Starting a conversation about Parkinson's Disease

In my capacity as a neuropsychologist, I conduct neuropsychological evaluations of patients afflicted with Parkinson's Disease, examining their cognitive functions and psychological wellbeing.

My first encounter with Parkinson's Disease was particularly poignant, where I evaluated a patient who was a retired doctor. It was during this experience that I became acutely aware of the tendency of patients to overlook the mood and cognitive difficulties that can arise from the disease, apart from the physical symptoms.

What is Parkinson’s Disease

Parkinson's Disease is a neurodegenerative disorder that primarily affects movement. Individuals with Parkinson's Disease can experience symptoms such as tremors, rigidity, impaired balance and coordination. It is caused by the progressive degeneration of the substantia nigra, a structure of the brain responsible for producing dopamine. Dopamine is a neurotransmitter which plays a crucial role in controlling and regulating movement.

Symptoms of Parkinson’s Disease

The main symptoms of Parkinson's Disease can vary from person to person, and their severity may also differ.

The primary symptoms include:

• Tremors (typically occurring at rest)

• Slowness of movement

• Muscle rigidity and stiffness

• Postural instability

• Impaired balance and coordination

Parkinson's Disease can also manifest with non-motor symptoms, which may include:

• Masked facies - a "mask-like" facial expression

• Speech changes

• Sleep disturbances

• Mood and emotional difficulties, such as depression and anxiety

• Cognitive decline, including poorer attention, speed of processing, memory, and executive functioning

Treatment and Management of Parkinson’s Disease

Early diagnosis is critical in managing Parkinson's Disease effectively. Healthcare professionals rely on a combination of medical history, clinical assessments, and sometimes specialized imaging. While there is currently no cure for Parkinson's Disease, early detection can lead to timely interventions and improved quality of life. Medications and therapies including exercise and rehabilitation, can be effective in managing symptoms.

Importance of Community Support

Parkinson's Disease can gradually affect an individual's ability to perform daily tasks independently. This loss of independence can be emotionally distressing, impacting one's self-esteem and overall sense of autonomy. Individuals may feel self-conscious about their symptoms, leading to isolation and a reduced desire to engage in social activities.

Communities play a pivotal role in providing a supportive network for both patients with Parkinson's Disease and their caregivers. Local events, support groups, and community initiatives contribute to fostering understanding, practical assistance, and emotional support.

If you or someone you know is experiencing symptoms suggestive of Parkinson's Disease, it's essential to consult with a healthcare professional for a thorough evaluation and diagnosis. For those having difficulties adjusting to a diagnosis, it is advisable to seek support from mental health professionals.