Contact joan

Use the form on the right to send me a quick note.

I will contact you within 24 hours so that we can discuss your situation and explore how we may work together.

4203 Montrose Boulevard, Suite 240
Houston, TX, 77006
United States

713-376-9822

Child, teen and family therapy in Houston, TX. Joan's specializations include: ADD/ADHD, Anxiety, LGBTQIA+ Support, Trauma, 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: Adolescent Therapy

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.

Demystifying Self-Harm: Help for Teens, Adults & Parents

Joan Lipuscek

Why Do People Self-Harm?

Self-harm is a serious behavior that affects individuals of all ages, and understanding its underlying causes is crucial for effective support and recovery. Self-harm is often a coping mechanism used to manage overwhelming emotions or distressing situations. People self-harm for various complex reasons, and it is essential to understand that self-harm is not simply attention-seeking behavior or an attempt to end one's life. Here are some common reasons why people engage in self-harm.

Emotional Regulation: Self-harm may temporarily relieve intense emotional pain or overwhelming feelings such as sadness, anger, anxiety, or numbness. It can serve as a way to cope with emotions that feel unbearable.

Communication of Pain: Some individuals find it difficult to express their emotional pain verbally. Self-harm may serve as a way to communicate their inner turmoil or distress to others.

Sense of Control: When other aspects of life feel out of control, self-harm can provide a temporary sense of control over one's body and emotions. It may be a way to assert autonomy in situations where one feels powerless.

Self-Punishment: Feelings of guilt, shame, or self-loathing can lead individuals to self-harm as a form of punishment for perceived failures or shortcomings. It may also be a way to seek relief from overwhelming feelings of guilt.

Distraction: Engaging in self-harm can distract from emotional pain or traumatic memories, albeit temporarily. It may provide a focus on physical pain that temporarily alleviates emotional distress.

Coping Mechanism: For some individuals, self-harm becomes a learned behavior or coping mechanism that they turn to in times of stress or crisis. It may provide a way to cope with difficult situations or traumatic experiences.

Expression of Dissociation: In cases where individuals feel disconnected from their emotions or sense of identity (dissociation), self-harm can serve as a way to feel something tangible and real.

How to Help Yourself or Someone Else Stop Self-Harming

Teens

Identify Triggers: Keep a journal of emotions and situations that trigger the urge to self-harm. Understanding triggers can help develop healthier coping strategies.

Develop Coping Skills: Replace self-harm with healthier alternatives like deep breathing, journaling, exercising, or seeking support from friends and trusted adults.

Reach Out for Support: Talk to a parent, school counselor, or therapist about your struggles. Opening up is an important step toward getting help.

Create a Safety Plan: Have a list of activities or people to turn to when feeling overwhelmed. This can provide distraction and emotional support during difficult times.

Explore Therapy Options: Consider therapy or counseling to address underlying issues contributing to self-harm and learn effective coping mechanisms.

Adults

Seek Professional Help: It's crucial for adults struggling with self-harm to seek support from a therapist or counselor who specializes in treating self-harm and related mental health issues.

Identify Triggers and Patterns: Like teens, adults should identify triggers and patterns associated with self-harm. This awareness can help develop strategies to manage and prevent self-harm urges.

Practice Self-Care: Engage in activities that promote relaxation and emotional well-being, such as meditation, exercise, hobbies, or spending time with supportive friends and family.

Use Distraction Techniques: Develop a toolkit of healthy distractions to turn to when the urge to self-harm arises. This might include calling a friend, going for a walk, or listening to music.

Address Underlying Issues: Work with a therapist to explore and address any underlying issues contributing to self-harm, such as trauma, depression, anxiety, or relationship problems.

Parents

Educate Yourself: Learn about self-harm and its underlying causes to better understand and support your child or teen.

Create a Supportive Environment: Foster open communication where your child feels safe discussing their feelings and struggles without fear of judgment.

Encourage Professional Help: Encourage your child to seek therapy or counseling. Support them in finding a therapist who specializes in adolescent mental health.

Model Healthy Coping Skills: Demonstrate healthy coping strategies in your own life, such as managing stress, expressing emotions, and seeking support when needed.

Be Patient and Supportive: Recovery from self-harm takes time and may involve setbacks. Provide consistent support and reassurance that you are there to help them through their journey.

Self-harm is a coping mechanism used by individuals of all ages to manage overwhelming emotions. By understanding the reasons behind self-harm and taking proactive steps to seek help, individuals and their families can work together toward healing and recovery. Remember, seeking support from trusted adults and mental health professionals is essential in overcoming self-harm and building healthier coping strategies for the future. With patience, empathy, and perseverance, it is possible to overcome self-harm and achieve emotional well-being.

Help! My Parents are Getting a Divorce: A Guide for Teens

Joan Lipuscek

Dealing with your parents' divorce can be one of the most challenging experiences you will face as a teenager. It's normal to feel a wide range of emotions, from anger and sadness to confusion and even relief. Remember, you're not alone in this journey, and it's okay to seek help and support.

Understanding Your Emotions

Divorce can trigger a whirlwind of emotions. Here are some common feelings you might experience and ways to cope with them.

  • Anger: It's natural to feel angry about the changes happening in your family. Finding healthy outlets for your anger, such as sports, art, or talking to a trusted friend, can be helpful.

  • Sadness: Grieving the loss of your family unit is normal. Allow yourself to cry and express your sadness. Journaling or speaking with a counselor can provide a safe space for these feelings.

  • Confusion: You might have questions about why the divorce is happening or what the future holds. Open communication with your parents can help clarify some uncertainties, even if they can't answer everything.

Coping Strategies

Here are some strategies to help you navigate this difficult time.

  • Talk About It: Keeping your feelings bottled up can make things worse. Find someone you trust, whether it's a friend, family member, or therapist, and talk about what you're going through.

  • Stay Connected: Maintain your social connections and continue participating in activities you enjoy. This can provide a sense of normalcy and stability.

  • Set Boundaries: It's important to set boundaries with your parents. Let them know how you feel and what you need from them. They may be struggling too, but your feelings are valid and deserve respect.

  • Practice Self-Care: Make time for activities that make you feel good and help you relax. Whether it's reading, listening to music, or going for a walk, self-care is crucial during stressful times.

Understanding the Changes

Your family dynamics are changing, and it's okay to feel disoriented. Here's how you can adapt.

  • Accept That It's Not Your Fault: Divorce is a decision made by your parents based on their relationship, not because of anything you did. Understanding this can relieve some of the guilt or blame you might feel.

  • Adjusting to New Routines: You might have to split your time between two households, which can be challenging. Try to keep a positive attitude and communicate your needs to both parents to make transitions smoother.

  • Dealing with New Relationships: If your parents start dating other people, it can be tough to accept. Give yourself time to adjust and be honest with your parents about your feelings.

Seeking Support

Support is crucial during this time. Here are some resources.

  • Therapy: Talking to a therapist can provide you with strategies to cope with your emotions and navigate the changes in your life.

  • Support Groups: Joining a support group for teens going through similar experiences can help you feel less alone and more understood.

  • Online Resources: Websites and forums can offer advice and a sense of community. Just be sure to use reputable sources.

Moving Forward

Your parents' divorce is a significant change, but it's a chapter in your life that you can learn and grow from. Over time, you will develop resilience and find new ways to find happiness and stability. Remember, it's okay to ask for help and take things one day at a time. You're stronger than you think, and brighter days are ahead.