When Should My Teen See a Therapist For Anxiety?

When Should My Teen See a Therapist For Anxiety?

Normal Teen Stress vs Anxiety Disorders

WRITTEN BY: KENYA GUERRA, LPC-ASSOCIATE SUPERVISED BY DAVID THOMPSON, LPC-S The teenage years can be an exciting and meaningful time, with so much changing in a teen’s life. Healthy stress is a normal part of adolescence and can arise as teens navigate new responsibilities and opportunities like learning to drive or participating in their favorite extracurricular activity. Common areas that may cause normal stress or anxiety may be related to where teens spend most of their time and energy during this time like academics or social activities. These feelings are often manageable for teens to handle on their own or with help from the teen’s support system including trusted adults and peers. This type of stress usually comes and goes depending on what is going on in the teen’s life and typically goes away after the stressful event or situation ends. 

When anxiety goes beyond normal stress, it can become overwhelming and interfere with daily activities, making it difficult to concentrate on tasks such as reading or completing chores. An anxiety disorder may be present if a teen frequently reports feeling anxious or experiences persistent anxious thoughts without a clear reason. Activities and tasks that felt manageable in the past can feel like a really big deal if teens are struggling with anxiety. 

Warning Signs Parents Should Watch For

As a parent, it can be hard to know when your teen should see a therapist for anxiety. With so much physical and developmental change going on in adolescence it may become tricky for parents to identify when teen anxiety or stress is developing into a bigger concern. It may be helpful to pay attention to three areas where anxiety can affect your teen: emotional, physical, and behavioral. Emotionally, a teenager struggling with anxiety may talk about having constant worries or feel more irritable. Physically, teens may complain about headaches, stomach aches, trouble sleeping, or feeling tired often. Some behaviors to look out for include avoiding school or activities your teen once enjoyed, frequently seeking reassurance with worries, or trouble concentrating. One sign alone does not necessarily mean that a teen has an anxiety disorder. When teens need therapy, there is often a noticeable pattern with symptoms becoming more intense, lasting longer, or interfering with daily life.

How Therapy Helps Teens Manage Anxiety

Therapy provides a safe space where teens can talk about what they are experiencing. Together with a counselor, they learn to better understand anxiety and develop skills to manage it. At La Luz Counseling in San Antonio, we often help teens work through anxiety using evidence-based approaches such as cognitive behavioral therapy (CBT) and Christian counseling for families who want to incorporate their faith into treatment. Teen anxiety therapy may start with simple explanations on how anxiety affects the body. As teens begin to better understand their anxious thoughts, they also learn practical skills to manage anxiety. Therapy helps teens build confidence by practicing coping skills, using their support system, and recognizing the signs of anxiety in their daily lives.

What Teen Counseling Sessions Look Like

In the first session, the counselor gets to know the teen and the caregiver by asking questions about school, family, friends, hobbies, and concerns. There is no pressure to share everything during the first session. As trust builds, many teens become more comfortable opening up. After the first session, therapy may include creative activities such as drawing, crafts, and music depending on the teen’s interests. Therapists generally keep conversations private except when safety is involved and collaborate with parents as appropriate while respecting the teen’s privacy. The counselor works with the teen and caregivers to create therapy goals which will guide the counseling process. 

Supporting Your Teen at Home

While therapy can be an important source of support, caregivers also play a key role in helping teens manage anxiety at home. Caregivers can spend time getting to know what is going on in the teens life and focus on listening without interrupting. Sometimes simply having someone listen can help teens feel understood and make their worries seem more manageable. Caregivers can validate their teen’s emotions by acknowledging what they are feeling instead of immediately trying to solve the problem. Feeling heard and understood can help teens feel more comfortable talking about their worries with you. Simple routines like getting enough sleep, eating regular meals, and making time to relax can also help teens manage stress.

If you’re wondering when teens need therapy, speaking with a counselor can help you determine whether your teen’s anxiety is part of normal adolescence or a concern that would benefit from additional support.

What is Generational Trauma and How to begin to stop it

What is Generational Trauma and How to begin to stop it

What Is Generational Trauma?

WRITTEN BY: GRACE NOWLIN, LPC-ASSOCIATE, LMFT ASSOCIATE, SUPERVISED BY ANNIE VIERS, LPC-S, LMFT-S Generational trauma refers to the impact of unresolved, high stress situations that are passed down from generation to generation in families. Trauma is not just something that happens in one person’s life and only impacts that one person (read more about that HERE). Somtimes trauma affects multiple generations over and over. Maybe you have noticed that people in your family seem to struggle with the same problems. Maybe a certain issues exist more in your family compared to other families over time. For example, you notice your grandmother and your mom feel like men are never to be trusted, so you begin to doubt men’s intentions too.

We all have traits that have been passed down from generations before us, like our eye color or our height. Something less obvious that we can inherit from generations past is their trauma. This comes from those in past generations going through traumatic events and not fully healing from them. These events can include severe illnesses, abuse, natural disasters, or even drug use. This trauma can impact future generations in how they deal with similar events, which can then impact their future children, and so on. If breaking unhealthy family patterns seems hard, it’s becuase it is. But this blog will talk about some ways to start trying. 

Why Family Patterns Repeat

Have you ever seen a video of a dog that was raised by cats or around cats? Those dogs become more “cat-like” in how they act and behave. It’s because that is all they have known from their upbringing. Family patterns can be like that too. They can repeat because of previous generations doing the best with what they have at the time, since that is all they know. An example of this can be if we have a tense relationship with our parents becuase of how we were raised by them. We’d like to place all of the blame on our parents, but you must remember your parents learned from their parents, who learned from their parents, and so on. This does not excuse poor or neglectful behavior, but it offers some perspective on why that behavior started in the first place. 

Setting Healthy Boundaries

The idea of “boundaries” seems like a big hurdle until we define it correctly. Holding a boundary does not mean saying “no” to everything or shutting everyone out. I like to think of boundaries as fences. You have a fence around your yard to protect it and mark where you feel safe. Drawing a boundary with someone allows you to have a relationship with them, but in a way that you feel safe. This could look like refusing to engage in certain behaviors with family members because you know that avoiding those behaviors will be the best way to keep your peace. For example, maybe every Christmas, your family gets together, drinks alot, then fights alot. Having a boundary doesn’t necessarily mean NOT going to a Christmas gathering. Applying a boundary might be like being sure to take your own car so you can leave if things get tense.  

Faith Perspective on Forgiveness and Growth

It’s important to remember God’s love extends across thousands of generations, like in Deuteronomy 7:9. God knows us, and He knew the generations He was speaking to at the time and all the generations to come. He did not expect any generation to be perfect and knew we would have our faults. Despite that, God still sent Jesus to save us. Jesus came to forgive us and save us, our parents, our grandparents and so on. But sometimes, especially when you have been really hurt by your parents, it can be hard to forgive. But the truth is, forgiveness is more for you and your future, rather than for them and their past with you. It’s important to remember that we are all imperfect and our families are imperfect, but we have the power to forgive and grow through Jesus. Generational trauma and stopping it from continuing into your future takes alot of courage, but forgiveness is one way to begin to stop generational trauma from leaking into the next generation aka your kids. 

Therapy Can Help You Break the Cycle

Looking at patterns while your in counseling is a very important skill. Once we identify a pattern, we are better able to predict outcomes and identify triggers sooner rather than later. Counseling can help you process family patterns as you find them. Counseling can also help you learn new coping skills that can help you reduce the spread of generational trauma by helping you heal from your own trauma. We all have family baggage, but you don’t have to carry it alone. The counselors at La Luz Counseling here in San Antonio, Texas are happy to help you when you feel ready to take the next step towards healing. 

Unresolved Trauma Can Impact Your Marriage

Unresolved Trauma Can Impact Your Marriage

WRITTEN BY: JENNIFER STOUTE Have you ever looked back after an argument with your spouse and thought, “Why did I react like that?”, “My emotions feels really strong about this minor situation,” or “I feel like my spouse is against me right now and have to go into self-preservation mode.” Perhaps your spouse often says, “That’s not what I meant,” yet you still find yourself hurting deeply. 

Trauma has a way of changing how we see the world. If our trauma stays unresolved, our brain can convince us we’re not safe, even when we actually are. Within the context of marriage, unresolved trauma can definitely play a part in the disconnect felt with your spouse. I mean, think about it, instead of responding to the facts of what’s happening today, we may be reacting to pain and unresolved trauma from years past. This can be frustrating and confusing at times, especially when our relationships seem to be harder than should be. 

Why Trauma Changes Communication

Think of trauma like a pair of glasses. When you’ve been hurt before, those glasses can make everyday situations seem threatening. A simple comment may sound like criticism. A delayed text may feel like rejection. Your partner may be responding to today’s situation, while your mind is remembering yesterday’s hurt. This doesn’t necessarily mean you’re “too sensitive.” It could mean your brain is struggling to make sense of your current emotions and defults to what you’ve learned in the past to protect you from pain.

God created our minds to help us survive difficult experiences, but He also desires healing. Throughout scripture, we see that God is close to those who are hurting and gently restores what has been wounded (Psalm 34:18). As difficult as it is, hurt and difficult experiences are part of life, yet experiencing trauma can take that pain to much more elevated emotions and thoughts. 

Trauma Triggers in Marriage

So let’s think about how unresolved trauma can affect your marriage. Let’s simplify this a bit. Imagine your spouse forgets to text you back. One person may think, “They’re probably busy. They’ll text when they can.” Someone carrying unresolved trauma may think, “They’re upset with me,” or “I’m not important.” Same situation. Different story.

Trauma doesn’t just affect our emotions, it can shape the way we interpret our circumstances. Sometimes the greatest battle isn’t what’s happening around us, but the thoughts running through our minds. Stressful situations can feel particularly big to those with unresolved trauma and can prompt someone to default to a fight, flight or freeze mode. When there is an interpretation of a perceived OR real hurt, this can trigger a person to go into self preservation mode through either growing agressive, picking a fight, using harsh language; OR feeling like they want to physically leave the room, conversation or home; OR sometimes the internal “lights stay on, but there’s no one home” and stonewalling can happen. Learning to pause, ask questions, and seek understanding can help break these patterns.

Attachment and Emotional Safety

Healthy relationships aren’t about never having conflict. They’re about creating a place where both people feel safe, heard, and valued. As emotional safety grows, trust grows too. However, when someone has experienced trauma, especially trauma caused by another person, it can significantly impact how they connect and attach to others. It can be difficult to know who to trust or how to connect emotionally because there are constant reminders that people are capable of causing serious physical and emotional harm. When trauma has occurred within a relationship, trusting and connecting with others can begin to feel unsafe.

The Bible reminds us to be “quick to listen, slow to speak and slow to become angry” (James 1:19). While this isn’t always easy, especially when trauma is involved, it provides a beautiful picture of what healthy communication can become as healing takes place. As trust is rebuilt and emotional safety increases, relationships can become a place of healing rather than fear, allowing healthy attachment and deeper connection to grow.

How Couples Counseling Helps Marriages

Many couples think they have a communication problem. Often, there’s something deeper underneath. Couples counseling helps you understand how past experiences influence your thoughts, emotions, and reactions today, as well as how those experiences affect your relationship. As you recognize these patterns, you can begin responding differently instead of reacting automatically. Counseling also provides a safe place to improve communication, rebuild trust, increase emotional safety, and strengthen your connection. Healing doesn’t erase the past, but it can change how much power the past has over your present.

There Is Hope

Unresolved trauma responses may explain some of your past negative reactions in your marrige, but it does not have to define your future. At La Luz Counseling, we provide trauma counseling and couples counseling in San Antonio, Texas, and virtually throughout Texas. We help individuals and couples understand how past experiences impact their relationships while equipping them with practical tools to build healthier communication, deeper trust, and stronger connections.

We believe that healing is possible. With support, intentional work, and God’s grace, old wounds don’t have to write the rest of your story.

Why Self-Care Isn’t Working- And What Can Actually Help

Why Self-Care Isn’t Working- And What Can Actually Help

WRITTEN BY: GRACE NOWLIN, LPC-ASSOCIATE, LMFT-ASSOCIATE SUPERVISED BY ANNIE VIERS, LPC-S/LMFT-S You might have seen and heard people saying they are “in their self-care era.” But what does that actually mean? What is self-care and why does it seem so hard to apply? Does that stuff even work? Here’s a hint: self-care is more than face masks and sweet treats. 

The Biggest Self-Care Myth

Self-care is often confused with body-care. Yes, spa days and fun treats are a great way to find some happiness and break up the day-to-day routine. But those activities don’t reach the “self” that we are hoping to care for. True self-care goes deeper than treating yourself to something enjoyable. It means taking time to understand what matters most to you and making choices that support your values, emotional well-being, and personal growth. Real self-care helps you manage stress, build resilience, and become the healthiest version of yourself—not just feel better for a moment.

Why Your Nervous System Needs More Than “Relaxation”

Relaxation is nice, but what happens when the self-care activity ends? Do you feel better in your soul and more peaceful? Or do you go back to the feelings you had before, like feeling stressed or overwhelmed? Relaxation is nice, but it does not help achieve the nervous system regulation that we are hoping for with self-care. Having a regulated nervous system does not mean feeling happy or calm all the time. Instead, it means you are able to handle life’s challenges without them overwhelming your well-being or disrupting your daily life. Achieving this regulated nervous system takes practice and patience, so don’t feel discouraged if you feel like you haven’t accomplished that yet! 

Therapy Tools That Restore Balance

Some simple tools that can help you work towards a regulated nervous system include grounding, breathing techniques, and journaling. 

Grounding helps you stay focused in the present moment instead of worrying about the future or ruminating on the past. A grounding technique I like to use is the 5-4-3-2-1 method.

This asks you to identify:

  • 5 things you can see,
  • 4 things you can touch,
  • 3 things you can hear,
  • 2 things you can smell, and
  • 1 thing you can taste to help keep you in the present moment. 

Deep breathing can quickly help calm your nervous system and bring you back to the present. Intentional deep breaths can be practiced anywhere.

I like to use the box breathing technique.

  • Where you breathe in for a count of 4,
  • hold for 4,
  • breathe out for 4,
  • hold for 4,
  • and repeat. 

Journaling is a great tool for checking in with yourself and asking yourself how you feel in the present. The prompt for journaling can be as simple as “what am I feeling in my body right now.” 

Small Habits That Reduce Stress Daily

It is hard to practice self-care in a fast paced life, so one of the best ways to start implementing self-care practices is to slow down. This can look like taking a few deep breaths before your commute, a tough conversation, or an appointment. This also includes checking in with yourself to see how you are feeling after certain interactions, or if any situations brought up unexpected feelings for you. Taking a minute to calm your breathing and check in with yourself can help to lower stress and help you stay present in the moment. 

When Professional Counseling Is Needed

If you are struggling to figure out what self-care means for you, we would be happy to help you here at La Luz Counseling in San Antonio, Texas. You are not alone if you feel like you need to re-define the role of self-care in your life. Counseling can help you identify where your needs have not been met, and how to meet them in a sustainable way that builds you up over time. Click here to schedule a time to talk with one of our counselors. 

What Happens to the Brain and Body After a Traumatic Event?

What Happens to the Brain and Body After a Traumatic Event?

WRITTEN BY: SARAH RIVERA, LPC-S Chances are you’ve been exposed to the word “trauma” more than a time or two. Trauma is a word that is gaining more awareness and space within conversations and information shared by people everywhere. This blog will talk a little more about what trauma is and how it affects the brain and body.

It’s important to understand that this is not a diagnostic blog, but one that can help increase awareness so you know when it may be time to seek support for trauma you have experienced.

What Is Trauma?

Trauma is an experience, or set of experiences, that calls into question whether someone can survive what they are going through. It involves an actual event—or the perception of an event—that physically or emotionally compromises a person’s sense of safety and well-being. These experiences often leave an individual feeling helpless, hopeless, or in extreme distress.

Interestingly, not every traumatic event will lead to a traumatic response. Just because someone is exposed to a life-threatening or highly stressful event does not necessarily mean they will feel traumatized by it.

A traumatic response develops after the event and involves emotionally disturbing symptoms that leave a person struggling to regulate emotionally, mentally, physically, and spiritually. These symptoms can interfere with day-to-day responsibilities, relationships, work, and overall quality of life.

How Trauma Affects the Brain

One of the primary ways trauma affects the brain is by activating the body’s fight, flight, or freeze response. Clinically, this response is controlled by the autonomic nervous system, which helps us react quickly when danger is present.

When the brain perceives a threat, it sends signals throughout the body that immediate action is needed to stay safe. Depending on the situation, a person may:

Fight

Attempt to confront or resist the threat.

Flight

Try to escape the threat by running away or avoiding danger.

Freeze

Become immobilized, feeling stuck, unable to move, think clearly, or respond.

All of these responses are survival mechanisms designed to protect us. There is no “right” or “wrong” reaction during a traumatic event. These responses are the brain’s way of trying to keep us alive.

Why Trauma Memories Feel So Strong

After a traumatic event has passed, the memory of that experience can sometimes remain highly active in the brain. For some individuals, trauma memories can feel so vivid that it seems as though the event is happening all over again.

This occurs because the brain’s alarm system becomes highly sensitive. It may struggle to distinguish between a real present-day threat and a memory from the past.

This is often what people experience when they encounter a trigger.

A trigger is a sight, sound, smell, feeling, place, person, or situation that reminds the brain of the traumatic event. When triggered, the body can react as though the danger is happening right now—even when it is not.

As a result, trauma survivors may experience intense emotions, anxiety, panic, fear, or physical symptoms that seem disproportionate to the current situation. In reality, the brain is responding to a memory rather than a present threat.

Physical Symptoms of Trauma: How Trauma Is Stored in the Body

Many people are surprised to learn that trauma affects more than emotions and thoughts. Trauma can also create very real physical symptoms in the body.

These are sometimes referred to as psychosomatic responses, meaning emotional distress is expressed physically.

Common physical symptoms of trauma include:

  • Difficulty falling asleep or staying asleep
  • Sleeping too much or not enough
  • Chronic muscle tension, especially in the face, neck, jaw, and shoulders
  • Frequent headaches
  • Digestive issues such as nausea, stomach pain, or diarrhea
  • Increased heart rate
  • Fatigue or exhaustion
  • Feeling constantly on edge
  • Hypervigilance or feeling the need to always watch your surroundings

Many individuals describe feeling as though they can never fully relax. Their body remains prepared for danger, even when danger is no longer present.

Can Trauma From Childhood Affect Adults?

Yes.

Even when a traumatic event occurred years or decades ago, the effects of trauma can still be present in adulthood. The brain and body may continue responding to reminders of that experience long after the original event has ended.

Many adults seek counseling only to discover that some of the symptoms they have struggled with for years are connected to unresolved trauma from childhood or earlier stages of life.

Trauma does not always stay in the past simply because time has passed.

How Counseling Helps Heal Trauma

One of the most important things trauma counseling can help a person understand is that many triggers are reminders of something that has already happened—not evidence that it is happening again.

Because trauma is stored in both the mind and the body, it can create the feeling that danger could return at any moment. This leaves many people feeling unsettled, nervous, overwhelmed, and exhausted.

Counseling can help individuals:

  • Understand their trauma responses
  • Recognize triggers
  • Develop healthy coping skills
  • Learn how to regulate their nervous system
  • Reduce anxiety and hypervigilance
  • Process traumatic memories safely
  • Rebuild a sense of safety and control

Therapies such as EMDR, Cognitive Behavioral Therapy (CBT), and other trauma-informed approaches can help people process traumatic experiences and reduce the intensity of their symptoms.

A person can learn what to do when a trauma response is triggered and how to calm the body and mind so they feel more regulated and in control. While healing is possible, it is often difficult to navigate trauma recovery alone.

You Don’t Have to Carry Trauma Alone

If you or someone you know has experienced a traumatic event and appears to be having a traumatic response, reach out for support. Trauma is a very real clinical experience that often requires the help of a trained mental health professional. It is not something most people can simply “figure out” on their own.

Whether the trauma happened recently or many years ago, healing is possible. You do not have to spend the rest of your life feeling trapped by the effects of something that happened in the past. With the right support, like trauma counseling with a therapist in San Antonio, it is possible to regain a sense of safety, healing, and hope.