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4203 Montrose Boulevard, Suite 240
Houston, TX, 77006
United States

713-376-9822

Child, teen and family therapy in Houston, TX. Joan's specializations include: ADD/ADHD, Anxiety, LGBTQIA+ Support, Trauma, 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 Come Out to Your Parents: A Step-by-Step Guide for Teens and Adults

Joan Lipuscek

Coming out to your parents can feel overwhelming, whether you’re a teen or an adult. It's a deeply personal decision, and no two experiences are the same. If you're considering sharing your LGBTQIA+ identity with your parents, it's important to approach the conversation in a way that feels right for you. In this guide, we'll explore helpful tips for navigating this significant moment, while also addressing common concerns and fears.

Why Coming Out Is Important

For many people, coming out is an empowering step toward living authentically. It allows you to build stronger, more honest relationships with those closest to you. While the fear of rejection or misunderstanding may make you hesitant, being true to yourself can bring immense relief and a greater sense of self-acceptance.

Reflect on Your Readiness

Before you come out, it’s essential to consider your own emotional readiness. Ask yourself:

  • Am I comfortable with my identity?

  • Why do I want to come out now?

  • Am I prepared for any response, whether positive or negative?

Being clear about your reasons and ensuring you're emotionally prepared will give you the strength to handle the conversation, no matter how it unfolds.

Understand Your Parents’ Perspectives

Every family dynamic is different, and it’s helpful to think about how your parents might react. Consider:

  • How have your parents responded to LGBTQIA+ issues in the past?

  • Do they know other LGBTQIA+ people or have exposure to the community?

  • Are there cultural or religious factors that could affect their reaction?

By understanding your parents’ likely reactions, you can better prepare for the conversation and manage your expectations.

Choose the Right Time and Place

Timing matters. Choose a calm, private setting where you can talk without interruptions. Avoid times when your parents might be stressed or distracted, and try to create a space where you can both speak openly.

For example:

  • After dinner, when everyone is relaxed

  • During a quiet weekend afternoon

  • When you're all in a neutral, comfortable environment

Prepare What You Want to Say

It’s normal to feel nervous or unsure of how to start the conversation. Preparing what you want to say can help. You don’t need to plan every word, but having a basic outline can reduce anxiety. Here are some examples of what you might say:

  • "I want to talk to you about something important. I’ve been thinking a lot about who I am, and I want to share that I’m [insert your identity, e.g., gay, bisexual, transgender, etc.]."

  • "I love you, and I hope you can understand that this is who I am."

Remember, the conversation doesn’t need to be perfect. Being honest and authentic is what matters most.

Be Ready for Any Reaction

Parents can react in various ways—some may be supportive and loving, while others might need time to process the news. Here’s how to manage different responses:

  • Supportive parents: If your parents are immediately supportive, express gratitude and let them know how much their acceptance means to you.

  • Confused or surprised parents: Some parents might not understand at first. Be patient and give them time to ask questions. Educating them with resources (like books, documentaries, or websites) can be helpful.

  • Disapproving parents: If your parents react negatively, it’s important to protect your emotional well-being. You might need to set boundaries and give them space to process the news. Consider seeking support from friends, LGBTQIA+ organizations, or a therapist.

Seek Support Before and After

Coming out is a vulnerable process, so make sure you have a support system in place. Talk to friends, a trusted family member, or a therapist before having the conversation with your parents. Afterward, whether their reaction is positive or negative, you’ll want someone to talk to.

Give Your Parents Time

It’s important to remember that your parents may need time to adjust. Even if they don’t immediately react the way you hoped, many parents come around with time. Keep the lines of communication open, and be patient as they process your news.

Consider Written Communication

If speaking face-to-face feels too overwhelming, writing a letter or an email can be a good alternative. This allows you to express yourself clearly and gives your parents time to absorb your message without the pressure of an immediate response.

Find LGBTQIA+ Resources

There are many resources available to help you and your parents navigate the coming-out process. Here are some helpful organizations:

  • The Trevor Project: A leading national organization providing crisis intervention and suicide prevention services to LGBTQIA+ youth under 25. You can chat with a counselor 24/7 via their helpline or text service. Visit The Trevor Project for more information.

  • PFLAG: A support organization for LGBTQIA+ people, their parents, and families. PFLAG offers resources to help parents understand and support their children. Visit PFLAG for more information.

  • GLSEN (Gay, Lesbian & Straight Education Network): This organization works to ensure safe schools for all students, regardless of sexual orientation or gender identity. They provide resources for teens and educators. Visit GLSEN.

  • It Gets Better Project: A nonprofit organization offering inspiration and support to LGBTQIA+ youth worldwide. Their website is full of encouraging videos from people sharing their coming-out stories. Visit It Gets Better Project.

  • Trans Lifeline: A grassroots hotline offering direct emotional and financial support to trans people in crisis. Visit Trans Lifeline.

Coming out to your parents can be a life-changing moment. While it’s natural to feel anxious, remember that this is about living your truth and fostering honest relationships with those you love. Regardless of the outcome, coming out is an important step in embracing who you are. If you're struggling with coming out, consider seeking professional support. Therapy can help you navigate the emotions and challenges associated with coming out.

For more resources or to speak with a therapist, visit Joan Lipuscek. We’re here to support you every step of the way.

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.