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.

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...

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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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Suite 39/375 Hay Street
Subiaco, WA
6008

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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.