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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.

Understanding Imposter Syndrome: A Guide for Teens and Adults

Joan Lipuscek

Have you ever felt like a fraud, despite your accomplishments? Do you sometimes fear that others will discover you’re not as talented or capable as they think you are? If so, you’re not alone. These feelings are the hallmark of imposter syndrome, a common but often misunderstood experience affecting both teens and adults.

Imposter syndrome can affect anyone, regardless of age, success, or background. It can hold you back from reaching your full potential by creating self-doubt and fear. In this blog, we’ll explore what imposter syndrome is, how it manifests in teens and adults, and ways to overcome it.

What is Imposter Syndrome?

Imposter syndrome refers to the internal experience of believing that you are not as competent or capable as others perceive you to be. It’s the nagging voice inside your head that says, “I don’t deserve this,” or “I’m just lucky.” People with imposter syndrome often dismiss their achievements as luck or a fluke, believing they’re bound to be exposed as a fraud.

Imposter syndrome can show up in various ways:

  • Self-doubt: Constantly questioning your abilities, even when evidence shows you’re capable.

  • Perfectionism: Feeling the need to achieve perfection in everything you do, fearing that any mistake will reveal your “true” incompetence.

  • Fear of failure: Avoiding challenges or new opportunities out of fear that failure will confirm your inadequacy.

  • Overworking: Pushing yourself to the extreme to prove you’re capable, even when it’s unnecessary.

Imposter Syndrome in Teens

For teens, imposter syndrome can surface in school, social settings, and extracurricular activities. The pressure to excel academically, fit in socially, and meet others' expectations can create a perfect storm for self-doubt.

Common signs of imposter syndrome in teens include:

  • Comparing themselves to peers: Teens may feel inadequate when they compare their grades, talents, or social status to their friends or classmates.

  • Avoiding challenges: Teens with imposter syndrome may steer clear of trying out for teams, joining clubs, or taking on leadership roles, fearing they won’t measure up.

  • Downplaying achievements: When teens achieve something significant, they might attribute it to luck or external factors, rather than acknowledging their hard work and skills.

Imposter Syndrome in Adults

For adults, imposter syndrome often emerges in the workplace or personal achievements. Even after years of experience, adults may feel they aren’t as knowledgeable or skilled as they should be, particularly in professional environments. Adults might also struggle with imposter syndrome when starting new ventures or taking on new responsibilities, like a promotion or career change.

Signs of imposter syndrome in adults include:

  • Undervaluing success: Adults may downplay their achievements, attributing their success to luck or other external factors.

  • Overpreparing: They might over-prepare for meetings, projects, or presentations to avoid being “found out” as incapable.

  • Difficulty accepting praise: Adults with imposter syndrome often have a hard time accepting compliments or recognition for their work, instead believing they’ve somehow tricked people into thinking they’re better than they are.

Why Do People Experience Imposter Syndrome?

Imposter syndrome can be triggered by a variety of factors, including:

  • High expectations: People who grow up in environments where success is highly valued may feel intense pressure to perform at a certain level.

  • New environments: Whether starting a new school, job, or role, being in an unfamiliar environment can heighten feelings of inadequacy.

  • Perfectionism: Those with perfectionistic tendencies are more likely to experience imposter syndrome, as they constantly strive for unattainable standards.

Cultural and societal expectations can also play a role. For example, teens and adults from marginalized groups may experience imposter syndrome more frequently, feeling as though they don’t “belong” or are not as deserving of their success.

Strategies to Overcome Imposter Syndrome

Overcoming imposter syndrome takes time, but with the right mindset and tools, you can learn to manage it effectively. Here are five strategies that can help both teens and adults:

  1. Recognize the Imposter Voice
    The first step in overcoming imposter syndrome is acknowledging when it’s happening. Notice when you’re having thoughts like, “I don’t deserve this” or “I’m just lucky.” These are imposter thoughts, not facts. By recognizing them, you can start to challenge them.

  2. Reframe Your Thoughts
    Instead of focusing on your perceived inadequacies, try reframing your thoughts. Remind yourself of your accomplishments and the hard work that got you there. For teens, this could mean acknowledging the effort you put into studying for a test. For adults, it might be recognizing your years of experience and skills.

  3. Share Your Feelings
    Imposter syndrome thrives in isolation. Talking to someone you trust, whether it’s a friend, teacher, mentor, or therapist, can help. Chances are, they’ve experienced similar feelings and can offer reassurance and perspective. By opening up, you’ll realize you’re not alone.

  4. Accept Compliments and Achievements
    When someone praises your work, resist the urge to deflect. Practice accepting compliments with a simple “thank you,” and acknowledge that your efforts played a role in your success. This can be difficult at first, but over time, it will help you internalize your achievements.

  5. Challenge Perfectionism
    Both teens and adults with imposter syndrome often have perfectionistic tendencies. Challenge the belief that you need to be perfect to be successful. Embrace the idea that making mistakes is a natural part of learning and growth.

When to Seek Help

If imposter syndrome is interfering with your daily life, relationships, or work, seeking support from a therapist can be beneficial. Therapy, especially cognitive-behavioral therapy (CBT), can help you explore the root causes of your imposter feelings and develop strategies to manage them.

Imposter syndrome can be an overwhelming experience, but it doesn’t have to control your life. Whether you're a teen navigating the challenges of school and social life or an adult trying to succeed in your career, understanding and addressing imposter syndrome is key to personal growth and success. Schedule an appointment with me today, if you or someone you know is struggling with imposter syndrome. Don’t let self-doubt hold you back—take steps today toward embracing your strengths and accomplishments. A therapist can guide you through these feelings and help you build confidence in your abilities. You deserve your achievements, and you have earned your place.

Understanding and Healing Shame: A Guide for Parents and Individuals

Joan Lipuscek

Shame is a heavy emotion that can deeply impact how we see ourselves and how we relate to others. Whether you're a parent trying to help your child navigate feelings of shame or someone on a personal journey of healing, understanding how shame works and how to overcome it is essential for emotional well-being. Based on the work of trauma expert Janina Fisher, this post will explore practical, effective ways to recognize and manage shame, so you and your loved ones can lead healthier, more confident lives.

What Is Shame, and How Does It Affect Us?

Shame tells us that something is wrong with who we are, not just with what we've done. It’s that inner voice that says, “I’m not good enough,” “I don’t belong,” or “I’m a failure.” Unlike guilt, which focuses on actions ("I did something bad"), shame attacks our sense of self ("I am bad"). It can come from childhood experiences, trauma, or societal pressures, and it’s often reinforced by criticism, rejection, or unrealistic expectations.

Shame is not just a mental experience—it’s something we feel in our bodies. For example, when we’re ashamed, we might want to shrink, avoid eye contact, or hide. This physical response is a key aspect of how shame affects us, which is why healing needs to involve both the mind and body.

Recognizing Shame: Signs to Look Out For

Before we can address shame, we need to understand how it shows up. Here are some signs of shame, especially for parents or individuals trying to recognize it in themselves or others:

  • Withdrawal or Isolation: Avoiding social situations or people, often out of fear of being judged or rejected.

  • Harsh Self-Criticism: Constantly putting yourself down, feeling like nothing you do is good enough.

  • Perfectionism: Striving for unattainable standards to avoid feeling “less than” or “unworthy.”

  • Defensiveness or Anger: Reacting strongly to criticism, often as a way to protect yourself from feeling shame.

  • Physical Reactions: Feeling tension in your body, slumping your shoulders, or a desire to hide when faced with difficult emotions.

For parents, recognizing these signs in your child can help you support them before shame takes hold. Children might act out or withdraw as a way to cope with shame, so it’s important to see these behaviors as cries for help rather than simply defiance or disobedience.

The Path to Healing Shame

Healing shame involves addressing both the cognitive aspects (how we think about shame) and the somatic aspects (how we experience shame in our bodies). By understanding this mind-body connection, individuals can begin to work through shame on a deeper level, recognizing how it affects both thoughts and physical sensations. This holistic approach allows for a more complete and lasting healing process.

Here’s how you can begin to heal:

Reframe Shame as a Survival Strategy

Shame often develops as a way to protect us, especially in difficult environments. For example, children who grow up in critical or neglectful homes may feel shame as a way to cope. Instead of thinking, “My parents don’t care about me,” they think, “I must be the problem.” This belief helps them manage the emotional pain of neglect.

For parents and individuals, reframing shame as a survival strategy can be incredibly powerful. It helps you understand that shame isn’t a sign of weakness or failure but something that once helped you cope. This shift in perspective is the first step in breaking free from shame’s grip.

Tune Into the Body

Since shame is a body-based emotion, it’s important to notice how it affects you physically. Do you feel tense or small when you’re ashamed? Does your chest tighten, or do you avoid eye contact? Fisher’s approach encourages us to pay attention to these physical responses. By simply noticing how shame shows up in the body, we create space to shift those reactions.

Try this with your child or yourself: Next time shame arises, take a moment to pause. Check in with your body. Are your shoulders hunched? Is your breathing shallow? Once you notice these signs, gently change your posture. Stand tall, breathe deeply, and relax your body. This simple act can begin to disrupt shame’s power.

Practice Compassionate Self-Awareness

Fisher’s work also highlights the importance of self-compassion. Often, we try to push shame away or criticize ourselves for feeling it. Instead, it’s important to bring curiosity and compassion to our shameful feelings. Ask yourself (or your child) questions like:

  • “Why do I feel this way?”

  • “What is this emotion trying to tell me?”

  • “Can I be kind to myself in this moment?”

For parents, this is a critical step in supporting children through their shame. Instead of rushing to fix or dismiss their feelings, listen with empathy. Let them know that it’s okay to feel shame and that they are still worthy of love, no matter what.

Shift the Focus Through the Body

Just as shame shows up physically, healing can also come through the body. Fisher’s approach includes helping individuals change their physical stance to interrupt shame. Encourage your child—or yourself—to practice "power poses," such as standing tall with arms open or taking deep breaths to ground and calm the body.

For example, if your child feels ashamed after being reprimanded, you might encourage them to stand up straight, take a few deep breaths, and say something positive about themselves. By practicing these small body-based shifts, you teach them that they can take control of how they feel, even when shame strikes.

Rebuild Confidence with Positive Reinforcement

Shame erodes self-esteem, so it’s important to rebuild a sense of self-worth. For parents, this means celebrating your child’s efforts and encouraging them to take pride in their strengths. Instead of focusing on mistakes, highlight what they did well and remind them that their worth isn’t defined by any single action.

For individuals, practicing positive affirmations and self-praise can help shift the negative narrative of shame. Keep a journal where you write down things you’re proud of or moments where you overcame a challenge. Over time, these small moments of affirmation will help restore a more positive self-image.

Final Thoughts: Moving Beyond Shame

Shame can feel like an insurmountable wall, but with the right tools, it can be managed and eventually overcome. By recognizing that shame is not a reflection of who we are but rather a response to past experiences, we can begin to loosen its grip on our lives. Whether you’re a parent helping your child navigate feelings of shame or someone trying to heal from your own experiences, the key is to approach yourself with compassion, patience, and a willingness to heal both mind and body.

Remember, you are not alone in this journey. Shame may tell you otherwise, but you are always worthy of love, acceptance, and belonging. Schedule an appointment with me today to assist you or a loved one trying to work through and process shame.

How to Let Go of Resentment: A Step-by-Step Guide for Inner Peace

Joan Lipuscek

Resentment is a heavy burden. It can build over time and quietly damage relationships, mental health, and overall well-being. Whether it stems from a long-term issue or a recent incident, holding onto resentment keeps you stuck in the past. Learning to let go of it is essential for personal growth and emotional freedom. This guide will walk you through practical steps to release resentment and reclaim peace of mind.

What Is Resentment?

Resentment is the lingering feeling of anger or bitterness toward someone or something that has wronged you. These feelings often stem from unresolved conflicts, unmet expectations, or perceived injustices. Over time, resentment can poison relationships and prevent healing.

Why Letting Go of Resentment Matters

Carrying resentment affects not only your emotional well-being but also your physical health. Chronic resentment can contribute to anxiety, depression, and stress. Studies show that long-term bitterness may even weaken your immune system. By letting go, you are not excusing the hurt, but freeing yourself from the grip of negative emotions.

Acknowledge Your Resentment

The first step in letting go is recognizing that you are holding onto resentment. Ask yourself:

  • Who am I angry at?

  • What exactly do I feel they’ve done wrong?

Identifying the root of your resentment allows you to address it in a healthy way. Journaling can help you dig deeper into your emotions and clarify what is fueling the bitterness.

Shift Your Perspective

Resentment often thrives because we are stuck in one perspective: ours. Try to see the situation from a different angle. Was the person truly malicious, or were they acting out of their own pain or ignorance?

While this doesn’t justify hurtful actions, understanding that people are complex and fallible can soften your anger. Compassion opens the door to forgiveness.

Practice Forgiveness

Forgiveness is the antidote to resentment, but it doesn’t mean you have to forget or condone what happened. It means releasing the emotional grip the event has on you. To start, reflect on what forgiveness would look like for you. Can you create space for healing without needing an apology?

By forgiving, you’re not letting the other person off the hook—you’re freeing yourself from emotional suffering.

Focus on What You Can Control

One of the main reasons resentment lingers is that we often try to change the past or control how others act. Realizing that you can’t control others but can change your response is key to emotional freedom. Redirect your energy into your own healing and growth.

Cultivate Gratitude

Gratitude and resentment cannot coexist. Shifting your focus toward what you are thankful for in your life can dissolve negative emotions. Create a daily gratitude practice by writing down three things you’re thankful for, no matter how small. This practice re-trains your brain to focus on positive experiences and helps you see beyond the hurt.

Set Healthy Boundaries

In some cases, you may need to distance yourself from the person or situation that triggered your resentment. Establishing clear boundaries protects your mental health and prevents further emotional harm. Communicate your limits assertively but with kindness, ensuring your well-being comes first.

Seek Support

Letting go of resentment is not always easy, and it’s okay to seek help. Talk to a trusted friend, family member, or therapist. They can offer a fresh perspective and provide emotional support as you work through your feelings.

If resentment is deeply ingrained, professional help may be needed to untangle the emotions and memories tied to it. Therapy offers a safe space to explore the roots of your resentment and develop coping strategies.

Focus on Self-Care

Resentment drains your emotional energy. Prioritize self-care by engaging in activities that bring you joy, relaxation, and comfort. Whether it’s exercise, meditation, or spending time with loved ones, self-care helps to replenish your emotional reserves, making it easier to let go of resentment.

Commit to Moving Forward

Letting go is not a one-time event; it’s a daily commitment. Resentment may resurface occasionally, but staying focused on the present and practicing the steps above can help you maintain inner peace. Over time, the weight of resentment will lighten, and you'll feel more empowered.

Letting go of resentment is an act of self-liberation. By acknowledging your feelings, shifting your perspective, and practicing forgiveness, you free yourself from the toxic cycle of anger and bitterness. Remember, letting go is not about excusing hurtful behavior—it’s about reclaiming your emotional well-being and creating space for peace, joy, and growth. Schedule an appointment with me today to assist you or a loved one with helping let go of resentment.