ASD – ADHD | Prenatal Depression Medicines

depression and pregnancy Research shows that genetic factors play a large role in autism spectrum disorder. However, not as much is known about the role of medications prescribed during pregnancy. Do antidepressants and antipsychotics increase the risk of ASD and ADHD? Or is it the mother’s depression a greater contributing factor? That’s what researchers are trying to find out.

New research suggests that increased risk of autism after medication use during pregnancy may actually be reflecting the increased risk associated with severe maternal depression instead. According to SFARI (Simons Foundation Autism Research Initiative), “Women who have a history of bipolar disorder or depression are more likely to have a child with Asperger syndrome than classic autism.” They base this statement on a study published in the 2012 issue of Autism Research and Treatment.

PsychCentral reports on a study conducted by Massachusetts General Hospital researchers, which discovered, “While a diagnosis of autism spectrum disorder was more common in the children of mothers prescribed antidepressants during pregnancy than in those with no prenatal exposure, when the severity of the mother’s depression was accounted for, that increased risk was no longer statistically significant.”  They did, however, discover an increased risk for attention deficit hyperactivity disorder (ADHD). And antipsychotic drugs sometimes used to treat severe, treatment-resistant depression appeared to increase the risk for autism.


The senior author of the report, Roy Perlis, M.D., M.Sc., M.G.H., made this comment, “Untreated depression can pose serious health risks to both a mother and child, so it’s important that women being treated with antidepressants who become pregnant, or who are thinking about becoming pregnant, know that these medications will not increase their child’s risk of autism.”

Depression is not something you want to ignore because you’re afraid of what medication will do to you or your unborn child. There are a variety of depression treatment options available, with medication and without medication. Cognitive Behavioral Therapy and a holistic health approach are beneficial in helping anxious or depressed people lower medication requirements. Please discuss these options with your doctor. You don’t need to stay in the darkness. If you live near Portland, OR/Vancouver, WA please contact my office and set up an appointment so we can discuss the best treatment for you.

Wondering if you or someone you love has depression? Take the online PsychCentral Depression Quiz. If depression is indicated, please contact your physician or a mental health professional immediately.

Read more on my website: Overcoming Depression.

Do You Have to be a SuperMom

supermom juggling motherhood a home and a career What’s your definition of a “good mom”? What image comes to mind? Is she the “have it all” “be-it-all” type of supermom? Does she tirelessly manage a spotless house while keeping her kids busy in 10 different, after-school activities so they can get into the best colleges? Does she have an “even if it kills me, they’re going to have it” attitude? And all of this sandwiched in between a career or business as an entrepreneur!

A recent New York Times contributor, Heather Havrilesky, poured out her feelings about the mixed messages that are putting immense pressure on moms to be supermoms, while at the same time receiving degrading messages like, “Oh, you’re just a mom”. She talks about losing her own identity, which I’m sure many moms out there can relate to.

Even though my daughters are both grown up now, I remember the stress involved in trying to do it all. Do you sometimes find yourself wondering…

  • When did the role of motherhood get so out of balance?
  • How did it become the norm that life revolves around everything your child wants rather than the child learning to fit into the family?
  • How is it you become a bad mom if you don’t keep running from the moment you wake up until you fall exhaustedly into bed at night?
  • How are you supposed to smile happily through it all?

On top of that, you’re burdened with an immense sense of guilt every time you take some ‘me time’ for yourself…” This striving for a false perfection sets you up for the frustration of never being able to measure up.

Moms, especially working moms, are people too, not superheroes. You’re going to make little mistakes, even big blunders. The key is to recognize the mistake, accept it, and learn from it. As a psychologist please let me assure you that children are remarkably resilient. If you err, stop it, change it, apologize for it. You will be modeling flexibility and honesty for your child – two important values for them to have.

It’s important to remember that your child is a unique and a separate person from you. He or she isn’t an extension of the parent, but is as different and distinct as their fingerprints. If you take the time to be curious about who your child is, how they think, who they’re becoming, you’ll have the opportunity to make a lifelong friend.

Occasionally, when a problem arises that is beyond your understanding, it’s appropriate to seek the expertise of a family therapist. Sometimes personal problems or relationship problems interfere with productive family life. It is important to recognize these problems, seek professional help and restore family life to a healthy, happy balance. If you like in the Portland, OR/Vancouver, WA area, please contact my office and schedule an appointment.

Want to create a better work/home balance? If you’re an entrepreneur please check out my book – Entrepreneurial Couples – Making it Work at Work and Home.

Read more on my website: Women Entrepreneurs, Resources for Copreneurs and Am I a Good Parent?

Parental Alienation Syndrome | Kathy Marshack

Parental Alienation Syndrome Have you ever seen children who relentlessly belittle and insult one parent without cause? This is so heartbreaking, yet is becoming more common. It can get so bad that they even view that parent as evil. A person is most likely to see this situation during high conflict divorces where children become pawns in the battle between mom and dad.

Psychiatrist, Richard A. Gardner coined the phrase, “Parental Alienation Syndrome” to identify this behavior. He describes it as…

“A disorder that arises primarily in the context of child custody disputes. Its primary manifestation is the child’s campaign of denigration against a parent, a campaign that has no justification. It results from the combination of a programming (brainwashing) parent’s indoctrinations and the child’s own contributions to the vilification of the target parent.”

How and why does Parental Alienation Syndrome happen?

Many attorneys and marriage counselors suspect that high conflict divorces involve at least one partner with ASD (or another type of empathy disorder). This is because of the Empathy Disorder. Lack of empathy, unregulated emotions and a desire to control the outcome can lead to alienating the children, without regard for the serious damage the children suffer.

What are some alienation techniques that are used? The magazine Psychology Today lists the following behaviors:

  • “Bad-mouthing the other parent, 
  • Limiting contact with that parent, 
  • Erasing the other parent from the life and mind of the child (forbidding discussion and pictures of the other parent), 
  • Forcing the child to reject the other parent, 
  • Creating the impression that the other parent is dangerous, 
  • Forcing the child to choose between the parents by means of threats of withdrawal of affection, and 
  • Belittling and limiting contact with the extended family of the targeted parent.”
This painful issue of “Parental Alienation Syndrome” causes many to fear divorce, so we will be discussing this problem and how to protect yourself and your children at our next local Meetup – Asperger Syndrome: Partners and Family of Adults with AS on Saturday, November 15. If you live in the Vancouver, WA/ Portland area, please join us. If you’re unable to attend in person, please join the international teleconference on November 21, which will cover the same information for our global community. While not all on the Autism Spectrum will engage in Parental Alienation Syndrome, the underlying empathy disorder is still an issue in any divorce.

Parents – Is Football Worth the Risk?

parents have you weighed the risks of football We can’t keep our children in bubble wrap. Living involves risk. Responsible parenting means we’re on the lookout for potential hazards that can harm our children. That’s why we teach them “look both ways before crossing the road” or “don’t get in a stranger’s car”. We naturally want to protect our children.

But what if your children WANT to do something that you KNOW will harm them? Do you give in and let them decide to do it? What if it’s an activity that is viewed by many as “harmless fun” or touted as “building character”? Specifically I’m thinking about football…


Is Football Safe for Children?

Recently I watched a heart wrenching YouTube video that I think all parents should watch. The handsome, grinning face of twenty-one year old Owen Thomas is followed by a photo of his tombstone. He looked so happy being a hard-hitting lineman from 9 years old and onward. Yet, out of the blue, he committed suicide.

Concussion is a leading cause of CTE (Chronic Traumatic Encephalopathy) in football players, which in turn has caused some players to commit suicide. Surprisingly, Owen had never experienced a concussion during all his years of playing football, so there seemed to be no explanation for his death.

It was shocking to discover that when Dr. Ann McKee, neuropathologist at BU CTE Center, examined his brain, he had advanced CTE! She concluded that the CTE had resulted from sub-concussive hits he’d experienced throughout the years of playing the game. Just from playing the game.

When you sign your child up for a sport, you know there’s a physical risk. They can sprain an ankle or even break a bone. Are you prepared to deal with the brain damage that results from playing football? I urge every parent to do the research and weigh the risks. Dr. Robert Cantu, Neurosurgeon at Boston University said, “No one under 14 should play football. The youth brain is lighter in weight, so it takes less to put it in motion. You tap a youth brain and it moves much quicker than an adult brain.”

While Dr McKee would not make a blanket proclamation for all, when asked if she had a child who was 8, 10 or 12, would she allow that child to play football, she emphatically said, “I would not, because of the way football is being played currently. It’s dangerous and it could impact their long-term mental health. You only get one brain. And you want your kids to succeed in life and be everything they can be. If there’s anything that would infringe on that, I wouldn’t do it.”

Watch the Frontline YouTube Video: Is Football Safe for Children?

Read on my website: Depression – How To Recognize The Symptoms.

Empathy – Key to Successful Couples’ Consultations

empathy is the key to successful couples counselingWhat exactly is empathy? Perhaps you’ve heard it described as being able to stand in someone else’s shoes and see things from his or her point of view, which is a lot easier said than done in our overly-demanding world.

Science is proving that empathy is the result of some very complex and intricate connections in the brain. The National Institutes of Health probed the neuroscience of empathy and its capacity to help us evaluate other’s actions and feelings earlier this year. They discuss how “empathy is not only the capacity to share and understand others’ feeling and emotions, but it is becoming evident that it is a multilayered phenomenon in which emotions and cognitive processes are simultaneously at work.” They’re attempting to understand the core elements and basic neural connections and cognitive processes involved.

I’ve discussed these empathy connections in a previous blog about understanding the science behind Asperger’s behavior because those with Asperger’s struggle with empathy. Perhaps you haven’t thought about how this also applies to the way a psychologist can help couples in resolving their conflicts.

Maybe you’ve even put off seeking help from a marriage counselor because you wonder: How can you help us when you’ve never been in this particular situation before? How can you possibly understand how I feel?

The answer is empathy. In addition to the multitude of connections I’ve mentioned before, our brain is also designed with mirror neurons that help us empathize through perspective taking and mentally putting oneself in others’ shoes. My job as a psychologist is to create a safe place for couples to process your issues and engage your innate power of empathy to resolve conflicts.

I don’t have a manual that scripts the solution for each situation, which is a good thing because every person is different. So how can we KNOW what’s the right thing to do in any given case? Drawing on my education and experience, plus paying close attention to this other level of inspiration that comes from the wonderful way we’re designed, helps me intuitively know what to say and do. Sometimes the solutions is to say the right words or point out the thing that’s most needed, and other times it’s simply a kind look or just sharing a safe place that allows you to open up to mending the rift in your relationship.

Often, couples need an objective third party to help them integrate the best solutions for protecting their relationship. Over-thinking a situation and excessive worry can sometimes tax your ability to effectively engage your own gift of showing empathy. Henry Ford said, “Coming together is a beginning; keeping together is progress; working together is success.”

Why suffer in silence a moment longer? I work with all kinds of couples including couples who run a business together, dual-career couples, couples where one is on the autism spectrum, and couples that find money worries, depression or stress are simply overtaxing the relationship. If you live in the Portland, OR/ Vancouver, WA area, please contact my office and schedule an appointment today.

Read more on my website: Entrepreneurial Life.

Autism Alert: Will Broccoli Cure Autism?

broccoli sprouts being grown to treat autism No doubt you were as thrilled as I was to hear the recent news reports about a new treatment for autism…sulforaphane, which is found in cruciferous veggies, such as broccoli, cabbage, kale and Brussels sprouts. It’s especially abundant in broccoli sprouts. (Watch the CBS News report here. Read the clinical report here.)

The compound, sulforaphane, has been found to be efficacious for protecting cells from the oxidative stress that sets off cancer. It also bolsters the body’s natural defenses and it stimulates the body’s heat-shock response (the way the body protects itself from stress caused by the high temperature from having a fever).

Perhaps you, like other parents, have noted that your children’s autistic behavior improves while they have a fever. In 2007, Dr. Andrew Zimmerman and his team tested this anecdotal trend clinically and found it to be true. This discovery led to the research group studying sulforaphane’s effect on ASD, with very promising results.

Scientists at MassGeneral Hospital for Children and the Johns Hopkins University School of Medicine studied the reaction of 40 males (ages 13 to 27, with moderate to severe autism) to a daily dose of sulforaphane compared to those who received a placebo.

During the four weeks of testing, those who received the compound “experienced substantial improvements in their social interaction and verbal communication, along with decreases in repetitive, ritualistic behaviors, compared to those who received a placebo.” Dr Singh noted that, “It appears this supplement corrects underlying cellular problems.” However, once the dosage stopped, all subjects returned to pretreatment levels. This is exciting news!

But before you rush out and start supplementing your child’s diet…here’s a word of caution: Just because this compound is a product of a natural source, the high dosage needed to get results should be given under the supervision of a physician who can do blood work to monitor its effects. The study showed an elevated liver enzyme count, which could possibly be a precursor to liver inflammation. Always talk with your pediatrician before using supplements such as broccoli extract.

Is getting your children to eat more veggies a good idea? Most definitely, yes. It gives the cells the resources they need to heal and provides valuable fiber for proper elimination. Many have also found relief by eliminating foods that contribute to inflammation and toxicity or that trigger immune response such as artificial ingredients, gluten, sugar, and casein. Others have noted improvements by adding digestive enzymes, probiotics, and more fermented foods such as non-dairy yogurt or kefir that heal the damage to the gut.

Learn more on my website: Holistic Health for optimal health practices.

If you have a loved one on the Spectrum, please check our private MeetUp group. We have members from around the world meeting online in intimate video conferences guided by Dr. Kathy Marshack.
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