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Parkinson Depression Case Studies

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Elderly people with Parkinson's disease regularly experience depression which dramatically affects the quality of their life. Recognized as a secondary symptom of Parkinson’s disease (PD), depression is not uniformly diagnosed by healthcare professionals and many elders suffer untreated. Due to the nature of PD and depression, the elderly patient's limitations must be considered when deciding on treatment options. Some treatment options are: pharmacology, Electroconvulsive Therapy (ECT), Deep Brain Stimulation (DBS), and Cognitive Behavior Therapy (CBT). Scientists are conducting clinical trials for new treatments options such as new medicines and neural stem cell transplantation. While not yet curable, scientists are striving to offer improved …show more content…

Initially, antidepressants are the favored treatment option for depression. Antidepressants such as Elavil and Pamelor may cause dizziness and accidental falls due to lowered blood pressure. These side effects can be avoided by using a newer antidepressant class, Serotonin re-uptake inhibitors (SSRIs). SSRIs can be used without increased risks to the elderly patient. Dr. Matthew Menza (2004) cautions, “If treatment is administered, remember the antidepressants generally take several weeks to lift symptoms of depression” (para.7). Not all elderly PD patients with depression will respond uniformly to medications. These medications may interact with other medicines the patient is taking, causing unfavorable side effects. The possible benefits need to be weighed against possible side effects to determine if this is a viable option of …show more content…

During each treatment, the patient is anesthetized and given electrical stimulus to induce a “seizure”. The proven results seem significant in combating depression in elderly patients. According to Sackeim et al. (2000), “Hamilton (21), in a naturalistic, open study, reported that a higher percentage of depressed patients became asymptomatic after ECT compared to a similar group who received TCAs (tricyclic antidepressants).” (para.10). Stek, Wurff, Hoogendijk, and Beekman (2003) disagree, “At present, therefore, it is not possible to draw firm conclusions on whether ECT is more effective than antidepressants, or on the safety or side effects of ECT in elderly people with depression” (para.1). Sackeim et al. (2000)

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997 Words | 4 Pages

Driessen & Hollon caution that CBT is best used when a client is receiving pharmacological intervention concurrently and are not currently experiencing a full manic episode. CBT may be best used when a client is euthymic. According to Salcedo et al. (2016) is effective in preventing relapse, decrease in the need for hospitalization, reducing mania symptoms, and increasing the likelihood of taking medication.

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478 Words | 2 Pages

Charles Barber’s article, “The Medicated Americans: Antidepressants Prescriptions on the Rise,” focuses on the views of “depression” and “Depression” that are caused by antidepressants like Prozac, Paxil, and Norpramin. Barber talks about how people do not understand the differences of depression which causes misdiagnoses and misunderstanding of the two. One meaning of “Depression” is how it is used to do describe a serious medical condition and the other meaning a broad terming meaning feeling down, bummed out, or anything along those lines. A study conducted by the New England Research Institution showed that 43 percent of people who have been prescribed antidepressants did not have any diagnosis of depression or any mental health conditions.

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263 Words | 2 Pages

I really enjoyed this talk by Sherwin Nuland about how he became so severely depressed due to a bad marriage that even the doctors thought nothing could be done for him. They felt the only thing left that might fix him, was a pre-fontal lobotomy and thankfully for him and for us that did not happen. If he had had a lobotomy, I doubt we would have had the chance to hear that wonderful speech he just gave. Anyhow, I was aware that electroshock convulsive shock therapy is one of the last resort treatments for depression and that it can help those that are severely depressed when nothing else would work. In fact, my husband’s grandmother received a form of it called insulin shock therapy for her depression many decades ago.

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1012 Words | 5 Pages

Patients are prescribed psychotropic medications to help regulate their moods and effect the emotions and thought processes of each patient, (Comer, 2014). Most practitioners believe that all psychiatric and behavioral disorders are the result of a brain dysfunction that requires the use of medication, (Loewit-Phillips, P. M., & Goldbas A., 2013). The downside of the use of the psychotropic drugs are that people misuse them and/or become dependent upon them. Electroconvulsive therapy or ECT causes miniature brain seizures in depressed individuals that, after several sessions, will help them to feel less depressed. The last biological treatment known as psychosurgery is an actual surgery that requires the patient’s connections between the frontal lobes and lower regions of the brains to be cut, (Comer, 2014).

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203 Words | 1 Pages

L-Deprenyl has been widely used as a B-type monoamine oxidase (MAO-B) inhibitor in the treatment of Parkinson’s disease. The ability of L-Deprenyl to effectively reduce the extent of dopamine breakdown in the brain allows for the slower progression of symptoms. Remarkably, early studies on rats have revealed a significant life prolonging potential of the drug. The antioxidant-eliciting functions by L-Deprenyl have been implicated as a possible mechanism to its positive influence on longevity, supported by the Free Radical Theory of Aging. The current study will further test the multiple effects that L-Deprenyl has on antioxidant levels, cognition, growth, maturation and the overall aging process throughout the lifespan of Acheta domesticus,

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532 Words | 3 Pages

• It is believed that the supposed benefits of antidepressant is due to the placebo effect, and drug companies are fully aware about it. In a 2000 study involving clinical trials of antidepressants, it was revealed that 80% of the drug's effect is attributed to the placebo

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1444 Words | 6 Pages

It is common, for example, in people with parkinson’s disease that anticholinergic agents are used to control bladder over activity, and benzodiazepines for anxiety. Only when Parkinson’s disease medications have been reduced as much as can be tolerated, then quetiapine is to be considered. This recommendation is not evidence based and is instead based on the experience of clinicians. Clozapine, despite level 1 evidence to support its use, was also to be “considered” due to the logistical problem of blood monitoring. The committee felt that quetiapine, although not having randomized controlled trial data to support its use, did have the data to support its safety, whereas all other atypical antipsychotics, excepting clozapine, did not.

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876 Words | 4 Pages

Throughout the nation and our world people are suffering from this disease. Depression effects people of both genders, all ages, and any background. The history of mental illness, specifically depression were extremely helpful in today’s treatment and diagnosis. We know that all individuals are different and because of this, we can assume that each case of mental illness, more specifically depression, is unique in its own way as well. One treatment that is very effective for one person may not be equally as effective in a similar case simply because of the differences in patients.

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1313 Words | 6 Pages

Antidepressants are a class of drugs used to treat various mood disorders including major depression. These medications help stabilize a person 's brain chemicals to improve mood.https://www.nlm.nih.gov/medlineplus/antidepressants.html Generally, you must take antidepressants for several weeks in order to enjoy any positive benefits. After taking these drugs for a prolonged period of time, you may choose to discontinue treatment for some reason. Keep in mind, that you should never stop taking your antidepressants without consulting with your doctor. Here 's what you need to know.

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736 Words | 3 Pages

The idea that neural activity and lack of serotonin production can be a propel for depression,

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771 Words | 4 Pages

Imagine that you’re walking through the aisles of a grocery store, trying to buy groceries. All you want to do is buy healthy, wholesome food for your family, but you're bombarded by companies spewing slogans at you, like “lightly sweetened”, “natural”, “local”, “free-range”, but what do they all really mean? Are the foods behind these labels regulated and monitored, or is a label just slapped onto a package to make the consumer spend a little more money and maybe feel a bit better about the food they they're putting into their bodies? In today’s world, when consumers are surrounded by numerous labels, it is important that they understand what food they are purchasing and feeding to their families. To begin with, bBefore we can explain exactly why these labels can be deceiving, we need to dig deeper and explain what each label really means.

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471 Words | 2 Pages

Script What is Parkinson’s disease? Parkinson’s disease is a condition that typically causes tremors and stiffness in body movement. It is a progressive and chronic disorder that limits movement. That means that someone who has Parkinson’s disease will always have the disease and it will worsen over time.

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1312 Words | 6 Pages

Depression is a serious mental illness that most adolescents struggle with, through their teenage years of life. Suicides rates are increasing as the years go by, especially in teens and adolescents. There are several controversial treatments and antidepressants for depression and they seem to work with teens, but not all. Allowing a teen to have an antidepressant should not be aloud because studies have shown that most teens and adolescents does not benefit them with their brain. In today’s society, doctors give teen a antidepressants and send them on their way.

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695 Words | 3 Pages

When taken for a long period of time, dose increases may be required in order to get the same result. Prescriber must inform the client that when anxiolytics are overdosed on, they could lead to death or coma (Pietrangelo, 2013). Benzodiazepines should not be prescribed for clients with liver disease and the elderly (Perese, 2012). Oxazepam and Lorazepam are the medications of choice for people with liver disease and the elderly. According to Perese (2012), “These two drugs and alprazolam do not have pharmacologically active metabolites, thus adding to their value in this population”

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923 Words | 4 Pages

Depression could be caused by a chemical imbalance in the brain that medication can correct. It is suggested that depression among older adults can be detected early if family members, and other people within the community recognize the warning signs. People experiencing depression are often sad and sometimes are having crying spells. They often are restless and have difficulty times sleeping. They feel fatigued and irritable and often have feelings of shame or worthlessness.

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