harm can distract from emotional pain or traumatic memories, albeit temporarily. It may provide a focus on physical pain that temporarily alleviates emotional distress.

Coping Mechanism: For some individuals, self-harm becomes a learned behavior or coping mechanism that they turn to in times of stress or crisis. It may provide a way to cope with difficult situations or traumatic experiences.

Expression of Dissociation: In cases where individuals feel disconnected from their emotions or sense of identity (dissociation), self-harm can serve as a way to feel something tangible and real.

How to Help Yourself or Someone Else Stop Self-Harming

Teens

Identify Triggers: Keep a journal of emotions and situations that trigger the urge to self-harm. Understanding triggers can help develop healthier coping strategies.

Develop Coping Skills: Replace self-harm with healthier alternatives like deep breathing, journaling, exercising, or seeking support from friends and trusted adults.

Reach Out for Support: Talk to a parent, school counselor, or therapist about your struggles. Opening up is an important step toward getting help.

Create a Safety Plan: Have a list of activities or people to turn to when feeling overwhelmed. This can provide distraction and emotional support during difficult times.

Explore Therapy Options: Consider therapy or counseling to address underlying issues contributing to self-harm and learn effective coping mechanisms.

Adults

Seek Professional Help: It's crucial for adults struggling with self-harm to seek support from a therapist or counselor who specializes in treating self-harm and related mental health issues.

Identify Triggers and Patterns: Like teens, adults should identify triggers and patterns associated with self-harm. This awareness can help develop strategies to manage and prevent self-harm urges.

Practice Self-Care: Engage in activities that promote relaxation and emotional well-being, such as meditation, exercise, hobbies, or spending time with supportive friends and family.

Use Distraction Techniques: Develop a toolkit of healthy distractions to turn to when the urge to self-harm arises. This might include calling a friend, going for a walk, or listening to music.

Address Underlying Issues: Work with a therapist to explore and address any underlying issues contributing to self-harm, such as trauma, depression, anxiety, or relationship problems.

Parents

Educate Yourself: Learn about self-harm and its underlying causes to better understand and support your child or teen.

Create a Supportive Environment: Foster open communication where your child feels safe discussing their feelings and struggles without fear of judgment.

Encourage Professional Help: Encourage your child to seek therapy or counseling. Support them in finding a therapist who specializes in adolescent mental health.

Model Healthy Coping Skills: Demonstrate healthy coping strategies in your own life, such as managing stress, expressing emotions, and seeking support when needed.

Be Patient and Supportive: Recovery from self-harm takes time and may involve setbacks. Provide consistent support and reassurance that you are there to help them through their journey.

Self-harm is a coping mechanism used by individuals of all ages to manage overwhelming emotions. By understanding the reasons behind self-harm and taking proactive steps to seek help, individuals and their families can work together toward healing and recovery. Remember, seeking support from trusted adults and mental health professionals is essential in overcoming self-harm and building healthier coping strategies for the future. With patience, empathy, and perseverance, it is possible to overcome self-harm and achieve emotional well-being.