Dr Johana Stefan - Paediatric Psychiatrist

Dr Johana Stefan - Paediatric Psychiatrist Paediatric and family psychiatry

Dr Johana Stefan is a dually trained paediatric psychiatrist

Dr Stefan has worked as a child psychiatrist in hospital and community settings in metropolitan and regional WA, including Princess Margaret Hospital, Community Child and Adolescent Mental Health Services and the Complex Attention Deficit Hyperactivity Disorders Services in Joondalup and Murdoch. She was a Clinical Senior Lecturer with the University of Western Australia for many years and remains involved in teaching and mentoring of medical students, postgraduate teaching and examination of psychiatrists and pediatricians in training. Dr Stefan has special interest in school age children with complex presentations, taking a holistic approach to patient care. She values collaborative work with paediatricians, psychologists, schools and families to provide patients with the best possible service.

27/11/2025

We’re all sold this picture-perfect holiday fantasy: matching pajamas, cheerful baking, peaceful family meals, everyone smiling like a Hallmark card. But for so many of us — especially those parenting neurodivergent kids — the reality is… very different.

Think: meltdowns, sensory overload, too much noise, too many transitions, too many demands, and you trying to keep it all together with a smile. If the holidays feel chaotic or exhausting for you, please hear this: nothing is wrong with you or your child. The expectations are unrealistic.

Before we start trying to “fix” anything, it helps to pause and tell the truth about how the holidays have actually felt: burnout by mid-December, overstimulation, pressure to “make it magical,” kids falling apart from nonstop demands, and family members who don’t get your child’s needs.

There is real power in naming your lived experience. You can’t make the season gentler if you don’t start from honesty and compassion.

Step 1: Find Your Deep Why

Ask yourself: What do I actually want this season to feel like?
Maybe it’s connection. Maybe it’s rest. Maybe it’s just “less conflict, please.”

Your Deep Why becomes your anchor when everything feels loud or emotional. If something doesn’t support that Deep Why… it doesn’t need to stay.

Step 2: Name the Demands

The holidays are FULL of demands we don’t even notice until we’re drowning in them — sensory demands, social demands, emotional demands, routine changes, performance expectations.

Once you name them, you can stop blaming yourself and start adjusting the environment.

Step 3: Ask Why This Demand Matters

Not every demand is bad — but every demand costs something.

Ask yourself:
• Why do I feel pressure to do this?
• Whose expectation is this?
• Does this support our Deep Why?
• Does this help my child stay regulated?

If the only reason something exists is guilt or tradition or “we’ve always done it this way”… you’re allowed to set it down.

Step 4: Listen to Your Child

Our kids’ nervous systems are constantly telling us what they can and can’t handle, their sensory cues, their pacing, their overwhelm signals.

When we build holidays around the child we actually have, instead of the child others expect, we see less conflict, fewer meltdowns, and more peace.

Your child’s needs aren’t inconveniences. They’re information.

Step 5: Drop Demands Proactively

Instead of waiting for everything to fall apart, try dropping demands ahead of time. It really does make the whole season smoother.

Maybe that looks like:
• skipping an event
• shortening an outing
• choosing super simple meals
• saying “no” without overexplaining
• letting a tradition rest this year

Less pressure = fewer meltdowns + more peace.

Step 6: Meet Your Own Needs

Your needs matter just as much as your child’s.
Your energy, sensory tolerance, sleep, capacity, and emotional bandwidth all shape the holiday ecosystem at home.

When you care for yourself — even in tiny ways — you bring more regulation, more connection, and more stability to your family.

What if this season didn’t break you??

A meaningful holiday doesn’t come from doing more — it comes from doing what actually matters.

When you follow your Deep Why, drop unnecessary demands, listen to your child, and honor your own needs, you create a season that’s sustainable and kind.

You’re allowed to rewrite the script.
Low-demand holidays are holidays with room to breathe.

27/11/2025

Sour candy can literally help stop a panic attack.

According to mental health experts, the intense flavor acts as a grounding technique—its sharp, jarring taste pulls attention away from overwhelming thoughts and into the immediate physical sensation.

This redirection can help interrupt the cycle of spiraling anxiety, bringing individuals back to the present moment. Additionally, the act of chewing and the surge in saliva production may support the body's calming response, offering a sense of control during distress.

While not a cure or replacement for therapy, this sensory-based strategy can serve as a quick, practical tool in moments of high anxiety. As noted by experts cited by Utah State University, sour candy can be particularly helpful in grounding exercises used during panic attacks. However, they caution that frequent or intense anxiety should always be assessed by a healthcare professional to ensure appropriate long-term care.

Source: Utah State University Extension. (2023). Managing Anxiety with Grounding Techniques.

25/11/2025
01/11/2025

It wasn’t the meds—it was how I talked about them.

I used to think collaboration meant talking it all through. Every med change, every dose, every side effect—I explained, prepped, checked in, and made sure we were “on the same page.” I’m a big talker so…it was A LOT of words. My heart was definitely in the right place. I wanted consent, partnership, and trust.

But the more I talked... the harder it got.
The more words I used, the more my kid shut down, panicked, or refused their meds.

And honestly? I get it now.

For PDA kids, even hearing about medication can feel like a demand. The idea that something is acting on them, changing them, is freaking scary. Being reminded, asked, or told about meds can send their already-vulnerable nervous system into overdrive. I thought I was helping by explaining. But if I’m really honest, I was putting pressure on my kid to give a verbal “yes” so I could feel better about the whole thing.

What changed everything? I stopped talking so much.

Short, factual, emotionally neutral statements replaced my “pep talks.” Mostly, I didn’t say anything at all. I would silently drop off a gummy or mix his dissolvable into ketchup. I didn’t hide it. I wasn’t being sneaky. I just wasn’t forcing him to talk about it every time. He was fine with taking his meds, as long as I didn’t force him to agree with it or call any special attention to it.

When he said “I don’t need it” or “I feel fine,” I stopped trying to convince him I was right. Instead, I got curious. “What’s making this too hard right now?” became my silent wondering. Was it the words I was using, the expectations surrounding it, my energy, the time of day, the sensory elements, the feeling of pressure, the other demands of the day?

But there was always a reason.

That’s why I created the Low Demand Medications course.

You’ll learn how to:
• Reduce conversations to what’s necessary
• Hold compassionate nuance around consent
• Stay curious when your child pushes back
• Focus on trusting relationship and build slowly

Because so often, the medication isn’t the problem. It’s the talking about it that gets us stuck.

Explore the new Low Demand Medications course by commenting “medication” and then check your DMs.

https://intouch.physio/In Touch Physiotherapy remains open for 2025 and is accepting both new and returning clients. Hel...
28/10/2025

https://intouch.physio/
In Touch Physiotherapy remains open for 2025 and is accepting both new and returning clients.
Helen continues to offer flexible appointment times that cater to clients' lifestyle and individual needs. She is committed to providing excellent care. Bookings can be made online (www.intouch.physio), email (helen@intouch.physio), or phone (9381 6166).

Pain Relief improves when you understand what pain means. Understanding pain empowers you to take control and be part of the solution. At In Touch Physio Subiaco Helen allows you time to ask questions and learn. Her approach is comprehensive and guarantees you effective pain relief by linking with o...

18/10/2025

Common English idioms with simple meanings

17/10/2025

They look like fun...

There may some useful resources here:
22/09/2025

There may some useful resources here:

Connect with other young people and find support that works for you. ReachOut helps you deal with stress, anxiety, depression, and whenever life doesn't go as planned.

16/09/2025

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Paediatric and family psychiatry

Dr Stefan has worked as a child psychiatrist in hospital and community settings in metropolitan and regional WA, including Princess Margaret Hospital, Community Child and Adolescent Mental Health Services and the Complex Attention Deficit Hyperactivity Disorders Services in Joondalup and Murdoch. She was a Clinical Senior Lecturer with the University of Western Australia for many years and remains involved in teaching and mentoring of medical students, postgraduate teaching and examination of psychiatrists and pediatricians in training.

Dr Stefan has special interest in school age children with complex presentations, taking a holistic approach to patient care. She values collaborative work with paediatricians, psychologists, schools and families to provide patients with the best possible service.