Emotional disorders and Parkinson Disease 2

Posted: Fri Jun 08, 2007 8:52 am Post subject: Emotional disorders and Parkinson Disease

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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:

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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.
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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:

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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.
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Michael S. Okun, M.D.

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