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Semin Neurol 2022; 42(02): 158-167
DOI: 10.1055/s-0041-1742266
Review Article

Neuropsychiatric Treatments for Parkinson's Disease: Nonpharmacological Approaches

Neha Mathur
1   Integrated Movement Disorders Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada
,
Haseel Bhatt
1   Integrated Movement Disorders Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada
2   Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Department of Medicine, Division of Neurology Toronto Western Hospital and the University of Toronto, Toronto, Ontario, Canada
,
Sarah C. Lidstone 
1   Integrated Movement Disorders Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada
2   Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Department of Medicine, Division of Neurology Toronto Western Hospital and the University of Toronto, Toronto, Ontario, Canada
› Author Affiliations Funding This work was supported in part by an anonymous donation to the Toronto Western Hospital Movement Disorders Clinic.
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Abstract

Although diagnosed by characteristic motor features, Parkinson's disease and other movement disorders are frequently accompanied by a wide range of neuropsychiatric symptoms that require a multidisciplinary approach for treatment. Neuropsychiatric symptoms such as depression, anxiety and cognitive symptoms strongly influence quality of life, motor symptoms, and non-motor bodily symptoms. This review summarizes our current understanding of the neuropsychiatric symptoms in movement disorders and discusses the evidence base for treatments focusing on rehabilitation and nonpharmacological approaches. A practical approach is then proposed for patient selection for specific treatments based on disease stage. The article focuses mostly on Parkinson's disease as a prototypical movement disorder with the largest evidence base but the principles discussed herein are applicable to a range of other movement disorders.

Keywords

Parkinson's disease - movement disorders - psychotherapy - rehabilitation - multidisciplinary - physiotherapy - mind–body - nonpharmacological treatment


Publication History

Article published online:
03 February 2022

© 2022. Thieme. All rights reserved.

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