Depression
Depression is a common non-motor symptom in Parkinson's disease, however, it is often missed or not adequately treated.
What is Depression?
Depression is characterized by extreme and persistent episodes of sadness and reduced interest in normal activities that can result in poorer quality of life. It may vary from person to person and it may lead to worsening symptoms cognitive and motor symptoms.
Additional symptoms include:
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Lack of energy and fatigue
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Trouble focusing
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Reduced appetite which can be accompanied with weight loss
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Trouble sleeping or excess sleeping
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Reduced attention to personal hygiene and overall health needs
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Decreased motivation
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Feelings of guilt or worthlessness
What Causes Depression in PD?
There are many factors that may contribute to the development of depression in Parkinson's including:
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Changes in the brain and the decrease in dopamine levels
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Feeling isolated because of communication or mobility challenges
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Stress of having to cope with the condition and additional symptoms that arise
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Non-motor fluctuations with medications 'wearing off'
Support for Depression
The first step is talk to your doctor and loved ones about your concerns. Treatment for depression can vary on the severity of the symptoms. Having a well-rounded approach to treatment can lead to better symptom management and improved quality of life. Don't be ashamed if you are experiencing depression.
Treatment Options:
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Medications can help with the symptoms of depression but also making sure your current medications are working well
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Therapy like counseling, cognitive behavioral therapy
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Support groups can be a good resource to talk with others who may be able to relate and understand how you are feeling
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Self-help: regular exercise, getting adequate sleep, or find relaxation techniques