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Kathy Marshack News

Money – Is It Creating a Power Struggle in Your Relationship?

Thursday, August 23, 2012


Money is one the top reasons why arguing couples seek psychotherapy. One reason is because money is always on our minds. No matter how much money you have, you always have money problems.

Financial problems are really just the tip of the iceberg for couples, concealing deeper, hidden issues. In spite of the power that money has to entangle our personal relationships, few couples seek out psychotherapy when they have a financial crisis. Instead, couples continue to use money in a power struggle with their loved ones. Money is given, then taken away. Money is used to reward and punish. Money is a promise, a bribe, a threat. Rarely is money given as a gift with no strings attached. Can you see the problem?

If you are to truly free yourself of the money trap, you will need to assess your money beliefs, and be honest about your biases and manipulations with regard to money. You need to acknowledge just how important money is to you. You will need to evaluate your financial values and goals and make sure that they are ethical and compassionate when it comes to your marriage and family.

A therapist is fully equipped to help couples faced with this situation. For more information, visit Marriage Counseling or contact my office to set up an appointment.

How to Help a Troubled Friend

Thursday, August 16, 2012


Friendships are a beautiful part of life. Friends fill us with joy, happiness, and companionship. As much as we love our friends, there are times when a friend may be dealing with some serious difficulties such as alcohol abuse, drug addiction, being in an abusive relationship, or financial problems. There is nothing more heart wrenching than seeing your friend struggle, especially if they are in denial or shirk their responsibility.

Friends are often the first to recognize serious problems even before the individual with the problem. This can make for an awkward situation. You love your friend and do not want to see them hurt, but you don't want to add to the hurt.

What should a true friend do? Here are some things to consider if you choose to confront your friend about their problem:


Tactfully and kindly bring up the situation.

Ask questions to draw them out.

Avoid lecturing.

Mention how it makes you feel and why you feel that way.

Keep control over your own emotions.

Reassure them of your love for them. You love them but not what they are doing.

If they deny it, don't take it personal.

Offer to help them. Reassure them of your support and offer practical suggestions. Perhaps have in mind a list of referrals.

Each individual will react differently. You may need to prepare yourself for the fact that your friend may be mad or angry with you. Even though they may respond negatively, remind yourself that you did this out of love and respect for your friend. Usually once the person seeks the help they need, they will then acknowledge you as a true friend.

If you have a friend in the Portland, Oregon/Vancouver, Washington area who is in need of therapy, please have them contact my office for more information.

Couples – Make Time to Really Listen

Sunday, August 12, 2012


Listening is at the heart of quality communication. If you learn nothing else about communicating more effectively, at least learn this truth. Without listening skills, you do not have rapport with your partner and you cannot even stay on the same subject.

The next time you are having a discussion with your spouse, instead of planning your next comment, just listen and try to understand where your partner is coming from. Just understand; do not comment; do not judge. Listening goes a long way toward developing trust between marital partners.

There are three basic steps to being a good listener:

1. You must stay on the subject.
2. You must listen to be sure you are staying on the subject.
3. You must be flexible enough to adapt your behavior if you are not staying on the subject.

Don and Maria (names have been changed) were at an impasse and considering divorce when I first met them. In spite of the great deal they had in common, in spite of the love for each other that they had once felt, in spite of having three beautiful children and a successful business, Don and Maria were incredibly poor communicators when it came to listening to each other. Their lives were so full that they had little time to listen; they seldom made time even to fill each other in on the day's events.

Because they spent so little time together, they rarely communicated about anything. Unfortunately, when conflicts arose, the couple had no mechanism for solving them and retreated to their own separate worlds. The first step in bringing Don and Maria back together was to teach them how to listen and to make time for listening. When they scheduled fifteen minutes each day for uninterrupted listening to each other, they began to rekindle their friendship. Maria learned that Don felt very left out of the family because she handled all of their children's affairs without consulting him. Don learned that Maria felt devalued because he handled all of their financial affairs without consulting her. Furthermore, by just listening, this couple began to recognize that they had more in common than they had realized.

Once Dan and Maria made listening a priority in their lives, the problems began to melt away. So make time to listen. Pull out your calendar and schedule in some one-on-one time to communicate. If you need the assistance of a marriage counselor and live near Portland, Oregon or Vancouver, Washington contact my office to schedule an appointment.

Just a Big Ego or Could It Be Narcissistic Personality Disorder?

Thursday, August 02, 2012


According to Greek mythology, Narcissus was a handsome Greek youth who fell in love with his own reflection in a pool of water. The concept of a big ego has been recognized throughout history but it has only recently been defined as a psychological diagnosis – Narcissistic Personality Disorder.


Perhaps you think that narcissism is just annoying. However, it is a serious diagnosis. People with this disorder have an inflated sense of their own importance and a deep need for admiration. Complications of Narcissistic Personality Disorder, when untreated can include: substance and alcohol abuse, depression, suicidal thoughts, relationship difficulties and problems at school or work.

Narcissists come across as conceited, boastful and pretentious. This impacts everyone around them as they often monopolize conversations, look down on others as inferior and have a misplaced sense of entitlement. They insist on having "the best" of everything and can become easily angry when thwarted. Click here for a list of common symptoms as outlined by the Mayo Clinic. Or take the Narcissistic Personality Quiz at psychcentral.com.

Can narcissism be confused with strong self-esteem? No. Here’s the difference. Unlike narcissists, people who have healthy confidence and self-esteem don't value themselves more than they value others.

More than likely, it is the loved ones of a narcissist that see the need for professional help. If you are in a relationship with someone you suspect is a narcissist, get counseling for yourself immediately. A trained mental health professional can help you navigate this difficult relationship so you don’t sink into a dangerous cycle of codependency.

Should they choose to get help, therapy can greatly assist those with Narcissistic Personality Disorder. In the short-term psychotherapy would address issues as substance abuse, depression, and relationship issues. In the long-term goal the idea is to gradually reshape their personality so that they can create a healthier self-image and more enjoyable relationships.

If you need a diagnosis or counseling related to narcissism, in yourself or a loved one, contact my office if you live in the Portland, Oregon/Vancouver, Washington area to make an appointment.

Having Trouble Making a Business Decision? Hire a Psychologist

Sunday, July 29, 2012


Many business owners are puzzled when their attorney or CPA suggests that they should meet with a psychologist before proceeding with signing a contract, structuring a reorganization or resolving a partnership disagreement. What's a psychologist have to do with business anyway? " I don't need a shrink," they say.

The simple truth is that getting a psychologist involved in a family business makes sense. Why?

1) Half of American businesses are family owned and operated. 2) Many of these businesses are run and staffed by family members who are not necessarily formally trained or educated for their specific job. They work for the business because they are trusted family members dedicated to the success of the family enterprise. 3) Many of these businesses have been around two or three or even four generations, which means that the children are growing up identifying themselves with the family business. What this means for many family firms is that the business is a part of the family and the family is a part of the business.

Recognizing that family businesses are really families with a business identity, a psychologist is able to get beneath the surface of some business problems to identify the emotional snags that are hanging up a business decision. There is nothing more frustrating or expensive than taking weeks and months to develop a new business strategy, only to have it sit there going nowhere because there is a family dispute.

Many family firms want to have open communication. They want to resolve longstanding family/business disputes. They don't like walking on eggshells around certain family members or avoiding sensitive subjects. In spite of good intentions, many of these family firms do not have the skills to address and resolve these problems. They need support and guidance by a psychologist who is trained in resolving problems within a family business system. They need education to learn these skills.

If you have a family business and live in the Vancouver, Washington/Portland, Oregon area, I would be happy to assist you. Contact my office to set up an appointment. For additional information, visit Entrepreneurial Life - Families in Business.

Caring for Alzheimer's Patients

Wednesday, July 25, 2012


Alzheimer's is a devastating disease. The sad truth is that an individual with Alzheimer's will hit a point when they will not be able to function independently. For each person, the situation is different, but the side effects include memory loss, depression, and mood swings.

Being a caregiver for someone with Alzheimer's is particularly challenging. This is especially true if you are a loved one. You can expect it to be physically and emotionally draining. As hard as it is to think about yourself, you have to. If you don't, you will be in no position to take care of the person you love. Eat a well-balanced diet, exercise regularly, get a good night's rest, and make time to be around others. You may not feel that you are up for socializing, but you will need the support. The Alzheimer's Association has a hotline for caregivers. The number is 800-272-3900. Take a look at a previous blog on How To Cope with the Stress of Being a Caregiver.

Here are a few simple tips to keep in mind when caring for the needs of someone with Alzheimer's:

- Encourage stimulation both mentally and socially. This improves cognition.

- Regular exercise. Studies show that resistance training is best for improving cognition, but ultimately just do whatever you can to get them moving!

- Beware of alcohol. Certain medications don't mix well with alcohol. Also, because of memory loss, the individual can easily lose count of how many drinks they have had. Over-drinking is a strong possibility.

The article New Research Offers Tips for Alzheimer's Caregivers provides more details regarding the tips I discussed.

Plants – Nature's Stress Relievers

Wednesday, July 18, 2012


Here in the Pacific Northwest our summers are beautiful, yet short-lived. Because of our long, wet winters we often don't get to enjoy the beautiful outdoors as much as we would like. Have you ever thought of bringing the outdoors inside? Many don’t realize that indoor plants hold many benefits both physically and emotionally.

Physical Benefits:

  • Prevents colds and allergies
  • Lowers blood pressure
  • Better air quality (removes toxins and increases oxygen flow)

Emotional Benefits:

  • Reduces stress
  • Promotes positive energy
  • Improves concentration

If you are feeling stressed either at home or work, pick up a few plants. They might be just what you need to find some inner calm. If you are dealing with a more severe case of stress and anxiety, visit Managing Stress.

Is There Too Much Stress on Our Children?

Thursday, July 12, 2012


It's easy to remember all the fun and joyous times we experienced as children. Some of us still long for those carefree days when we had no worries or fears. As perfect as it may have seemed, this memory is not realistic. Children are experiencing high levels of stress. It may look carefree, but inside many children have much on their minds.

School is one of the main concerns for young people. Juggling getting good grades, extracurricular activities, and sports can be a lot of handle. Another concern that tops the list is money. Children are not blind to the fact that there are financial problems in the family. Whatever stress the parent may be feeling, the children will feel it as well.

There are no hard and fast rules when it comes to children. Each child is different and has different strengths and weaknesses. Some can handle more than others. In order for a child's stress level to be healthy relies much on the parents. Parents must be in tune with how their child is dealing with the challenges in their life. Taking time to talk openly without criticism will allow a child to open up about what they are going through. They must feel that what they share will be respected and safe. I urge all of you parents to stay alert to signs that your child is under stress.

Even if you are the best parent in the world, there are times when you child may need professional help to deal with their stress. This is no slight on you. Being a good parents requires taking the necessary action for the ultimate welfare of your child. Contact a mental health care professional or speak to your family doctor about these issues.

For more information, visit Am I a Good Parent and Managing Stress.

Weight Loss Surgeries Possibly Linked to Abusing Alcohol

Thursday, July 05, 2012


Losing weight is a difficult journey. It takes hard work and dedication. Weight loss surgeries have become increasingly popular over the last few years. With any kind of surgery, risks are always involved. One possible risk is alcohol abuse.

After studying 2,000 obese individuals who underwent bariatric surgery (particularly Roux-en Y gastric bypass surgery), the risk of alcohol abuse increased. This only became apparent after a two year period. (For more detailed information, read - Weight-Loss Surgery May Raise Risk of Alcohol Abuse.)

At this point, researchers can only speculate why the Roux-en Y surgery is more likely causing alcohol abuse. It could be linked to increased alcohol sensitivity. Some patients go back to old habits. Regardless of the reason, alcohol abuse can take a toll on the mind and body.

Recognizing that this is a possibility after surgery is important to understand. The patient needs to be aware of all the consequences, negative and positive.

One important step to take in dealing with alcohol abuse, obesity, or both is to understand the reasons why. With the help of a mental health care professional, you can learn to understand this pattern of destructive behavior and how to redirect your thinking. Visit Weight Control and Alcoholism Recovery for additional information.

The Danger Associated with Loneliness in Middle Age

Monday, June 25, 2012


Living alone or feeling lonely may have more dangers than we thought. New research is pointing to loneliness and isolation as a possible cause for premature death. The age group at the most risk? Middle age. Those living alone were more likely to die earlier of heart problems or stroke than those living with family or friends.

Psychological problems can lead to physical health problems like heart disease. If you live with someone, there is a greater chance of recognizing physical health problems. If you live alone, you might forget medication or even choose to ignore symptoms. Because of this research, doctors are being encouraged to ask patients about their living situation because it may give insight into their physical and emotional state. For more information on this research, read the article - Lonely? Your health may suffer

Of course there are many who live alone who are far from lonely. It’s possible to develop a warm social circle of friends and family members. On the other hand, you could live with someone and still be lonely! Whatever your circumstances, if you feel sad or lonely look for a mental health care professional in your area. Depression, anxiety, and stress are all issues that you can overcome with the aid of a professional. If you delay in taking action, it could have a negative impact on your health. Contact my office if you live in the Portland, Oregon/Vancouver, Washington area to make an appointment.


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