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4200 Montrose Boulevard, Suite 550
Houston, TX, 77006
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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.

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.

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.