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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.

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.

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.