Anger and PD

I got a lot of response to one of my recent Tweets (@PDpsych) and wanted to blog a little followup:

The best way to drive away those you love is to project your anger w/PD on them. Helping you cope & taking the heat are not the same thing.

I was commenting on a phenomenon many PD partners are very familiar with and that I wanted to blog more about as a follow up. Parkinsons can produce a lot of anger. This anger will not be found on any of the list of “non-motor” symptoms because it is not a direct outgrowth of the neurological change. It is a reaction to having a difficult, chronic disease. Being a little angry about PD is a pretty understandable human response. Making someone you love the target for that anger is not.

Parkinson’s disease has no face. When a person become angry and frustrated because of its impact, there is no one upon whom one can truly direct these feelings. A person who is not careful may find these feelings discharging anyway. The target is often only a proxy for the PD, an unwitting victim.

There is no one among us who has not had an irritable moment and snapped at someone who does not deserve it. This can happen when we get a little tired, a little hungry, a little preoccupied, a little sick or even a little stressed. This is crankiness and should be a rare event. When it is not, we are looking at an anger problem.

A lot of spouses have indicated to me that the Parkinsons has precipitated an anger problem in their loved one. It often comes as quite a surprise because the person they live with was kind and thoughtful earlier in their lives. Now they describe husbands and wives who brood about their disease and subsequently become touchy and ready to go off at the least provocation. Some become churlish enough they even deliberately provoke opportunities to discharge their anger.

These spouses describe a life of walking on eggshells and they blame PD for creating the raging beast they live with. In this case, PD gets too much credit because it can never be used to excuse bad behavior.

I am not aware of any studies that have been done to see how many people with PD have anger issues. I suspect from the flood of emails responding to my Tweet that it might be rather common. Some of the posts expressed a great deal of frustration and sadness about abusive anger. None so far have discussed physical abuse but I have been in my business long enough to know that frequent verbal abuse can be as damaging as any blow that might be struck.

If my words sound harsh, it is because lashing out at innocent bystanders because one is struggling to come to terms with PD is itself harsh.

If you have an anger problem, please seek help before it costs you the most precious response you have in your battle with the disease-your family. If you are the victim of verbal abuse from someone who has PD, you should also seek help. It is extremely hard living under the threat of an unexpected and undeserved verbal assault.

Dr. Paul

NOTE: Dr. Paul Short is neither an agent nor employee of ADPA or any of its affiliate organizations. The views expressed in this blog are the opinions of Dr. Short and do not represent the opinions or endorsement of APDA. The information contained on this site is for your general information only and is not intended as, or a substitution for, medical advice. You should also be aware that the information on this site may not reflect the most current medical developments, nor is it provided in the course of a physician - patient relationship. You should always consult your physician or other qualified healthcare provider or expert with any questions or concerns you may have regarding a health or medical condition. You should never disregard professional medical advice, or delay in seeking it, because of something you have read on this site.

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