Parkinson’s disease (PD): psychiatric features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Parkinson’s disease (PD): psychiatric features. Anhedonia, Apathy, Anxiety, Delusions, Depression. Fully referenced neurology checklist.

Psychiatric features

  • Alexithymia: this is difficulty identifying and describing feelings
  • Anhedonia
  • Apathy
  • Anxiety
  • Delusions
  • Delusional jealousy: this is caused by dopamine agonists (DA)
  • Depression
  • Obsessive compulsive disorders (OCD)
  • Demoralisation: this is the inability to cope: it is distinct from depression
  • Harm-avoidance personality: this is low novelty-seeking personality
  • Feeling of presence (FOP)
  • Psychosis
  • Visual hallucinations: including metamorphorpsia
  • Suicide

Suicide: predictors

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Functional neurological disorders (PD-FND)

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References

  1. Simuni T, Sethi K. Nonmotor manifestations of Parkinson's disease. Ann Neurol 2008; 64 (suppl):S65-S80.
  2. Chaudhuri KR, Schapira AH. Non-motor symptoms of Parkinson’s disease: dopaminergic pathophysiology and treatment. Lancet Neurol 2009; 8:464-474.
  3. Poletti M, Perugi G, Logi C, et al. Dopamine agonists and delusional jealousy in Parkinson's disease: a cross-sectional prevalence study. Mov Disord 2012; 27:1679-1682.
  4. Poletti M, Bonucelli U. Personality traits in patients with Parkinson's disease: assessment and clinical implications. J Neurol 2012; 259:1029-1038.
  5. Poletti M, Lucetti C, Baldacci F, Del Dotto P, Bonuccelli U. Concomitant development of hypersexuality and delusional jealousy in patients with Parkinson's disease: A case series. Parkinsonism Relat Disord 2014; 20:1290-1292.
  6. And 9 more. Subscribe to see the full list

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