Emotional disorders and Parkinson Disease3

Q: Emotional disorders and Parkinson Disease


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Anonymous






Posted: Thu Jun 07, 2007 7:49 pm Post subject: Q: Emotional disorders and Parkinson Disease

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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

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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.
_________________
Best regards,
Kathrynne Holden, MS, RD
--
For a Parkinson Tip of the Day visit:
http://www.nutritionucanlivewith.com/

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Anonymous






Posted: Fri Jun 08, 2007 4:35 pm Post subject: Emotional disorders and Parkinson Disease

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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

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Dr. Fernandez



Joined: 20 Jan 2007
Posts: 90

Posted: Sun Jun 10, 2007 7:59 am Post subject:

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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

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