When we think of Parkinson's disease, we typically anticipate classic tremors, slow movement, and muscle stiffness. However, one component of Parkinson's disease that is rarely addressed is its impact on mental health. Although the physical symptoms of Parkinson's are more obvious, the emotional and psychological challenges that accompany the disorder can be as, if not more, unpleasant.
We spoke to Dr Umesh T, Clinical Director and Senior Consultant Neurology, CARE Hospitals, Banjara Hills, Hyderabad, who explained the impact of Parkinson's disease on mental health.
More Than Simply Shaking Hands
“Parkinson's disease is a degenerative neurological disorder that prevents movement, but it also has long-term effects on the brain. The disease results in a decrease in dopamine, a neurotransmitter in the brain that regulates movement, emotion, and motivation. This is why most patients of Parkinson's disease experience not just physical symptoms, but also anxiety, depression, and impaired cognitive function,” said Dr Umesh.
Unfortunately, the mental health effects of Parkinson's disease are commonly underestimated. Patients, and even doctors, sometimes become so preoccupied with managing the tremors and mobility issues that they lose sight of the emotional toll the disorder has.
Also Read: Can Parkinson's Disease Be Managed With Timely Medications And Support? Expert Weighs In
Depression and Anxiety: Silent Symptoms
Individuals with Parkinson's disease can face depression and anxiety even before showing any physical symptoms. As noted by Parkinson's UK, anxiety and depression are two of the most frequent mental health challenges faced by people living with Parkinson’s. Nearly 50% of people diagnosed with Parkinson's have experienced at least one of these conditions. These symptoms may also stem from the physical alterations in the brain caused by the disease.
It's more than just sadness; it's a deep, persistent dull mood that makes it difficult to find joy in life. Anxiety is another major worry, creating excessive anxiety, panic attacks, and difficulty coping with daily tasks.
“These mental health problems do not arise merely because a person is adjusting to a difficult diagnosis. Parkinson's disease changes brain chemistry, making it difficult to control emotions. A decrease in dopamine and serotonin, two important neurotransmitters associated with happiness and motivation, contributes to a variety of mood disorders,” explained Dr Umesh.
Cognitive Alterations And Brain Fog
“Many people living with Parkinson's have cognitive impairments. These symptoms might range from moderate forgetfulness to more substantial difficulties with problem-solving, concentration, and decision-making. In the later stages of Parkinson’s, some individuals may experience dementia related to the condition,” added Dr Umesh.
Patients can find this highly aggravating. Consider trying to follow a conversation while losing track of what is being said or failing to make simple decisions like what to eat for breakfast. It is not only bothersome, but it can have a substantial impact on a person's self-esteem and independence.
Also Read: Hand Tremors Aren't The Only Symptoms Of Parkinson's Disease: Here Are Other Signs To Watch Out For
Emotional Impact on Patients and Caregivers
“Living with Parkinson's disease, as well as caring for someone who has it, is difficult. Family members and loved ones frequently serve as caregivers, providing physical support while dealing with the emotional ups and downs of the disease. Seeing a loved one struggle with physical and mental health concerns can cause caregiver tiredness, stress, and even depression,” said Dr Umesh.
Because Parkinson's disease is a chronic condition, many patients and their families go through an emotional rollercoaster of uncertainty about their futures. If they don’t get enough support, patients and their caregivers can feel lost and completely drained.
Breaking the Stigma: Why Mental Health Support Is Critical
Despite the frequency of depression and anxiety in Parkinson's disease, mental health is rarely given significant importance in treatment plans. “Many patients are hesitant to express their emotional struggles, feeling that it is a normal aspect of living with a chronic condition or that they must 'stay strong.' However, mental health is equally important as physical health, and treating it can considerably improve the quality of life for Parkinson's patients,” highlighted Dr Umesh.
What Can Be Done?
The upside is that mental health challenges linked to Parkinson’s can be managed with the right care and support. Here are some measures listed by Dr Umesh:
- Talk About It - Whether with a doctor, therapist, or support group, openly discussing mental health difficulties can be the first step toward receiving assistance.
- Medication Can Help - In some cases, antidepressants or anti-anxiety medications may be used along with Parkinson's treatment to help manage mood concerns.
- Therapy and Counselling - Cognitive Behavioural Therapy (CBT) can be quite helpful in dealing with depression and anxiety.
- Exercise and Movement - Physical activity enhances mood and cognitive performance. Yoga, walking, and tai chi are all physically and mentally beneficial exercises.
- Social Connection - Joining a support group, talking with friends, or doing activities can reduce loneliness and improve emotional well-being.
- Mindfulness and Stress Management - Meditation and breathing exercises help reduce anxiety and overall mental well-being.
Parkinson's disease is not only a movement disorder; it is a disease that impacts the entire person. Identifying and treating the mental health implications of Parkinson's disease is equally as necessary as treating the physical symptoms.
Bottomline
Dr Umesh concluded, “By breaking the silence on Parkinson's emotional impact, we can enable people living with the disease to feel heard, understood, and empowered. If you or a loved one suffers from Parkinson's disease, remember that it is okay to seek help and never too late to put mental health first.”
[Disclaimer: This article contains information provided by an expert and is for informational purposes only. Hence, we advise you to consult your professional if you are dealing with any health issue to avoid complications.]
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