Different people experience different types of compulsive
behaviour, and treatment varies according to each type. Sometimes reducing or stopping the medication
thought to be responsible can be effective, although this does not always
work. In some cases introducing a new medication
can be helpful. Continuous dopaminergic
stimulation (CDS), using levodopa/carbidopa or apomorphine for example, has
been found to be effective for a number of people. A course of psychotherapy may also be
successful in some instances.
Often
changes in behaviour are associated with a new medication or increase in dose
of dopaminergic treatment. In such cases
your doctor will probably reduce the dose or eliminate the new medication. Treatment can be difficult because the higher
doses of Parkinson’s medication required to control motor symptoms [LINK to glossary] may be the cause of the
compulsive behaviour and reducing medication can impact on the management of
motor symptoms. Changing from the
dopamine agonists associated with compulsive disorder to levodopa can ease the
situation as this medication is less likely to cause behavioural issues.
If
depression is a factor then talking with a counsellor may help, or
antidepressant medications may be prescribed, particularly if any
hallucinations or paranoia are also present.
Family
and friends can help by controlling the opportunities for compulsive behaviour,
perhaps by creating opportunities for other activities to divert attention, or
by taking away credit and bank cards so cash flow is restricted.
