Posts tagged “Compulsive Behavior”

Parkinson’s Awareness Begins with Self-Reflection

April is Parkinson’s Awareness Month. This means that the concerted efforts of the PD community will be directed at raising the profile of the disease in an effort to raise funds. As a personal coach, I like to stress that awareness begins with self-reflection. This post discusses a few aspects of PD, of which folks with young-onset should be aware. They are written in no particular order of importance.

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Out of Control? Dopamine Agonist Danger Signs

In my last blog, I discussed how PD dopamine agonists can cause compulsive behaviors in some patients. A recent study suggested that this could occur in as many as 13% of patients taking these drugs. I would now like to look at signs that should trigger concerns about compulsivity.

Any behavior that seems to have taken on a life of its own should trigger an evaluation for compulsivity. Endless hours at the computer to the exclusion of time with the family would be one example; hypersexuality another. So would purchases of reams of lottery tickets or an enthusiasm for the daily trading of financial instruments. Many activities would not typically be considered compulsive because they result in positive outcomes. For example, compulsive cleaning or yardwork can produce a tidy, well-kept home. But if these behaviors are relatively new or have become exaggerated over time, there is likely to be a problem.

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Dopamine, Reinforcement and Compulsive Behavior

I have heard a lot of folks with early onset Parkinson’s talk about how a dopamine agonist made them behave compulsively: excessive gambling, hypersexuality, incessant computer use, shopping. Although the research still needs to be done, my background in neuroscience and the psychology of learning allows me to propose a hypothesis for what might be going on.

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