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4200 Montrose Boulevard, Suite 550
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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. 

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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.

The Dangers of Pornography: What Parents of Adolescent and Teen Boys Need to Know

Joan Lipuscek

As a parent, having open and honest conversations with your adolescent or teen son about the realities of pornography can feel overwhelming. In today’s digital age, explicit content is more accessible than ever before, with boys as young as age 11 being exposed to it. What many parents may not realize is that pornography not only distorts perceptions of sex and relationships but also often involves underage girls and victims of sex trafficking. This article will guide you on how to approach this delicate topic, what to look out for, and how to have impactful conversations with your son.

The Risks of Pornography Exposure

  1. Distorted Views on Sex and Relationships
    One of the major concerns with teen boys consuming pornography is how it shapes their views of sex, intimacy, and relationships. Pornography often portrays unrealistic and harmful depictions of sexual encounters, objectifying women and reinforcing unhealthy dynamics of power and control. This can lead to a skewed understanding of consent, respect, and emotional intimacy.

  2. Addiction and Escalation
    Pornography can be addictive, especially when teens develop a dependency on it to cope with stress, anxiety, or loneliness. Over time, exposure to pornography can escalate, leading to the consumption of increasingly extreme content. For some, this leads to feelings of shame, guilt, and even mental health issues like depression or anxiety.

  3. The Link to Human Trafficking and Exploitation
    What many teens and even parents may not realize is that a significant portion of pornography involves victims of sex trafficking and minors. Many girls in these videos are coerced, manipulated, or forced into the industry, and some may be underage. Watching and consuming this type of content perpetuates the demand for exploitation, indirectly supporting a vicious cycle of abuse.

Signs Your Son May Be Exposed to Pornography

As a parent, it's crucial to be aware of signs that your son might be consuming pornography, especially if it's becoming a problem. Here are some red flags to look for:

  • Increased Secrecy: If your son becomes more secretive about his online activity or spends a lot of time alone in his room with his devices, it could be a sign that he’s engaging with explicit content.

  • Behavioral Changes: Pornography can lead to mood swings, irritability, and changes in how your son interacts with family and friends. If he starts withdrawing socially or becomes more aggressive or disrespectful towards women, these could be warning signs.

  • Sleep Issues: Staying up late or having trouble sleeping can sometimes be a sign of hidden pornography use, especially if he's accessing it during the night when he thinks others won’t notice.

  • Altered Views on Relationships: If your son expresses unhealthy or disrespectful views about girls, relationships, or consent, these may be influenced by exposure to pornographic material.

How to Talk to Your Son About Pornography and Trafficking

  1. Create a Safe, Non-Judgmental Space
    It’s essential to approach this conversation with understanding and without judgment. Your son may feel embarrassed, ashamed, or afraid of getting in trouble. Let him know that you’re there to talk and listen, and that your goal is to help him navigate this difficult subject in a healthy way.

  2. Educate Him on the Realities of Pornography
    Explain that while pornography might seem like harmless entertainment, it presents unrealistic and harmful views of sex and relationships. Talk about how many videos include girls who are underage or trafficked, and that viewing this content supports exploitation and abuse. Emphasize that real relationships are based on respect, trust, and mutual consent—things that pornography doesn’t accurately portray.

  3. Highlight the Dangers of Sex Trafficking and Exploitation
    Many teen boys don’t realize the link between pornography and human trafficking. Inform your son that some of the women and girls in these videos are victims of trafficking and may have been coerced or forced into these situations. Helping him understand the human cost of the pornography industry can encourage empathy and responsible choices.

  4. Encourage Healthy Sexual Development
    Reinforce that developing sexual feelings is normal during adolescence, but it’s important to learn about sex in healthy and respectful ways. Discuss safe, positive resources that provide factual and respectful information about relationships and sexuality. Encourage open communication and let your son know he can come to you with questions or concerns.

  5. Set Boundaries for Internet Use
    Monitoring your son’s internet use is important, but it’s equally important to empower him to make responsible decisions online. Consider using parental controls or apps that monitor screen time and web browsing but be clear that these measures are for his safety, not to invade his privacy. Have open discussions about responsible internet use, and remind him that the internet is full of both positive and harmful content.

The Importance of Ongoing Conversations

Talking to your son about pornography shouldn’t be a one-time discussion. As he grows older and technology becomes even more integrated into his life, it’s important to check in regularly. Continue to foster an environment of open dialogue where your son feels comfortable discussing any concerns or questions he may have. The goal is to build a foundation of trust, respect, and understanding so that your son can navigate the complex landscape of adolescence with confidence and responsibility.

The conversation around pornography, exploitation, and trafficking may feel uncomfortable, but it’s one that can make a lasting impact on your son’s life. Schedule an appointment with me today, if you need help talking to your adolescent or teen. By taking the time to educate and engage with him, you are helping him develop healthy views on relationships and equipping him with the tools to make responsible, compassionate choices.





Understanding Imposter Syndrome: A Guide for Teens and Adults

Joan Lipuscek

Have you ever felt like a fraud, despite your accomplishments? Do you sometimes fear that others will discover you’re not as talented or capable as they think you are? If so, you’re not alone. These feelings are the hallmark of imposter syndrome, a common but often misunderstood experience affecting both teens and adults.

Imposter syndrome can affect anyone, regardless of age, success, or background. It can hold you back from reaching your full potential by creating self-doubt and fear. In this blog, we’ll explore what imposter syndrome is, how it manifests in teens and adults, and ways to overcome it.

What is Imposter Syndrome?

Imposter syndrome refers to the internal experience of believing that you are not as competent or capable as others perceive you to be. It’s the nagging voice inside your head that says, “I don’t deserve this,” or “I’m just lucky.” People with imposter syndrome often dismiss their achievements as luck or a fluke, believing they’re bound to be exposed as a fraud.

Imposter syndrome can show up in various ways:

  • Self-doubt: Constantly questioning your abilities, even when evidence shows you’re capable.

  • Perfectionism: Feeling the need to achieve perfection in everything you do, fearing that any mistake will reveal your “true” incompetence.

  • Fear of failure: Avoiding challenges or new opportunities out of fear that failure will confirm your inadequacy.

  • Overworking: Pushing yourself to the extreme to prove you’re capable, even when it’s unnecessary.

Imposter Syndrome in Teens

For teens, imposter syndrome can surface in school, social settings, and extracurricular activities. The pressure to excel academically, fit in socially, and meet others' expectations can create a perfect storm for self-doubt.

Common signs of imposter syndrome in teens include:

  • Comparing themselves to peers: Teens may feel inadequate when they compare their grades, talents, or social status to their friends or classmates.

  • Avoiding challenges: Teens with imposter syndrome may steer clear of trying out for teams, joining clubs, or taking on leadership roles, fearing they won’t measure up.

  • Downplaying achievements: When teens achieve something significant, they might attribute it to luck or external factors, rather than acknowledging their hard work and skills.

Imposter Syndrome in Adults

For adults, imposter syndrome often emerges in the workplace or personal achievements. Even after years of experience, adults may feel they aren’t as knowledgeable or skilled as they should be, particularly in professional environments. Adults might also struggle with imposter syndrome when starting new ventures or taking on new responsibilities, like a promotion or career change.

Signs of imposter syndrome in adults include:

  • Undervaluing success: Adults may downplay their achievements, attributing their success to luck or other external factors.

  • Overpreparing: They might over-prepare for meetings, projects, or presentations to avoid being “found out” as incapable.

  • Difficulty accepting praise: Adults with imposter syndrome often have a hard time accepting compliments or recognition for their work, instead believing they’ve somehow tricked people into thinking they’re better than they are.

Why Do People Experience Imposter Syndrome?

Imposter syndrome can be triggered by a variety of factors, including:

  • High expectations: People who grow up in environments where success is highly valued may feel intense pressure to perform at a certain level.

  • New environments: Whether starting a new school, job, or role, being in an unfamiliar environment can heighten feelings of inadequacy.

  • Perfectionism: Those with perfectionistic tendencies are more likely to experience imposter syndrome, as they constantly strive for unattainable standards.

Cultural and societal expectations can also play a role. For example, teens and adults from marginalized groups may experience imposter syndrome more frequently, feeling as though they don’t “belong” or are not as deserving of their success.

Strategies to Overcome Imposter Syndrome

Overcoming imposter syndrome takes time, but with the right mindset and tools, you can learn to manage it effectively. Here are five strategies that can help both teens and adults:

  1. Recognize the Imposter Voice
    The first step in overcoming imposter syndrome is acknowledging when it’s happening. Notice when you’re having thoughts like, “I don’t deserve this” or “I’m just lucky.” These are imposter thoughts, not facts. By recognizing them, you can start to challenge them.

  2. Reframe Your Thoughts
    Instead of focusing on your perceived inadequacies, try reframing your thoughts. Remind yourself of your accomplishments and the hard work that got you there. For teens, this could mean acknowledging the effort you put into studying for a test. For adults, it might be recognizing your years of experience and skills.

  3. Share Your Feelings
    Imposter syndrome thrives in isolation. Talking to someone you trust, whether it’s a friend, teacher, mentor, or therapist, can help. Chances are, they’ve experienced similar feelings and can offer reassurance and perspective. By opening up, you’ll realize you’re not alone.

  4. Accept Compliments and Achievements
    When someone praises your work, resist the urge to deflect. Practice accepting compliments with a simple “thank you,” and acknowledge that your efforts played a role in your success. This can be difficult at first, but over time, it will help you internalize your achievements.

  5. Challenge Perfectionism
    Both teens and adults with imposter syndrome often have perfectionistic tendencies. Challenge the belief that you need to be perfect to be successful. Embrace the idea that making mistakes is a natural part of learning and growth.

When to Seek Help

If imposter syndrome is interfering with your daily life, relationships, or work, seeking support from a therapist can be beneficial. Therapy, especially cognitive-behavioral therapy (CBT), can help you explore the root causes of your imposter feelings and develop strategies to manage them.

Imposter syndrome can be an overwhelming experience, but it doesn’t have to control your life. Whether you're a teen navigating the challenges of school and social life or an adult trying to succeed in your career, understanding and addressing imposter syndrome is key to personal growth and success. Schedule an appointment with me today, if you or someone you know is struggling with imposter syndrome. Don’t let self-doubt hold you back—take steps today toward embracing your strengths and accomplishments. A therapist can guide you through these feelings and help you build confidence in your abilities. You deserve your achievements, and you have earned your place.

Understanding and Healing Shame: A Guide for Parents and Individuals

Joan Lipuscek

Shame is a heavy emotion that can deeply impact how we see ourselves and how we relate to others. Whether you're a parent trying to help your child navigate feelings of shame or someone on a personal journey of healing, understanding how shame works and how to overcome it is essential for emotional well-being. Based on the work of trauma expert Janina Fisher, this post will explore practical, effective ways to recognize and manage shame, so you and your loved ones can lead healthier, more confident lives.

What Is Shame, and How Does It Affect Us?

Shame tells us that something is wrong with who we are, not just with what we've done. It’s that inner voice that says, “I’m not good enough,” “I don’t belong,” or “I’m a failure.” Unlike guilt, which focuses on actions ("I did something bad"), shame attacks our sense of self ("I am bad"). It can come from childhood experiences, trauma, or societal pressures, and it’s often reinforced by criticism, rejection, or unrealistic expectations.

Shame is not just a mental experience—it’s something we feel in our bodies. For example, when we’re ashamed, we might want to shrink, avoid eye contact, or hide. This physical response is a key aspect of how shame affects us, which is why healing needs to involve both the mind and body.

Recognizing Shame: Signs to Look Out For

Before we can address shame, we need to understand how it shows up. Here are some signs of shame, especially for parents or individuals trying to recognize it in themselves or others:

  • Withdrawal or Isolation: Avoiding social situations or people, often out of fear of being judged or rejected.

  • Harsh Self-Criticism: Constantly putting yourself down, feeling like nothing you do is good enough.

  • Perfectionism: Striving for unattainable standards to avoid feeling “less than” or “unworthy.”

  • Defensiveness or Anger: Reacting strongly to criticism, often as a way to protect yourself from feeling shame.

  • Physical Reactions: Feeling tension in your body, slumping your shoulders, or a desire to hide when faced with difficult emotions.

For parents, recognizing these signs in your child can help you support them before shame takes hold. Children might act out or withdraw as a way to cope with shame, so it’s important to see these behaviors as cries for help rather than simply defiance or disobedience.

The Path to Healing Shame

Healing shame involves addressing both the cognitive aspects (how we think about shame) and the somatic aspects (how we experience shame in our bodies). By understanding this mind-body connection, individuals can begin to work through shame on a deeper level, recognizing how it affects both thoughts and physical sensations. This holistic approach allows for a more complete and lasting healing process.

Here’s how you can begin to heal:

Reframe Shame as a Survival Strategy

Shame often develops as a way to protect us, especially in difficult environments. For example, children who grow up in critical or neglectful homes may feel shame as a way to cope. Instead of thinking, “My parents don’t care about me,” they think, “I must be the problem.” This belief helps them manage the emotional pain of neglect.

For parents and individuals, reframing shame as a survival strategy can be incredibly powerful. It helps you understand that shame isn’t a sign of weakness or failure but something that once helped you cope. This shift in perspective is the first step in breaking free from shame’s grip.

Tune Into the Body

Since shame is a body-based emotion, it’s important to notice how it affects you physically. Do you feel tense or small when you’re ashamed? Does your chest tighten, or do you avoid eye contact? Fisher’s approach encourages us to pay attention to these physical responses. By simply noticing how shame shows up in the body, we create space to shift those reactions.

Try this with your child or yourself: Next time shame arises, take a moment to pause. Check in with your body. Are your shoulders hunched? Is your breathing shallow? Once you notice these signs, gently change your posture. Stand tall, breathe deeply, and relax your body. This simple act can begin to disrupt shame’s power.

Practice Compassionate Self-Awareness

Fisher’s work also highlights the importance of self-compassion. Often, we try to push shame away or criticize ourselves for feeling it. Instead, it’s important to bring curiosity and compassion to our shameful feelings. Ask yourself (or your child) questions like:

  • “Why do I feel this way?”

  • “What is this emotion trying to tell me?”

  • “Can I be kind to myself in this moment?”

For parents, this is a critical step in supporting children through their shame. Instead of rushing to fix or dismiss their feelings, listen with empathy. Let them know that it’s okay to feel shame and that they are still worthy of love, no matter what.

Shift the Focus Through the Body

Just as shame shows up physically, healing can also come through the body. Fisher’s approach includes helping individuals change their physical stance to interrupt shame. Encourage your child—or yourself—to practice "power poses," such as standing tall with arms open or taking deep breaths to ground and calm the body.

For example, if your child feels ashamed after being reprimanded, you might encourage them to stand up straight, take a few deep breaths, and say something positive about themselves. By practicing these small body-based shifts, you teach them that they can take control of how they feel, even when shame strikes.

Rebuild Confidence with Positive Reinforcement

Shame erodes self-esteem, so it’s important to rebuild a sense of self-worth. For parents, this means celebrating your child’s efforts and encouraging them to take pride in their strengths. Instead of focusing on mistakes, highlight what they did well and remind them that their worth isn’t defined by any single action.

For individuals, practicing positive affirmations and self-praise can help shift the negative narrative of shame. Keep a journal where you write down things you’re proud of or moments where you overcame a challenge. Over time, these small moments of affirmation will help restore a more positive self-image.

Final Thoughts: Moving Beyond Shame

Shame can feel like an insurmountable wall, but with the right tools, it can be managed and eventually overcome. By recognizing that shame is not a reflection of who we are but rather a response to past experiences, we can begin to loosen its grip on our lives. Whether you’re a parent helping your child navigate feelings of shame or someone trying to heal from your own experiences, the key is to approach yourself with compassion, patience, and a willingness to heal both mind and body.

Remember, you are not alone in this journey. Shame may tell you otherwise, but you are always worthy of love, acceptance, and belonging. Schedule an appointment with me today to assist you or a loved one trying to work through and process shame.