If you get Parkinson's disease.
Quality of life with Alzheimer's is hopeful. - #diseasesparkinsonian HOW TO RECOGNIZE PARKINSON'S DISEASE? About 50 thousand people in the Netherlands suffer from Parkinson's disease. Worldwide, there are roughly 10 million. The cause is still unknown to a large extent. It is well known that a dopamine deficiency in the brain causes a large number of symptoms, such as trembling, sluggishness (also in thinking) and stiffness of the muscles. Parkinson's disease often begins with other symptoms: worse sleep, constipation and decreased smell. Parkinson's disease is a progressive brain disease whose psychological effects often appear earlier than shuffling and stiffness. Often resembles the symptoms of a burn out, such as: concentration problems, a confused memory, a feeling of burnt out. It happens that people sit at home for years, whether or not to the antidepressants, before the correct diagnosis is made. And then usually comes an even bigger blow. From now on, a lot of patients, my life is only backward. Work, sports, hobbies, parties; at a later stage of the disease it becomes difficult or impossible. From that prospect alone, a human being can become quite gloomy. In addition, due to the death of brain cells, the brain is affected. A range of psychiatric problems is due. The quality of Parkinson's disease can be quite up. - Psychiatrist Odile van den Heuvel, together with her colleague Sonja Rutten, wrote the book: Live after the diagnosis of Parkinson. The two psychiatrists tell people with Parkinson's get a cocktail of medicines to include. increase the dopamine content. However, the drugs that make up that deficit can make a man run away. 'A gambling addiction, throwing money, hypersexuality, watching porn for hours, exhibitionism', summarizes psychiatrist Van den Heuvel. “Who has never had such tendencies before wonders: what the hell has happened to me?’ The psychiatrists, both linked to the neuropsychiatry that Van den Heuvel set up for Parkinson's patients, wrote their book to eliminate a number of misconceptions. The first: that Parkinson's disease causes mainly physical complaints. Because in addition to inertia, stiffness and trembling hands, the disease almost always brings about psychological changes. Progressive brain disease. - Take Mrs. Van Doesburg from the book, who paints her body like a possessed and sees famous heads floating around the room. Or Mr. Brandon, who can lose himself obsessively for hours, days in disassemble an old watch — punding — in psychiatrist jargon. A fur company of patients is described, most of which suffer mainly from depression, anxiety or apathy. Parkinson's disease is a progressive brain disease whose psychological effects often appear earlier than shuffling and stiffness. Most of these complaints are treatable if the patient takes the step to the doctor's office. That happens too little, because taboo, stigma and ignorance still far too few people with Parkinson go to a good psychiatrist. The quality of life can rise significantly after the diagnosis of Parkinson's disease if the patient can help himself. Again cheerful and lively and lively. - With the drug levodopa wordt doorgaans het dopamine deficiency bestreden; meneer Napoli uit het boek van de psychiaters wordt van een lethargische man met een maskergelaat weer een vrolijk, levendig mens. But also the panic, depression and apathy of patients who are already being treated by the neurologist with Parkinson's medications can be addressed at the psychiatrist. With cognitive behavioral therapy, relaxation exercises, (a mix of) medications or a combination of them, life can look completely different.. Rutten did research on light therapy in Parkinson's and concluded that a regular day-structure, moving, going to bed a little later and certainly not sleeping during the day can help with depressive symptoms. In case of an anxiety disorder, psychotherapy can be used and exposure to what the patient, often to his regret, avoids. But also physiotherapy can help to learn how to relax again. Many patients freeze because they are afraid to stiffen. It helps to experience that the stiffening passes after a while and that you can learn to endure those waves.. The gait to the psychiatrist also means a regular search for the optimal cocktail of pills. Has it been found once — *rivastigmine to think clearer , *citalopram against panic attacks — psychiatrists Rutten and Van den Heuvel often see a more energetic and cheerful patient. Of course, there are also a lot of things that you should also accept. 'I have a lady who always finds the grandchildren in the house, even when they are not there. When she says to her husband, “Do you pour ranja?”?', he knows that such benign hallucinations can be associated with the clinical picture. As long as the patient does not suffer from it, it is very good to live with.’ volunteerism. - Psychiatrist van den Heuvel talks about a patient who lost his 'fat job' because of Parkinson's fear of losing everything. 'Now he enjoys volunteering, he cycling a lot, he meets new people and says: if I had worked until I was 67, I wouldn't have experienced all of this.“With which she wants to disprove misunderstanding three: that life is over after the diagnosis of Parkinson. Van den Heuvel: 'It is a spoke in the wheel that stops everything for a while. That could also be a moment of reflection. What is really important in life? Those are more loved ones than work, status or money.’ Source: Volkskrant/Books & Science/1-5-2021/Evelien van Veen. Free Writing: Janne Marthies Illustrations: Janne Marthies en #pixabay
