Post of the Week: Impulsive and Compulsive Behaviors in PD
Posted 27 February 2010 - 11:07 AM
Examples of impulse control disorders seen in Parkinson’s diasease include pathological gambling, hypersexuality, compulsive shopping, excessive spending, and binge eating. Examples of compulsive behaviors include compulsive dopaminergic medication use and “punding”--a stereotyped motor behavior in which there is an intense fascination with repetitive handling and examining of mechanical objects, such as taking apart and reassembling appliances or sorting common objects, like pebbles and jewelry.
The management of these behaviors typically includes decreasing or discontinuing dopamine agonist therapy (for impulse control disorders), lowering the overall dosage of Parkinson’s disease medications, or the addition of an atypical antipsychotic drug (for compulsive behavior). However, there have been a few reports of worsening of punding with quetiapine use (Miwa et al 2004). Occasionally, clomipramine and other SSRI’s may alleviate punding. Referrals for specific treatments (e.g. gambling treatment) or the use of behavioral interventions may also be helpful and should not be overlooked.
Posted 27 April 2010 - 09:34 AM
Posted 06 June 2010 - 12:05 PM
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:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips
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