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Kathy Marshack News

Have You Ever Encountered a Psychopath?

Friday, May 27, 2011


Have you ever been "had"? Perhaps without being aware of it, you encountered a psychopath. A psychopath is a person who lacks conscious and/or empathy. They commit actions without feeling any guilt or remorse – even if it hurts other people.

Jon Ronson, author of The Psychopath Test, shared his insight on psychopaths while interviewed on NPR. Even though he is not a psychologist, he has been able to nail psychopaths. Why is this of interest? According to Robert Hare, the inventor of the psychopath checklist, you are very likely to find a psychopath climbing the corporate ladder. These are people that you come in contact with on a regular basis.

I encourage all of you to tune into Jon Ronson's interview and learn more about the behavior of psychopaths. If you’re able to identify psychopaths, you can take precautions to protect yourself from their ruthless behavior.

Click here for more information about the broadcast.

Attention Busy Women: Are You Addicted to Stress?

Monday, May 16, 2011


The idea of being addicted to stress may sound ridiculous, but it's true. Many Americans, specifically women, are in fact addicted to stress. The American Psychological Association says that more than half of women say they are stressed out. That is an increase of 25% in just 4 years! Stress is a very normal emotion, but it is not normal or healthy to be addicted to stress.

Why are so many women addicted to stress? For one thing, stress may equate a sense of success. They may feel like they have to work just as hard and as long as everyone else to stay ahead of the game. "Everyone else who is successful is stressed." Without realizing it, they have become victim to negative peer pressure.

Once the stress starts this vicious cycle, it is hard to stop. Stress can stimulate the production of hormones like cortisol and adrenaline. That surge of hormones becomes addictive and in order to get that feeling, you need stress.

What are the consequences of stress? Stress can affect your emotional state. Depression, anxiety disorders are usually accompanied with acute stress. There are also many physical consequences such as tension headaches, gastrointestinal problems, insomnia, weight gain or weight loss, and also an increased risk of heart problems, stroke, and susceptibility to infections.

If you think that you have become addicted to stress, seek help. Like any other type of addiction, you can overcome it. For specific tips, visit Managing Stress on my website. Do not hesitate to take the proper steps to start leading a healthier and happier life.

How to Build Self-Esteem in a Child with ADHD

Friday, May 06, 2011


ADHD often goes hand in hand with low self-esteem and depression. These negative emotions can start at a very young age. It may stem from feeling different from their peers, the inability to get the same results as others, and/or receiving extra criticism. As parents, it’s important to instill confidence in your ADHD child early on. Taking this extra effort is well worth your time and energy. If not, there can be serious consequences in the future.

Here are a few tips to help build the self-esteem in a child with ADHD:

·Positive reinforcement. In the past, I spoke about the benefits of positive reinforcement when it comes to autistic children, but the same principles apply to children with ADHD. Instead of focusing on the negative, focus on the positive. Look for the good behavior and the good qualities that they are exhibiting and be quick to commend them. When giving commendation, be specific. Explain what they did that you liked and why you liked it. The goal is to help them to make the connection that their good behavior equals positive reinforcement.

·Encourage their strengths. What is your child good at? Are they artistic? Musical? Athletic? Take note of what they excel at and encourage them to pursue those strengths. When they are feeling down about not excelling in an area, remind them that every person has strengths and weaknesses, and then remind them of their "special" skills or strengths. Get their teacher involved in this. They can exert a powerful influence for the good over your child.

·Use rewards. Rewards can be a tool that you can use to help your child build confidence. The reward does not need to be something grand, but it should be something that is meaningful to the child. Explain how they can earn the reward. Then make it "visual" by perhaps putting together a chart that tracks their progress and then posting it in their room or on the refrigerator. They will be able to see their progress. Plus it helps them to set goals and see that they can reach them.

·Do not compare them to others. A child is an individual and every individual is different. Comparing a child to another will simply guarantee that their confidence and self-esteem will drop. Avoid making careless comparisons. Instill in your child your love for them and tell them what makes them special to you.

·Therapy. Therapy can help a child feel better about themselves. A therapist can help a child to recognize that their disorder does not reflect who they really are. Over time the therapist can help children with ADHD identify and build on their strengths as well as help parents to learn how to do this more effectively.

Continue to encourage your child. Express your love for them. It may not always be easy to raise a child with ADHD, but by applying these few suggestions, your child will be more equipped to handle their future with confidence.

For more information, visit Parenting a Child with ADD/ADHD. If you live in Portland, Oregon or Vancouver, Washington to set up an appointment for Adult or Child ADHD counseling, contact my office.

Are You an Emotional Eater?

Thursday, April 28, 2011


How do you deal with stress? A common solution for many is to EAT. This is what we call "emotional eating" or using food to soothe negative emotions. Emotional eaters usually turn to food that are high in fat, sugar, and calories.

There are many of situations that can trigger emotional eating. Work, family problems, financial stress, and health problems are common culprits. Emotional eating can be done consciously or unconsciously, but regardless it is habit forming and can cause serious health problems. Emotional eating can damage any weight-loss plans. It also creates an unhealthy cycle of eating (bingeing) and then heavy guilt because of overeating or eating unhealthy foods. Emotional eating is just a temporary fix for the cause of stress – it’s never a solution!

How can you overcome emotional eating? Here are some tips:

· Keep a record. It is important to identify what you eat when you feel a certain way. Start a food log and record what you are eating, when you decide to eat, and how you feel before and after you eat. By keeping an accurate record, you will be able to identify patterns and triggers. The key is to look for what emotion(s) are causing you to eat.

· Think before you eat. Once you have been able to identify you emotional eating triggers, use this information for the next time you feel that emotion. Ask yourself, "Do I want to eat because I feel ______? Am I really hungry or just looking to relieve stress? Why do I want to eat _______?

· Find a new way to reduce stress. Since emotional eating is an unhealthy way to reduce stress, it is now time to find a healthy way. Exercise, relaxation breathing, journaling, talking to a close friend, taking a hot bath, getting a massage, or reading a book are all healthy and simple ways to manage stress.

· Purge your home of unhealthy foods. It is easy to binge on ice cream, pizza, and chips when it’s within your grasp. If you want to stop emotional eating, remove any food items that you are drawn to when you are stressed. Instead, fill your refrigerator and pantry with healthy snacks like nuts, fruit, veggies, and yogurt.

· Therapy. If you cannot seem to get a grip on your emotional eating, then it is time to seek help from a mental health care professional. They will be equipped to help you identify your triggers and give you proper coping techniques. They will also be able to help you cope with the root cause of your emotional eating.

The cycle of emotional eating can be broken. By gaining on control over emotional eating, you will feel in control and have a healthier life.

If you would like help in dealing with emotional eating and live in the Portland, OR/Vancouver, WA area, please contact my office to set up an appointment.

Lessons Learned From Catherine-Zeta Jones

Saturday, April 16, 2011


This week actress, wife, and mother, Catherine Zeta-Jones came forward and told the world that she suffers from Bipolar II disorder. Bipolar is also known as manic depression. Someone with bipolar experiences varying degrees of high energy or euphoria know as "mania" combined with episodes of deep low depression and sadness. This range of emotion can be experienced daily, yearly, or even at the same time. Bipolar has been categorized as Bipolar I and Bipolar II. The basic difference between the two is that Bipolar I is a more extreme form.

Some with Bipolar describe their life as a roller coaster ride. Because of the extreme range in moods, it can be a particularly challenging lifestyle making it difficult to ever feel "normal." Genetics, environment, and neurochemicals in the brain are considered to be possible factors for Bipolar. It has been described as a biological disorder, affecting the neurotransmitters in the brain.

I appreciate the courage of Catherine Zeta-Jones to share this very private and personal information. Even though you may have a “diagnosis”, you can still be a strong, successful human being. There is no shame is experiencing a disorder like this...It is not your fault. The other lesson learned from Catherine Zeta-Jones is the importance of seeking professional help. There are so many options now available to treat depression.

If you live in the Portland, Oregon/Vancouver, Washington area and are looking for Bipolar Therapy, please contact my office to set up an appointment. For more information, visit Overcoming Depression.

How to Help Children with Depressed Parents

Wednesday, April 13, 2011


If you are a parent and suffer from depression, it is important to recognize that your child will notice. Children are very sensitive and can pick up on the changes within the home even if they have not been verbally addressed. If they do not understand what is going on, they will often times experience stress, anxiety, or even act out with tantrums or other behavioral problems.

If you are a parent and are suffering from depression, the first thing you need to do for yourself and for your child is to seek immediate help. Do not delay! The longer you wait to get proper help, the bigger the problem will get for you and your child. Depression is treatable.

The second step is to explain the situation to your child. You do not have to go into great details or share your personal experience with them. That would only be damaging to them. Ask a mental health professional for suggestions on how to go about having this discussion with your child. In the course of your conversation with them, explain to them that the way you feel is NOT their fault. Children tend to blame themselves, thinking that maybe they did something to make their parent feel that way. Reassure them that this is not true.

Regularly tell your child how much you love them. Those 3 words are incredibly powerful and will help your child get through this difficult time.

Encourage your child to talk about how they feel. They may struggle talking to you about it because they may feel that you will take it personally. Help them to find a safe person that they can share their feelings with. It could be your spouse, a relative, a school counselor, or doctor. Depending on the situation, they may need professional help to cope. Do not be ashamed to get your child the proper care. You are not a failure if you do so. You are actually do the best thing a parent can do.

If you have depression, you may not feel that you are setting a good example as a parent, but if you take these steps, you are! You are teaching your child to not be afraid of their feelings, to speak out, and to seek help. Be assured that over time, both you and your child will be able to overcome your depression!

For more information, visit Overcoming Depression.

Parents and Teens - Be Alert to the Dangers of Sexting

Sunday, April 03, 2011


Is your teenager always texting? Then you need to have an important conversation with them. "Sexting" is a term to describe the action of sending sexually explicit messages or photographs through an electronic device. Sexting has become increasingly popular between teenagers. According to A Thin Line 2009 AP-MTV Digital Abuse Study, "3 out of 10 young people have been involved in some type of naked sexting."

You may be asking, what is the danger behind sexting? For one thing, sexting damages lives. The New York Times had a recent cover story, A Girl's Nude Photo, Lives Alter. The article discusses a sexting incident in Lacey, Washington. A young girl sends a naked photo to her boyfriend and before you know it, the photo goes viral. . . possibly thousands viewed the photo. The effects of this incident were damaging indeed. The teens that were involved as well their family and friends are forever impacted. Shame, embarrassment, pain, for a simple action that now can never be erased. I recommend that all parents and teenagers read that article!

The other danger behind texting is legal troubles. In Washington State and Oregon, sexting may result in state felony charges including dissemination of child pornography. The act of sexting is not illegal, but it becomes a legal issue when the photographer, recipient of the text or distributor is under the age of 18. That is when child pornography charges can come into play.

Sexting is not to be taken lightly! Parents, talk to your children about this very real issue. Explain to them the dangers that are involved. If a teen has gotten involved in sexting, they may need counseling to help them deal with the effects. If so, seek the assistance of a mental health care professional.

Visit Am I a Good Parent for 5 key areas to master to be a good parent. These steps will help you deal with many challenges that may arise when you’re a parent.

Shopping for Health Insurance? Make Sure You Have Adequate Mental Health Benefits

Thursday, March 24, 2011


A few years ago I heard a well known Dale Carnegie graduate give a talk on how to attract new business. He used as an example, what attracted him to the family physician who had attended to him, his wife and children for years. The good doctor had given a similar talk at a public event and impressed the man with his expertise, solid reputation, and sincerity. For something as personal and life important as the health care of his family, the man wanted such an individual as this dedicated doctor. And for years his initial decision to choose this physician proved to be a good one.

Yet in spite of the importance of choosing the right health care professional, this Carnegie graduate dropped the doctor like a hot potato when managed care rolled into town. Because his company chose a managed care plan that would not allow the doctor to join the panel, the dedicated patient who had so carefully chosen and developed a meaningful relationship with his health care provider, decided to follow the impersonal dictates of the managed care plan.

Closer to my own area of practice, psychology, is another story that is even more disconcerting. A young teenage girl had been treated for depression by a psychologist. In actuality she was not seriously depressed but rather angry at her boyfriend for being somewhat shallow. The girl’s parents called the managed care company and were referred to the psychologist. After a few short sessions with the psychologist, the girl felt she had more control of the situation and would not allow the boyfriend’s manipulation to continue. Two weeks after terminating psychotherapy, the girl and her father had a fight that erupted into yelling and screaming between the two of them. The father in frustration called his managed care plan (an 800 number in southern California) and told them his daughter was suicidal. Without any psychiatric evaluation and without contacting the daughter’s psychotherapist, the clerk at the other end of the 800 number advised the father to take the girl to a psychiatric hospital. Although the girl was not suicidal and didn’t need hospitalization, she did learn to fear her father and to behave lest she be hospitalized again. Not a healthy outcome.

The mistakes made by the Carnegie graduate and the father of the teenager are not uncommon. There is a mystique about managed care. People have come to believe that the 800 number is like a parent, able to solve all of their woes. They believe that they will get the same personal service they received for years by a doctor who knows them. They are puzzled when the service they do receive is not sufficient to resolve the problem. Often they assume that there is nothing more that can be done, since their managed care company has not authorized additional services. It’s as if the managed care company has assumed the paternalistic mystique that the family doctor once held. But now the mystique has no concern about the individual, only cutting medical costs.

So when you are shopping around for a health plan, I hope you consider just what you are buying when it comes to mental health benefits. Do you have ample psychotherapy benefits; at least 26 to 52 visits per year? Do you have the right to choose the most experienced and competent psychologist? Is there true confidentiality guaranteed? Is the treatment plan dictated by actuarial tables or by the unique needs of the situation and the employee? Is the payment to the therapist worth the time of a competent professional, or are you forced to seek out an untrained, inexperienced person who will charge rock bottom prices? Ultimately you are responsible for your own health so make sure that you’re your own health advocate.

New Study Includes Interesting Tip for Insomniacs – Get Out of Bed!

Friday, March 11, 2011


In a previous blog, I spoke about the recent trend in sleep deprivation. Sleep deprivation, also known as insomnia, is of serious concern due to the long-term effects it can have on a person's physical and emotional health.

A study performed by researchers at the University of Pittsburgh School of Medicine came to an interesting conclusion for those with insomnia. Their conclusion was to spend less time in bed. When someone has insomnia, they begin to associate the disorder with their bed. They lie awake for hours struggling to fall asleep which ends up upping their stress level. The key is if you are not falling asleep, get out of bed and try an activity that will help you relax your body and mind.

Establishing a healthy sleep routine and learning specific relaxation techniques will also be beneficial for those with insomnia. I recommend scheduling an appointment with a mental health care professional. They can help you establish a good routine and teach you the right techniques for your sleep deprivation issues. Most importantly, often times they help you identify the root cause of what’s keeping you awake at night. If you live in the Portland, Oregon or Vancouver, Washington area contact my office for more information.

Scleroderma Foundation's 10 Annual Seminar – Discussing Chronic Pain

Thursday, March 10, 2011


Our mind and our body are in constant communication. What the mind thinks, perceives, and experiences is sent from the brain to the rest of the body. And vice versa – our bodies are sending messages to the brain. When your body experiences chronic pain, that pain will affect your mind and the way you think.

On March 12, 2011, I will be a speaker at the Oregon Chapter of the Scleroderma Foundation's 10th Annual Cheri Woo Education Seminar. I will be discussing "How Chronic Pain Changes Your Thinking...And How Your Thinking Can Change Your Chronic Pain."

This seminar is free and is open to the public. If you live in the Portland, Oregon/Vancouver, Washington area, I encourage you to come. I will be speaking at 12:45 pm. The last 15 minutes will be Question and Answer from the audience. This is a wonderful foundation and I hope that as many as possible will be available to attend. For more information on chronic pain, visit Holistic Health or contact my office.


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