What’s the difference between parkinson’s disease and turrets?
is there any cure to them? Thanks
barry jennings answers:
Neither Parkinson’s disease (PD) nor Tourette’s syndrome (TS) has a cure at this point.
Parkinson’s disease is still considered to be predominantly idiopathic in origin with between 15-20% being genetic in origin. Tourettes in considered to be predominantly genetic in origin with some cases still considered as idiopathic.
Both conditions received their names from Jean-Martin Charcot. Parkinson’s was named a few decades after James Parkinson had studied the condition and published an essay entitled “The Shaking Palsy” Charcot actually knew Edward Albert Edouard Brutus Gilles da le Tourette who published an essay on the condition in 1885
The life span of a person with Tourette’s is not restrained by the condition. The symptoms usually appear in childhood and begin to decrease as the person ages
In Parkinson’s disease childhood symptoms are very rare and although the disease is not uncommon in young adults, it is still considered a disease of older age. Personally, I think that with many PwPs the precursor symptoms begin to appear when the person is in late 30s or early 40s. They simply are not recognized as symptoms of PD and so the deterioration of dopamine neurons continues until there is also a decrease in the number of norepinephrine neurons which seems to trigger the identifiable symptoms.
You may read that a person with Parkinson’s disease can have a normal life span but the fact of the matter is this is not true. The disease often impacts other conditions which can cause an earlier demise. Swallowing difficulties can lead to choking which in turn can lead to aspiration pneumonia. Falls lead to side effects which can lead to death.
The list of symptoms in Parkinson’s disease is very long beginning with TRAP, tremor, rigidity, akinesia (slowness of movement) and postural instability (balance issues) but there are many motor and non-motor symptoms as well as psychological changes. Since symptoms vary from patient to patient the list can include shuffling gait, slow movement, freezing movement, tremor, slowness of speech and cognitive skills. Urinary issues, constipation, vision problems, loss of sense of smell. Depression, balance problems, loss of arm swing and leg drag, microphagia, soft voice, swallowing and breathing issues, unique dental problems, loss of facial expression, pain especially in neck and shoulders, sleep disorders and several more..
In Tourette’s the list of motor symptoms is eye blinking, throat clearing, sniffling, coughing, and facial movements. There is also one vocal symptom. Coprolalis, the bizarre words and phrases only appear in about 10% of cases but it is much more dramatic and so has received more attention than warranted. Since the tics are not constant, in Tourettes, the patient can actually feel the coming onset of this motor symptoms.
In both conditions males are the more common victims than females although women begin to close the PD gap as they age.
With both conditions, diagnosis is made by clinical observation, there are no lab tests to do anything but to rule out other conditions. In PD there is a specific office observation test. In both conditions, medical history and family history may also influence the diagnosis. This is especially true of TS.
While Parkinson’s must be treated as soon as possible in an attempt to slow progression and provide symptomatic relief; in TS treatment is delayed as the symptoms often abate naturally. Treatment is often for co-morbid conditions such as ADHD and OCD which may accompany TS.
PD is a chronic progressive incurable neurodegenerative disease which desperately while Tourettes has a reverse progression making the cure somewhat less significant.
Does anyone know of a sure-fire way to get rid of depression for good?
I have been diagnosed with dysthymia, ADHD, and anxiety, and I have suffered from those conditions for most, if not all, of my 36 years. I have been taking Prozac for the past couple of years or so, and for the most part, it has helped a great deal. Unfortunately, though, it hasn’t completely gotten rid of my problems associated with depression. I’m sick of going through life like this, so does anyone have any suggestions?
barry jennings answers:
Good positive friends, better outlook on life, and goals. I am diagnosed with major depression with psychotic features. Ive been hospitalized in a psychiatric hospital 3 times, given tons of different meds, all to no avail. I found the key to managing my depression and to keep the symptoms as bay was to find good positive friends, ironicly that i met on here answering questions. They really helped me realize what was going on and what i was doing to myself. I also asked God for help (not sure if you are religious). These past few weeks, i went from getting suicidal each night to not having a single symptom of depression (just some anxiety). Meds can help but they can’t cure everything. Find some meaning in your life. Pick up n learn how to play the guitar, go learn to ride a motorcycle (my favorite), go climb a mountain or go swim in a puddle! There is lots of beauty in this world and lots of help out there. Don’t feel bad if you fall down, because there is always a way back up. Good luck
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