Depression

An imbalance of chemicals such as dopamine, serotonin, and norepinephrine in the brain can cause depression. Depression causes a persistent feeling of sadness and is associated with a lack of pleasure in things you might have once enjoyed. Changes in sleep may also cause depression. It can range from feeling blue to having thoughts of suicide. It is important to remember that there is nothing you are doing unconsciously or consciously that causes depression; instead, it is due to a chemical imbalance that, for the most part, can be treated.

​

John M. Vine, author of a Parkinson's Primer, writes, "Depression is not just a matter of feelings ad. everyone feels sad from time to time. Sadness is temporary. Depression, by contrast, is persistent. The symptoms of depression include persistent sadness; lack of energy; lack of motivation; feelings of hopelessness, guilt, worthlessness, or helplessness; loss of interest in activities or hobbies; difficulty concentrating; difficulty falling asleep or staying asleep, contemplation of death or suicide; and ongoing aches and pains that do not respond to treatment. It is estimated that 40% - 50% of Parkinson's patients experience depression during the course of the disease".

​

Parkinson's and depression share symptoms that include slower movement, slower speech, flattened expressions and downcast eyes. There is great hope for treating depression in Parkinson's. Talk with your physician to understand what medications may be best to incorporate into your overall treatment and therapy plan to help offset the symptoms of depression.

​

Other strategies to consider with helping to manage depression, include:

• Seek help: Talking to a qualified therapist, psychiatrist or counselor can help you develop coping strategies for dealing with any triggers that may increase depression.

• Create a regular exercise routine: Exercise produces endorphins that can make you happier and feel better. Joining an exercise class with friends can also improve overall disposition.

• Stay socially connected: Social connection positively impacts both physical and mental health. People who are more socially involved, generally are less depressed. Ways to stay socially connected include volunteering, attending support groups, exploring new hobbies, and staying connected with friends.