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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 Category: Anxiety

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.

Finding Micro Joys in the Midst of Depression and Anxiety

Joan Lipuscek

Living with depression and anxiety can make it difficult to find happiness and contentment in everyday life. However, focusing on micro joys—small, fleeting moments of happiness—can provide a sense of relief and help improve mental well-being for children, teens, and adults.

Micro joys are small, simple pleasures that can bring a sense of happiness and satisfaction, even if only for a brief moment. These can be as simple as enjoying a warm cup of tea, feeling the sun on your face, or hearing your favorite song. Recognizing and savoring these moments can help shift focus away from negative thoughts and feelings, providing a mental and emotional boost.

Children: Discovering Joy in Little Moments

Encourage Play and Exploration: Children often find joy in play and exploration. Provide opportunities for them to engage in activities they love, such as playing with toys, exploring nature, or creating art. Encourage them to notice the fun and excitement in these moments.

Celebrate Small Achievements: Recognize and celebrate children's small achievements, whether it's completing a puzzle, drawing a picture, or learning a new skill. Acknowledging these successes can boost their confidence and create feelings of joy.

Practice Gratitude: Introduce simple gratitude practices to help children appreciate the positive aspects of their day. Encourage them to share something they enjoyed or are thankful for each day, fostering a habit of noticing and savoring micro joys.

Mindful Moments: Teach children to engage their senses and be present in the moment. For example, have them close their eyes and listen to the sounds around them, smell a flower, or savor the taste of their favorite snack. These mindful moments can help them connect with their immediate environment and find joy in simple experiences.

Foster Connection: Spend quality time with children, engaging in activities that bring joy to both of you. Whether it’s reading a book together, playing a game, or taking a walk, these shared experiences can create lasting memories and moments of happiness.

Teens: Navigating the Path to Joy

Encourage Hobbies and Interests: Help teens discover and engage in hobbies and interests that bring them joy. Whether it’s playing a musical instrument, drawing, writing, or playing sports, these activities can provide a sense of accomplishment and pleasure.

Mindfulness and Meditation: Introduce mindfulness and meditation practices to help teens stay present and manage overwhelming emotions. Simple exercises like deep breathing, guided imagery, or mindful walking can help them notice and appreciate micro joys throughout their day.

Gratitude Journaling: Encourage teens to keep a gratitude journal, where they write down a few things they are grateful for each day. This practice can help shift their focus towards positive experiences and create a habit of recognizing micro joys.

Connect with Nature: Spending time in nature can be incredibly healing. Encourage teens to take walks, hike, or simply sit outside and observe their surroundings. The beauty of nature can offer countless moments of joy and tranquility.

Social Connections: Support teens in maintaining healthy social connections. Spending time with friends and family, sharing laughter, and engaging in meaningful conversations can provide moments of joy and emotional support.

Adults: Finding Joy in Everyday Life

Prioritize Self-Care: Make time for self-care activities that bring you joy, such as reading, taking a bath, gardening, or enjoying a hobby. Prioritizing self-care can help you recharge and notice the small pleasures in your day.

Mindfulness and Meditation: Practice mindfulness and meditation to stay present and manage stress. Techniques such as mindful breathing, body scans, and meditation can help you connect with the present moment and find joy in simple experiences.

Gratitude Practice: Keep a gratitude journal to document things you are thankful for each day. This practice can help shift your focus towards positive experiences and create a habit of recognizing micro joys.

Connect with Loved Ones: Spend quality time with friends and family, engaging in activities that bring joy and strengthen your relationships. Meaningful connections and shared experiences can provide a sense of happiness and support.

Engage Your Senses: Pay attention to sensory experiences that bring you pleasure. Enjoy the aroma of your morning coffee, the warmth of the sun, the sound of birds chirping, or the feel of soft fabric. Engaging your senses can help you stay present and find joy in everyday moments.

Physical Activity: Incorporate physical activity into your routine. Whether it’s a walk in the park, yoga, dancing, or any other form of exercise you enjoy, physical activity can boost your mood and help you notice moments of joy.

Discovering micro joys in the midst of depression and anxiety is achievable for everyone, regardless of age. By paying attention to small, simple pleasures, you can create moments of happiness and enhance your overall well-being. Whether you're a child, teen, or adult, practicing gratitude, mindfulness, and self-care can help you notice and cherish these brief, joyful moments. Even during tough times, there are always opportunities to discover moments of joy throughout the day. Embrace these moments and let them fill your life with warmth and hope.