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DOI: 10.1055/s-0041-1742266
Neuropsychiatric Treatments for Parkinson's Disease: Nonpharmacological Approaches
Funding This work was supported in part by an anonymous donation to the Toronto Western Hospital Movement Disorders Clinic.![](https://www.thieme-connect.de/media/sin/202202/lookinside/thumbnails/10-1055-s-0041-1742266_210029-1.jpg)
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 treatmentPublication History
Article published online:
03 February 2022
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