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4200 Montrose Boulevard, Suite 550
Houston, TX, 77006
United States

(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 Tag: Depression

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.

Teens and Adults: How to Talk to Your Peers About Depression When You Are Afraid of Oversharing

Joan Lipuscek

Opening up about depression is a daunting task, and it becomes even more challenging when you’re uncertain about whom to trust. For both teens and adults, the fear of being judged or misunderstood can make this process even more intimidating. However, sharing your struggles is an essential step toward healing and finding the support you need. Here are some tips to help you navigate these conversations while protecting your emotional well-being.

Reflect on Past Interactions

Before you open up, take a moment to think about your past interactions with the person. Have they shown empathy and respect for others' feelings? Reflecting on these interactions can help you decide if they might be trustworthy.

Start Small

Begin by sharing something minor and observe their reaction. For example, mention feeling a bit overwhelmed or stressed. Their response to these small disclosures can give you insight into how they might handle more serious information about your depression.

Use "I" Statements

When you do decide to talk, use "I" statements to express your feelings. For instance, say "I’ve been feeling really low lately" rather than "You don’t understand what I’m going through." This approach helps keep the conversation focused on your experiences and feelings.

Set Clear Boundaries

Clearly communicate your boundaries at the start of the conversation. Let them know that what you’re sharing is personal and that you need them to respect your privacy. For example, you could say, "I'm sharing something very personal with you, and I hope you can keep it confidential."

Educate Them About Depression

Sometimes people don't understand depression because they haven't experienced it. Providing a brief explanation can help them understand what you're going through. Explain that depression is a medical condition that affects your mood, thoughts, and behavior, and it’s not something you can just snap out of.

Share Selectively

You don't have to share everything. Choose specific aspects of your experience that you feel comfortable disclosing. If you're unsure how they will react, it's okay to withhold some details.

Observe Their Reaction

Pay attention to their reaction. Are they listening attentively? Do they respond with empathy and support? If their reaction is dismissive or judgmental, it might be a sign to end the conversation and seek support elsewhere.

Seek Support from Trusted Sources First

If you’re hesitant about trusting your peers, consider seeking support from more reliable sources first. This could be a family member, a close friend, or a mental health professional. They can provide you with the support and guidance you need while you decide who else to trust.

Prepare for Various Outcomes

Understand that not everyone will respond the way you hope. Be prepared for different reactions, including positive, negative, or indifferent responses. Remember, their reaction is not a reflection of your worth or the validity of your feelings.

Protect Your Well-being

If the conversation doesn't go well or you feel hurt by their response, prioritize your well-being. Reach out to someone who has consistently been supportive or consider talking to a therapist. It’s important to have a safety net of people who can offer genuine support.

Talking to your peers about your depression when you’re unsure of their trustworthiness can be intimidating for both teens and adults. By taking small steps, setting boundaries, and being selective about what you share, you can navigate these conversations more safely. Remember, it’s okay to protect yourself and seek support from trusted sources. Your mental health and well-being are paramount, and finding the right people to support you is a crucial step in your journey toward healing.