The Wellness Update
April 2026
 
The end of the school year is approaching, and with it comes a wave of transitions.
 
Some are exciting.
Some are bittersweet.
Most are a mix of both.
 
New schools. New grades. Summer camps. Changing routines. Different expectations. For some families, shifts in custody schedules.
 
And even when these changes are positive, they can still feel hard.
 
As a clinician that works with children and families, I see this cycle happen every year. Anxiety doesn’t just show up when something is wrong. Anxiety tends to show up when something is changing.
 
As a parent, I’m feeling it too.
 
My oldest daughter is leaving the amazing school we’ve called home for the last 10 years and heading to high school. At the same time, we’re transitioning into our summer custody schedule, which means a different rhythm for our family, for her, and for her younger sister.
 
There’s excitement. There’s pride. And there’s also discomfort, uncertainty, and a quiet sense of loss.
 
Having all of these feelings at once is completely normal, albeit overwhelming.
 
 
Why Transitions Feel So Hard
Transitions disrupt predictability. Even when kids want the change, their brains are asking:
 
“What will this be like?”
“Will I be okay?”
“What if something goes wrong?”
 
This is called anticipatory anxiety—and it often shows up before the transition even happens.
 
You might notice:
😠 More irritability
💞 Clinginess
🚫 Resistance or avoidance
🗣️ Big (loud) emotions over small things
 
This doesn’t mean your child is struggling more than they should. It means they are trying to make sense of something new.
 
 
How It Shows Up at Different Ages
Transitions don’t look the same across development:
  • Younger kids may become more clingy, have trouble with separation, or regress in small ways
  • Middle schoolers often show anxiety through irritability, resistance, or social worry
  • Teens may withdraw, overthink, or try to control details to manage uncertainty
We feel them as parents, too:
  • Letting go of routines
  • Watching our kids grow up
  • Navigating co-parenting changes
  • Managing our own uncertainty about what’s ahead
Often our instinct is to tighten control—to plan more, say more, fix more. 
 
But most of the time what helps most is not eliminating uncertainty, but learning to tolerate it.
 
What Actually Helps During Transitions
When a child is struggling with change, it’s natural to want to make it easier.
 
We have to keep in mind though, that the goal isn’t to remove discomfort entirely. It’s to help our kids move through it.
 
A few shifts that make a meaningful difference:
  • Name the transition clearly
    “This is a big change. It makes sense that it feels different.”
  • Normalize mixed feelings
    Kids can feel excited and nervous at the same time.
  • Focus on coping, not certainty
    Instead of answering every “what if,” emphasize:
    “We’ll figure it out when we get there.”
  • Preview, but don’t over prepare
    Give enough information to reduce uncertainty without overwhelming them.
  • Encourage small steps toward the change
    Visiting a new campus, meeting a peer, trying a short camp day—these build confidence.
Confidence comes from learning you can tolerate discomfort even when situations don't go as planned.
 
A Note for Divorced or Co-Parenting Families
Transitions can feel especially significant in families navigating multiple homes.
 
Summer schedule changes, shifts in routines, and time away from one parent can bring up big emotions (for children and for parents).
 
A few things that can help:
  1. Keep communication clear and predictable
  2. Acknowledge and validate the difficulty without trying to “fix” it
  3. Avoid putting children in the middle of adult emotions
  4. Maintain consistency where possible, even across homes
It’s okay for this to feel hard. Stability and feelings of safety don’t come from eliminating change or difficulty, but from how transitions are handled.
 
Here's a Simple Reframe:
When your child is struggling with transition, 
it doesn't mean something is wrong.
 
It means something is changing
And change is where growth happens.
 
 
 
Check Out Our Resources Page
Check out our Resources Page on our website
 
If your family is navigating anxiety, transitions, or uncertainty, our Resources Page includes practical tools and guides grounded in CBT and evidence-based care. 
 
 
 
Transitions are often harder than we expect.
 
However with the right support, they can become moments that build confidence, flexibility, and resilience for kids and adults.
 
With you in this season of change,
-Dr. Ivy Ruths, PhD
 
Licensed Psychologist
Founder & Clinical Director
Houston Anxiety & Wellness Center

News & Practice Updates
Upcoming Events
 
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SAVE THE DATE!
Our CBT Summer Camps Are Open for Registration!
June 15-19, 2026
These camps blend evidence-based CBT skills with creativity, hands-on activities, and confidence-building experiences in a supportive, developmentally appropriate environment. Campers signed up for both sessions will have an opportunity to eat a packed lunch and have a nice break between sessions. If you are signing up siblings or for both sessions, make sure to inquire about a discounted rate! 
 
Spots are limited! To inquire or reserve your spot contact Kim or Lindsey at info@houstonanxiety.com.
 
Practice Updates
 
 
WE'RE HIRING!
We're looking for a Fully Licensed Psychologist Specializing in Eating Disorders and/or OCD
This role is ideal for a clinician trained in evidence-based approaches such as CBT, ERP, and family-based treatment, who is excited to be part of a collaborative, growing practice.

👉  To learn more or apply, please visit our website or reach out directly at 
 
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Community Outreach!
Understanding OCD Community Event | May 1, 2026
Houston Anxiety and Wellness Center is excited to sponsor the Understanding OCD Community Event on May 1, 2026 in the Woodlands, Texas! We will be there with goodies and to connect with local mental health providers, families, clinicians, and educators. We can’t wait to connect with you!  Register for the event HERE!
 
In The Community
Living in An Anxious World: Nick Finnegan Counseling Center Panel Discussion | April 
Last week, Dr. Ruths participated in a panel discussion, Living in an Anxious World, hosted by the Nick Finnegan Counseling Center. The conversation brought together mental health professionals from across disciplines to discuss how anxiety is showing up in today’s world for children, teens, and adults, and what actually helps.
 
Topics ranged from the role of uncertainty and control, to how anxiety can show up in subtle ways like avoidance, perfectionism, and irritability, to the importance of building skills rather than trying to eliminate anxiety altogether.
 
Opportunities like this allow clinicians to share research-based information in a way that is accessible and relevant to everyday life. They also help reduce stigma and make it easier for individuals and families to understand when and how to seek support. We are grateful to collaborate with colleagues and continue contributing to the Houston community. Watch the replay of the entire panel HERE.
 
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Accepting New clients
 
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Reminder - Cancellation Policy
If you are unable to make your scheduled appointment, you must email our clinic coordinators at info@houstonanxiety.com or call the clinic at 832-205-8120 to cancel or reschedule your appointment at least 48 hours before your appointment time or you will be charged the full fee of your intake or therapy session.
 
 
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Houston, Texas 77006, USA
 
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