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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.

Your Child's First Phone and Access to Social Media

Joan Lipuscek

In today's digitally-driven world, the question of when to give a child their first phone or allow them access to social media is a pressing concern for many parents. Consider your child's maturity level, responsibility and need for communication. Many parents choose to introduce phones when their children begin activities or situations where they may need to contact them. Numerous psychological studies support the idea of delaying access to phones and social media until eighth grade. One notable study published in the JAMA Psychiatry found that adolescents who spent more time on social media reported higher levels of internalizing problems, such as depression and anxiety. Another study published in JAMA Pediatrics linked higher social media use to increased risk and severity of depressive symptoms among adolescents. By delaying access to social media, parents can protect their children's mental health and well-being during a critical period of development.

The Importance of Social Skills

One of the key reasons for delaying access to phones and social media is to prioritize the development of essential social skills. Research suggests that excessive screen time can interfere with children's ability to engage in face-to-face interactions, empathize with others, and build meaningful relationships. By delaying access to phones and social media, parents can encourage their children to develop strong interpersonal skills and foster deeper connections with peers and family members.

Promoting Real-world Experiences

Delaying access to phones and social media also encourages children to engage more fully in real-world experiences and activities. Studies have shown that excessive screen time can detract from time spent on hobbies, sports, outdoor play and other enriching pursuits. By limiting screen time and delaying access to phones and social media, parents can encourage their children to explore the world around them, develop new interests, and cultivate a healthy balance between online and offline activities.

Setting Limits and Boundaries

Establishing clear rules and boundaries around screen time is crucial for maintaining a healthy family dynamic. Encourage regular breaks from screens, prioritize face-to-face interactions, and designate screen-free zones and times, such as during meals and before bedtime. Collaborate with your children to create a family screen time plan that works for everyone. Set clear guidelines for phone usage, such as no phones at the dinner table or during family time. Additionally, engage in open conversations with your children about online safety, privacy, and responsible digital citizenship.

Monitoring Content and Social Media

With the vast amount of content available on the internet and social media, it is essential for parents to monitor and regulate what their children are exposed to online. Social media platforms often have age restrictions for a reason. Before allowing your child to join social media, ensure they understand the potential risks and responsibilities involved. Consider their emotional maturity, ability to navigate online interactions safely, and willingness to adhere to your family's guidelines for social media usage. Familiarize yourself with parental control settings and software that can help filter inappropriate content and track your child's online activity. 

Managing screen time, phones, and social media is a complex but essential task for parents. By setting clear limits, monitoring content and engaging in open communication with your children, you can help them develop healthy screen habits and navigate the online world safely. Remember, every family is unique, so find strategies that work best for your family dynamics and values. With forethought and open communication, parents can empower their children to make informed choices with regard to social media usage as they become young adults.

How Can Parents Improve Self-Esteem in Teenagers?

Joan Lipuscek

Negative self-esteem can significantly impact the well-being and development of teenagers, affecting various parts of their lives including academics, social interactions and mental health. On the other hand, positive self-esteem plays a large part in the psychological well-being and personal development of teenagers. It empowers teens to navigate life's challenges with confidence, resilience and optimism. It ultimately leads to a more fulfilling and rewarding life.

Signs of Negative Self-Esteem in Teenagers 

  • Teenager’s experiencing negative self-esteem may engage in excessive self-criticism and negative self-talk. They may focus on their perceived flaws and shortcomings, leading to feelings of inadequacy and self-doubt.They may withdraw from social interactions and isolate themselves from peers. This may lead to a fear of rejection or judgment from others. 

  • Negative self-esteem can also impact academic performance, teens may doubt their abilities and feel incapable of achieving success. They may avoid taking on challenges or pursuing academic goals due to fear of failure. Negative self-esteem can drive teens to pursue perfectionism as a way to validate their self-worth. They may set impossibly high standards for themselves and become overly critical when they fail to meet those standards.

  • Poor body image and dissatisfaction with physical appearance may correlate with negative self-esteem. Teens may compare themselves unfavorably to others, leading to body shaming, disordered eating behaviors, or excessive exercising to try to change their appearance. Some teenagers may engage in risky behaviors as a way to cope with their negative feelings. This can include substance abuse, reckless driving, or delinquent activities.

  • Some teens exhibit signs of mood swings, emotional instability and a heightened sensitivity to criticism or perceived rejection. This could lead to bouts of sadness, anxiety, or anger. In severe cases, this can contribute to self-destructive behaviors such as self-harm or suicidal ideation. Teens may feel overwhelmed by feelings of worthlessness and hopelessness, leading them to contemplate or attempt suicide as a way to escape their pain.

It's important for parents to be aware of these signs and symptoms and to provide support and intervention when necessary. Building positive self-esteem in teenagers involves fostering a supportive home-life by promoting self-acceptance and encouraging healthy coping mechanisms for dealing with challenges and setbacks.

Tips for Parents to Promote Positive Self-Esteem 

Create a supportive environment

  • Foster open communication and establish a safe space for your teen to express their thoughts and feelings without judgment. Listen actively and validate their experiences without dismissing or minimizing them.

Focus on Strengths 

  • Help your teen identify their strengths, talents, and accomplishments. Encourage them to pursue activities that are enjoyable as well as activities that they excel at, whether it's sports, arts, academics or hobbies.

Set Realistic Expectations 

  • Avoid placing unrealistic expectations on your teenager, instead focus on setting achievable goals. Break larger goals into smaller, manageable steps and celebrate progress along the way.

Promote Healthy Lifestyle Habits

  • Encourage your teen to prioritize self-care activities such as exercise, proper nutrition and adequate sleep. Physical health and well-being are closely linked to improved mental health and positive self-esteem.

Provide Positive Reinforcement 

  • Offer praise and encouragement for your teen’s efforts and accomplishments, no matter how small. Recognize their strengths and affirmations, reinforcing a positive self-image.

Seek Professional Support if Needed 

  • Negative self-esteem can present significant challenges for teenagers but with parental support and guidance, it is possible to foster a positive self-image and promote healthy development. If your son or daughter’s negative self-esteem is significantly impacting their daily functioning or mental health, consider seeking support from a therapist or counselor who specializes in adolescent and teen issues. Professional intervention can provide valuable tools and strategies for building self-esteem. By implementing these tips and seeking additional help when needed, parents can play a crucial role in helping their teens build confidence, resilience, and a strong sense of self-worth.

Co-Parenting a Child With ADHD: Strategies for Divorced Parents

Joan Lipuscek

Co-parenting a child with ADHD from a divorced home can be demanding and can present unique challenges. With effective communication, collaboration, and consistency, you can create a supportive and nurturing environment for your child. 

Effective Communication Strategies 

Co-parents may begin by maintaining open lines of communication with each other. Share information about your child's ADHD diagnosis, treatment plan, medication (if applicable), and any changes or developments related to their condition. Consistency in communication helps ensure that both parents are on the same page regarding the child's needs and progress. Ideally, both parents can collaborate by establishing a detailed co-parenting plan that includes schedules, routines, and responsibilities. This plan could include provisions for managing ADHD-specific challenges such as medication management, therapy sessions, and school meetings. A well-structured plan helps reduce conflicts and creates a stable environment for your child.

Establishing Structure and Consistency

Children with ADHD often thrive in structured and predictable environments. Try to maintain consistent routines and rules across both households. This includes consistent bedtimes, meal times, and expectations for behavior. Consistency can help your child feel more secure and supported. Whenever possible, involve both parents in major decisions related to your child's ADHD treatment and education. This can include decisions about therapy options, school accommodations, and changes in medication. Collaborative decision-making ensures that both parents have a say in their child's well-being.

Effective Information Sharing 

Share important information about your child's ADHD treatment and progress with teachers, therapists, and medical professionals. Co-parents could keep each other informed about appointments, evaluations, and any recommendations from healthcare providers. Consider attending parenting classes or workshops specifically focused on parenting children with ADHD. These can provide you with strategies and tools for managing ADHD-related challenges effectively.It is also important to work together as a team when advocating for your child's educational needs. Attend school meetings, such as Individualized Education Program (IEP) or 504 Plan meetings, together to ensure consistency in the support your child receives.

Taking a Solution Focused Approach 

Understand that your child's needs may change over time, and you may need to adjust your co-parenting plan accordingly. Be flexible and willing to adapt as necessary to ensure your child's well-being. When discussing issues related to your child, maintain a positive and solution-oriented approach. Avoid blaming or criticizing the other parent. Instead, focus on finding solutions and strategies that work best for your child. Make sure each parent prioritizes self-care, to maintain their own mental and emotional well-being. A well-rested and emotionally balanced parent is better equipped to support a child with ADHD.

Co-parenting requires ongoing effort, patience, and a focus on your child's best interests. While it may be challenging at times, a collaborative and supportive approach can provide your child with the stability and guidance they need to thrive, despite their ADHD diagnosis. If conflicts arise that cannot be resolved amicably, consider involving a mediator or seeking the guidance of a mental health professional who specializes in co-parenting and ADHD.