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4200 Montrose Boulevard, Suite 550
Houston, TX, 77006
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(713) 376-9822

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.

Filtering by Category: Teen Therapy

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 Manage Oppositional Behavior in Children and Teens: Effective Strategies for Parents

Joan Lipuscek

Oppositional behavior in children and teens can be frustrating and overwhelming for parents. However, understanding the underlying causes and implementing strategies to manage this behavior effectively can make a significant difference. In this blog, we’ll explore what oppositional behavior is, why it occurs, and how parents can navigate these challenging moments to help their children develop healthier ways of coping.

What Is Oppositional Behavior?

Oppositional behavior in children and teens typically involves frequent defiance, argumentative attitudes, and resistance to authority figures, including parents, teachers, and caregivers. This behavior can range from mild to severe and often includes:

  • Frequent temper tantrums or angry outbursts

  • Refusing to comply with rules or requests

  • Arguing with adults or authority figures

  • Blaming others for mistakes or misbehavior

  • Being easily annoyed or touchy

When these behaviors persist over time and significantly impact a child’s daily functioning at home or school, they may be diagnosed with Oppositional Defiant Disorder (ODD). However, even without a formal diagnosis, oppositional behavior can create stress for the entire family.

Why Do Children and Teens Exhibit Oppositional Behavior?

Oppositional behavior can stem from several factors, including:

Developmental stages: Defiance is a normal part of development, especially during toddler years and adolescence, as children test boundaries and assert independence.

Emotional regulation difficulties: Children who struggle with managing their emotions often react with anger or defiance when they feel overwhelmed or frustrated.

Environmental stressors: Family conflict, academic pressures, or peer issues can exacerbate oppositional behavior.

Underlying conditions: ADHD, anxiety, learning disabilities, and trauma can contribute to oppositional behavior in some children.

How Parents Can Help Manage Oppositional Behavior

Stay Calm and Consistent

When children act out, it’s easy to get caught up in the emotional intensity of the moment. However, maintaining a calm demeanor is crucial. Yelling or reacting harshly can escalate the situation. Instead, calmly state the consequences of their behavior and follow through consistently. Consistency helps children understand the boundaries and what to expect.

Set Clear Expectations

Clearly define household rules and expectations, and ensure your child understands them. Post a list of rules in a visible place, such as on the refrigerator, to serve as a reminder. This gives your child a reference point and reduces opportunities for argument about what’s expected.

Use Positive Reinforcement

While consequences are important, positive reinforcement can be a powerful tool for encouraging better behavior. Praise your child when they follow rules or handle frustrations calmly. Offering rewards for positive behavior, such as additional screen time or choosing a family activity, can motivate them to continue making positive choices.

Teach Problem-Solving Skills

Children with oppositional behavior often lack the tools to solve problems constructively. Help your child develop these skills by guiding them through challenging situations. Ask questions like, “What do you think will happen if you choose to do that?” or “How could we solve this together?” This approach fosters problem-solving abilities and reduces impulsive reactions.

Practice Emotional Regulation Techniques

Oppositional behavior is often tied to emotional dysregulation. Teaching your child how to manage their emotions through mindfulness, deep breathing exercises, and relaxation techniques can help them stay calm during tense moments. Regular practice of these techniques makes it easier for them to use them in challenging situations.

Work on Communication Skills

Oppositional behavior often arises from misunderstandings or a lack of communication. Encourage open dialogue with your child and help them express their feelings without being confrontational. Active listening and validating their emotions go a long way in reducing conflict.

Seek Professional Support

If oppositional behavior is significantly affecting your family’s well-being or your child’s academic and social life, seeking support from a therapist can be beneficial. Therapists can work with your child on emotional regulation, anger management, and developing problem-solving strategies. Family therapy may also help improve communication and relationships within the family unit.

When to Consider Therapy for Oppositional Behavior

If you’ve tried managing your child’s oppositional behavior at home without success, or if the behavior is escalating, it might be time to consider professional help. A therapist can help identify the underlying causes of the behavior, provide targeted interventions, and work with your family to develop a plan for addressing the issue.

Benefits of Therapy for Oppositional Behavior

Emotional regulation: Children learn how to identify and manage their emotions, reducing the likelihood of outbursts.

Improved family relationships: Therapy fosters better communication and reduces conflict between family members.

Long-term coping skills: Children develop problem-solving and emotional management skills that they can carry into adulthood.

Managing oppositional behavior in children and teens is no easy task, but with the right strategies and support, you can help your child navigate their emotions and develop healthier ways to cope. Remember to stay patient, consistent, and open to seeking professional help if necessary. Parenting through oppositional behavior takes time, but with persistence, your child can learn the tools they need to thrive emotionally and socially. Schedule an appointment with me today to assist with managing oppositional behavior in children and teens.

How Therapy Nurtures Clients and the Benefits of Seeing a Therapist

Joan Lipuscek

Therapy is a powerful tool for personal growth, healing, and emotional resilience. For individuals navigating life’s challenges, seeking professional help can offer long-term benefits for mental health, relationships, and overall well-being. Therapists play an essential role in nurturing clients through a supportive, non-judgmental environment. This blog explores how therapists provide that care and the tangible benefits clients can experience.

How Therapists Nurture Clients

Creating a Safe, Non-Judgmental Environment: A key to effective therapy is the creation of a safe and comfortable space where clients can openly express their feelings. Therapists build trust with clients, offering a confidential environment that fosters vulnerability. Feeling secure is critical for clients to explore difficult emotions, mental health concerns, and personal growth without fear of judgment.

Providing Emotional Support and Understanding: Therapists offer more than just advice—we provide emotional support and understanding. Whether clients are dealing with anxiety, depression, grief, or trauma, therapists guide them through these challenges, validating their experiences. This emotional support helps clients process and cope with overwhelming feelings, making them feel less isolated in their struggles.

Teaching Coping Strategies and Practical Tools: Therapy is about more than just talking. Cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and mindfulness techniques are among the many tools therapists use to help clients manage stress, anxiety, and other challenges. These therapeutic approaches equip clients with practical skills to regulate emotions, handle life’s stressors, and navigate difficult situations.

Encouraging Personal Growth and Self-Awareness: One of the most significant aspects of therapy is helping clients develop self-awareness. By examining thoughts, emotions, and behaviors, clients gain a deeper understanding of themselves. This heightened self-awareness leads to personal growth and helps clients make positive changes in their lives, leading to improved mental health and well-being.

Supporting Clients Through Life Transitions: Major life transitions—such as divorce, job changes, or the loss of a loved one—can cause significant emotional strain. Therapists help clients manage these transitions by offering guidance, emotional support, and coping strategies. By nurturing clients through life’s changes, therapists promote resilience and adaptability.

The Benefits of Seeing a Therapist

Improved Mental Health: Therapy is highly effective for treating a wide range of mental health conditions such as anxiety, depression, trauma, and grief. Working with a therapist helps clients understand the root causes of their challenges and find healthier ways to cope. Over time, therapy can improve overall mental health, leading to a greater sense of emotional well-being.

Stronger Relationships: Therapy doesn’t just improve the individual—it also strengthens relationships. Through improved communication skills and emotional regulation, clients often experience better connections with their partners, family members, and friends. Therapy helps address issues like conflict resolution, intimacy challenges, and setting healthy boundaries, which all contribute to healthier, more fulfilling relationships.

Building Emotional Resilience: Life’s challenges can sometimes feel overwhelming, but therapy helps individuals build the emotional resilience needed to navigate tough situations. Clients learn how to manage stress, regulate their emotions, and stay grounded even during difficult times. Emotional resilience is a crucial skill that benefits clients throughout their lives.

Gaining Clarity and Problem-Solving Skills: Therapy offers a structured approach to tackling personal problems. By working through their thoughts and emotions with a therapist, clients gain clarity on their issues. Therapists also help break down larger problems into manageable steps, guiding clients toward effective problem-solving strategies.

Empowerment and Confidence: Through therapy, clients gain a sense of empowerment over their lives. By addressing their mental health issues, setting goals, and learning coping skills, clients feel more in control of their decisions and emotions. This increased confidence leads to a more proactive and fulfilling life.

The Importance of Therapy for Long-Term Well-Being

Therapy isn’t just for those experiencing a crisis. It offers long-term benefits by promoting self-awareness, emotional health, and personal growth. Regular sessions with a therapist can help individuals navigate life’s ups and downs with greater clarity and resilience.

For many, therapy is an ongoing journey toward better mental health. Whether someone is dealing with anxiety, depression, grief, or just seeking to improve their relationships, a therapist provides invaluable support, helping clients make meaningful progress toward their goals.

Therapists nurture their clients by offering emotional support, creating a safe space for exploration, and providing practical tools for growth. The benefits of therapy are wide-ranging, from improved mental health to stronger relationships, greater resilience, and a deeper sense of self-awareness. Whether you're facing a specific challenge or seeking personal growth, therapy offers a nurturing and transformative path to well-being.

Invest in your mental health today and consider therapy as a powerful tool for navigating life's challenges. A trusted therapist can guide you toward healing, growth, and lasting emotional resilience.