Psychiatric aspects of Parkinson's

Primary Care Liaison Psychiatrist Cheryl Buhay provides an update on Parkinson's disease and the psychiatric considerations that the primary care team need to be aware of.

Topics

intro
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how we define Parkinson's disease
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motor and non-motor symptoms
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the progressive course of Parkinson's disease
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classes of treatment and potential adverse effects
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percentage of Parkinson's patients with psychiatric comorbidity
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depression may precede the diagnosis by many years
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psychosis - is it the disease process that is problematic or the medications?
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investigating and managing psychosis in the community
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impulse control disorders and Parkinson's disease
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REM sleep disorder
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insomnia is common with Parkinson's disease
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how common is associated dementia?
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take-home messages
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Take home messages

Parkinsons Disease is a progressive neurological disorder that has high mental health comorbidity
be careful around medication management as these may exacerbate mental health issues
with mental health presentations, exclude organic causes and review medication regime in case these are contributing
liaise with neurology and specialist mental health for management advice

Resources

psychiatric aspects of Parkinson's Disease PDF file
Parkinson’s disease in adults NICE guideline
Parkinson's disease for healthcare providers Healthify - He Puna waiora
Assessment of Risk Factors and Early Presentations of Parkinson Disease in Primary Care in a Diverse UK Population JAMA Neurology

Presenter

Cheryl Buhay

Primary Care Liaison Psychiatrist

Cheryl is a Fellow of the Royal Australian and New Zealand College of Psychiatrists and an Honorary Senior Lecturer with the University of Auckland.

She is working for Te Whatu Ora - Waitematā District’s Specialist Mental Health Services as a Primary Care Liaison Psychiatrist, providing specialist mental health support to GPs in the area. She covers the GP Mental Health Advice Line during the week, is involved in GP teaching and supervision, and over the years has developed mental health resources for Primary Care, first responders and other health provider groups.