Conversion Therapy Still Exists and We Need to Talk About the Harm

By: Dr. Panicha McGuire, LMFT, RPT™

vibrant lgbtq pride parade celebratory sign
Photo by Osvaldo Samuel Rendon on Pexels.com

The Supreme Court recently weighed in on conversion therapy, and while the ruling is being framed as narrow, the implications are not. On March 31, 2026, the U.S. Supreme Court ruled 8-1 against a Colorado ban on conversion therapy for minors. The decision in Chiles v. Salazar sided with a Christian counselor, arguing the law restricted her First Amendment rights, which could invalidate similar bans in other states. So while nothing has been outright overturned yet, the direction is clear.

Continue reading “Conversion Therapy Still Exists and We Need to Talk About the Harm”

Rejection Sensitive Dysphoria (RSD): When “Too Sensitive” Is Actually a Nervous System Response

By: Dr. Panicha McGuire, LMFT, RPT™

stressed woman wearing a robe

If you grew up being told you were “too sensitive,” there’s a good chance you internalized it. I most certainly did. For most of my childhood, my teen years, and into my early 20s, I experienced emotional pain that felt disproportionate, confusing, and overwhelming. A small comment could derail my entire day. A shift in tone could feel like someone no longer wanted to be my friend. A mistake could spiral into hours of shame. At the time, I didn’t have language for it. I just thought I was reacting “wrong.” Now I understand this through a different lens: rejection sensitive dysphoria (RSD). And even more importantly, I understand it as a nervous system response.

Continue reading “Rejection Sensitive Dysphoria (RSD): When “Too Sensitive” Is Actually a Nervous System Response”

IEPs and 504 Plans: What to Do When the System Isn’t Working

By: Dr. Panicha McGuire, LMFT, RPT™

teacher scolding her students

So you finally got the plan in place. After emails, meetings, assessments, maybe even angry tears, your child or client now has an IEP or a 504 plan. There are accommodations. There are supports. But you realize that this was only the first step. Maybe the plan is confusing. Maybe it’s not being followed. Maybe the school is pushing back. Or maybe the most frustrating one of all: things were working, your child started doing better, and now the school is talking about reducing support.

If you’re a parent or a therapist supporting a family through this process, you’re not imagining it. This is where most families (and honestly, most therapists) get stuck. Not in obtaining an IEP or 504, but in navigating everything that comes after. They reflect deeper issues in how our educational system approaches support. This is a guide to what actually happens after you have one and what to do when it’s not working the way it should.

Continue reading “IEPs and 504 Plans: What to Do When the System Isn’t Working”