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 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:
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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
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 counseling. I take these problems seriously in my patients and I use the multidisciplinary team.
_________________
Michael S. Okun, M.D.
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Anonymous
Posted: Sat Jun 09, 2007 5:44 am Post subject: Emotional disorders and Parkinson Disease
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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
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Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sun Jun 10, 2007 8:19 am Post subject:
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I think you asked a similar question on this already that I tried to answer.
Yours,
_________________
Hubert H. Fernandez
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Anonymous
Posted: Wed Jun 20, 2007 7:59 am Post subject: Emotional disorders and Parkinson Disease
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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
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Anonymous
Posted: Wed Jun 20, 2007 8:14 am Post subject: Emotional disorders and Parkinson Disease
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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
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Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Wed Jun 20, 2007 3:59 pm Post subject:
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Thank you for your comments.
_________________
Michael S. Okun, M.D.
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Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Wed Jun 20, 2007 4:01 pm Post subject:
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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.
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