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Emotional Triggers to Symptoms


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#1 Kitikoko

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Posted 06 April 2012 - 04:00 PM

Currently we have a situation where speech has become intermittent. Literally, there are times in the same day that nothing can be articulated, and other times when the speech is clear, expressed in full sentences. It is hard to understand this and to define this as PD. Is it possible for PD symptoms to fluctuate so frequently? Is it possible that emotional triggers / underlying stress related and non-related to PD can "bring on" symptoms as serious as the inability to speak and increased swallowing difficulties? The doctor has just prescribed Prozac in liquid form to address the apparent depression / stress issue. Is this the correct course of events? Thank you.

#2 Dr. Okun

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Posted 08 April 2012 - 07:13 PM

It is entirely possible that this could be stress, anxiety, or emotional issues. However, the more likely explanation we have seen over the years is fluctuations. We usually start by simply moving sinemet doses closer together (as close as 2 hour intervals if necessary) and we find the right dose to turn the patient to an on state and keep him/her in the on state.

Certainly, the other thing that should be considered is intensive speech therapy with a swallowing evaluation.

Hope that helps.
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
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