Dra. Dorica Miranda Alvelo -Psicóloga Clínica/Clinical Psychologist

Dra. Dorica Miranda Alvelo -Psicóloga Clínica/Clinical Psychologist Servicios de psicoterapia y evaluaciones psicométricas, psicoeducativas y psicológicas. Providing psychological services, including counseling and assessment.

Sirviendo a niños, adolescentes, adultos y adultos mayores en el área de Dorado.

A veces las mal llamadas “etiquetas” son un alivio porque no es que justifiquen pero explican, dan sentido de entendimie...
30/12/2025

A veces las mal llamadas “etiquetas” son un alivio porque no es que justifiquen pero explican, dan sentido de entendimiento incluso de pertenencia, reducen cargas de expectativas, facilitan el que el mundo se ajuste mas y sea mas compasivo. Tenemos mucho trabajo por hacer ❤️‍🩹

When Silence Becomes the Story a Child Tells About Themselves

At first glance, this image feels heavy. Not dramatic, not loud, just heavy in a way that settles slowly in the chest. It challenges a belief many people hold with good intentions: that avoiding labels will protect a child. That if we do not name a difference, the child will not feel different. But the truth this image exposes is uncomfortable and deeply important. Children always notice. They notice long before adults are ready to talk about it.

Not giving a child language for their experience does not erase the experience. It only changes the story they tell themselves about why they are struggling.

Children Notice Long Before They Understand

A child does not need a diagnosis to realize something feels off. They notice when they are corrected more often than others. They notice when tasks that seem easy for classmates feel exhausting to them. They notice when they are told to try harder, behave better, focus more, calm down, or stop being so sensitive.

They may not have the words for it, but they feel the difference in their body and mind. They feel it when routines overwhelm them. They feel it when attention slips despite effort. They feel it when emotions come faster, louder, or heavier than expected. Silence does not protect them from this awareness. Silence simply leaves them alone with it.

When There Is No Explanation, the Mind Creates One

The image makes a painful but honest point. When a child is not given a framework to understand their struggles, they will still reach a conclusion. The human mind does not tolerate unanswered questions for long, especially a child’s mind.

If no one explains that their brain works differently, the explanation often becomes personal and cruel. Instead of thinking, “I am struggling because my brain processes things differently,” the child begins to think, “I am struggling because something is wrong with me.”

This is where shame quietly takes root. Not because the child is weak, but because they are trying to make sense of their world with limited information.

The Difference Between a Label and an Identity

Many adults fear that a diagnosis will define a child. That it will limit them or make them feel broken. But what often happens in the absence of explanation is far worse. The child still forms an identity, but it is one built on blame.

Words like lazy, difficult, annoying, dramatic, careless, or unmotivated slowly replace curiosity and compassion. These words may never be spoken out loud, but they are felt. And once they are internalized, they shape how a child sees themselves far into adulthood.

A diagnosis, when handled with care, does not reduce a child to a label. It gives context. It separates who the child is from what they are struggling with.

Growing Up Without Language for Your Experience

Many adults who discover their ADHD or other neurodevelopmental differences later in life describe a similar grief. Not because of the diagnosis itself, but because of everything that came before it. Years of self-criticism. Years of wondering why effort never seemed to equal results. Years of believing they were fundamentally flawed.

They often say the same thing: “If I had known earlier, I would have been kinder to myself.”

This image speaks directly to that reality. It reminds us that children grow into adults, and the stories they tell themselves do not disappear with age. They simply get quieter, more ingrained, and harder to challenge.

Understanding Changes the Direction of Shame

When a child understands that their brain works differently, something important shifts. Struggle becomes information instead of evidence of failure. Support becomes appropriate instead of reactive. Accommodations become tools instead of rewards.

Most importantly, the child learns that difficulty does not equal defect.

This does not mean the struggle disappears. It means the child does not have to carry it alone or turn it inward. They learn that needing help is not a moral failing. They learn that difference does not equal inferiority.

The Cost of Waiting Too Long

Waiting to name a difference often comes from love and fear. Fear of stigma. Fear of judgment. Fear of limiting potential. But the cost of waiting is rarely neutral. The cost is often internalized self-blame.

Children are remarkably good at adapting, but adaptation without understanding often looks like masking. They hide confusion. They suppress needs. They overcompensate. On the surface, they may seem fine. Inside, they are working twice as hard to appear normal.

By the time support arrives, the child may already believe they are the problem.

Reframing the Meaning of Diagnosis

A diagnosis is not a sentence. It is a map. It does not tell a child who they are; it helps explain how they experience the world. When framed properly, it can be empowering rather than limiting.

It allows adults to adjust expectations instead of increasing pressure. It allows educators to teach differently instead of punishing difference. It allows parents to respond with curiosity instead of frustration.

And for the child, it offers something invaluable: relief. Relief that there is a reason. Relief that they are not alone. Relief that they are not broken.

What This Image Is Really Warning Us About

This image is not arguing that every child must be labeled immediately or carelessly. It is warning against silence without support. Against the belief that avoiding hard conversations spares children from hard feelings.

Children do not need perfect explanations. They need honest ones. They need language that matches their lived experience. They need to know that struggle does not mean they are unlovable, weak, or wrong.

Choosing Understanding Over Assumption

When we give children understanding, we give them a foundation for self-compassion. When we withhold it, we leave them to fill in the gaps alone. And children are rarely gentle with themselves when they do.

This image matters because it reminds us that the stories children tell themselves begin early. We may not be able to remove every obstacle, but we can influence the story they build around those obstacles.

Understanding does not create difference. Difference already exists. Understanding simply decides whether that difference becomes a source of shame or a starting point for support.

And that choice can shape a life.

La desregulación emocional es un componente clave del Trastorno por Déficit de Atención con Hiperactividad. Por eso resu...
01/10/2025

La desregulación emocional es un componente clave del Trastorno por Déficit de Atención con Hiperactividad. Por eso resulta importante la educación acerca del diagnóstico y los métodos evaluativos que facilitan el comprender a cada niño y sus necesidades, y así poder trabajar con fortalecer sus destrezas de manejo y autorregulación!

ADHD isn’t just about inattention or hyperactivity. Emotional dysregulation is now recognized as a key feature—and psychologists are helping children and adults learn to manage those “big feelings” with evidence-based strategies.

Learn more: https://at.apa.org/5b0

01/04/2025

Adolescence en Netflix… master piece!!!

Plasma increíble lo terriblemente difícil que puede resultar nuestro trabajo como profesionales de la Psicología en ciertos escenarios, pero lo valioso y necesario en cuanto a la conexión humana. El tema social discutido debe ser asignatura, independientemente de si se está en un rol parental, repasarlo, revisarnos, mejorarnos, asumir responsabilidades con valentía y todos los días “do better”, porque todos formamos parte de nuestro entramado social. Cada vez que un niño/a o joven sucumbe ante la violencia muuchas personas, no solo sus padres o cuidadores, “could have done better” (pudieron haber hecho más)🤍

Dra. Dórica Miranda Alvelo

Never lose hope… as long as you keep working towards it ! 🤍
31/01/2025

Never lose hope… as long as you keep working towards it ! 🤍

La temporada de días festivos que se avecina no está obligada a ser sinónimo de estrés, reestructura tus pensamientos 💭 ...
09/09/2024

La temporada de días festivos que se avecina no está obligada a ser sinónimo de estrés, reestructura tus pensamientos 💭
Puedes verla como una oportunidad de promover tu bienestar emocional … a continuación varias recomendaciones ofrecidas por la American Psychological Association
- [ ] Saca tiempo para TÍ, puede ser que sientas la presión de estar para todos, pero los demás se benefician de que te sientas menos estresad@.
- [ ] Ten expectativas realistas, puede ser que algo no vaya como esperabas, tanto en la preparación de alimentos como en alguna dinámica familiar. Aprovecha para modelar resiliencia y sacarle el mejor provecho a cada momento para crear memorias que perduren.
- [ ] Recuerda lo que es verdaderamente importante, las buenas conversaciones, el tiempo de calidad compartido, el juego con los niños, no necesariamente lo material. Eso aliviará presiones económicas innecesarias.
- [ ] Promueve las conversaciones saludables y la comunicación asertiva con tus familiares. Déjales saber desde un enfoque de gratitud lo que esperas de la temporada y enfócate en actividades que tus familiares compartan interés en común.
- [ ] Solita apoyo, habla de tus preocupaciones con la gente cercana a ti. El ser abierto acerca de los asuntos de importancia facilita el manejo de emociones y la búsqueda de soluciones. Un profesional de la salud mental puede ser de ayuda!

Dra. Dorica Miranda Alvelo
Psicóloga Clínica

When life turns difficult, nature heals 💛🌿 my 🐕 knows the value of grass and grounding 🥰
02/09/2024

When life turns difficult, nature heals 💛🌿 my 🐕 knows the value of grass and grounding 🥰

Que la meta primordial antes del avance académico sea educar a nuestra niñez para que sean amables y empáticos, porque a...
12/08/2024

Que la meta primordial antes del avance académico sea educar a nuestra niñez para que sean amables y empáticos, porque así es que cambiarán el mundo 🌍 🤍

Foto:Loving Full

31/07/2024

Los y las jovenes de la delegación Boricua en la Olimpiadas enorgullecen demasiado a este país, se sacrifican, se dedican a trabajar hacia unas metas, y las emociones envueltas tanto en una ejecución favorable como las de frustración al no lograr lo que deseaban, son esperadas. Lo que considero inapropiado es que al salir de cada evento hayan cámaras esperando una reacción, ya que lo saludable es darles un espacio para asimilar y procesar sus logros y derrotas. Luego, posteriormente, pueden coordinar conferencias de prensa o realizar expresiones a través de los medios o redes sociales. La afección de Adriana y en el pasado la de Culson (por mencionar ejemplos) son momentos de vulnerabilidad que merecen privacidad y respeto. Por favor, brindémosle un espacio sano tanto para su salud física como emocional.
Dra. Dórica Miranda
Psicóloga Clínica

“If the path be beautiful, let us not ask where it leads”
30/07/2024

“If the path be beautiful, let us not ask where it leads”

S.C.    🪽pongámonos las alas y alcemos vuelo de libertad confiando en nuestro potencial!
25/06/2024

S.C.
🪽pongámonos las alas y alcemos vuelo de libertad confiando en nuestro potencial!

22/06/2024

El sonido de la brisa en la grama es casi igual de relajante que el sonido del mar… cada momento puede ser un momento Mindful 🧘🏻‍♀️

Vivamos… Bendecido día!
19/06/2024

Vivamos… Bendecido día!

Dirección

Dorado
00646

Teléfono

+17874609106

Página web

Notificaciones

Sé el primero en enterarse y déjanos enviarle un correo electrónico cuando Dra. Dorica Miranda Alvelo -Psicóloga Clínica/Clinical Psychologist publique noticias y promociones. Su dirección de correo electrónico no se utilizará para ningún otro fin, y puede darse de baja en cualquier momento.

Contacto El Consultorio

Enviar un mensaje a Dra. Dorica Miranda Alvelo -Psicóloga Clínica/Clinical Psychologist:

Compartir

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Categoría