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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.

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.

How to Help Your Teen Avoid Alcohol and Drug Use: A Parent’s Guide

Joan Lipuscek

As a parent, the thought of your teenager experimenting with alcohol or drugs can be overwhelming. Adolescence is a time of exploration and identity formation, and unfortunately, this can sometimes lead to risky behaviors like drinking and drug use. Understanding why teens might be drawn to these substances and how you can support them in making healthier choices is essential for navigating this challenging phase of their development.

Why Do Teens Experiment with Alcohol and Drugs?

Several factors can contribute to a teenager’s decision to experiment with alcohol or drugs:

Peer Pressure: One of the most significant influences on a teen's behavior is their peer group. The desire to fit in or be accepted can lead them to try substances that they might otherwise avoid.

Curiosity: Teens are naturally curious and may experiment with alcohol or drugs simply to see what it feels like or because they’ve heard about it from friends or the media.

Stress and Emotional Struggles: Adolescence can be a tumultuous time, with teens facing academic pressures, social challenges, and emotional ups and downs. Some may turn to substances as a way to cope with stress, anxiety, depression, or other emotional struggles.

Rebellion: In an effort to assert their independence, some teens may engage in risky behaviors, including substance use, as a form of rebellion against parental authority or societal expectations.

Accessibility: Unfortunately, alcohol and drugs are often relatively easy for teens to access, whether through older friends, parties, or even within their own homes.

Signs Your Teen May Be Using Alcohol or Drugs

Recognizing the signs of substance use early, can help you intervene before it becomes a more significant problem. Some warning signs include:

Behavioral Changes: Sudden changes in behavior, such as increased secrecy, withdrawing from family activities, or a noticeable change in friend groups, may indicate substance use.

Academic Issues: A drop in grades, loss of interest in schoolwork, or frequent absences can be red flags.

Physical Symptoms: Bloodshot eyes, frequent nosebleeds, sudden weight loss or gain, or a change in personal hygiene could be signs of substance use.

Emotional Changes: Mood swings, irritability, unexplained outbursts, or a lack of motivation may signal a problem.

Paraphernalia: Finding drug paraphernalia, such as pipes, rolling papers, or unusual containers, can be a clear indication of substance use.

How to Talk to Your Teen About Alcohol and Drug Use

Initiating a conversation about alcohol and drugs can be challenging, but open communication is key to helping your teen make healthy choices. Here are some tips for approaching the topic:

Stay Calm and Non-Judgmental: Approach the conversation with a calm and non-judgmental attitude. Avoid accusations or making your teen feel like they are being interrogated. This will make them more likely to open up.

Be Honest and Direct: Share your concerns openly and honestly. Let your teen know that you are aware of the pressures they face and that you are there to support them.

Educate Them: Provide your teen with accurate information about the risks and consequences of alcohol and drug use. Make sure they understand the potential impact on their health, safety, and future.

Set Clear Expectations and Boundaries: Establish clear rules about substance use and discuss the consequences of breaking these rules. Be consistent in enforcing these boundaries.

Encourage Healthy Coping Strategies: Help your teen develop healthy ways to cope with stress, such as through physical activity, creative outlets, or talking to a trusted adult.

Be a Role Model: Demonstrate healthy behaviors in your own life. Teens often mimic the actions of the adults around them, so setting a good example is crucial.

When to Seek Professional Help

If you suspect your teen is struggling with substance use, don’t hesitate to seek professional help. A therapist or counselor specializing in adolescent issues can provide valuable support and guidance. They can work with your teen to address the underlying causes of substance use and help them develop healthier coping strategies.

In some cases, more intensive intervention may be necessary, such as outpatient therapy or a rehabilitation program. Early intervention can prevent the escalation of substance use into addiction and provide your teen with the tools they need to make positive changes.

Supporting Your Teen Through Recovery

If your teen is already struggling with substance use, recovery can be a long and challenging process, but with the right support, they can overcome it. Here are some ways you can support your teen:

Be Patient and Supportive: Recovery is a journey that takes time. Be patient and supportive as your teen works through the challenges they face.

Encourage Participation in Positive Activities: Help your teen find and engage in activities that promote a healthy lifestyle and offer a sense of purpose and achievement.

Involve the Whole Family: Family therapy can be an essential part of the recovery process, helping to address any underlying family dynamics that may contribute to substance use.

Stay Informed: Educate yourself about substance use and recovery so that you can better understand what your teen is going through and how to best support them.

By maintaining open communication, providing a supportive environment, and contacting a therapist when needed, you can help your teen navigate the challenges of adolescence and help them make healthy, informed choices about alcohol and drug use.