Some of the first symptoms people with Parkinson's may experience are not visible to others. As Parkinson's progresses, cognitive, and other non-motor symptoms continue to be a significant aspect of living with Parkinson's. Joanne Hamilton, PhD, ABPP-CN, of Advanced Neurobehavioral Health of Southern California in Poway, CA, explains what to expect and how to distinguish symptoms caused by Parkinson's from those caused by medications. Her presentation for the Davis Phinney Foundation audience offers hope and practical strategies for understanding and managing cognitive and non-motor challenges.

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0:00 Introduction
1:47 Recognize the symptoms, be an advocate for yourself and your loved ones
4:59 95% of people with Parkinson's experience cognitive changes
7:20 Executive dysfunction affects problem solving, planning, organization, decisions
10:28 Memory problems in Parkinsons are different than Alzheimer's
11:29 30-50% of people with Parkinson's experience some degree of depression
11:42 Suspiciousness, apathy, anxiety and lack of motivation are common
12:15 Movement disorder specialists can separate symptoms from side effects
12:57 Impulse control problems can be a side effect of medication
13:30 Sleep disorders can be aggravated by medications
14:32 Consult with your physician about over-the-counter drugs
17:46 Reduce stress to improve thinking and mood
19:03 Limit distractions and use memory aids, lists
20:03 Depression is a treatable condition
20:17 Exercise is essential for good physical and mental health
20:52 Care partners can schedule activities to help overcome apathy
23:37 Parkinson's symptoms are not limited to what we can see
24:40 Behavioral therapies and exercise can improve quality of life
25:15 Overall health provides strong foundation for coping with Parkinson's
25:28 Be proactive in communicating changes to your doctor