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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.

How to Help Your Teen Avoid Alcohol and Drug Use: A Parent’s Guide

Joan Lipuscek

As a parent, the thought of your teenager experimenting with alcohol or drugs can be overwhelming. Adolescence is a time of exploration and identity formation, and unfortunately, this can sometimes lead to risky behaviors like drinking and drug use. Understanding why teens might be drawn to these substances and how you can support them in making healthier choices is essential for navigating this challenging phase of their development.

Why Do Teens Experiment with Alcohol and Drugs?

Several factors can contribute to a teenager’s decision to experiment with alcohol or drugs:

Peer Pressure: One of the most significant influences on a teen's behavior is their peer group. The desire to fit in or be accepted can lead them to try substances that they might otherwise avoid.

Curiosity: Teens are naturally curious and may experiment with alcohol or drugs simply to see what it feels like or because they’ve heard about it from friends or the media.

Stress and Emotional Struggles: Adolescence can be a tumultuous time, with teens facing academic pressures, social challenges, and emotional ups and downs. Some may turn to substances as a way to cope with stress, anxiety, depression, or other emotional struggles.

Rebellion: In an effort to assert their independence, some teens may engage in risky behaviors, including substance use, as a form of rebellion against parental authority or societal expectations.

Accessibility: Unfortunately, alcohol and drugs are often relatively easy for teens to access, whether through older friends, parties, or even within their own homes.

Signs Your Teen May Be Using Alcohol or Drugs

Recognizing the signs of substance use early, can help you intervene before it becomes a more significant problem. Some warning signs include:

Behavioral Changes: Sudden changes in behavior, such as increased secrecy, withdrawing from family activities, or a noticeable change in friend groups, may indicate substance use.

Academic Issues: A drop in grades, loss of interest in schoolwork, or frequent absences can be red flags.

Physical Symptoms: Bloodshot eyes, frequent nosebleeds, sudden weight loss or gain, or a change in personal hygiene could be signs of substance use.

Emotional Changes: Mood swings, irritability, unexplained outbursts, or a lack of motivation may signal a problem.

Paraphernalia: Finding drug paraphernalia, such as pipes, rolling papers, or unusual containers, can be a clear indication of substance use.

How to Talk to Your Teen About Alcohol and Drug Use

Initiating a conversation about alcohol and drugs can be challenging, but open communication is key to helping your teen make healthy choices. Here are some tips for approaching the topic:

Stay Calm and Non-Judgmental: Approach the conversation with a calm and non-judgmental attitude. Avoid accusations or making your teen feel like they are being interrogated. This will make them more likely to open up.

Be Honest and Direct: Share your concerns openly and honestly. Let your teen know that you are aware of the pressures they face and that you are there to support them.

Educate Them: Provide your teen with accurate information about the risks and consequences of alcohol and drug use. Make sure they understand the potential impact on their health, safety, and future.

Set Clear Expectations and Boundaries: Establish clear rules about substance use and discuss the consequences of breaking these rules. Be consistent in enforcing these boundaries.

Encourage Healthy Coping Strategies: Help your teen develop healthy ways to cope with stress, such as through physical activity, creative outlets, or talking to a trusted adult.

Be a Role Model: Demonstrate healthy behaviors in your own life. Teens often mimic the actions of the adults around them, so setting a good example is crucial.

When to Seek Professional Help

If you suspect your teen is struggling with substance use, don’t hesitate to seek professional help. A therapist or counselor specializing in adolescent issues can provide valuable support and guidance. They can work with your teen to address the underlying causes of substance use and help them develop healthier coping strategies.

In some cases, more intensive intervention may be necessary, such as outpatient therapy or a rehabilitation program. Early intervention can prevent the escalation of substance use into addiction and provide your teen with the tools they need to make positive changes.

Supporting Your Teen Through Recovery

If your teen is already struggling with substance use, recovery can be a long and challenging process, but with the right support, they can overcome it. Here are some ways you can support your teen:

Be Patient and Supportive: Recovery is a journey that takes time. Be patient and supportive as your teen works through the challenges they face.

Encourage Participation in Positive Activities: Help your teen find and engage in activities that promote a healthy lifestyle and offer a sense of purpose and achievement.

Involve the Whole Family: Family therapy can be an essential part of the recovery process, helping to address any underlying family dynamics that may contribute to substance use.

Stay Informed: Educate yourself about substance use and recovery so that you can better understand what your teen is going through and how to best support them.

By maintaining open communication, providing a supportive environment, and contacting a therapist when needed, you can help your teen navigate the challenges of adolescence and help them make healthy, informed choices about alcohol and drug use.

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.

Surviving the Sandwich Generation: Tips for Balancing Care for Aging Parents and Raising Children

Joan Lipuscek

The “sandwich generation” refers to adults who are simultaneously caring for their aging parents while raising their own children. This unique position, often described as being “sandwiched” between two generations, can bring immense challenges and stress. Juggling the responsibilities of caring for elderly parents and providing for children can leave little time for self-care, leading to burnout, anxiety, and emotional exhaustion. We’ll take a closer look at the challenges faced by the sandwich generation and offer strategies to help you find balance and support during this demanding time.

Understanding the Challenges of the Sandwich Generation

Emotional Strain

Caring for aging parents and raising children can take a significant emotional toll. You may experience feelings of guilt, sadness, or frustration as you try to meet the needs of both generations. Watching your parents’ health decline while trying to maintain a sense of normalcy for your children can be heartbreaking and emotionally draining. The constant push and pull between these responsibilities can lead to feelings of being overwhelmed and stretched too thin.

Time Management

One of the most significant challenges for the sandwich generation is managing time effectively. Between attending to your parents’ medical appointments, helping with their daily needs, and being present for your children’s activities and school requirements, finding time for yourself can feel impossible. This relentless schedule can lead to chronic stress, sleep deprivation, and a constant sense of being rushed or behind.

Financial Pressure

Caring for two generations often comes with financial stress. The costs associated with elder care, such as medical expenses, home modifications, or assisted living, can strain your budget. At the same time, you’re responsible for your children’s education, extracurricular activities, and everyday needs. Balancing these financial demands can be challenging, especially if you’re also trying to save for your own retirement or manage debts.

Impact on Personal Relationships

The demands of being in the sandwich generation can strain personal relationships, including those with your spouse or partner, siblings, and friends. You may find that your time and energy are so consumed by caregiving that you have little left to nurture these relationships. This can lead to feelings of isolation, resentment, or even conflict, as others may not fully understand the extent of your responsibilities.

Physical and Mental Health Risks

The stress and exhaustion of managing dual caregiving roles can negatively impact your physical and mental health. You may neglect your own health needs, leading to conditions such as high blood pressure, anxiety, depression, or chronic fatigue. The constant caregiving can also result in burnout, making it harder to provide quality care for your loved ones.

Strategies for Managing the Challenges

Set Realistic Expectations

It’s essential to set realistic expectations for yourself and recognize that you cannot do everything perfectly. Accept that there will be days when things don’t go as planned, and that’s okay. Prioritize the most critical tasks and be willing to delegate or let go of less important ones. Learning to say “no” when necessary and setting boundaries with others can help you manage your time and energy more effectively.

Seek Support

Don’t be afraid to seek help and support from others. This could include asking family members to share caregiving responsibilities, hiring professional caregivers, or joining a support group for people in the sandwich generation. Connecting with others who are going through similar experiences can provide emotional support, practical advice, and a sense of community. Online forums, local support groups, or counseling services can be valuable resources.

Prioritize Self-Care

Self-care is crucial when you’re in the sandwich generation. Make time for activities that recharge your energy and reduce stress, such as exercise, meditation, or hobbies you enjoy. Even small moments of self-care, like taking a short walk, reading a book, or enjoying a quiet cup of tea, can make a significant difference in your well-being. Remember that taking care of yourself is not selfish; it’s necessary to sustain your ability to care for others.

Communicate Openly

Open communication with your family members is key to managing the demands of the sandwich generation. Discuss your needs, challenges, and feelings with your spouse or partner, siblings, and children. Being transparent about the difficulties you’re facing can lead to more understanding and cooperation from those around you. Encourage your family to express their feelings as well, as this can help you all navigate the situation together.

Explore Professional Resources

There are many professional resources available to help you manage the challenges of caregiving. Consider consulting with a financial advisor to plan for elder care and your own retirement. Look into legal resources, such as elder law attorneys, to assist with managing your parents’ affairs. Home health care services, respite care, and geriatric care managers can provide practical assistance, allowing you to take breaks and reduce your caregiving burden.

Embrace Flexibility

Flexibility is vital in managing the competing demands of the sandwich generation. Be prepared to adjust your plans and expectations as circumstances change. This might mean re-evaluating your career goals, modifying your work schedule, or exploring remote work options. Flexibility can help you find creative solutions that allow you to fulfill your responsibilities while maintaining your own well-being.

Focus on the Positive

While the challenges of being in the sandwich generation are significant, it’s also important to focus on the positive aspects. Caring for your parents and children can strengthen family bonds and create meaningful memories. Recognize the value of the time you spend with your loved ones and the impact you’re making in their lives. Celebrating these moments can help you maintain a sense of purpose and fulfillment amid the challenges.

Being part of the sandwich generation is a complex and often overwhelming experience, but it is also an opportunity to demonstrate love, resilience, and strength. By setting realistic expectations, seeking support, prioritizing self-care, and embracing flexibility, you can navigate the challenges more effectively. Remember, you don’t have to do it all alone. Reach out for help when you need it, communicate openly with your loved ones, and take care of yourself as you care for those around you. With the right strategies and support, it is possible to find balance and maintain your well-being while caring for both your aging parents and your children.