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Anxiety, Parkinson’s, and Parkinsonism: Something We All Should Talk Freely About

Anxiety is often listed as part of Parkinson’s disease, but anxiety is not limited to Parkinson’s. A person with cancer may feel anxious. So may someone with heart disease or kidney failure, someone recovering from a bad accident, or even someone getting ready to give a speech. When life becomes uncertain, anxiety is a normal human response.

Parkinson’s adds another piece to the picture, but it does not… read more

August 10
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A MyParkinsonsTeam Member

Yes Candace, this does happen to other people with Parkinson’s and Parkinsonism. Large groups can bring a lot of noise, movement, conversations, and activity all at once. When the brain and body are already working harder to manage everyday things, that extra stimulation can become overwhelming.

It may increase anxiety, fatigue, tremors, freezing, confusion, or other symptoms. Some people may need to step away, find a quiet place, attend smaller gatherings, or leave earlier than they once did. There is nothing wrong with knowing your limits.

If the crying is new, frequent, or difficult to control, let your doctor know. It could be anxiety or another emotional change related to the condition, and the doctor may have suggestions that can help.

August 12
A MyParkinsonsTeam Member

This happens to me too. When my daughter have a big party for Christmas I leave after we eat and the great grandkids open there gifts. One year we didn’t go at all. Crowds are not in my vocabulary anymore. It is so sad.

August 11
A MyParkinsonsTeam Member

I was caught by surprise this weekend. We had the usual famiglia up at our cottage on the weekend.well being Italian all they talk about is growing the food buying the food cooking the food recipes for the food and finally eating the food. Well I just snapped and ran crying into our bedroom. Everyone was shocked. I had my crying jag and then went out to face them. I tried to explain how the Parkinson’s has changed me. I can no longer handle the crowds and want to be where the people aren’t. This is so not me and not everyone got it. Does this ever happen to anyone?

August 11
A MyParkinsonsTeam Member

Thank you Bob for your comment. I picked up a few things that I am going to think about. Sending hugs.

August 13
MyParkinsonsTeam

What a thoughtful and well-rounded reflection on anxiety and Parkinson's — and absolutely worth talking about openly. You've touched on something really important: anxiety in Parkinson's isn't one-size-fits-all, and it doesn't have a single cause.

Anxiety is genuinely common with Parkinson's, affecting an estimated 20 to Show Full Answer

What a thoughtful and well-rounded reflection on anxiety and Parkinson's — and absolutely worth talking about openly. You've touched on something really important: anxiety in Parkinson's isn't one-size-fits-all, and it doesn't have a single cause.

Anxiety is genuinely common with Parkinson's, affecting an estimated 20 to 50 percent of people with the disease. It can show up as:

- Ongoing worry or nervousness
- Panic attacks
- Fear of falling
- Anxiety during "off" periods when medication wears off
- Heightened fear around diagnosis or when symptoms change The brain chemistry changes in Parkinson's — particularly reduced dopamine, serotonin, and norepinephrine — can directly contribute to anxiety. But as you wisely point out, it's often a mix of biological, emotional, and situational factors.

A MyParkinsonsTeam member once shared that recognizing how fear was adding to their pain helped them focus better on managing their Parkinson's day to day. Managing anxiety can involve several approaches working together:

- Medical: Talk to your neurologist — medication timing adjustments, SSRIs, or other treatments may help
- Therapeutic: Cognitive behavioral therapy (CBT) has shown real promise for Parkinson's-related anxiety
- Lifestyle: Exercise, mindfulness, breathing techniques, and staying socially connected can all strengthen a calmer response
- Mindset: Neuroplasticity means the brain can genuinely learn new, calmer patterns with practice

No medication should ever be started, stopped, or changed without consulting your doctor first. Your framing of understanding, acceptance, and adaptation is spot on. There's no shame in asking for help — and positive thinking, therapy, and medication aren't competing options. They can work beautifully together.

One day at a time is genuinely good medicine. 💙

August 10

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