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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: Eating Disorders

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.

Mental Disorders in U.S. Teens

Joan Lipuscek

It is often difficult for families to understand the prevalence of teens suffering with a mental disorder. To help alleviate this, we created the following data visualization for the summary results of the study, "Lifetime Prevalence of Mental Disorders in US Adolescents: Results from the National Comorbidity Study-Adolescent Supplement (NCS-A)" published in the Journal of the American Academy of Child and Adolescent Psychiatry

For ease of use, we have included only figures on lifetime prevalence. This is the proportion of a given population that has ever had a mental disorder as classified by the DSM-IV at some point in their lives at the time of the study.

The visualization is structured with the highest level summary data available on the first tab, data by disorder type on the second tab and specific disorder data on the final tab. (Please set your browser to allow third party cookies if you receive an error while trying to explore the data.)

SUMMARY OF FINDINGS

Tab 1: All Disorders - The study concluded that while 49.5% of teens between the ages of 13-18 had suffered from a mental disorder at some point in their lives, only 22.2% of teens had suffered from a disorder that could be characterized as severe. For disorders to be classified as "severe impairments," the study required the respondents to report "a lot" or “extreme” impairment in daily activities, or “severe or very severe” distress. According to the study, "Severe emotional disorders required both distress and impairment to be present, and severe behavior disorders required endorsement of symptom criteria by both the parent and the adolescent."

Tab 2: Disorders by Type - Among disorder types, anxiety disorders are the most common with 31.9% of U.S. teens experiencing an anxiety disorder at some point in their lives. However, anxiety disorders were also found least likely to be severe with only 8.3% of teens reporting a severe impairment. Along gender lines, teen girls were more likely to suffer from anxiety and mood disorders, while boys were more likely to suffer from behavior and substance use disorders.

Tab 3: Specific Disorders - Specific phobias were by far the most popular mental disorders with 19.3% of teens reporting that they had suffered from this disorder at some point in their lives. However, specific phobias were also the least likely disorder to cause "severe impairment" with a prevalence rate of just 0.6% among teens. Along gender lines, Attention Deficit Hyperactivity Disorder (ADHD) and Post-Traumatic Stress Disorder (PTSD) are noteworthy for the large dispersion between the number of male and female sufferers. ADHD is reported for 13.0% of males, but only 4.2% of females. PTSD is reported for 8.0% of females, but only 2.3% of males. 

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