Barriers to Training Attention and Control.
Overcoming the barriers requires effort and support.
Lageman, S.K., Mickens, M.N., and Cash, T.V. (2015).
Caregiver-identified needs and barriers to care in Parkinson's disease.
Change is difficult.
Feelings of fear, confusion, anger, AND APATHY are all normal reactions to the diagnosis of PD.
Strengthening your resilience enables you to make positive changes.
Overcome the negative feelings with information and support.
Common barriers in Parkinson's
Depression is common. Don't ignore it.
Your doctor can help.
Julien, C.L., Rimes, K.A., and Brown, R.G. (2016).
Rumination and behavioural factors in Parkinson's disease depression.
Journal of Psychosomatic Research.
[PubMed] Learn how you can fight the feelings.
Focus on your safety and independence needs.
Avoid isolation. Visit your friends and family who care about you.
No motivation? Got that helpless feeling? Learn about your strengths.
den Brok, M.G., van Dalen, J.W., van Gool, W.A., Moll van Charante, E.P., de Bie, R.M., Richard, E. (2015).
Apathy in Parkinson's disease: A systematic review and meta-analysis.
Movement Disorders : official journal of the Movement Disorder Society.
Muhammed, K., Manohar, S., Ben Yehuda, M., Chong, T.T., Tofaris, G., Lennox, G., et al. (2016).
Reward sensitivity deficits modulated by dopamine are associated with apathy in Parkinson's disease.
139(Pt 10):2706-2721. Epub 2016 Jul 24.
Motivation comes from feeling capable. Reset your mind to determination.
Maintain your social contacts, groups, family connections.
A support center may be important to keep you motivated.
Anxiety may heighten the stress level.
Landau, S., Harris, V., Burn, D.J., Hindle, J.V., Hurt, C.S., Samuel, M., et al. (2016).
Anxiety and anxious-depression in Parkinson's disease over a 4-year period: a latent transition analysis.
Anxiety-based stress may affect, or be affected by balance instabilities.
Šumec, R., Rektorová, I., Jech, R., Menšíková, K., Roth, J., Růžička, E., et al. (2017).
Motion and emotion: anxiety-axial connections in Parkinson's disease.
Journal of neural transmission (Vienna, Austria).
[PubMed] Relaxation techniques may help to reduce anxiety.
Strengthen your positive attitude to help reduce anxiety.
Fear of falling may inhibit physical activity and decrease quality of life.
Lindholm, B., Hagell, P., Hansson, O., and Nilsson, M.H. (2014).
Factors associated with fear of falling in people with Parkinson's disease.
BMC neurology [electronic resource].
14:19. doi: 10.1186/1471-2377-14-19.
Allen, N.E., Schwarzel, A.K., and Canning, C.G. (2014).
Recurrent falls in Parkinson's disease: a systematic review.
Parkinson's disease [electronic resource].
2013:906274. doi: 10.1155/2013/906274. Epub 2013 Mar 5.
Your independence relies on your safe mobility.
Practice safe mobility with every step.
Do for yourself as much as you can safely.
Overcoming your barriers
Get help for depression.
D’Ostilio, K. and Garraux, G. (2016).
The Network Model of Depression as a Basis for New Therapeutic Strategies for Treating
Major Depressive Disorder in Parkinson’s Disease.
Frontiers in human neuroscience [electronic resource.
10: 161. 10.3389/fnhum.2016.00161.
Consult with your doctor.
Seek out supportive friends or relatives.
Resist the temptation to ruminate.
Stay active by doing what makes you happy.
Apathy is a significant PD symptom.
Laatu, S., Karrasch, M., Martikainen, K., and Marttila, R. (2013).
Apathy is associated with activities of daily living ability in Parkinson's disease.
Dementia and geriatric cognitive disorders.
Leroi, I., Ahearn, D. J., Andrews, M., McDonald, K. R., Byrne, E. J., and Burns, A. (2011).
Behavioural disorders, disability and quality of life in Parkinson's disease.
Age and Ageing
40 (5): 614-621
Apathy is treatable. Talk to your doctor.
Consider the people or things you care about.
Stay connected to friends and family.
PWP's apathy affects the caregiver, too.
Anxiety may be helped by relaxation techniques.
Jiang, S. M., Yuan, Y. S., Tong, Q., Zhang, L., Xu, Q. R., Ding, J., et al. (2015).
The association between clinically relevant anxiety and other non-motor symptoms in Parkinson's disease.
Neurological sciences : official journal of the Italian Neurological Society and
of the Italian Society of Clinical Neurophysiology.
Tai Chi, yoga, even boxing may relieve anxiety.
It is important to feel in control of your life.
Strive for independence in your activities.
Exercise safely to overcome fear of falling.
Clark, D. J. (2015).
Automaticity of walking: functional significance, mechanisms, measurement and rehabilitation strategies.
9: 246. doi: 10.3389/fnhum.2015.00246.
Frontiers in human neuroscience [electronic resource].
Start slowly. Exercise with a friend or family member.
Use supportive devices as necessary.
Focus on gaining confidence.