Teen Therapy in San Diego

When your child is shutting you out

If every reminder turns into an eye roll, argument, or shutdown, you’re not a “bad parent” or your teen is “just difficult.” I help you both get unstuck so home feels calmer and more connected again.

We’ll talk about what’s been happening at home, what you’ve already tried, and whether I’m the right person to help - no pressure, just clarity on next steps.

Many parents tell me, “I wish we had started sooner.”

Reaching out doesn’t mean you’ve failed; it means you’re doing something different.

What you may be seeing at home

You might be telling yourself, “Maybe this is just teenage stuff,” but also noticing a version of your child you barely recognize.

Teen brains are wired for independence and identity, which can look like eye rolls, slammed doors, or total shutdown. For parents this time can be confusing, especially when you’re trying your best not to make things worse.

  • They disappear into their room and give you one‑word answers when you check in.

  • Small requests (shower, homework, chores) turn into big reactions.

  • They bail on activities or friends they used to love and say they’re “tired”

or “don’t feel like it.”

  • They insist they’re “fine,” but your gut says something is off.

  • When you try to help, they push you away or snap at you.

Overwhelmed teenager experiencing anxiety, burnout, and emotional exhaustion

Many parents tell me, “I walk on eggshells at home and I miss my kid.” If that resonates, you’re not alone - and it’s usually a sign it’s time to get support for your teen and for you.

Learn how parent coaching can help you navigate then teen years here.

Therapy helping teenagers build confidence, self-esteem, and emotional resilience

Under the surface, your teen may be struggling with:

  • Feeling overwhelmed and not knowing how to dial it down.

  • Worrying they’ll be judged, criticized, or misunderstood.

  • Not having the words to explain what’s going on inside.

  • Wanting more independence but not knowing how to ask for it without a fight.

Part of our work is helping you read what’s really happening beneath the eye rolls and silence, so you’re not left guessing.

When shutdown looks like defiance

When teens stop talking, it often gets read as attitude or defiance. In many cases, it’s actually emotional overwhelm and not having the words for what they’re feeling.

A teen saying “whatever” while staring at their phone may actually be overwhelmed and terrified they’ll say the wrong thing - not intentionally trying to be uncaring or disrespectful.

Do’s and Don’ts

In the heat of the moment: what helps and what backfires

What helps:

  • Take a breath and keep your voice as calm and steady as you can.

  • Lead with connection, not “winning” the argument.

  • Let them know you’re there and willing to listen, without forcing a big talk.

  • Reflect back what you’re hearing (“This feels really unfair to you”), even if you see it differently, to lower defensiveness.

  • Focus on listening, not fixing.

Parent coaching helping families better understand and support overwhelmed teenagers.

What backfires:

  • Pressuring them to talk before they’re ready when they’re already shut down.

  • Jumping straight into lectures, advice, or fixing.

  • Assuming distance means they don’t care.

  • Doubling down on control and monitoring when things feel out of control.

In therapy and parent sessions, we practice exactly what to say and do in these moments, so you’re not guessing or reacting on autopilot.

See more tips and tricks to help your teen here.

Psychologist helping parents better understand and support their struggling teenager
Dr. Lindsay helping a teenager navigate anxiety, emotional overwhelm, and self-esteem challenges

Many teens open up more easily to someone outside the family.

The skills they build in therapy make it easier for them to communicate with you at home.

What therapy looks like for teens

Teen therapy gives your child a neutral, low-pressure space of their own, while also keeping you in the loop.

In sessions, teens can:

  • Talk honestly with someone who won’t freak out, judge, or take sides.

  • Understand what they’re feeling instead of going straight to shutdown or blow-ups.

  • Build tools for stress, anxiety, friendships, school pressure, and family conflict.

  • Explore who they are - values, identity, and what matters to them - without pressure to have it all figured out.

How you’ll be involved as a parent

My goal is for you and your teen to feel closer and communicate better so therapy with me isn’t needed long-term.

Depending on your teen’s age and what’s going on, I may:

  • Have brief check‑ins with you after sessions as needed.

  • Schedule separate parent sessions for your questions and support.

  • Occasionally bring you and your teen together in session to practice new ways of talking about hard things.

You are the most important person in your teen’s life - even if it doesn’t feel that way right now.

Parents have shared that having their own individual parent coaching is incredibly valuable to help them navigate this tricky time in your teen’s life and help you reconnect, reduce conflict, and feel more confident navigating challenges at home.

I wrote a blog to help parents who feel they have tried everything with their teen and feel nothing is working with some tips for you to try. You can read it here.

What happens when you reach out:

  • Schedule a free parent call

    Share what you’re seeing, what you’ve tried, and what you’re hoping will be different. I’ll answer questions and we’ll decide together whether it feels like a good fit.

  • We build a plan together

    We’ll decide how often to meet, how to bring your teen into the process, and where to start so it feels manageable, not overwhelming.

  • Begin sessions and adjust as needed

    As we go, I’ll check in about what’s changing at home, what’s still hard, and how you can support your teen while also protecting your own energy.

Is working together a good fit?

May be a fit it you’re:

  • Worried about your teen’s mood, stress, or withdrawal.

  • Willing to be part of the process, not just “drop them off” at therapy.

  • Open to trying new ways of responding at home.

May not be a fit if you’re looking for:

  • A quick fix without parent involvement.

  • Court‑ordered evaluations or intensive treatment programs.

Hi, I’m Dr. Lindsay O’Shea

Dr. Lindsay, psychologist doing Teen therapy helping overwhelmed adolescents feel more confident, emotionally supported, and understood

I’m a Licensed Clinical Psychologist (PhD) with years of experience helping kids, teens, and parents navigate big feelings, school stress, and family tension.

My approach blends evidence‑based therapy with real‑life tools - what to do when your teen slams the door, how to repair after a blow‑up, and how to set boundaries without constant power struggles.

I care deeply about helping teens feel seen and helping parents feel less alone and ‘in the dark’ in this season of parenting.

Dr. Lindsay can be reached at: (858) 381-0242

Questions You Might Have

If your question isn’t answered here, you’re always welcome to book a free parent consultation - no question is too big or too small, and we’ll figure out together what your child needs.

  • Most parents reach out when they notice a clear change in their teen’s mood, behavior, or motivation and their usual tools aren’t working anymore.

    You might consider teen therapy if:

    • Your teen seems more withdrawn, irritable, anxious, or overwhelmed than usual.

    • School, friendships, or family life are suffering.

    • You feel like you’re walking on eggshells at home or “missing” the kid you know is in there.

    You don’t have to wait for a crisis. A brief phone consultation can help us sort out whether therapy for your teen in San Diego is the right next step right now.

    I wrote to help you identify signs your teen may need additional help and offer suggestions about what you can try at home. You can read it here.

  • Some eye rolls, independence seeking, and moodiness are a normal part of teenage development.

    I start to get more concerned when:

    • Your teen’s behavior is a big shift from their usual self

    • They’re withdrawing from friends, activities, or family

    • Emotions feel big, out of proportion, or hard to recover from

    If you’re asking yourself this question, it’s already worth talking with a teen therapist. We can sort out what fits “typical teen” behavior and what may signify your teen could benefit from more support.

    Book your free parent consultation here.

  • I work with teens navigating a range of challenges, from everyday stress to more intense emotional struggles.

    Common reasons families come to teen therapy with me include:

    • Anxiety, worry, and panic

    • Emotional outbursts, shutdowns, and difficulty managing big feelings

    • School stress, burnout, and perfectionism

    • Self‑esteem, identity, and body image concerns

    • Friendship or social struggles, including conflict and isolation

    • ADHD‑related challenges with focus, follow‑through, and organization

    If you’re not sure whether what your teen is going through “belongs” in therapy, we can discuss it during a free parent consultation.

    I wrote to help you identify signs your teen may need additional help and offer suggestions about what you can try at home. You can read it here.

  • Yes. Teen therapy can be very effective for anxiety, panic attacks, and big emotional reactions. You can learn more about anxiety therapy here.

    In our work together, I help teens:

    • Understand what’s happening in their body and brain during anxiety or panic

    • Learn specific tools to calm their nervous system and ride out waves of emotion

    • Practice coping skills they can use at school, at home, and with friends

    We also talk with parents about how to respond in ways that support regulation instead of accidentally escalating anxiety. You can learn more about parent coaching here.

  • Yes. I work with many teens who have ADHD (diagnosed or suspected) and are struggling with focus, organization, follow‑through, and emotional intensity.

    In therapy for teens with ADHD, we might:

    • Build systems for homework, routines, and time management that actually fit their brain

    • Address shame and self‑criticism that often come with years of “not trying hard enough” messages

    • Help parents understand ADHD more clearly so home can feel less like a battleground

    If your teen is already in ADHD treatment or on medication, therapy can complement that by addressing emotional and relational pieces.

    You can learn more about ADHD therapy here.

  • Yes! Improving communication between teens and parents is one of my primary goals.

    In sessions, I help teens find words for what they’re feeling and what they need, and I help parents:

    • Understand what’s really going on beneath the shutdowns or blow‑ups

    • Learn what to say (and what not to say) in heated or fragile moments

    • Practice repairs after conflict so trust and connection can grow over time

    We may also do occasional joint sessions where you and your teen practice new ways of talking with my support in the room.

    I wrote an article that offers tips for improving communication with your teen. You can read it here.

    Here is another article I wrote for parents who feel like they’ve tried everything and nothing is working.

  • Yes! In addition to teen therapy, I offer parent coaching and parent support sessions.

    These sessions are a space just for you to:

    • Ask questions you don’t want to discuss in front of your teen

    • Get scripts and strategies for handling tough moments at home

    • Work through your own guilt, worry, or overwhelm that you may be experiencing

    You can learn more about parent coaching here, or we can talk about what parent support might look like during your free parent consultation call.

    I wrote an article for parents who feel like they’ve tried everything and nothing is working - you can read it here.

  • This is very common, and it doesn’t mean therapy can’t help. Many teens are unsure what therapy is, worry they’ll be judged, or feel like it means “something is wrong with me.”

    Together, we can:

    • Talk about how to introduce the idea in a way that feels less threatening

    • Frame therapy as a space for them, not a punishment or “fixing”

    • Start with a low‑pressure first session where they can see what it’s actually like

    Sometimes teens warm up over time once they experience being heard and not pressured.

    You can learn more about how my approach helps kids and teens feel comfortable to open up here.

  • I don’t force teens to talk about anything before they’re ready! Instead, I start by building trust and safety - getting curious about their world, listening more than lecturing, and respecting their pace.

    Over time, teens tend to open up when they:

    • Feel understood instead of judged

    • Sense that I’m on their side, not here to report back everything to parents

    • Experience that therapy can actually make their day‑to‑day life easier

    We move at a pace that feels manageable while still working toward meaningful change.

  • Parent involvement is important, and it also looks different depending on your teen’s age and what’s going on.

    Typically, I:

    • Meet with parents first to understand what you’re seeing at home and what you’re hoping will change

    • Keep you generally updated on themes and progress, while protecting your teen’s privacy

    • Offer separate parent sessions to focus on your questions, strategies, and support

    We’ll talk together about what level of involvement feels most helpful and appropriate for your family in our free parent consultation call.

    I also offer separate parent coaching just for you so you can feel confident in supporting your child at home.

  • The first session is mostly about getting to know each other and making sure your teen feels as comfortable as possible.

    We’ll usually:

    • Review what brought you in and what you’re each hoping will be different

    • Talk about how therapy works, including confidentiality and what your teen can expect

    • Start identifying a few small goals or focus areas to begin with

    I often meet with parents alone for the first intake session to get a thorough understanding of what you’re seeing in your teen, what you’ve already tried, and your goals for teen therapy. I then meet with your teen one-on-one going forward.

  • It depends on your teen’s needs, how long things have been hard, and what goals you have. Some teens come for a few months to work on a specific issue; others benefit from longer‑term support.

    We’ll talk openly about:

    • How often it makes sense to meet

    • What progress looks like for your teen and family

    • When it might make sense to reduce or end sessions

    My goal is to help your teen and your family build skills and insight so that therapy isn’t needed forever.

If you’re tired of walking on eggshells at home, we can change this.

Click below to schedule your free parent call.

We’ll sort through what’s going on, what you’ve already tried, and what a realistic next step could look like.