Posted: Fri Jun 08, 2007 8:52 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I was refereed by Dr. Kathrynne Holden, to post the following:
As emotional and cognitive disorders are common in Parkinson's disease, but are frequently overlooked or under treated.
Some PD patients are aware of the emotional disorders and associated with there matrimonial relationship when they come to certain disagreements. As the result they have depressive,delusions and sleep disorders. They usually refer to marriage counselling or psychiatric consultation.
In this connection I have the emotional disorders for the past of 20 years and they are associated with the matrimonial relationship until recently I find out they are byproduct of PD. All efforts going to marriage counselling or psychiatric are frustrating.
I understand there are between 40-60% PD patients have emotional disorders. Sensitivity to certain behaviours,issues and understanding are the causes of bad matrimonial relationship. They are the byproduct of
anxiety,phobias,apathy,hallucinations,delusions and sleep disorders.
Kindly advise me how to address the psychiatric and cognitive side effects of anti-Parkinson medications and surgical treatments.
Thanks
TEOKIMHOE
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Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 08, 2007 7:43 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions to raise, because there are many emotional as well as cognitive changes that may occur as PD progresses. Emotional instability, depression, attitudes toward sexuality, all may occur.
However, this is outside my scope of practice as a registered dietitian. This requires the efforts of a neurologist who specializes in PD who can determine whether counseling or medications or a combination of both is the best approach.
I highly recommend you address this question to "Ask the Doctor" -- the doctors have wide experience in the many mental and emotional changes occurring in PD.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip
Okun,
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Sat Jun 09, 2007 1:30 am Post subject:
--------------------------------------------------------------------------------
There are high rates of depression, anxiety, apathy and other mood/emotional disorders in PD. PD also causes stress on marriages. The two must BOTH be treated. I suggest SSRI's, clinical psychiatry, psychology, and marital counseling. I take these problems seriously in my patients and I use the multidisciplinary team.
_________________
Michael S. Okun, M.D.
Back to top
Anonymous
Posted: Sat Jun 09, 2007 5:44 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I have known PD as an illness of the "body, mind and soul
As for me my psychiatric problems have been normal. I have improved my matrimonial relationship.
I understand emotional disorders are the byproduct of PD and it is more difficult to treat than the movement problem as new discovery made drastic improvement in the treatment of the movement problem in PD. Cognitive disorders are common in PD - anxiety,depression etc
As I have difficult agility's my doctor increases my medication from one requip 0.25mg to two, three and four doses weekly three times a day.
For antidepression: one fluvoxamine maleate 50mg and Rivotril 0.5mg at night
He will cutdown my sinemet 25/100 and Jumex 5mg as times goes by to optimize the medication. As sinement has sideeffect on me sleepless at night, bad dream, agilities and emotional stress.
Kindly comment
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sun Jun 10, 2007 8:19 am Post subject:
--------------------------------------------------------------------------------
I think you asked a similar question on this already that I tried to answer.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Wed Jun 20, 2007 7:59 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
'
In view of my articles as the matrimonial relationships are the part causes of emotional disorders. Are they helpful for both parties to avoid their sensitive issues that cause emotional disorders?
What is the part of doctors to maintain the matrimonial relationship? Medication? Counselling?
Do you agree the above is the best way to counter the emotional relationship than the medication?
Why some doctors consider them as matrimonial relationship as they play no part on it as it is their privacy? They are interested to prescribe the antidepression medication? Some doctors even refer it as a psychiatric disorders or psychology
Kindly elaborate
TEOKIMHOE
Back to top
Anonymous
Posted: Wed Jun 20, 2007 8:14 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
One of the reason the cause of emotional disorders in matrimonial relationship both parties do not agree each other on how to value the relationship.As the result their families broke off.
They do not try to avoid and still repeat on doing the sensitive issues that cause the emotional disorders. Each time they ask for forgiveness that aggravates the emotional disorders, anxiety, depression , apathy and delusions of PD patient. Some doctors even are not playing a part on helping instead prescription of antidepression.
Kindly elaborate
TEOKIMHOE
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Wed Jun 20, 2007 3:59 pm Post subject:
--------------------------------------------------------------------------------
Thank you for your comments.
_________________
Michael S. Okun, M.D.
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Wed Jun 20, 2007 4:01 pm Post subject:
--------------------------------------------------------------------------------
We prefer to address these problems in a multidisciplinary fashion. A licensed clinical social worker, marriage counseling, and when necessary pharmacological approaches for mood disorders...
It takes a multiprong and tailored approach as each situation is different.
_________________
Michael S. Okun, M.D.
Back to top
Anonymous
Posted: Sat Jun 23, 2007 1:38 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
In view of the treatment for emotional disorders as suggested by you both PD specialist ,Psychiatrist and psychologist working together.
Do you agree there is a lot of overlapping in the role of PD specialists and psychiatrists working together?
Best regards
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sat Jun 23, 2007 9:07 am Post subject:
--------------------------------------------------------------------------------
Yes, I agree. And all disciplines must work together.
Yours,
_________________
Hubert H. Fernandez
Back to top
Sunday, June 24, 2007
Saturday, June 23, 2007
Emotional disorders and counselor
Posted: Wed Jun 20, 2007 6:49 pm Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
There are reasons that cause emotional disorders on PD patients. I am one of the suffers for many years. It is related with my matrimonial relationship. There are certain issues are sensitive to me but not for partner. the emotional disorders causes me depression, anxiety, and sleep disorders.
Some doctors treat it as their privacy and refer to psychiatric or counselling . They prescribe antidpression doses to relieve the disorders as they are not trained in this field.
What are the role of the PD specialist for the emotional disorders is it limited only presciption antidepressions drugs only? They refer the emotional disorders as a psychistric or psychotherapy.
Kindly elaborate the above
TEOKIMHOE
Thanls
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Wed Jun 20, 2007 8:46 pm Post subject:
--------------------------------------------------------------------------------
It depends on what the comfort level of your PD specialist has. Some do not even prescribe anti-depressants and anti-anxiety agents. They simply refer to a psychiatrist and psychologist.
Others prescribe the medications but do not do psychotherapy, so they refer to psychologist or marriage and family counselor but give the medications.
A few do both pharmaco- and psycho-therapy.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Thu Jun 21, 2007 3:59 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I am suffering emotional orders for many years. I have consulted marriage counselling and psychiatrist for treatment.
They are not helpful for my sickness as they listen to one side of story as the suffer in in trouble in the matrimonial relatinship with his/her partner.
In this connection I have to thank Dr, Chew Nee Kong of Pantia Cheras Hospital Kuala Lumpur who is the Movement Disorders Specialist who diagnosed my emotional disorders in my matrimonial relationship with my partner i.e without considerate for doing things and hurting me and sensitive issues that I do not accept it . I lost my dignity and respect in the society. Therefore he slowdowns my emotional disorders,
From the above experience some emotional disorders to be cured not by medication but my observation.
Kindly elaborate'
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Thu Jun 21, 2007 5:31 pm Post subject:
--------------------------------------------------------------------------------
Dear Teo,
I can't offer any information additional to that given by Dr. Fernandez, unfortunately. Very often, a good and sensitive marriage counselor is the answer; sometimes, antidepressant medication is the best solution. It sounds as though you found the ideal physician in Dr. Chew Nee Kong, and I only wish everyone was as fortunate.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/
Back to top
Anonymous
Posted: Thu Jun 21, 2007 5:39 pm Post subject: Exercises and Movement
--------------------------------------------------------------------------------
Dear Doctor,
I believe some emotional disorder disease could be cured especailly the matrimonial relatinship. There are certian issues that causes the breakoff matrimonial relationships i.e. inconsiderate for the partner or senitive issues that the partner could not accept/. I
I am one of the victim of the emotonal disorders that suffer for 20 years I went to pyschiatrist and councelling for treatment and consultaion and am victim that causes the troublde but is not the other partner that makes excuses of what he./she done wrong.
In this connection I have to thank you for Dr.Chew Nee Kong of Pantei cheras Hospital Kuala Lumpur for his counselling. He emphasis that inconsiderate and sensitives issues are the causes of bad matrimonail relationship\
I am pleased with his fair remarks and helping my emotional disorders slowdown as ,my partner admited/
Do your believe emotional disorders do not neccessary taking medication and itis the best to do is considerate for the other whilst doing things or sensitive issues to be avoiddd that the party do not accept .
This is my experience to share wiht the readers'
Kindly comment'
TEOKIMHOE
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Fri Jun 22, 2007 1:31 pm Post subject:
--------------------------------------------------------------------------------
I will post for you, and let the reader take in your comments. As I have previously expressed I use a multidisciplinary approach.
_________________
Michael S. Okun, M.D.
Back to top
--------------------------------------------------------------------------------
Dear Doctor,
There are reasons that cause emotional disorders on PD patients. I am one of the suffers for many years. It is related with my matrimonial relationship. There are certain issues are sensitive to me but not for partner. the emotional disorders causes me depression, anxiety, and sleep disorders.
Some doctors treat it as their privacy and refer to psychiatric or counselling . They prescribe antidpression doses to relieve the disorders as they are not trained in this field.
What are the role of the PD specialist for the emotional disorders is it limited only presciption antidepressions drugs only? They refer the emotional disorders as a psychistric or psychotherapy.
Kindly elaborate the above
TEOKIMHOE
Thanls
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Wed Jun 20, 2007 8:46 pm Post subject:
--------------------------------------------------------------------------------
It depends on what the comfort level of your PD specialist has. Some do not even prescribe anti-depressants and anti-anxiety agents. They simply refer to a psychiatrist and psychologist.
Others prescribe the medications but do not do psychotherapy, so they refer to psychologist or marriage and family counselor but give the medications.
A few do both pharmaco- and psycho-therapy.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Thu Jun 21, 2007 3:59 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I am suffering emotional orders for many years. I have consulted marriage counselling and psychiatrist for treatment.
They are not helpful for my sickness as they listen to one side of story as the suffer in in trouble in the matrimonial relatinship with his/her partner.
In this connection I have to thank Dr, Chew Nee Kong of Pantia Cheras Hospital Kuala Lumpur who is the Movement Disorders Specialist who diagnosed my emotional disorders in my matrimonial relationship with my partner i.e without considerate for doing things and hurting me and sensitive issues that I do not accept it . I lost my dignity and respect in the society. Therefore he slowdowns my emotional disorders,
From the above experience some emotional disorders to be cured not by medication but my observation.
Kindly elaborate'
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Thu Jun 21, 2007 5:31 pm Post subject:
--------------------------------------------------------------------------------
Dear Teo,
I can't offer any information additional to that given by Dr. Fernandez, unfortunately. Very often, a good and sensitive marriage counselor is the answer; sometimes, antidepressant medication is the best solution. It sounds as though you found the ideal physician in Dr. Chew Nee Kong, and I only wish everyone was as fortunate.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/
Back to top
Anonymous
Posted: Thu Jun 21, 2007 5:39 pm Post subject: Exercises and Movement
--------------------------------------------------------------------------------
Dear Doctor,
I believe some emotional disorder disease could be cured especailly the matrimonial relatinship. There are certian issues that causes the breakoff matrimonial relationships i.e. inconsiderate for the partner or senitive issues that the partner could not accept/. I
I am one of the victim of the emotonal disorders that suffer for 20 years I went to pyschiatrist and councelling for treatment and consultaion and am victim that causes the troublde but is not the other partner that makes excuses of what he./she done wrong.
In this connection I have to thank you for Dr.Chew Nee Kong of Pantei cheras Hospital Kuala Lumpur for his counselling. He emphasis that inconsiderate and sensitives issues are the causes of bad matrimonail relationship\
I am pleased with his fair remarks and helping my emotional disorders slowdown as ,my partner admited/
Do your believe emotional disorders do not neccessary taking medication and itis the best to do is considerate for the other whilst doing things or sensitive issues to be avoiddd that the party do not accept .
This is my experience to share wiht the readers'
Kindly comment'
TEOKIMHOE
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Fri Jun 22, 2007 1:31 pm Post subject:
--------------------------------------------------------------------------------
I will post for you, and let the reader take in your comments. As I have previously expressed I use a multidisciplinary approach.
_________________
Michael S. Okun, M.D.
Back to top
Emotional disorders and counselor
Posted: Wed Jun 20, 2007 6:49 pm Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
There are reasons that cause emotional disorders on PD patients. I am one of the suffers for many years. It is related with my matrimonial relationship. There are certain issues are sensitive to me but not for partner. the emotional disorders causes me depression, anxiety, and sleep disorders.
Some doctors treat it as their privacy and refer to psychiatric or counselling . They prescribe anti depression doses to relieve the disorders as they are not trained in this field.
What are the role of the PD specialist for the emotional disorders is it limited only prescription anti depressions drugs only? They refer the emotional disorders as a psychiatric or psychotherapy.
Kindly elaborate the above
TEOKIMHOE
Thanls
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Wed Jun 20, 2007 8:46 pm Post subject:
--------------------------------------------------------------------------------
It depends on what the comfort level of your PD specialist has. Some do not even prescribe anti-depressants and anti-anxiety agents. They simply refer to a psychiatrist and psychologist.
Others prescribe the medications but do not do psychotherapy, so they refer to psychologist or marriage and family counselor but give the medications.
A few do both pharmaco- and psycho-therapy.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Thu Jun 21, 2007 3:59 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I am suffering emotional orders for many years. I have consulted marriage counselling and psychiatrist for treatment.
They are not helpful for my sickness as they listen to one side of story as the suffer in in trouble in the matrimonial relationship with his/her partner.
In this connection I have to thank Dr, Chew Nee Kong of Pantia Cheras Hospital Kuala Lumpur who is the Movement Disorders Specialist who diagnosed my emotional disorders in my matrimonial relationship with my partner i.e without considerate for doing things and hurting me and sensitive issues that I do not accept it . I lost my dignity and respect in the society. Therefore he slowdowns my emotional disorders,
From the above experience some emotional disorders to be cured not by medication but my observation.
Kindly elaborate'
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Thu Jun 21, 2007 5:31 pm Post subject:
--------------------------------------------------------------------------------
Dear Teo,
I can't offer any information additional to that given by Dr. Fernandez, unfortunately. Very often, a good and sensitive marriage counselor is the answer; sometimes, antidepressant medication is the best solution. It sounds as though you found the ideal physician in Dr. Chew Nee Kong, and I only wish everyone was as fortunate.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/
Back to top
Anonymous
Posted: Thu Jun 21, 2007 5:39 pm Post subject: Exercises and Movement
--------------------------------------------------------------------------------
Dear Doctor,
I believe some emotional disorder disease could be cured especially the matrimonial relationship. There are certain issues that causes the break off matrimonial relationships i.e. inconsiderate for the partner or sensitive issues that the partner could not accept/. I
I am one of the victim of the emotional disorders that suffer for 20 years I went to psychiatrist and counselling for treatment and consultation and am victim that causes the troubled but is not the other partner that makes excuses of what he./she done wrong.
In this connection I have to thank you for Dr.Chew Nee Kong of Pantei cheras Hospital Kuala Lumpur for his counselling. He emphasis that inconsiderate and sensitives issues are the causes of bad matrimonial relationship\
I am pleased with his fair remarks and helping my emotional disorders slowdown as ,my partner agrees too./
Do your believe emotional disorders do not necessary taking medication and it is the best to do is considerate for the other whilst doing things or sensitive issues to be avoided that the party do not accept .
This is my experience to share with the readers'
Kindly comment'
TEOKIMHOE
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Fri Jun 22, 2007 1:31 pm Post subject:
--------------------------------------------------------------------------------
I will post for you, and let the reader take in your comments. As I have previously expressed I use a multidisciplinary approach.
_________________
Michael S. Okun, M.D.
Back to top
--------------------------------------------------------------------------------
Dear Doctor,
There are reasons that cause emotional disorders on PD patients. I am one of the suffers for many years. It is related with my matrimonial relationship. There are certain issues are sensitive to me but not for partner. the emotional disorders causes me depression, anxiety, and sleep disorders.
Some doctors treat it as their privacy and refer to psychiatric or counselling . They prescribe anti depression doses to relieve the disorders as they are not trained in this field.
What are the role of the PD specialist for the emotional disorders is it limited only prescription anti depressions drugs only? They refer the emotional disorders as a psychiatric or psychotherapy.
Kindly elaborate the above
TEOKIMHOE
Thanls
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Wed Jun 20, 2007 8:46 pm Post subject:
--------------------------------------------------------------------------------
It depends on what the comfort level of your PD specialist has. Some do not even prescribe anti-depressants and anti-anxiety agents. They simply refer to a psychiatrist and psychologist.
Others prescribe the medications but do not do psychotherapy, so they refer to psychologist or marriage and family counselor but give the medications.
A few do both pharmaco- and psycho-therapy.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Thu Jun 21, 2007 3:59 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I am suffering emotional orders for many years. I have consulted marriage counselling and psychiatrist for treatment.
They are not helpful for my sickness as they listen to one side of story as the suffer in in trouble in the matrimonial relationship with his/her partner.
In this connection I have to thank Dr, Chew Nee Kong of Pantia Cheras Hospital Kuala Lumpur who is the Movement Disorders Specialist who diagnosed my emotional disorders in my matrimonial relationship with my partner i.e without considerate for doing things and hurting me and sensitive issues that I do not accept it . I lost my dignity and respect in the society. Therefore he slowdowns my emotional disorders,
From the above experience some emotional disorders to be cured not by medication but my observation.
Kindly elaborate'
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Thu Jun 21, 2007 5:31 pm Post subject:
--------------------------------------------------------------------------------
Dear Teo,
I can't offer any information additional to that given by Dr. Fernandez, unfortunately. Very often, a good and sensitive marriage counselor is the answer; sometimes, antidepressant medication is the best solution. It sounds as though you found the ideal physician in Dr. Chew Nee Kong, and I only wish everyone was as fortunate.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/
Back to top
Anonymous
Posted: Thu Jun 21, 2007 5:39 pm Post subject: Exercises and Movement
--------------------------------------------------------------------------------
Dear Doctor,
I believe some emotional disorder disease could be cured especially the matrimonial relationship. There are certain issues that causes the break off matrimonial relationships i.e. inconsiderate for the partner or sensitive issues that the partner could not accept/. I
I am one of the victim of the emotional disorders that suffer for 20 years I went to psychiatrist and counselling for treatment and consultation and am victim that causes the troubled but is not the other partner that makes excuses of what he./she done wrong.
In this connection I have to thank you for Dr.Chew Nee Kong of Pantei cheras Hospital Kuala Lumpur for his counselling. He emphasis that inconsiderate and sensitives issues are the causes of bad matrimonial relationship\
I am pleased with his fair remarks and helping my emotional disorders slowdown as ,my partner agrees too./
Do your believe emotional disorders do not necessary taking medication and it is the best to do is considerate for the other whilst doing things or sensitive issues to be avoided that the party do not accept .
This is my experience to share with the readers'
Kindly comment'
TEOKIMHOE
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Fri Jun 22, 2007 1:31 pm Post subject:
--------------------------------------------------------------------------------
I will post for you, and let the reader take in your comments. As I have previously expressed I use a multidisciplinary approach.
_________________
Michael S. Okun, M.D.
Back to top
Friday, June 22, 2007
Emotional disorders and counselor
Dear Doctor,
'
In view of my articles as the matrimonial relationships are the part causes of emotional disorders. Are they helpful for both parties to avoid their sensitive issues that cause emotional disorders?
What is the part of doctors to maintain the matrimonial relationship? Medication? Counselling?
Do you agree the above is the best way to counter the emotional relationship than the medication?
Why some doctors consider them as matrimonial relationship as they play no part on it as it is their privacy? They are interested to prescribe the anti depression medication? Some doctors even refer it as a psychiatric disorders or psychology
Kindly elaborate
TEOKIMHOE
Back to top
Anonymous
Posted: Wed Jun 20, 2007 8:14 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
One of the reason the cause of emotional disorders in matrimonial relationship both parties do not agree each other on how to value the relationship.As the result their families broke off.
They do not try to avoid and still repeat on doing the sensitive issues that cause the emotional disorders. Each time they ask for forgiveness that aggravates the emotional disorders, anxiety, depression , apathy and delusions of PD patient. Some doctors even are not playing a part on helping instead prescription of anti depression.
Kindly elaborate
TEOKIMHOE
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Wed Jun 20, 2007 3:59 pm Post subject:
--------------------------------------------------------------------------------
Thank you for your comments.
_________________
Michael S. Okun, M.D.
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Wed Jun 20, 2007 4:01 pm Post subject:
--------------------------------------------------------------------------------
We prefer to address these problems in a multidisciplinary fashion. A licensed clinical social worker, marriage counseling, and when necessary pharmacological approaches for mood disorders...
It takes a multiprong and tailored approach as each situation is different.
_________________
Michael S. Okun, M.D.
Back to top
Dear Doctor,
I refer to my articles.I had seen the Psychiatrist for our matrimonial relationship in the past and the more I complaint the heave medication would be given as I was a trouble maker in order to calm down my emotional disorders and it was not a successful treatment.In order to communicate amongst each other in connection with our matrimonial relationship is it advisable to consult Psychology Centre?
Kindly advise.
TEO KIM HOE
Back to top
Dr. FernandezJoined: 20 Jan 2007Posts: 90Posted: Thu Jul 05, 2007 4:15 pm Post subject:--------------------------------------------------------------------------------Definitely. Pharmacotherapy (provided by a psychiatrist) plus psychotherapy (provided by a psychologist), is better than either approach alone.Yours,_________________Hubert H. FernandezBack to topAnonymousPosted: Sat Jul 07, 2007 10:12 pm Post subject: Emotional disorders and Parkinson Disease--------------------------------------------------------------------------------
Dear Doctor,I have seen the doctor of psychologist and was told to do the text on Urinary Metabolic Profile and Kryptopyroles and were part of nutritional diagnostic testing for mood disorder.Do you believe they are related with the emotional disorders?Are they effective to reflect the nutritional level that caused the emotional disorder?At present I am taking anti depression drugs i.e. 1l2 tablet Zyprexa Zydis 10 mg, one Luvox 50mg,1/2 of Rivotril 0.5 mg and one Lexapio 10mg at bed time.would I cutdown the medication as they are too repetition?Are they safe of taking antidepression and the effect of sexuality?Kindly elaborateTEOKIMHOEBack to topDr. FernandezJoined: 20 Jan 2007Posts: 90Posted: Sun Jul 08, 2007 7:17 am Post subject:--------------------------------------------------------------------------------Sorry, I do not know about the relationship of urinary metabolic profiles and kryptopyroles and depression. It is not something I routinely do, nor do I know if our psychologists/psychiatrists here do that.What I can tell you in your current medication is that I am concerned you are on zyprexa. It is an anti psychotic drug (usually for hallucinations, but occasionally used for other indications), but this clearly worsens PD. I would get off the drug if I were you. The only 2 antipsychotic drugs that PD patients can safely take are quetiapine and clozapine. All ther rest may worsen PD.Yours,_________________Hubert H. FernandezBack to topAnonymousPosted: Mon Jul 16, 2007 4:24 am Post subject: Emotional disorders and Parkinson Disease--------------------------------------------------------------------------------Dear Doctor,Thank you for the advices.My doctor stops me from taking antidepression drugs i.e. 1l2 tablet Zyprexa Zydis 10 mg, one Luvox 50mg,1/2 of Rivotril 0.5 mg and one Lexapio 10mg at bed time.My doctor replaces them with Seroquel 25mg two tablets and 1/2 of Rivotril 0.5mg at night.My medications for PD i.e. one sinemet 25/100 two timeswith one requip 4mg three times per day.I am given one Benzhexol HCL 2mg three tablets per day fortreatment of drooling of Saliva.I was told it is expensive to have BTX treatment for salivary drooling and potential side effects of BTX. It is effective for three months.
Kindly advise
TEOKIMHOE
Back to top
Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of FloridaPosted: Tue Jul 17, 2007 12:35 pm Post subject:--------------------------------------------------------------------------------
Botox can be effective for drooling, but is expensive and does need to be repeated every 3-4 months._________________Michael S. Okun, M.D.Back to top
Posted by Hero Teo at 8:32 AM
0 comments
'
In view of my articles as the matrimonial relationships are the part causes of emotional disorders. Are they helpful for both parties to avoid their sensitive issues that cause emotional disorders?
What is the part of doctors to maintain the matrimonial relationship? Medication? Counselling?
Do you agree the above is the best way to counter the emotional relationship than the medication?
Why some doctors consider them as matrimonial relationship as they play no part on it as it is their privacy? They are interested to prescribe the anti depression medication? Some doctors even refer it as a psychiatric disorders or psychology
Kindly elaborate
TEOKIMHOE
Back to top
Anonymous
Posted: Wed Jun 20, 2007 8:14 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
One of the reason the cause of emotional disorders in matrimonial relationship both parties do not agree each other on how to value the relationship.As the result their families broke off.
They do not try to avoid and still repeat on doing the sensitive issues that cause the emotional disorders. Each time they ask for forgiveness that aggravates the emotional disorders, anxiety, depression , apathy and delusions of PD patient. Some doctors even are not playing a part on helping instead prescription of anti depression.
Kindly elaborate
TEOKIMHOE
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Wed Jun 20, 2007 3:59 pm Post subject:
--------------------------------------------------------------------------------
Thank you for your comments.
_________________
Michael S. Okun, M.D.
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Wed Jun 20, 2007 4:01 pm Post subject:
--------------------------------------------------------------------------------
We prefer to address these problems in a multidisciplinary fashion. A licensed clinical social worker, marriage counseling, and when necessary pharmacological approaches for mood disorders...
It takes a multiprong and tailored approach as each situation is different.
_________________
Michael S. Okun, M.D.
Back to top
Dear Doctor,
I refer to my articles.I had seen the Psychiatrist for our matrimonial relationship in the past and the more I complaint the heave medication would be given as I was a trouble maker in order to calm down my emotional disorders and it was not a successful treatment.In order to communicate amongst each other in connection with our matrimonial relationship is it advisable to consult Psychology Centre?
Kindly advise.
TEO KIM HOE
Back to top
Dr. FernandezJoined: 20 Jan 2007Posts: 90Posted: Thu Jul 05, 2007 4:15 pm Post subject:--------------------------------------------------------------------------------Definitely. Pharmacotherapy (provided by a psychiatrist) plus psychotherapy (provided by a psychologist), is better than either approach alone.Yours,_________________Hubert H. FernandezBack to topAnonymousPosted: Sat Jul 07, 2007 10:12 pm Post subject: Emotional disorders and Parkinson Disease--------------------------------------------------------------------------------
Dear Doctor,I have seen the doctor of psychologist and was told to do the text on Urinary Metabolic Profile and Kryptopyroles and were part of nutritional diagnostic testing for mood disorder.Do you believe they are related with the emotional disorders?Are they effective to reflect the nutritional level that caused the emotional disorder?At present I am taking anti depression drugs i.e. 1l2 tablet Zyprexa Zydis 10 mg, one Luvox 50mg,1/2 of Rivotril 0.5 mg and one Lexapio 10mg at bed time.would I cutdown the medication as they are too repetition?Are they safe of taking antidepression and the effect of sexuality?Kindly elaborateTEOKIMHOEBack to topDr. FernandezJoined: 20 Jan 2007Posts: 90Posted: Sun Jul 08, 2007 7:17 am Post subject:--------------------------------------------------------------------------------Sorry, I do not know about the relationship of urinary metabolic profiles and kryptopyroles and depression. It is not something I routinely do, nor do I know if our psychologists/psychiatrists here do that.What I can tell you in your current medication is that I am concerned you are on zyprexa. It is an anti psychotic drug (usually for hallucinations, but occasionally used for other indications), but this clearly worsens PD. I would get off the drug if I were you. The only 2 antipsychotic drugs that PD patients can safely take are quetiapine and clozapine. All ther rest may worsen PD.Yours,_________________Hubert H. FernandezBack to topAnonymousPosted: Mon Jul 16, 2007 4:24 am Post subject: Emotional disorders and Parkinson Disease--------------------------------------------------------------------------------Dear Doctor,Thank you for the advices.My doctor stops me from taking antidepression drugs i.e. 1l2 tablet Zyprexa Zydis 10 mg, one Luvox 50mg,1/2 of Rivotril 0.5 mg and one Lexapio 10mg at bed time.My doctor replaces them with Seroquel 25mg two tablets and 1/2 of Rivotril 0.5mg at night.My medications for PD i.e. one sinemet 25/100 two timeswith one requip 4mg three times per day.I am given one Benzhexol HCL 2mg three tablets per day fortreatment of drooling of Saliva.I was told it is expensive to have BTX treatment for salivary drooling and potential side effects of BTX. It is effective for three months.
Kindly advise
TEOKIMHOE
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of FloridaPosted: Tue Jul 17, 2007 12:35 pm Post subject:--------------------------------------------------------------------------------
Botox can be effective for drooling, but is expensive and does need to be repeated every 3-4 months._________________Michael S. Okun, M.D.Back to top
Posted by Hero Teo at 8:32 AM
0 comments
Emotional disorders and counselor
Posted: Wed Jun 20, 2007 6:49 pm Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
There are reasons that cause emotional disorders on PD patients. I am one of the suffers for many years. It is related with my matrimonial relationship. There are certain issues are sensitive to me but not for partner. the emotional disorders causes me depression, anxiety, and sleep disorders.
Some doctors treat it as their privacy and refer to psychiatric or counselling . They prescribe antidpression doses to relieve the disorders as they are not trained in this field.
What are the role of the PD specialist for the emotional disorders is it limited only presciption antidepressions drugs only? They refer the emotional disorders as a psychistric or psychotherapy.
Kindly elaborate the above
TEOKIMHOE
Thanls
TEOKIMHOE
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Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Wed Jun 20, 2007 8:46 pm Post subject:
--------------------------------------------------------------------------------
It depends on what the comfort level of your PD specialist has. Some do not even prescribe anti-depressants and anti-anxiety agents. They simply refer to a psychiatrist and psychologist.
Others prescribe the medications but do not do psychotherapy, so they refer to psychologist or marriage and family counselor but give the medications.
A few do both pharmaco- and psycho-therapy.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Thu Jun 21, 2007 3:59 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I am suffering emotional orders for many years. I have consulted marriage counselling and psychiatrist for treatment.
They are not helpful for my sickness as they listen to one side of story as the suffer in in trouble in the matrimonial relatinship with his/her partner.
In this connection I have to thank Dr, Chew Nee Kong of Pantia Cheras Hospital Kuala Lumpur who is the Movement Disorders Specialist who diagnosed my emotional disorders in my matrimonial relationship with my partner i.e without considerate for doing things and hurting me and sensitive issues that I do not accept it . I lost my dignity and respect in the society. Therefore he slowdowns my emotional disorders,
From the above experience some emotional disorders to be cured not by medication but my observation.
Kindly elaborate'
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Thu Jun 21, 2007 5:31 pm Post subject:
--------------------------------------------------------------------------------
Dear Teo,
I can't offer any information additional to that given by Dr. Fernandez, unfortunately. Very often, a good and sensitive marriage counselor is the answer; sometimes, antidepressant medication is the best solution. It sounds as though you found the ideal physician in Dr. Chew Nee Kong, and I only wish everyone was as fortunate.
_________________
Best regards,
Kathrynne Holden, MS, RD
-L
--------------------------------------------------------------------------------
Dear Doctor,
There are reasons that cause emotional disorders on PD patients. I am one of the suffers for many years. It is related with my matrimonial relationship. There are certain issues are sensitive to me but not for partner. the emotional disorders causes me depression, anxiety, and sleep disorders.
Some doctors treat it as their privacy and refer to psychiatric or counselling . They prescribe antidpression doses to relieve the disorders as they are not trained in this field.
What are the role of the PD specialist for the emotional disorders is it limited only presciption antidepressions drugs only? They refer the emotional disorders as a psychistric or psychotherapy.
Kindly elaborate the above
TEOKIMHOE
Thanls
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Wed Jun 20, 2007 8:46 pm Post subject:
--------------------------------------------------------------------------------
It depends on what the comfort level of your PD specialist has. Some do not even prescribe anti-depressants and anti-anxiety agents. They simply refer to a psychiatrist and psychologist.
Others prescribe the medications but do not do psychotherapy, so they refer to psychologist or marriage and family counselor but give the medications.
A few do both pharmaco- and psycho-therapy.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Thu Jun 21, 2007 3:59 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I am suffering emotional orders for many years. I have consulted marriage counselling and psychiatrist for treatment.
They are not helpful for my sickness as they listen to one side of story as the suffer in in trouble in the matrimonial relatinship with his/her partner.
In this connection I have to thank Dr, Chew Nee Kong of Pantia Cheras Hospital Kuala Lumpur who is the Movement Disorders Specialist who diagnosed my emotional disorders in my matrimonial relationship with my partner i.e without considerate for doing things and hurting me and sensitive issues that I do not accept it . I lost my dignity and respect in the society. Therefore he slowdowns my emotional disorders,
From the above experience some emotional disorders to be cured not by medication but my observation.
Kindly elaborate'
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Thu Jun 21, 2007 5:31 pm Post subject:
--------------------------------------------------------------------------------
Dear Teo,
I can't offer any information additional to that given by Dr. Fernandez, unfortunately. Very often, a good and sensitive marriage counselor is the answer; sometimes, antidepressant medication is the best solution. It sounds as though you found the ideal physician in Dr. Chew Nee Kong, and I only wish everyone was as fortunate.
_________________
Best regards,
Kathrynne Holden, MS, RD
-L
Emotional disorders and Parkinson Disease
Discussion Corner Forum Index -> Ask The Parkinson Dietician
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Author Message
Anonymou
Posted: Wed Jun 20, 2007 6:49 pm Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
There are reasons that cause emotional disorders on PD patients. I am one of the suffers for many years. It is related with my matrimonial relationship. There are certain issues are sensitive to me but not for partner. the emotional disorders causes me depression, anxiety, and sleep disorders.
Some doctors treat it as their privacy and refer to psychiatric or counselling . They prescribe antidpression doses to relieve the disorders as they are not trained in this field.
What are the role of the PD specialist for the emotional disorders is it limited only presciption antidepressions drugs only? They refer the emotional disorders as a psychistric or psychotherapy.
Kindly elaborate the above
TEOKIMHOE
Thanls
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Wed Jun 20, 2007 8:46 pm Post subject:
--------------------------------------------------------------------------------
It depends on what the comfort level of your PD specialist has. Some do not even prescribe anti-depressants and anti-anxiety agents. They simply refer to a psychiatrist and psychologist.
Others prescribe the medications but do not do psychotherapy, so they refer to psychologist or marriage and family counselor but give the medications.
A few do both pharmaco- and psycho-therapy.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Thu Jun 21, 2007 3:59 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I am suffering emotional orders for many years. I have consulted marriage counselling and psychiatrist for treatment.
They are not helpful for my sickness as they listen to one side of story as the suffer in in trouble in the matrimonial relatinship with his/her partner.
In this connection I have to thank Dr, Chew Nee Kong of Pantia Cheras Hospital Kuala Lumpur who is the Movement Disorders Specialist who diagnosed my emotional disorders in my matrimonial relationship with my partner i.e without considerate for doing things and hurting me and sensitive issues that I do not accept it . I lost my dignity and respect in the society. Therefore he slowdowns my emotional disorders,
From the above experience some emotional disorders to be cured not by medication but my observation.
Kindly elaborate'
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Thu Jun 21, 2007 5:31 pm Post subject:
--------------------------------------------------------------------------------
Dear Teo,
I can't offer any information additional to that given by Dr. Fernandez, unfortunately. Very often, a good and sensitive marriage counselor is the answer; sometimes, antidepressant medication is the best solution. It sounds as though you found the ideal physician in Dr. Chew Nee Kong, and I only wish everyone was as fortunate.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/
Back to t0p
View previous topic :: View next topic
Author Message
Anonymou
Posted: Wed Jun 20, 2007 6:49 pm Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
There are reasons that cause emotional disorders on PD patients. I am one of the suffers for many years. It is related with my matrimonial relationship. There are certain issues are sensitive to me but not for partner. the emotional disorders causes me depression, anxiety, and sleep disorders.
Some doctors treat it as their privacy and refer to psychiatric or counselling . They prescribe antidpression doses to relieve the disorders as they are not trained in this field.
What are the role of the PD specialist for the emotional disorders is it limited only presciption antidepressions drugs only? They refer the emotional disorders as a psychistric or psychotherapy.
Kindly elaborate the above
TEOKIMHOE
Thanls
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Wed Jun 20, 2007 8:46 pm Post subject:
--------------------------------------------------------------------------------
It depends on what the comfort level of your PD specialist has. Some do not even prescribe anti-depressants and anti-anxiety agents. They simply refer to a psychiatrist and psychologist.
Others prescribe the medications but do not do psychotherapy, so they refer to psychologist or marriage and family counselor but give the medications.
A few do both pharmaco- and psycho-therapy.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Thu Jun 21, 2007 3:59 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I am suffering emotional orders for many years. I have consulted marriage counselling and psychiatrist for treatment.
They are not helpful for my sickness as they listen to one side of story as the suffer in in trouble in the matrimonial relatinship with his/her partner.
In this connection I have to thank Dr, Chew Nee Kong of Pantia Cheras Hospital Kuala Lumpur who is the Movement Disorders Specialist who diagnosed my emotional disorders in my matrimonial relationship with my partner i.e without considerate for doing things and hurting me and sensitive issues that I do not accept it . I lost my dignity and respect in the society. Therefore he slowdowns my emotional disorders,
From the above experience some emotional disorders to be cured not by medication but my observation.
Kindly elaborate'
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Thu Jun 21, 2007 5:31 pm Post subject:
--------------------------------------------------------------------------------
Dear Teo,
I can't offer any information additional to that given by Dr. Fernandez, unfortunately. Very often, a good and sensitive marriage counselor is the answer; sometimes, antidepressant medication is the best solution. It sounds as though you found the ideal physician in Dr. Chew Nee Kong, and I only wish everyone was as fortunate.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/
Back to t0p
Emotional disorders and Parkinson Disease
Posted: Fri Jun 08, 2007 8:52 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I was refered by Dr. Kathrynne Holden, to post the following:
As emotional and cognitive disorders are common in Parkinson's disease, but are frequently overlooked or undertreated.
Some PD patients are aware of the emotional disorders and associated with ther matrimonial relationship when they come to certain disagreements. As the result they have depressive,delusions and sleep disorders. They usually refer to marriage counselling or psychiatric consultation.
In this connection I have the emotional disorders for the past of 20 years and they are associated with the matrimonial relationship until recently I find out they are byproduct of PD. All efforts going to marriage counselling or psychiatric are frustrating.
I understand there are between 40-60% PD patients have emotional disorders. Sensitivity to certain behaviours,issues and understanding are the causes of bad matrimonial relationship. They are the byproduct of
anxiety,phobias,apathy,hallucinations,delusions and sleep disorders.
Kindly advise me how to address the psychiatric and cognitive side effects of anti-Parkinson medications and surgical treatments.
Thanks
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 08, 2007 7:43 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions to raise, because there are many emotional as well as cognitive changes that may occur as PD progresses. Emotional instability, depression, attitudes toward sexuality, all may occur.
However, this is outside my scope of practice as a registered dietitian. This requires the efforts of a neurologist who specializes in PD who can determine whether counseling or medications or a combination of both is the best approach.
I highly recommend you address this question to "Ask the Doctor" -- the doctors have wide experience in the many mental and emotional changes occurring in PD.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip
Okun,
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Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Sat Jun 09, 2007 1:30 am Post subject:
--------------------------------------------------------------------------------
There are high rates of depression, anxiety, apathy and other mood/emotional disorders in PD. PD also causes stress on marriages. The two must BOTH be treated. I suggest SSRI's, clinical psychiatry, psychology, and marital counseling. I take these problems seriously in my patients and I use the multidisciplinary team.
_________________
Michael S. Okun, M.D.
Back to top
Anonymous
Posted: Sat Jun 09, 2007 5:44 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I have known PD as an illness of the "body, mind and soul
As for me my psychiatric problems have been normal. I have improved my matrimonial relationship.
I understand emotional disorders are the byproduct of PD and it is more difficult to treat than the movement problem as new discovery made drastic improvement in the treatment of the movement problem in PD. Cognitive disorders are common in PD - anxiety,depression etc
As I have difficult agility's my doctor increases my medication from one requip 0.25mg to two, three and four doses weekly three times a day.
For antidepression: one fluvoxamine maleate 50mg and Rivotril 0.5mg at night
He will cutdown my sinemet 25/100 and Jumex 5mg as times goes by to optimize the medication. As sinement has sideeffect on me sleepless at night, bad dream, agility's and emotional stress.
Kindly comment
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sun Jun 10, 2007 8:19 am Post subject:
--------------------------------------------------------------------------------
I think you asked a similar question on this already that I tried to answer.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Wed Jun 20, 2007 7:59 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
'
In view of my articles as the matrimonial relationships are the part causes of emotional disorders. Are they helpful for both parties to avoid their sensitive issues that cause emotional disorders?
What is the part of doctors to maintain the matrimonial relationship? Medication? Counselling?
Do you agree the above is the best way to counter the emotional relationship than the medication?
Why some doctors consider them as matrimonial relationship as they play no part on it as it is their privacy? They are interested to prescribe the antidepression medication? Some doctors even refer it as a psychiatric disorders or psychology
Kindly elaborate
TEOKIMHOE
Back to top
Anonymous
Posted: Wed Jun 20, 2007 8:14 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
One of the reason the cause of emotional disorders in matrimonial relationship both parties do not agree each other on how to value the relationship.As the result their families broke off.
They do not try to avoid and still repeat on doing the sensitive issues that cause the emotional disorders. Each time they ask for forgiveness that aggravates the emotional disorders, anxiety, depression , apathy and delusions of PD patient. Some doctors even are not playing a part on helping instead prescription of antidepression.
Kindly elaborate
TEOKIMHOE
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Wed Jun 20, 2007 3:59 pm Post subject:
--------------------------------------------------------------------------------
Thank you for your comments.
_________________
Michael S. Okun, M.D.
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Wed Jun 20, 2007 4:01 pm Post subject:
--------------------------------------------------------------------------------
We prefer to address these problems in a multidisciplinary fashion. A licensed clinical social worker, marriage counseling, and when necessary pharmacological approaches for mood disorders...
It takes a multiprong and tailored approach as each situation is different.
_________________
Michael S. Okun, M.D.
Back to top
--------------------------------------------------------------------------------
Dear Doctor,
I was refered by Dr. Kathrynne Holden, to post the following:
As emotional and cognitive disorders are common in Parkinson's disease, but are frequently overlooked or undertreated.
Some PD patients are aware of the emotional disorders and associated with ther matrimonial relationship when they come to certain disagreements. As the result they have depressive,delusions and sleep disorders. They usually refer to marriage counselling or psychiatric consultation.
In this connection I have the emotional disorders for the past of 20 years and they are associated with the matrimonial relationship until recently I find out they are byproduct of PD. All efforts going to marriage counselling or psychiatric are frustrating.
I understand there are between 40-60% PD patients have emotional disorders. Sensitivity to certain behaviours,issues and understanding are the causes of bad matrimonial relationship. They are the byproduct of
anxiety,phobias,apathy,hallucinations,delusions and sleep disorders.
Kindly advise me how to address the psychiatric and cognitive side effects of anti-Parkinson medications and surgical treatments.
Thanks
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 08, 2007 7:43 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions to raise, because there are many emotional as well as cognitive changes that may occur as PD progresses. Emotional instability, depression, attitudes toward sexuality, all may occur.
However, this is outside my scope of practice as a registered dietitian. This requires the efforts of a neurologist who specializes in PD who can determine whether counseling or medications or a combination of both is the best approach.
I highly recommend you address this question to "Ask the Doctor" -- the doctors have wide experience in the many mental and emotional changes occurring in PD.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip
Okun,
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Sat Jun 09, 2007 1:30 am Post subject:
--------------------------------------------------------------------------------
There are high rates of depression, anxiety, apathy and other mood/emotional disorders in PD. PD also causes stress on marriages. The two must BOTH be treated. I suggest SSRI's, clinical psychiatry, psychology, and marital counseling. I take these problems seriously in my patients and I use the multidisciplinary team.
_________________
Michael S. Okun, M.D.
Back to top
Anonymous
Posted: Sat Jun 09, 2007 5:44 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I have known PD as an illness of the "body, mind and soul
As for me my psychiatric problems have been normal. I have improved my matrimonial relationship.
I understand emotional disorders are the byproduct of PD and it is more difficult to treat than the movement problem as new discovery made drastic improvement in the treatment of the movement problem in PD. Cognitive disorders are common in PD - anxiety,depression etc
As I have difficult agility's my doctor increases my medication from one requip 0.25mg to two, three and four doses weekly three times a day.
For antidepression: one fluvoxamine maleate 50mg and Rivotril 0.5mg at night
He will cutdown my sinemet 25/100 and Jumex 5mg as times goes by to optimize the medication. As sinement has sideeffect on me sleepless at night, bad dream, agility's and emotional stress.
Kindly comment
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sun Jun 10, 2007 8:19 am Post subject:
--------------------------------------------------------------------------------
I think you asked a similar question on this already that I tried to answer.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Wed Jun 20, 2007 7:59 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
'
In view of my articles as the matrimonial relationships are the part causes of emotional disorders. Are they helpful for both parties to avoid their sensitive issues that cause emotional disorders?
What is the part of doctors to maintain the matrimonial relationship? Medication? Counselling?
Do you agree the above is the best way to counter the emotional relationship than the medication?
Why some doctors consider them as matrimonial relationship as they play no part on it as it is their privacy? They are interested to prescribe the antidepression medication? Some doctors even refer it as a psychiatric disorders or psychology
Kindly elaborate
TEOKIMHOE
Back to top
Anonymous
Posted: Wed Jun 20, 2007 8:14 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
One of the reason the cause of emotional disorders in matrimonial relationship both parties do not agree each other on how to value the relationship.As the result their families broke off.
They do not try to avoid and still repeat on doing the sensitive issues that cause the emotional disorders. Each time they ask for forgiveness that aggravates the emotional disorders, anxiety, depression , apathy and delusions of PD patient. Some doctors even are not playing a part on helping instead prescription of antidepression.
Kindly elaborate
TEOKIMHOE
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Wed Jun 20, 2007 3:59 pm Post subject:
--------------------------------------------------------------------------------
Thank you for your comments.
_________________
Michael S. Okun, M.D.
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Wed Jun 20, 2007 4:01 pm Post subject:
--------------------------------------------------------------------------------
We prefer to address these problems in a multidisciplinary fashion. A licensed clinical social worker, marriage counseling, and when necessary pharmacological approaches for mood disorders...
It takes a multiprong and tailored approach as each situation is different.
_________________
Michael S. Okun, M.D.
Back to top
Thursday, June 21, 2007
Emotional disorders and Parkinson Disease
Posted: Wed Jun 20, 2007 6:49 pm Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
There are reasons that cause emotional disorders on PD patients. I am one of the suffers for many years. It is related with my matrimonial relationship. There are certain issues are sensitive to me but not for partner. the emotional disorders causes me depression, anxiety, and sleep disorders.
Some doctors treat it as their privacy and refer to psychiatric or counselling . They prescribe antidpression doses to relieve the disorders as they are not trained in this field.
What are the role of the PD specialist for the emotional disorders is it limited only presciption antidepressions drugs only? They refer the emotional disorders as a psychistric or psychotherapy.
Kindly elaborate the above
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Wed Jun 20, 2007 8:46 pm Post subject:
--------------------------------------------------------------------------------
It depends on what the comfort level of your PD specialist has. Some do not even prescribe anti-depressants and anti-anxiety agents. They simply refer to a psychiatrist and psychologist.
Others prescribe the medications but do not do psychotherapy, so they refer to psychologist or marriage and family counselor but give the medications.
A few do both pharmaco- and psycho-therapy.
Yours,
_________________
Hubert H. Fernandez
Back to top
--------------------------------------------------------------------------------
Dear Doctor,
There are reasons that cause emotional disorders on PD patients. I am one of the suffers for many years. It is related with my matrimonial relationship. There are certain issues are sensitive to me but not for partner. the emotional disorders causes me depression, anxiety, and sleep disorders.
Some doctors treat it as their privacy and refer to psychiatric or counselling . They prescribe antidpression doses to relieve the disorders as they are not trained in this field.
What are the role of the PD specialist for the emotional disorders is it limited only presciption antidepressions drugs only? They refer the emotional disorders as a psychistric or psychotherapy.
Kindly elaborate the above
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Wed Jun 20, 2007 8:46 pm Post subject:
--------------------------------------------------------------------------------
It depends on what the comfort level of your PD specialist has. Some do not even prescribe anti-depressants and anti-anxiety agents. They simply refer to a psychiatrist and psychologist.
Others prescribe the medications but do not do psychotherapy, so they refer to psychologist or marriage and family counselor but give the medications.
A few do both pharmaco- and psycho-therapy.
Yours,
_________________
Hubert H. Fernandez
Back to top
Tuesday, June 12, 2007
Emotional disorders and Parkinson Disease4
Dear Papa
From the contents of your various e-mails to your doctor, and also to other foreign specialists requesting for their opinions, I think you should try to tackle the problems in two ways. You should consider the following points :-
Point 1 - Get a proper diagnosis done
Although you exhibit most of the symptoms of cognitive disorders, normally associated with PD, you must remember that all these are "suspects" only, in the sense that you are "suspected" of having the illnesses alleged. The foreign doctors' suggestions and opinions to you are only "opinions" and "views". These are general pavement's and need actual verification and diagnosis. I would suggest that before you make your trip to any psychologist for psychiatric treatment, or even any other treatments of any nature whatsoever, you should consult your doctor who is treating you for PD, so that a proper diagnosis can be made. With a detailed diagnosis done, your doctor treating you for PD can suggest further treatment of such cognitive disorders, and may recommend you certain doctors/specialists in that area, and you proceed from there.
Point 2 - You have to be mentally stronger
I also note that Dr. Fernendez suggested more aggressive treatment to counter the effects of your alleged cognitive disorders. No doubt that it will be beneficial for the effects to be controlled by means of further treatments, it must also be noted that most of the time, whether you can combat (or at least minimize the effect of) the illness, depends a lot on yourself. This is especially pertinent for issues related to the mind. You have to get a hold of yourself and be strong mentally. Remember, your ill feelings towards Mummy and members of your family, may not be due to yourself, but it is due to the effect of the alleged cognitive disorders you are suffering from. You will have to try your best to "downplay" the ill feelings when it arises. Look at the cognitive disorders as a monster within you. You have to overcome it, in order to be happy. Remember, just as other people are expected to be sensitive to your feelings, you must also realize that others are only human. There is only as much that they can take. It is just like a pregnant lady, feeling really bad, goes to court and shout at the judge. She cannot turn around and say, "Hey sorry, I am pregnant and I don't feel good today". She is expected to keep her emotions checked. Similarly, dad, you must be strong and try to keep your emotions checked. Try to occupy your mind with your favourite things. Maybe cultivate a hobby for example. All these goes towards making you happier, and also minimizing on further tension with your family, particularly Mummy.
I am glad that your issues with Mummy has been settled. At least she now knows what your likes and dislikes are. And as mentioned two days ago, she will not repeat those issues that you are not comfortable with. I would suggest that you try to prevent any "building-up" of ill feelings. Pent-up anger is your worst enemy, particularly in your case, whereby you suspect that you are suffering from cognitive diseases from PD. Pent-up anger is the sidekick of PD. It feeds into your depression, and as a result, make you over react to a situation, which can be solved very easily. Try talking (nicely lah) early to Mummy once you see an issue you are uncomfortable with, as compared to an "explosion", which can also make the other party react aggressively.
I am very sure that you can successfully conquer the ill effects of the alleged cognitive disorders of PD that have been bothering you. I am sure all of us are fully supportive of you in your combat.
But first and foremost, please get a proper diagnosis done by your doctor, rather than being bothered by suspicions based on opinions given generally by the foreign experts. From then on, we proceed step by step.
Regards
Richard Foo
From the contents of your various e-mails to your doctor, and also to other foreign specialists requesting for their opinions, I think you should try to tackle the problems in two ways. You should consider the following points :-
Point 1 - Get a proper diagnosis done
Although you exhibit most of the symptoms of cognitive disorders, normally associated with PD, you must remember that all these are "suspects" only, in the sense that you are "suspected" of having the illnesses alleged. The foreign doctors' suggestions and opinions to you are only "opinions" and "views". These are general pavement's and need actual verification and diagnosis. I would suggest that before you make your trip to any psychologist for psychiatric treatment, or even any other treatments of any nature whatsoever, you should consult your doctor who is treating you for PD, so that a proper diagnosis can be made. With a detailed diagnosis done, your doctor treating you for PD can suggest further treatment of such cognitive disorders, and may recommend you certain doctors/specialists in that area, and you proceed from there.
Point 2 - You have to be mentally stronger
I also note that Dr. Fernendez suggested more aggressive treatment to counter the effects of your alleged cognitive disorders. No doubt that it will be beneficial for the effects to be controlled by means of further treatments, it must also be noted that most of the time, whether you can combat (or at least minimize the effect of) the illness, depends a lot on yourself. This is especially pertinent for issues related to the mind. You have to get a hold of yourself and be strong mentally. Remember, your ill feelings towards Mummy and members of your family, may not be due to yourself, but it is due to the effect of the alleged cognitive disorders you are suffering from. You will have to try your best to "downplay" the ill feelings when it arises. Look at the cognitive disorders as a monster within you. You have to overcome it, in order to be happy. Remember, just as other people are expected to be sensitive to your feelings, you must also realize that others are only human. There is only as much that they can take. It is just like a pregnant lady, feeling really bad, goes to court and shout at the judge. She cannot turn around and say, "Hey sorry, I am pregnant and I don't feel good today". She is expected to keep her emotions checked. Similarly, dad, you must be strong and try to keep your emotions checked. Try to occupy your mind with your favourite things. Maybe cultivate a hobby for example. All these goes towards making you happier, and also minimizing on further tension with your family, particularly Mummy.
I am glad that your issues with Mummy has been settled. At least she now knows what your likes and dislikes are. And as mentioned two days ago, she will not repeat those issues that you are not comfortable with. I would suggest that you try to prevent any "building-up" of ill feelings. Pent-up anger is your worst enemy, particularly in your case, whereby you suspect that you are suffering from cognitive diseases from PD. Pent-up anger is the sidekick of PD. It feeds into your depression, and as a result, make you over react to a situation, which can be solved very easily. Try talking (nicely lah) early to Mummy once you see an issue you are uncomfortable with, as compared to an "explosion", which can also make the other party react aggressively.
I am very sure that you can successfully conquer the ill effects of the alleged cognitive disorders of PD that have been bothering you. I am sure all of us are fully supportive of you in your combat.
But first and foremost, please get a proper diagnosis done by your doctor, rather than being bothered by suspicions based on opinions given generally by the foreign experts. From then on, we proceed step by step.
Regards
Richard Foo
Agility forum
Posted: Fri Jun 01, 2007 10:46 am Post subject: Agility
--------------------------------------------------------------------------------
Dear Dr. Rodriquez,
Fri Jun 01, 2007 4:44 am Post subject: Q: Agility
I was referred by Dr.Kathrynne Holden to post the following question for your elaboration and advise:
I am a PD patient for the past of two years and is on
medication i.e. one each sinemet 25/100 in three times and one Jumex in two times a day.
I have agility's difficulties during my exercises in gym and daily life as follows:
1.Able to move quickly or easily and neat in movement; nimble
2.Quickly to grip/seizing something firmly both from fingers/ hand to take
3.Easily to lost my grip on the slope
4.Agile mind to think quickly or acute
My physical trainer told me I have difficulties of agility
during his physical program and is not improving.
Is it an aging process or advancing stages of PD?
Kindly advise.
TEO KIM HOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 01, 2007 8:00 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions, but again I must request that you post them to "Ask the Doctor," as my practice is concerned with nutrition.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
I was refered by Dr. Kathrynne Holden to post the following for your elaboration and advise:-
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sun Jun 03, 2007 8:04 pm Post subject:
--------------------------------------------------------------------------------
Sorry, Dr. Rodriguez is unavailable right now. It is difficult to get Internet access at our hotel...
But I think, to answer your question, it could be the progression of your PD. Or you are not optimized in your current medication.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Mon Jun 04, 2007 1:46 am Post subject: Agility and Medication
--------------------------------------------------------------------------------
Dear Doctor,
Thank you for your email and am advised by my doctor to optimise my medication as follows"
l. one dose of Sinemet 25/100 for morning, afternoon and evening
2. one Jumex 5gm for morning and afternoon.
3. Requip O.25mg one each for morning, midday and evening for first week and increase two doses for 2 week , 3 doses for 3 week and 4 doses for fourth week.
4. one dose of Rivotril 0.5 mg for my insomnia at bed time as I have bad dream at night due to the side effect of Sinement.
I was told by doctor that he will increase my Requip medication after the 4 weeks and decrease the sinemet doses as it is too powerful for me.
Kindly advise
Best regards
Teo Kim HOe
Back to top
Anonymous
Posted: Mon Jun 04, 2007 2:18 am Post subject: agility and Medication
--------------------------------------------------------------------------------
Dear Doctor,
Thank you for your email and be informed my doctor has optimized my doses of Parkinson as follows:
one dose of Requip 0.25 mg for the first week, increases to two doses for 2 week, 3 doses for third week and 4 doses for four week. All are in three time a day
The Requip will be increased further after the 4 weeks as Sinemet would cut down to optimized the medication. Sinemet is too strong for me as I am in stage 2 of PD.
Kindly advise
Best regards
Teo Kim Hoe
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Fri Jun 08, 2007 10:58 am Post subject:
--------------------------------------------------------------------------------
I would recommend you follow your doctor's advice.
_________________
Michael S. Okun, M.D.
Back to top
--------------------------------------------------------------------------------
Dear Dr. Rodriquez,
Fri Jun 01, 2007 4:44 am Post subject: Q: Agility
I was referred by Dr.Kathrynne Holden to post the following question for your elaboration and advise:
I am a PD patient for the past of two years and is on
medication i.e. one each sinemet 25/100 in three times and one Jumex in two times a day.
I have agility's difficulties during my exercises in gym and daily life as follows:
1.Able to move quickly or easily and neat in movement; nimble
2.Quickly to grip/seizing something firmly both from fingers/ hand to take
3.Easily to lost my grip on the slope
4.Agile mind to think quickly or acute
My physical trainer told me I have difficulties of agility
during his physical program and is not improving.
Is it an aging process or advancing stages of PD?
Kindly advise.
TEO KIM HOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 01, 2007 8:00 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions, but again I must request that you post them to "Ask the Doctor," as my practice is concerned with nutrition.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
I was refered by Dr. Kathrynne Holden to post the following for your elaboration and advise:-
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sun Jun 03, 2007 8:04 pm Post subject:
--------------------------------------------------------------------------------
Sorry, Dr. Rodriguez is unavailable right now. It is difficult to get Internet access at our hotel...
But I think, to answer your question, it could be the progression of your PD. Or you are not optimized in your current medication.
Yours,
_________________
Hubert H. Fernandez
Back to top
Anonymous
Posted: Mon Jun 04, 2007 1:46 am Post subject: Agility and Medication
--------------------------------------------------------------------------------
Dear Doctor,
Thank you for your email and am advised by my doctor to optimise my medication as follows"
l. one dose of Sinemet 25/100 for morning, afternoon and evening
2. one Jumex 5gm for morning and afternoon.
3. Requip O.25mg one each for morning, midday and evening for first week and increase two doses for 2 week , 3 doses for 3 week and 4 doses for fourth week.
4. one dose of Rivotril 0.5 mg for my insomnia at bed time as I have bad dream at night due to the side effect of Sinement.
I was told by doctor that he will increase my Requip medication after the 4 weeks and decrease the sinemet doses as it is too powerful for me.
Kindly advise
Best regards
Teo Kim HOe
Back to top
Anonymous
Posted: Mon Jun 04, 2007 2:18 am Post subject: agility and Medication
--------------------------------------------------------------------------------
Dear Doctor,
Thank you for your email and be informed my doctor has optimized my doses of Parkinson as follows:
one dose of Requip 0.25 mg for the first week, increases to two doses for 2 week, 3 doses for third week and 4 doses for four week. All are in three time a day
The Requip will be increased further after the 4 weeks as Sinemet would cut down to optimized the medication. Sinemet is too strong for me as I am in stage 2 of PD.
Kindly advise
Best regards
Teo Kim Hoe
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Fri Jun 08, 2007 10:58 am Post subject:
--------------------------------------------------------------------------------
I would recommend you follow your doctor's advice.
_________________
Michael S. Okun, M.D.
Back to top
Monday, June 11, 2007
Emotional disorders and Parkinson Disease3
Q: Emotional disorders and Parkinson Disease
Discussion Corner Forum Index -> Ask The Doctor
View previous topic :: View next topic
Author Message
Anonymous
Posted: Thu Jun 07, 2007 7:49 pm Post subject: Q: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
As emotional and cognitive disorders are common in Parkinson's disease, but are frequently overlooked or undertreated.
Some PD patients are aware of the emotional disorders and associated with ther matrimonial relationship when they come to certain disagreements. As the result they have depressive,delusions and sleep disorders. They usually refer to marriage counsellling or psychiatric consultation.
In this connection I have the emotional disorders for the past of 20 years and I do not aware that they are assocaited with the matrimonial relationship until I was discovered it is associated with PD. All efforts going to marriage councelling or psychiatric are frustrating.
Kindly advise me how to address the psychiatric and cognitive side effects of anti-parkinsonian medications and surgical treatments.
Thanks
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 08, 2007 7:43 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions to raise, because there are many emotional as well as cognitive changes that may occur as PD progresses. Emotional instability, depression, attitudes toward sexuality, all may occur.
However, this is outside my scope of practice as a registered dietitian. This requires the efforts of a neurologist who specializes in PD who can determine whether counseling or medications or a combination of both is the best approach.
I highly recommend you address this question to "Ask the Doctor" -- the doctors have wide experience in the many mental and emotional changes occurring in PD.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/
Back to top
Anonymous
Posted: Fri Jun 08, 2007 4:35 pm Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
Is it due to the sideeffect of my PD i.e Sinemet 25/100 one each per meal and one Jumex 5mg in two meals that I have emotional disorders associated with matrimonial relationship with my wife? I am now sensitive on any issues associated with matrimoniaL relationship resulting I have depressive, anxiety.apathy and sleep disorders.It is associated with psychiatric and cognitive disorders
I have consulted the doctor and now am taking requip 0.25 one each per meal and slowly increase from two, three, four doses for week besides the sinemet and jumex. In additiona I am taking fluvoxamine maleate 50mg and Rivotril 0.5 mg for antidepressive disorders and anxiety. I am now not interested to taking part in gmx which I use to as I have sensitive to the exercises'as I have difficulties with movement agilities.
Kindly elaborate the above;''
Thanks
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sun Jun 10, 2007 7:59 am Post subject:
--------------------------------------------------------------------------------
Depression, anxiety, apathy and sleep disorders are quite common in PD. From the tone of your e-mail and from the various e-mails you have sent us trying to know as much as you can about PD, you are probably not apathetic. But you definitely can be depressed, anxious and have sleep problems.
40-50% of PD patients get depressed. 20-30% get anxious, and almost all have sleep problems. One other thing to consider is that depression alone can cause anxiety (called agitated depression) and sleep disorders. Thus, it is possible that this could all stem from depression, and it is possible that these are 3 separate entities as well.
I would advice you to be more aggressive in treating your depression. Perhaps you need a higher dose of your anti-depressant? Perhaps you need a 2nd or a 3rd agent to help you? I would also strongly consider you to undergo psychotherapy to augment the action of your anti-depressants. If you are having marital problems, it is worth going to a marriage or family counselor. The combination of pharmacotherapy and psychotherapy is better in controlling depression that either one alone.
Yours,
_________________
Hubert H. Fernandez
Back to top
Discussion Corner Forum Index -> Ask The Doctor
View previous topic :: View next topic
Author Message
Anonymous
Posted: Thu Jun 07, 2007 7:49 pm Post subject: Q: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
As emotional and cognitive disorders are common in Parkinson's disease, but are frequently overlooked or undertreated.
Some PD patients are aware of the emotional disorders and associated with ther matrimonial relationship when they come to certain disagreements. As the result they have depressive,delusions and sleep disorders. They usually refer to marriage counsellling or psychiatric consultation.
In this connection I have the emotional disorders for the past of 20 years and I do not aware that they are assocaited with the matrimonial relationship until I was discovered it is associated with PD. All efforts going to marriage councelling or psychiatric are frustrating.
Kindly advise me how to address the psychiatric and cognitive side effects of anti-parkinsonian medications and surgical treatments.
Thanks
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 08, 2007 7:43 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions to raise, because there are many emotional as well as cognitive changes that may occur as PD progresses. Emotional instability, depression, attitudes toward sexuality, all may occur.
However, this is outside my scope of practice as a registered dietitian. This requires the efforts of a neurologist who specializes in PD who can determine whether counseling or medications or a combination of both is the best approach.
I highly recommend you address this question to "Ask the Doctor" -- the doctors have wide experience in the many mental and emotional changes occurring in PD.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/
Back to top
Anonymous
Posted: Fri Jun 08, 2007 4:35 pm Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
Is it due to the sideeffect of my PD i.e Sinemet 25/100 one each per meal and one Jumex 5mg in two meals that I have emotional disorders associated with matrimonial relationship with my wife? I am now sensitive on any issues associated with matrimoniaL relationship resulting I have depressive, anxiety.apathy and sleep disorders.It is associated with psychiatric and cognitive disorders
I have consulted the doctor and now am taking requip 0.25 one each per meal and slowly increase from two, three, four doses for week besides the sinemet and jumex. In additiona I am taking fluvoxamine maleate 50mg and Rivotril 0.5 mg for antidepressive disorders and anxiety. I am now not interested to taking part in gmx which I use to as I have sensitive to the exercises'as I have difficulties with movement agilities.
Kindly elaborate the above;''
Thanks
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sun Jun 10, 2007 7:59 am Post subject:
--------------------------------------------------------------------------------
Depression, anxiety, apathy and sleep disorders are quite common in PD. From the tone of your e-mail and from the various e-mails you have sent us trying to know as much as you can about PD, you are probably not apathetic. But you definitely can be depressed, anxious and have sleep problems.
40-50% of PD patients get depressed. 20-30% get anxious, and almost all have sleep problems. One other thing to consider is that depression alone can cause anxiety (called agitated depression) and sleep disorders. Thus, it is possible that this could all stem from depression, and it is possible that these are 3 separate entities as well.
I would advice you to be more aggressive in treating your depression. Perhaps you need a higher dose of your anti-depressant? Perhaps you need a 2nd or a 3rd agent to help you? I would also strongly consider you to undergo psychotherapy to augment the action of your anti-depressants. If you are having marital problems, it is worth going to a marriage or family counselor. The combination of pharmacotherapy and psychotherapy is better in controlling depression that either one alone.
Yours,
_________________
Hubert H. Fernandez
Back to top
Psychiatric and Cognitive disorder
Posted: Tue Jun 05, 2007 5:41 am Post subject: Psychiatric and Cognitive disorder in Parkinson's disease
--------------------------------------------------------------------------------
Dear Doctor,
Cognitive disorders are common in PD - anxiety, depression, etc. With the drastic improvement in the treatment of the movement problem in PD, I often find that the cognitive disorders are actually more difficult to treat than the movement problem.
I have known PD as an illness of the "body, mind and soul".
Kindly elaborate the above.
Thanks
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sun Jun 10, 2007 8:12 am Post subject:
--------------------------------------------------------------------------------
I think you meant to ask this to the Ask the Doctor Forum instead of the Ask the Speech Clinician.
I am not sure what you are exactly asking. As we mentioned before, it is best to use the forum for your own patient-specific question or when you do not understand something particular about PD instead of asking us general questions.
Cognitive impairment is seen in PD. The incidence and the prevalence vary a lot depending on the length of observation and the criteria used to diagnose a PD patient with cognitive impairment. But clearly, PD patients have a higher chance of cognitive-impairment compared to their non-PD age-matched controls. But not all PD patients will suffer from significant cognitive impairment.
As far as we can tell, the medications used to enhance memory in Alzheimer's disease also provide a modest improvement in cognition in PD.
Yours.
_________________
Hubert H. Fernandez
--------------------------------------------------------------------------------
Dear Doctor,
Cognitive disorders are common in PD - anxiety, depression, etc. With the drastic improvement in the treatment of the movement problem in PD, I often find that the cognitive disorders are actually more difficult to treat than the movement problem.
I have known PD as an illness of the "body, mind and soul".
Kindly elaborate the above.
Thanks
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sun Jun 10, 2007 8:12 am Post subject:
--------------------------------------------------------------------------------
I think you meant to ask this to the Ask the Doctor Forum instead of the Ask the Speech Clinician.
I am not sure what you are exactly asking. As we mentioned before, it is best to use the forum for your own patient-specific question or when you do not understand something particular about PD instead of asking us general questions.
Cognitive impairment is seen in PD. The incidence and the prevalence vary a lot depending on the length of observation and the criteria used to diagnose a PD patient with cognitive impairment. But clearly, PD patients have a higher chance of cognitive-impairment compared to their non-PD age-matched controls. But not all PD patients will suffer from significant cognitive impairment.
As far as we can tell, the medications used to enhance memory in Alzheimer's disease also provide a modest improvement in cognition in PD.
Yours.
_________________
Hubert H. Fernandez
Sunday, June 10, 2007
Emotional disorders and Parkinson Disease3
Posted: Fri Jun 08, 2007 8:52 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I was refereed by Dr. Kathrynne Holden, to post the following:
As emotional and cognitive disorders are common in Parkinson's disease, but are frequently overlooked or under treated.
Some PD patients are aware of the emotional disorders and associated with their matrimonial relationship when they come to certain disagreements. As the result they have depressive,delusions and sleep disorders. They usually refer to marriage counselling or psychiatric consultation.
In this connection I have the emotional disorders for the past of 20 years and they are associated with the matrimonial relationship until recently I find out they are byproduct of PD. All efforts going to marriage counselling or psychiatric are frustrating.
I understand there are between 40-60% PD patients have emotional disorders. Sensitivity to certain behaviours,issues and understanding are the causes of bad matrimonial relationship. They are the byproduct of
anxiety,phobias,apathy,hallucinations,delusions and sleep disorders.
Kindly advise me how to address the psychiatric and cognitive side effects of anti-Parkinson medications and surgical treatments.
Thanks
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 08, 2007 7:43 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions to raise, because there are many emotional as well as cognitive changes that may occur as PD progresses. Emotional instability, depression, attitudes toward sexuality, all may occur.
However, this is outside my scope of practice as a registered dietitian. This requires the efforts of a neurologist who specializes in PD who can determine whether counseling or medications or a combination of both is the best approach.
I highly recommend you address this question to "Ask the Doctor" -- the doctors have wide experience in the many mental and emotional changes occurring in PD.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip
Okun,
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Sat Jun 09, 2007 1:30 am Post subject:
--------------------------------------------------------------------------------
There are high rates of depression, anxiety, apathy and other mood/emotional disorders in PD. PD also causes stress on marriages. The two must BOTH be treated. I suggest SSRI's, clinical psychiatry, psychology, and marital counseling. I take these problems seriously in my patients and I use the multidisciplinary team.
_________________
Michael S. Okun, M.D.
Back to top
Anonymous
Posted: Sat Jun 09, 2007 5:44 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I have known PD as an illness of the "body, mind and soul
As for me my psychiatric problems have been normal. I have improved my matrimonial relationship.
I understand emotional disorders are the byproduct of PD and it is more difficult to treat than the movement problem as new discovery made drastic improvement in the treatment of the movement problem in PD. Cognitive disorders are common in PD - anxiety,depression etc
As I have difficult agility's my doctor increases my medication from one requip 0.25mg to two, three and four doses weekly three times a day.
For anti depression: one fluvoxamine maleate 50mg and Rivotril 0.5mg at night
He will cutdown my sinemet 25/100 and Jumex 5mg as times goes by to optimize the medication. As sinement has sideeffect on me sleepless at night, bad dream, agility's and emotional stress.
Kindly comment
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sun Jun 10, 2007 8:19 am Post subject:
--------------------------------------------------------------------------------
I think you asked a similar question on this already that I tried to answer.
Yours,
_________________
Hubert H. Fernandez
Back to top
--------------------------------------------------------------------------------
Dear Doctor,
I was refereed by Dr. Kathrynne Holden, to post the following:
As emotional and cognitive disorders are common in Parkinson's disease, but are frequently overlooked or under treated.
Some PD patients are aware of the emotional disorders and associated with their matrimonial relationship when they come to certain disagreements. As the result they have depressive,delusions and sleep disorders. They usually refer to marriage counselling or psychiatric consultation.
In this connection I have the emotional disorders for the past of 20 years and they are associated with the matrimonial relationship until recently I find out they are byproduct of PD. All efforts going to marriage counselling or psychiatric are frustrating.
I understand there are between 40-60% PD patients have emotional disorders. Sensitivity to certain behaviours,issues and understanding are the causes of bad matrimonial relationship. They are the byproduct of
anxiety,phobias,apathy,hallucinations,delusions and sleep disorders.
Kindly advise me how to address the psychiatric and cognitive side effects of anti-Parkinson medications and surgical treatments.
Thanks
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 08, 2007 7:43 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions to raise, because there are many emotional as well as cognitive changes that may occur as PD progresses. Emotional instability, depression, attitudes toward sexuality, all may occur.
However, this is outside my scope of practice as a registered dietitian. This requires the efforts of a neurologist who specializes in PD who can determine whether counseling or medications or a combination of both is the best approach.
I highly recommend you address this question to "Ask the Doctor" -- the doctors have wide experience in the many mental and emotional changes occurring in PD.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip
Okun,
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Sat Jun 09, 2007 1:30 am Post subject:
--------------------------------------------------------------------------------
There are high rates of depression, anxiety, apathy and other mood/emotional disorders in PD. PD also causes stress on marriages. The two must BOTH be treated. I suggest SSRI's, clinical psychiatry, psychology, and marital counseling. I take these problems seriously in my patients and I use the multidisciplinary team.
_________________
Michael S. Okun, M.D.
Back to top
Anonymous
Posted: Sat Jun 09, 2007 5:44 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I have known PD as an illness of the "body, mind and soul
As for me my psychiatric problems have been normal. I have improved my matrimonial relationship.
I understand emotional disorders are the byproduct of PD and it is more difficult to treat than the movement problem as new discovery made drastic improvement in the treatment of the movement problem in PD. Cognitive disorders are common in PD - anxiety,depression etc
As I have difficult agility's my doctor increases my medication from one requip 0.25mg to two, three and four doses weekly three times a day.
For anti depression: one fluvoxamine maleate 50mg and Rivotril 0.5mg at night
He will cutdown my sinemet 25/100 and Jumex 5mg as times goes by to optimize the medication. As sinement has sideeffect on me sleepless at night, bad dream, agility's and emotional stress.
Kindly comment
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sun Jun 10, 2007 8:19 am Post subject:
--------------------------------------------------------------------------------
I think you asked a similar question on this already that I tried to answer.
Yours,
_________________
Hubert H. Fernandez
Back to top
Alzheimer's disease may quadruple by 2050
Alzheimer's Cases May Quadruple by 2050
WASHINGTON (AP) -- More than 26 million people worldwide have Alzheimer's disease, and a new forecast says the number will quadruple by 2050. At that rate, one in 85 people will have the brain-destroying disease in 40 years, researchers from Johns Hopkins University conclude.
The new estimates, being presented Sunday at an Alzheimer's Association conference in Washington, are not very different from previous projections of the looming global dementia epidemic with the graying of the world's population.
But they serve as a sobering reminder of the toll to come if scientists cannot find better ways to battle Alzheimer's and protect aging brains.
"If we can make even modest advances in preventing Alzheimer's disease, or delay its progression, we could have a huge global public health impact," said Johns Hopkins public health specialist Ron Brookmeyer, who led the new study.
The biggest jump is projected for densely populated Asia, home of almost half of today's Alzheimer's cases, 12.6 million. By 2050, Asia will have 62.8 million of the world's 106 million Alzheimer's patients, the study projects.
A recent U.S. study estimated that this nation's Alzheimer's toll will reach 16 million by 2050, compared with more than 5 million today. The new estimate is significantly lower, suggesting only 3.1 million North American cases today and 8.8 million by 2050.
Among the estimates for other regions are:
-Africa, 1.3 million today and 6.3 million in 2050.
-Europe, 7.2 million and 16.5 million.
-Latin America and the Caribbean, 2 million and 10.8 million.
-Oceania, 200,00 and 800,000.
The project was funded by Elan Pharmaceuticals and Wyeth Pharmaceuticals.
WASHINGTON (AP) -- More than 26 million people worldwide have Alzheimer's disease, and a new forecast says the number will quadruple by 2050. At that rate, one in 85 people will have the brain-destroying disease in 40 years, researchers from Johns Hopkins University conclude.
The new estimates, being presented Sunday at an Alzheimer's Association conference in Washington, are not very different from previous projections of the looming global dementia epidemic with the graying of the world's population.
But they serve as a sobering reminder of the toll to come if scientists cannot find better ways to battle Alzheimer's and protect aging brains.
"If we can make even modest advances in preventing Alzheimer's disease, or delay its progression, we could have a huge global public health impact," said Johns Hopkins public health specialist Ron Brookmeyer, who led the new study.
The biggest jump is projected for densely populated Asia, home of almost half of today's Alzheimer's cases, 12.6 million. By 2050, Asia will have 62.8 million of the world's 106 million Alzheimer's patients, the study projects.
A recent U.S. study estimated that this nation's Alzheimer's toll will reach 16 million by 2050, compared with more than 5 million today. The new estimate is significantly lower, suggesting only 3.1 million North American cases today and 8.8 million by 2050.
Among the estimates for other regions are:
-Africa, 1.3 million today and 6.3 million in 2050.
-Europe, 7.2 million and 16.5 million.
-Latin America and the Caribbean, 2 million and 10.8 million.
-Oceania, 200,00 and 800,000.
The project was funded by Elan Pharmaceuticals and Wyeth Pharmaceuticals.
Saturday, June 9, 2007
Emotional disorders and Parkinson Disease 2
Posted: Fri Jun 08, 2007 8:52 am Post subject: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
Dear Doctor,
I was refered by Dr. Kathrynne Holden, to post the following:
As emotional and cognitive disorders are common in Parkinson's disease, but are frequently overlooked or undertreated.
Some PD patients are aware of the emotional disorders and associated with ther matrimonial relationship when they come to certain disagreements. As the result they have depressive,delusions and sleep disorders. They usually refer to marriage counsellling or psychiatric consultation.
In this connection I have the emotional disorders for the past of 20 years and they are associated with the matrimonial relationship until recently I find out they are byproduct of PD. All efforts going to marriage councelling or psychiatric are frustrating.
I understand there are between 40-60% PD patients have emotional disorders. Sensitivity to certain behavoiurs,issues and understanding are the causes of bad matrimonial relationship. They are the byproduct of
anxiety,phobias,apathy,hallucinations,delusions and sleep disorders.
Kindly advise me how to address the psychiatric and cognitive side effects of anti-parkinsonian medications and surgical treatments.
Thanks
TEOKIMHOE
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Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 08, 2007 7:43 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions to raise, because there are many emotional as well as cognitive changes that may occur as PD progresses. Emotional instability, depression, attitudes toward sexuality, all may occur.
However, this is outside my scope of practice as a registered dietitian. This requires the efforts of a neurologist who specializes in PD who can determine whether counseling or medications or a combination of both is the best approach.
I highly recommend you address this question to "Ask the Doctor" -- the doctors have wide experience in the many mental and emotional changes occurring in PD.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip
Okun,
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Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Sat Jun 09, 2007 1:30 am Post subject:
--------------------------------------------------------------------------------
There are high rates of depression, anxiety, apathy and other mood/emotional disorders in PD. PD also causes stress on marriages. The two must BOTH be treated. I suggest SSRI's, clinical psychiatry, psychology, and marital couseling. I take these problems seriously in my patients and I use the multidisciplinary team.
_________________
Michael S. Okun, M.D.
Back to top
--------------------------------------------------------------------------------
Dear Doctor,
I was refered by Dr. Kathrynne Holden, to post the following:
As emotional and cognitive disorders are common in Parkinson's disease, but are frequently overlooked or undertreated.
Some PD patients are aware of the emotional disorders and associated with ther matrimonial relationship when they come to certain disagreements. As the result they have depressive,delusions and sleep disorders. They usually refer to marriage counsellling or psychiatric consultation.
In this connection I have the emotional disorders for the past of 20 years and they are associated with the matrimonial relationship until recently I find out they are byproduct of PD. All efforts going to marriage councelling or psychiatric are frustrating.
I understand there are between 40-60% PD patients have emotional disorders. Sensitivity to certain behavoiurs,issues and understanding are the causes of bad matrimonial relationship. They are the byproduct of
anxiety,phobias,apathy,hallucinations,delusions and sleep disorders.
Kindly advise me how to address the psychiatric and cognitive side effects of anti-parkinsonian medications and surgical treatments.
Thanks
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 08, 2007 7:43 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions to raise, because there are many emotional as well as cognitive changes that may occur as PD progresses. Emotional instability, depression, attitudes toward sexuality, all may occur.
However, this is outside my scope of practice as a registered dietitian. This requires the efforts of a neurologist who specializes in PD who can determine whether counseling or medications or a combination of both is the best approach.
I highly recommend you address this question to "Ask the Doctor" -- the doctors have wide experience in the many mental and emotional changes occurring in PD.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip
Okun,
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Sat Jun 09, 2007 1:30 am Post subject:
--------------------------------------------------------------------------------
There are high rates of depression, anxiety, apathy and other mood/emotional disorders in PD. PD also causes stress on marriages. The two must BOTH be treated. I suggest SSRI's, clinical psychiatry, psychology, and marital couseling. I take these problems seriously in my patients and I use the multidisciplinary team.
_________________
Michael S. Okun, M.D.
Back to top
Friday, June 8, 2007
Emotional disorders and Parkinson Disease
Posted: Thu Jun 07, 2007 7:49 pm Post subject Q: Emotional disorders and Parkinson Disease
--------------------------------------------------------------------------------
As emotional and cognitive disorders are common in Parkinson's disease, but are frequently overlooked or undertreated.
Some PD patients are aware of the emotional disorders and associated with ther matrimonial relationship when they come to certain disagreements. As the result they have depressive,delusions and sleep disorders. They usually refer to marriage counsellling or psychiatric consultation.
In this connection I have the emotional disorders for the past of 20 years and I do not aware that they are assocaited with the matrimonial relationship until I was discovered it is associated with PD. All efforts going to marriage councelling or psychiatric are frustrating.
Kindly advise me how to address the psychiatric and cognitive side effects of anti-parkinsonian medications and surgical treatments.
Thanks
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 08, 2007 7:43 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions to raise, because there are many emotional as well as cognitive changes that may occur as PD progresses. Emotional instability, depression, attitudes toward sexuality, all may occur.
However, this is outside my scope of practice as a registered dietitian. This requires the efforts of a neurologist who specializes in PD who can determine whether counseling or medications or a combination of both is the best approach.
I highly recommend you address this question to "Ask the Doctor" -- the doctors have wide experience in the many mental and emotional changes occurring in PD.
_________________
Best regards,
Kathrynne Holden, MS, RD
--------------------------------------------------------------------------------
As emotional and cognitive disorders are common in Parkinson's disease, but are frequently overlooked or undertreated.
Some PD patients are aware of the emotional disorders and associated with ther matrimonial relationship when they come to certain disagreements. As the result they have depressive,delusions and sleep disorders. They usually refer to marriage counsellling or psychiatric consultation.
In this connection I have the emotional disorders for the past of 20 years and I do not aware that they are assocaited with the matrimonial relationship until I was discovered it is associated with PD. All efforts going to marriage councelling or psychiatric are frustrating.
Kindly advise me how to address the psychiatric and cognitive side effects of anti-parkinsonian medications and surgical treatments.
Thanks
TEOKIMHOE
Back to top
Kathrynne Holden, MS, RD
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Fri Jun 08, 2007 7:43 am Post subject:
--------------------------------------------------------------------------------
Dear Teo,
These are very good questions to raise, because there are many emotional as well as cognitive changes that may occur as PD progresses. Emotional instability, depression, attitudes toward sexuality, all may occur.
However, this is outside my scope of practice as a registered dietitian. This requires the efforts of a neurologist who specializes in PD who can determine whether counseling or medications or a combination of both is the best approach.
I highly recommend you address this question to "Ask the Doctor" -- the doctors have wide experience in the many mental and emotional changes occurring in PD.
_________________
Best regards,
Kathrynne Holden, MS, RD
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