Sunday, November 6, 2011

PSYCHOLOGICAL ANALYSIS IN A PARKINSON PATIENT


PSYCHOLOGICAL FIELD

The patient suddenly is in a state of mental shock, when he comes to know of his disease. He

becomes unsecured about his future and he is surrounded by a constant fear in his mind.

Being a male he is not able to accept his handicap and the helplessness attitude occupies his

mind.

He just cannot swallow the fact that someone is being engaged 24 hours as his caretaker .At the

 stage when he is not able to contribute to the earning of his family. He probably starts thinking

 that he has become an extra burden to the family. Here he starts cultivating the suicidal

thoughts. If the patient is monetarily sound, he may overcome the above said symptoms, but

there is a perfect saying that “THE IDLE MIND IS A DEVILS WORKSHOP.” The patients are

seen to develop hyper-sexuality, obsessive compulsive disorders, depressive psychosis,etc. Of

course, these are triggered by the medicines. I know personally a patient of Parkinson who went

in to the habit/ addiction of exhibitionism for which he was to suffer a lot including the social

 boycott,  hatred and insults.

The patients who develop grave psychiatric symptoms are generally referred to the

 psychiatrist for further management. The patient is put on antipsychotic drugs for a longer

 duration.

Such patients are dealt with tactfully. they are always to be accompanied by some caretaker

 and never left alone. He is always encouraged to think and act positive. He is never insulted

 or reminded of his off scene deeds. If the economy and the bank balance permit he should

 be taken for deep brain stimulation surgery (the best option presently) which will give him

 the far better lifestyle and a productive life for his remaining age. Here I must tell you the

 fact that the life of the patient remains complete and only the life style is affected. 


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