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By Joseph Friedman MD

Whereas sufferers and households are conscious of the actual demanding situations that accompany Parkinson’s affliction, few are ready for the typical behavioral matters that effect their caliber of existence, together with melancholy, anxiousness, dementia, paranoid delusions, and sleep issues. This booklet, the single certainly one of its sort, focuses completely on a space that the majority medical professionals disregard. Written in layman’s phrases, it is helping readers comprehend and do something about a wide selection of Parkinson’s-related behavioral matters and provides assistance on speaking with the healthcare group.

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Additional resources for Making the Connection Between Brain and Behavior: Coping with Parkinson's Disease

Sample text

We usually think of being apathetic applying to specific targets. ” It is normal to have areas of interest and areas of disinterest. In PD, as part of the illness, many 36 M A K I N G T H E C O N N E C T I O N B E T W E E N B R A I N A N D B E H AV I O R patients increasingly stop caring about things going on around them, even things that used to interest them and that, theoretically should still interest them. This is a very challenging clinical problem because it is not well understood, often not recognized, and is usually distressing to the family.

It is hard to believe that this would not apply to PD as well. Tr e a t i n g F a t i g u e There is no known treatment for fatigue in PD. Obviously the first thing to do is to carefully figure out what the patient means by the term. How much does sleep disturbance contribute? How much may be due to depression? How much may be apathy or frustration? How much exercise does the person do? How much is an excuse to avoid embarrassment in social interactions? Clearly, all of these factors need to be addressed as well as they can be.

The second patient concluded that the first patient had exactly described what he himself felt. More surprising to me was that I showed this man four transcripts of inter views with other patients to get explanations of fatigue, and although each seemed quite different to me, this PD patient thought they were all the same—and, more importantly, all like his. I was, and remain, quite flummoxed by this. What was I missing? I didn’t know then, and I am still working on it. There is also another definition of fatigue that is technical, related to muscle fatigue, in which individual muscles lose their strength the longer they are used.

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