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National Institute of Mental Health

Depression and
Parkinson’s
Disease
D

epression not only affects
your brain and behavior—

it affects your entire body.
Depression has been linked with
other health problems, including
Parkinson’s disease. Dealing with
more than one health problem at
a time can be difficult, so proper
treatment is important.

What is depression?

n

slowness of movement

Major depressive disorder, or depression, is a serious mental
illness. Depression interferes with your daily life and routine and
reduces your quality of life. About 6.7 percent of u.s. adults ages
18 and older have depression.1

n

Impaired balance and coordination.

parkinson’s can also affect thinking and emotions. At present,
there is no way to predict or prevent parkinson’s disease.

Signs and Symptoms of Depression

How are depression and Parkinson’s
disease linked?

n	

ongoing sad, anxious, or empty feelings

n	

Feeling hopeless

n	

Feeling guilty, worthless, or helpless

n	

Feeling irritable or restless

n

loss of interest in activities or hobbies once enjoyable,
including sex

n	

Feeling tired all the time

n

Difficulty concentrating, remembering details, or making
decisions

n	

Difficulty falling asleep or staying asleep, a condition
called insomnia, or sleeping all the time

n	

overeating or loss of appetite

n	

Thoughts of death and suicide or suicide attempts

n

ongoing aches and pains, headaches, cramps, or digestive
problems that do not ease with treatment.

For more information, see the NIMH booklet on Depression at
http://www.nimh.nih.gov/health/publications/depression/
index.shtml.

What is Parkinson’s disease?
parkinson’s disease is a chronic disorder that worsens over time
and results in the loss of brain cells that produce dopamine, a
chemical messenger that controls movement. parkinson’s disease
usually affects people over age 50. The main symptoms of
parkinson’s disease are:
n

Rigidity, or stiffness, of the arms, legs, and torso

How is depression treated in people who
have Parkinson’s disease?
Depression is diagnosed and treated by a health care provider.
Treating depression can help you manage your parkinson’s
disease treatment and improve your overall health. Recovery
from depression takes time but treatments are effective.
At present, the most common treatments for depression
include:
n

Cognitive behavioral therapy (CBT), a type of psychotherapy, or talk therapy, that helps people change negative
thinking styles and behaviors that may contribute to their
depression

n

selective serotonin reuptake inhibitor (ssRI), a type of antidepressant medication that includes citalopram (Celexa),
sertraline (Zoloft), and fluoxetine (prozac)

n

serotonin and norepinephrine reuptake inhibitor (sNRI),
a type of antidepressant medication similar to ssRI that
includes venlafaxine (effexor) and duloxetine (Cymbalta).

Tremor, or shaking, in the hands, arms, legs, jaw, and face

n

For people with depression and parkinson’s disease, each illness
can make symptoms of the other worse. For example, people
with both illnesses tend to have more movement problems
and greater levels of anxiety than those who have just depression or parkinson’s disease.2,3 Compared with people who are
depressed but do not have parkinson’s, people who have both
illnesses may have lower rates of sadness and guilt, but greater
problems with concentration.3 one recent brain imaging study
also suggests that people with parkinson’s disease may have an
unusually high number of reuptake pumps for the brain chemical messenger serotonin.4 serotonin helps regulate mood, but
overactive pumps reduce serotonin levels, possibly leading to
depressive symptoms in some people with parkinson’s disease.

While currently available depression treatments, particularly
ssRIs, are generally well tolerated and safe for people with
parkinson’s disease, talk with your health care provider
about side effects, possible drug interactions, and other
treatment options. For the latest information on medications, visit the u.s. Food and Drug Administration website
at http://www.fda.gov. Not everyone responds to treatment the same way. Medications can take several weeks
to work, may need to be combined with ongoing talk
therapy, or may need to be changed or adjusted to minimize side effects and achieve the best results.
A variety of medications can provide dramatic relief from
the symptoms of parkinson’s disease. However, no current
medication can stop the progression of the disease, and
in many cases, medications lose their benefit over time.
In such cases, the doctor may recommend deep brain
stimulation, a surgery that places a battery-operated
medical device called a neurostimulator—similar to a heart
pacemaker—to deliver electrical stimulation to areas in
the brain that control movement. some doctors recommend physical therapy or muscle-strengthening exercises
to improve movement and balance and make it easier
to continue doing daily tasks, such as getting dressed
and bathing. Although usually associated with treating
severe or treatment-resistant depression, electroconvulsive
therapy may improve parkinson’s disease symptoms in
some people.5
More information about depression treatments can be
found on the NIMH website at http://www.nimh.nih.
gov/health/publications/depression/how-is-depressiondetected-and-treated.shtml. If you think you are depressed
or know someone who is, don’t lose hope. seek help for
depression.
D

epression not only affects
your brain and behavior—

it affects your entire body.
Depression has been linked with
other health problems, including
Parkinson’s disease. Dealing with
more than one health problem at
a time can be difficult, so proper
treatment is important.

What is depression?

n

slowness of movement

Major depressive disorder, or depression, is a serious mental
illness. Depression interferes with your daily life and routine and
reduces your quality of life. About 6.7 percent of u.s. adults ages
18 and older have depression.1

n

Impaired balance and coordination.

parkinson’s can also affect thinking and emotions. At present,
there is no way to predict or prevent parkinson’s disease.

Signs and Symptoms of Depression

How are depression and Parkinson’s
disease linked?

n	

ongoing sad, anxious, or empty feelings

n	

Feeling hopeless

n	

Feeling guilty, worthless, or helpless

n	

Feeling irritable or restless

n

loss of interest in activities or hobbies once enjoyable,
including sex

n	

Feeling tired all the time

n

Difficulty concentrating, remembering details, or making
decisions

n	

Difficulty falling asleep or staying asleep, a condition
called insomnia, or sleeping all the time

n	

overeating or loss of appetite

n	

Thoughts of death and suicide or suicide attempts

n

ongoing aches and pains, headaches, cramps, or digestive
problems that do not ease with treatment.

For more information, see the NIMH booklet on Depression at
http://www.nimh.nih.gov/health/publications/depression/
index.shtml.

What is Parkinson’s disease?
parkinson’s disease is a chronic disorder that worsens over time
and results in the loss of brain cells that produce dopamine, a
chemical messenger that controls movement. parkinson’s disease
usually affects people over age 50. The main symptoms of
parkinson’s disease are:
n

Rigidity, or stiffness, of the arms, legs, and torso

How is depression treated in people who
have Parkinson’s disease?
Depression is diagnosed and treated by a health care provider.
Treating depression can help you manage your parkinson’s
disease treatment and improve your overall health. Recovery
from depression takes time but treatments are effective.
At present, the most common treatments for depression
include:
n

Cognitive behavioral therapy (CBT), a type of psychotherapy, or talk therapy, that helps people change negative
thinking styles and behaviors that may contribute to their
depression

n

selective serotonin reuptake inhibitor (ssRI), a type of antidepressant medication that includes citalopram (Celexa),
sertraline (Zoloft), and fluoxetine (prozac)

n

serotonin and norepinephrine reuptake inhibitor (sNRI),
a type of antidepressant medication similar to ssRI that
includes venlafaxine (effexor) and duloxetine (Cymbalta).

Tremor, or shaking, in the hands, arms, legs, jaw, and face

n

For people with depression and parkinson’s disease, each illness
can make symptoms of the other worse. For example, people
with both illnesses tend to have more movement problems
and greater levels of anxiety than those who have just depression or parkinson’s disease.2,3 Compared with people who are
depressed but do not have parkinson’s, people who have both
illnesses may have lower rates of sadness and guilt, but greater
problems with concentration.3 one recent brain imaging study
also suggests that people with parkinson’s disease may have an
unusually high number of reuptake pumps for the brain chemical messenger serotonin.4 serotonin helps regulate mood, but
overactive pumps reduce serotonin levels, possibly leading to
depressive symptoms in some people with parkinson’s disease.

While currently available depression treatments, particularly
ssRIs, are generally well tolerated and safe for people with
parkinson’s disease, talk with your health care provider
about side effects, possible drug interactions, and other
treatment options. For the latest information on medications, visit the u.s. Food and Drug Administration website
at http://www.fda.gov. Not everyone responds to treatment the same way. Medications can take several weeks
to work, may need to be combined with ongoing talk
therapy, or may need to be changed or adjusted to minimize side effects and achieve the best results.
A variety of medications can provide dramatic relief from
the symptoms of parkinson’s disease. However, no current
medication can stop the progression of the disease, and
in many cases, medications lose their benefit over time.
In such cases, the doctor may recommend deep brain
stimulation, a surgery that places a battery-operated
medical device called a neurostimulator—similar to a heart
pacemaker—to deliver electrical stimulation to areas in
the brain that control movement. some doctors recommend physical therapy or muscle-strengthening exercises
to improve movement and balance and make it easier
to continue doing daily tasks, such as getting dressed
and bathing. Although usually associated with treating
severe or treatment-resistant depression, electroconvulsive
therapy may improve parkinson’s disease symptoms in
some people.5
More information about depression treatments can be
found on the NIMH website at http://www.nimh.nih.
gov/health/publications/depression/how-is-depressiondetected-and-treated.shtml. If you think you are depressed
or know someone who is, don’t lose hope. seek help for
depression.
D

epression not only affects
your brain and behavior—

it affects your entire body.
Depression has been linked with
other health problems, including
Parkinson’s disease. Dealing with
more than one health problem at
a time can be difficult, so proper
treatment is important.

What is depression?

n

slowness of movement 


Major depressive disorder, or depression, is a serious mental
illness. Depression interferes with your daily life and routine and
reduces your quality of life. About 6.7 percent of u.s. adults ages
18 and older have depression.1

n

Impaired balance and coordination.
�

parkinson’s can also affect thinking and emotions. At present, 

there is no way to predict or prevent parkinson’s disease.

Signs and Symptoms of Depression

How are depression and Parkinson’s
disease linked?

n	

ongoing sad, anxious, or empty feelings

n	

Feeling hopeless

n	

Feeling guilty, worthless, or helpless

n	

Feeling irritable or restless

n

loss of interest in activities or hobbies once enjoyable,
including sex

n	

Feeling tired all the time

n

Difficulty concentrating, remembering details, or making
decisions

n	

Difficulty falling asleep or staying asleep, a condition
called insomnia, or sleeping all the time

n	

overeating or loss of appetite

n	

Thoughts of death and suicide or suicide attempts

n

ongoing aches and pains, headaches, cramps, or digestive
problems that do not ease with treatment.

For more information, see the NIMH booklet on Depression at
http://www.nimh.nih.gov/health/publications/depression/
index.shtml.

What is Parkinson’s disease?
parkinson’s disease is a chronic disorder that worsens over time
and results in the loss of brain cells that produce dopamine, a
chemical messenger that controls movement. parkinson’s disease
usually affects people over age 50. The main symptoms of
parkinson’s disease are:
n

Rigidity, or stiffness, of the arms, legs, and torso

How is depression treated in people who
have Parkinson’s disease?
Depression is diagnosed and treated by a health care provider.
Treating depression can help you manage your parkinson’s
disease treatment and improve your overall health. Recovery
from depression takes time but treatments are effective.
At present, the most common treatments for depression
include:
n	

Cognitive behavioral therapy (CBT), a type of psychotherapy, or talk therapy, that helps people change negative
thinking styles and behaviors that may contribute to their
depression

n	

selective serotonin reuptake inhibitor (ssRI), a type of antidepressant medication that includes citalopram (Celexa),
sertraline (Zoloft), and fluoxetine (prozac)

n	

serotonin and norepinephrine reuptake inhibitor (sNRI),
a type of antidepressant medication similar to ssRI that
includes venlafaxine (effexor) and duloxetine (Cymbalta).

Tremor, or shaking, in the hands, arms, legs, jaw, and face

n

For people with depression and parkinson’s disease, each illness
can make symptoms of the other worse. For example, people
with both illnesses tend to have more movement problems
and greater levels of anxiety than those who have just depression or parkinson’s disease.2,3 Compared with people who are
depressed but do not have parkinson’s, people who have both
illnesses may have lower rates of sadness and guilt, but greater
problems with concentration.3 one recent brain imaging study
also suggests that people with parkinson’s disease may have an
unusually high number of reuptake pumps for the brain chemical messenger serotonin.4 serotonin helps regulate mood, but
overactive pumps reduce serotonin levels, possibly leading to
depressive symptoms in some people with parkinson’s disease.

While currently available depression treatments, particularly
ssRIs, are generally well tolerated and safe for people with
parkinson’s disease, talk with your health care provider
about side effects, possible drug interactions, and other
treatment options. For the latest information on medications, visit the u.s. Food and Drug Administration website
at http://www.fda.gov. Not everyone responds to treatment the same way. Medications can take several weeks
to work, may need to be combined with ongoing talk
therapy, or may need to be changed or adjusted to minimize side effects and achieve the best results.
A variety of medications can provide dramatic relief from
the symptoms of parkinson’s disease. However, no current
medication can stop the progression of the disease, and
in many cases, medications lose their benefit over time.
In such cases, the doctor may recommend deep brain
stimulation, a surgery that places a battery-operated
medical device called a neurostimulator—similar to a heart
pacemaker—to deliver electrical stimulation to areas in
the brain that control movement. some doctors recommend physical therapy or muscle-strengthening exercises
to improve movement and balance and make it easier
to continue doing daily tasks, such as getting dressed
and bathing. Although usually associated with treating
severe or treatment-resistant depression, electroconvulsive
therapy may improve parkinson’s disease symptoms in
some people.5
More information about depression treatments can be
found on the NIMH website at http://www.nimh.nih.
gov/health/publications/depression/how-is-depressiondetected-and-treated.shtml. If you think you are depressed
or know someone who is, don’t lose hope. seek help for
depression.
D

epression not only affects
your brain and behavior—

it affects your entire body.
Depression has been linked with
other health problems, including
Parkinson’s disease. Dealing with
more than one health problem at
a time can be difficult, so proper
treatment is important.

What is depression?

n

slowness of movement

Major depressive disorder, or depression, is a serious mental
illness. Depression interferes with your daily life and routine and
reduces your quality of life. About 6.7 percent of u.s. adults ages
18 and older have depression.1

n

Impaired balance and coordination.

parkinson’s can also affect thinking and emotions. At present,
there is no way to predict or prevent parkinson’s disease.

Signs and Symptoms of Depression

How are depression and Parkinson’s
disease linked?

n	

ongoing sad, anxious, or empty feelings

n	

Feeling hopeless

n	

Feeling guilty, worthless, or helpless

n	

Feeling irritable or restless

n

loss of interest in activities or hobbies once enjoyable,
including sex

n	

Feeling tired all the time

n

Difficulty concentrating, remembering details, or making
decisions

n	

Difficulty falling asleep or staying asleep, a condition
called insomnia, or sleeping all the time

n	

overeating or loss of appetite

n	

Thoughts of death and suicide or suicide attempts

n

ongoing aches and pains, headaches, cramps, or digestive
problems that do not ease with treatment.

For more information, see the NIMH booklet on Depression at
http://www.nimh.nih.gov/health/publications/depression/
index.shtml.

What is Parkinson’s disease?
parkinson’s disease is a chronic disorder that worsens over time
and results in the loss of brain cells that produce dopamine, a
chemical messenger that controls movement. parkinson’s disease
usually affects people over age 50. The main symptoms of
parkinson’s disease are:
n

Rigidity, or stiffness, of the arms, legs, and torso

How is depression treated in people who
have Parkinson’s disease?
Depression is diagnosed and treated by a health care provider.
Treating depression can help you manage your parkinson’s
disease treatment and improve your overall health. Recovery
from depression takes time but treatments are effective.
At present, the most common treatments for depression
include:
n

Cognitive behavioral therapy (CBT), a type of psychotherapy, or talk therapy, that helps people change negative
thinking styles and behaviors that may contribute to their
depression

n

selective serotonin reuptake inhibitor (ssRI), a type of antidepressant medication that includes citalopram (Celexa),
sertraline (Zoloft), and fluoxetine (prozac)

n

serotonin and norepinephrine reuptake inhibitor (sNRI),
a type of antidepressant medication similar to ssRI that
includes venlafaxine (effexor) and duloxetine (Cymbalta).

Tremor, or shaking, in the hands, arms, legs, jaw, and face

n

For people with depression and parkinson’s disease, each illness
can make symptoms of the other worse. For example, people
with both illnesses tend to have more movement problems
and greater levels of anxiety than those who have just depression or parkinson’s disease.2,3 Compared with people who are
depressed but do not have parkinson’s, people who have both
illnesses may have lower rates of sadness and guilt, but greater
problems with concentration.3 one recent brain imaging study
also suggests that people with parkinson’s disease may have an
unusually high number of reuptake pumps for the brain chemical messenger serotonin.4 serotonin helps regulate mood, but
overactive pumps reduce serotonin levels, possibly leading to
depressive symptoms in some people with parkinson’s disease.

While currently available depression treatments, particularly
ssRIs, are generally well tolerated and safe for people with
parkinson’s disease, talk with your health care provider
about side effects, possible drug interactions, and other
treatment options. For the latest information on medications, visit the u.s. Food and Drug Administration website
at http://www.fda.gov. Not everyone responds to treatment the same way. Medications can take several weeks
to work, may need to be combined with ongoing talk
therapy, or may need to be changed or adjusted to minimize side effects and achieve the best results.
A variety of medications can provide dramatic relief from
the symptoms of parkinson’s disease. However, no current
medication can stop the progression of the disease, and
in many cases, medications lose their benefit over time.
In such cases, the doctor may recommend deep brain
stimulation, a surgery that places a battery-operated
medical device called a neurostimulator—similar to a heart
pacemaker—to deliver electrical stimulation to areas in
the brain that control movement. some doctors recommend physical therapy or muscle-strengthening exercises
to improve movement and balance and make it easier
to continue doing daily tasks, such as getting dressed
and bathing. Although usually associated with treating
severe or treatment-resistant depression, electroconvulsive
therapy may improve parkinson’s disease symptoms in
some people.5
More information about depression treatments can be
found on the NIMH website at http://www.nimh.nih.
gov/health/publications/depression/how-is-depressiondetected-and-treated.shtml. If you think you are depressed
or know someone who is, don’t lose hope. seek help for
depression.
National Institute of Mental Health

For More Information on Depression

Citations

Reprints

visit the National library of Medicine’s
Medlineplus http://medlineplus.gov
en español http://medlineplus.gov/spanish

1. Kessler RC, Chiu WT, Demler o, Merikangas KR,
Walters ee. prevalence, severity, and comorbidity of
12-month DsM-Iv disorders in the National Comorbidity
survey Replication. Arch Gen Psychiatry. 2005 Jun;
62(6):617–27.

This publication is in the public domain and may be reproduced
or copied without permission from NIMH. We encourage you to
reproduce it and use it in your efforts to improve public health.
Citation of the National Institute of Mental Health as a source
is appreciated. However, using government materials inappropriately can raise legal or ethical concerns, so we ask you to use
these guidelines:

For information on clinical trials
http://www.nimh.nih.gov/health/trials/index.shtml
National library of Medicine clinical trials database
http://www.clinicaltrials.gov
Information from NIMH is available in multiple formats. You
can browse online, download documents in pDF, and order
materials through the mail. Check the NIMH website at
http://www.nimh.nih.gov for the latest information on
this topic and to order publications. If you do not have
Internet access please contact the NIMH Information
Resource Center at the numbers listed below.
National Institute of Mental Health
science Writing, press & Dissemination Branch
6001 executive Boulevard
Room 8184, MsC 9663
Bethesda, MD 20892-9663
phone: 301-443-4513 or
1-866-615-NIMH (6464) toll-free
TTY: 301-443-8431 or
1-866-415-8051 toll-free
FAX: 301-443-4279
e-mail: nimhinfo@nih.gov
Website: http://www.nimh.nih.gov

2. Rahman s, Griffin HJ, Quinn Np, Jahanshahi M. Quality of
life in parkinson’s disease: the relative importance of the
symptoms. Mov Disord. 2008 Jul 30; 23(10):1428–34.
3. Raskind MA. Diagnosis and treatment of depression
comorbid with neurologic disorders. Am J Med. 2008 Nov;
121(11 suppl 2):s28–37.
4. Boileau I, Warsh JJ, Guttman M, saint-Cyr JA, McCluskey T,
Rusjan p, Houle s, Wilson AA, Meyer JH, Kish sJ. elevated
serotonin transporter binding in depressed patients with
parkinson’s disease: a preliminary peT study with [11C]
DAsB. Mov Disord. 2008 sep 15; 23(12):1776–80.
5. Wilkins KM, ostroff R, Tampi RR. efficacy of
electroconvulsive therapy in the treatment of nondepressed
psychiatric illness in elderly patients: a review of the
literature. J Geriatr Psychiatry Neurol. 2008 Mar;
21(1):3–11.

n

NIMH does not endorse or recommend any commercial products, processes, or services, and our publications may not be
used for advertising or endorsement purposes.

n

NIMH does not provide specific medical advice or treatment
recommendations or referrals; our materials may not be used
in a manner that has the appearance of such information.

n

NIMH requests that non-Federal organizations not alter our
publications in ways that will jeopardize the integrity and
“brand” when using the publication.

n

Addition of non-Federal Government logos and website links
may not have the appearance of NIMH endorsement of any
specific commercial products or services or medical treatments or services.

If you have questions regarding these guidelines and use of NIMH
publications, please contact the NIMH Information Resource
Center at 1-866-615-6464 or e-mail at nimhinfo@nih.gov.

For More Information on Parkinson’s
Disease
National Institute of Neurological Disorders
and Stroke (NINDS)
p.o. Box 5801
Bethesda, MD 20824
phone: 1-800-352-9424 or 301-496-5751
TTY: 301-468-5981
e-mail: http://www.ninds.nih.gov/contact_us.htm
Website: http://www.ninds.nih.gov

u.s. DepARTMeNT oF HeAlTH AND HuMAN seRvICes
National Institutes of Health
National Institute of Mental Health
NIH publication No. 11–5007
Revised 2011

Depression and
Parkinson’s
Disease
National Institute of Mental Health

For More Information on Depression

Citations

Reprints

visit the National library of Medicine’s
Medlineplus http://medlineplus.gov
en español http://medlineplus.gov/spanish

1. Kessler RC, Chiu WT, Demler o, Merikangas KR,
Walters ee. prevalence, severity, and comorbidity of
12-month DsM-Iv disorders in the National Comorbidity
survey Replication. Arch Gen Psychiatry. 2005 Jun;
62(6):617–27.

This publication is in the public domain and may be reproduced
or copied without permission from NIMH. We encourage you to
reproduce it and use it in your efforts to improve public health.
Citation of the National Institute of Mental Health as a source
is appreciated. However, using government materials inappropriately can raise legal or ethical concerns, so we ask you to use
these guidelines:

For information on clinical trials
http://www.nimh.nih.gov/health/trials/index.shtml
National library of Medicine clinical trials database
http://www.clinicaltrials.gov
Information from NIMH is available in multiple formats. You
can browse online, download documents in pDF, and order
materials through the mail. Check the NIMH website at
http://www.nimh.nih.gov for the latest information on
this topic and to order publications. If you do not have
Internet access please contact the NIMH Information
Resource Center at the numbers listed below.
National Institute of Mental Health
science Writing, press & Dissemination Branch
6001 executive Boulevard
Room 8184, MsC 9663
Bethesda, MD 20892-9663
phone: 301-443-4513 or
1-866-615-NIMH (6464) toll-free
TTY: 301-443-8431 or
1-866-415-8051 toll-free
FAX: 301-443-4279
e-mail: nimhinfo@nih.gov
Website: http://www.nimh.nih.gov

2. Rahman s, Griffin HJ, Quinn Np, Jahanshahi M. Quality of
life in parkinson’s disease: the relative importance of the
symptoms. Mov Disord. 2008 Jul 30; 23(10):1428–34.
3. Raskind MA. Diagnosis and treatment of depression
comorbid with neurologic disorders. Am J Med. 2008 Nov;
121(11 suppl 2):s28–37.
4. Boileau I, Warsh JJ, Guttman M, saint-Cyr JA, McCluskey T,
Rusjan p, Houle s, Wilson AA, Meyer JH, Kish sJ. elevated
serotonin transporter binding in depressed patients with
parkinson’s disease: a preliminary peT study with [11C]
DAsB. Mov Disord. 2008 sep 15; 23(12):1776–80.
5. Wilkins KM, ostroff R, Tampi RR. efficacy of
electroconvulsive therapy in the treatment of nondepressed
psychiatric illness in elderly patients: a review of the
literature. J Geriatr Psychiatry Neurol. 2008 Mar;
21(1):3–11.

n

NIMH does not endorse or recommend any commercial products, processes, or services, and our publications may not be
used for advertising or endorsement purposes.

n

NIMH does not provide specific medical advice or treatment
recommendations or referrals; our materials may not be used
in a manner that has the appearance of such information.

n

NIMH requests that non-Federal organizations not alter our
publications in ways that will jeopardize the integrity and
“brand” when using the publication.

n

Addition of non-Federal Government logos and website links
may not have the appearance of NIMH endorsement of any
specific commercial products or services or medical treatments or services.

If you have questions regarding these guidelines and use of NIMH
publications, please contact the NIMH Information Resource
Center at 1-866-615-6464 or e-mail at nimhinfo@nih.gov.

For More Information on Parkinson’s
Disease
National Institute of Neurological Disorders
and Stroke (NINDS)
p.o. Box 5801
Bethesda, MD 20824
phone: 1-800-352-9424 or 301-496-5751
TTY: 301-468-5981
e-mail: http://www.ninds.nih.gov/contact_us.htm
Website: http://www.ninds.nih.gov

u.s. DepARTMeNT oF HeAlTH AND HuMAN seRvICes
National Institutes of Health
National Institute of Mental Health
NIH publication No. 11–5007
Revised 2011

Depression and
Parkinson’s
Disease
National Institute of Mental Health

For More Information on Depression

Citations

Reprints

visit the National library of Medicine’s
Medlineplus http://medlineplus.gov
en español http://medlineplus.gov/spanish

1. Kessler RC, Chiu WT, Demler o, Merikangas KR,
Walters ee. prevalence, severity, and comorbidity of
12-month DsM-Iv disorders in the National Comorbidity
survey Replication. Arch Gen Psychiatry. 2005 Jun;
62(6):617–27.

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or copied without permission from NIMH. We encourage you to
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Citation of the National Institute of Mental Health as a source
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2. Rahman s, Griffin HJ, Quinn Np, Jahanshahi M. Quality of
life in parkinson’s disease: the relative importance of the
symptoms. Mov Disord. 2008 Jul 30; 23(10):1428–34.
3. Raskind MA. Diagnosis and treatment of depression
comorbid with neurologic disorders. Am J Med. 2008 Nov;
121(11 suppl 2):s28–37.
4. Boileau I, Warsh JJ, Guttman M, saint-Cyr JA, McCluskey T,
Rusjan p, Houle s, Wilson AA, Meyer JH, Kish sJ. elevated
serotonin transporter binding in depressed patients with
parkinson’s disease: a preliminary peT study with [11C]
DAsB. Mov Disord. 2008 sep 15; 23(12):1776–80.
5. Wilkins KM, ostroff R, Tampi RR. efficacy of
electroconvulsive therapy in the treatment of nondepressed
psychiatric illness in elderly patients: a review of the
literature. J Geriatr Psychiatry Neurol. 2008 Mar;
21(1):3–11.

n

NIMH does not endorse or recommend any commercial products, processes, or services, and our publications may not be
used for advertising or endorsement purposes.

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Addition of non-Federal Government logos and website links
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specific commercial products or services or medical treatments or services.

If you have questions regarding these guidelines and use of NIMH
publications, please contact the NIMH Information Resource
Center at 1-866-615-6464 or e-mail at nimhinfo@nih.gov.

For More Information on Parkinson’s
Disease
National Institute of Neurological Disorders
and Stroke (NINDS)
p.o. Box 5801
Bethesda, MD 20824
phone: 1-800-352-9424 or 301-496-5751
TTY: 301-468-5981
e-mail: http://www.ninds.nih.gov/contact_us.htm
Website: http://www.ninds.nih.gov

u.s. DepARTMeNT oF HeAlTH AND HuMAN seRvICes
National Institutes of Health
National Institute of Mental Health
NIH publication No. 11–5007
Revised 2011

Depression and
Parkinson’s
Disease

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Global Medical Cures™ | Depression and Parkinson's Disease

  • 1. National Institute of Mental Health Depression and Parkinson’s Disease
  • 2. D epression not only affects your brain and behavior— it affects your entire body. Depression has been linked with other health problems, including Parkinson’s disease. Dealing with more than one health problem at a time can be difficult, so proper treatment is important. What is depression? n slowness of movement Major depressive disorder, or depression, is a serious mental illness. Depression interferes with your daily life and routine and reduces your quality of life. About 6.7 percent of u.s. adults ages 18 and older have depression.1 n Impaired balance and coordination. parkinson’s can also affect thinking and emotions. At present, there is no way to predict or prevent parkinson’s disease. Signs and Symptoms of Depression How are depression and Parkinson’s disease linked? n ongoing sad, anxious, or empty feelings n Feeling hopeless n Feeling guilty, worthless, or helpless n Feeling irritable or restless n loss of interest in activities or hobbies once enjoyable, including sex n Feeling tired all the time n Difficulty concentrating, remembering details, or making decisions n Difficulty falling asleep or staying asleep, a condition called insomnia, or sleeping all the time n overeating or loss of appetite n Thoughts of death and suicide or suicide attempts n ongoing aches and pains, headaches, cramps, or digestive problems that do not ease with treatment. For more information, see the NIMH booklet on Depression at http://www.nimh.nih.gov/health/publications/depression/ index.shtml. What is Parkinson’s disease? parkinson’s disease is a chronic disorder that worsens over time and results in the loss of brain cells that produce dopamine, a chemical messenger that controls movement. parkinson’s disease usually affects people over age 50. The main symptoms of parkinson’s disease are: n Rigidity, or stiffness, of the arms, legs, and torso How is depression treated in people who have Parkinson’s disease? Depression is diagnosed and treated by a health care provider. Treating depression can help you manage your parkinson’s disease treatment and improve your overall health. Recovery from depression takes time but treatments are effective. At present, the most common treatments for depression include: n Cognitive behavioral therapy (CBT), a type of psychotherapy, or talk therapy, that helps people change negative thinking styles and behaviors that may contribute to their depression n selective serotonin reuptake inhibitor (ssRI), a type of antidepressant medication that includes citalopram (Celexa), sertraline (Zoloft), and fluoxetine (prozac) n serotonin and norepinephrine reuptake inhibitor (sNRI), a type of antidepressant medication similar to ssRI that includes venlafaxine (effexor) and duloxetine (Cymbalta). Tremor, or shaking, in the hands, arms, legs, jaw, and face n For people with depression and parkinson’s disease, each illness can make symptoms of the other worse. For example, people with both illnesses tend to have more movement problems and greater levels of anxiety than those who have just depression or parkinson’s disease.2,3 Compared with people who are depressed but do not have parkinson’s, people who have both illnesses may have lower rates of sadness and guilt, but greater problems with concentration.3 one recent brain imaging study also suggests that people with parkinson’s disease may have an unusually high number of reuptake pumps for the brain chemical messenger serotonin.4 serotonin helps regulate mood, but overactive pumps reduce serotonin levels, possibly leading to depressive symptoms in some people with parkinson’s disease. While currently available depression treatments, particularly ssRIs, are generally well tolerated and safe for people with parkinson’s disease, talk with your health care provider about side effects, possible drug interactions, and other treatment options. For the latest information on medications, visit the u.s. Food and Drug Administration website at http://www.fda.gov. Not everyone responds to treatment the same way. Medications can take several weeks to work, may need to be combined with ongoing talk therapy, or may need to be changed or adjusted to minimize side effects and achieve the best results. A variety of medications can provide dramatic relief from the symptoms of parkinson’s disease. However, no current medication can stop the progression of the disease, and in many cases, medications lose their benefit over time. In such cases, the doctor may recommend deep brain stimulation, a surgery that places a battery-operated medical device called a neurostimulator—similar to a heart pacemaker—to deliver electrical stimulation to areas in the brain that control movement. some doctors recommend physical therapy or muscle-strengthening exercises to improve movement and balance and make it easier to continue doing daily tasks, such as getting dressed and bathing. Although usually associated with treating severe or treatment-resistant depression, electroconvulsive therapy may improve parkinson’s disease symptoms in some people.5 More information about depression treatments can be found on the NIMH website at http://www.nimh.nih. gov/health/publications/depression/how-is-depressiondetected-and-treated.shtml. If you think you are depressed or know someone who is, don’t lose hope. seek help for depression.
  • 3. D epression not only affects your brain and behavior— it affects your entire body. Depression has been linked with other health problems, including Parkinson’s disease. Dealing with more than one health problem at a time can be difficult, so proper treatment is important. What is depression? n slowness of movement Major depressive disorder, or depression, is a serious mental illness. Depression interferes with your daily life and routine and reduces your quality of life. About 6.7 percent of u.s. adults ages 18 and older have depression.1 n Impaired balance and coordination. parkinson’s can also affect thinking and emotions. At present, there is no way to predict or prevent parkinson’s disease. Signs and Symptoms of Depression How are depression and Parkinson’s disease linked? n ongoing sad, anxious, or empty feelings n Feeling hopeless n Feeling guilty, worthless, or helpless n Feeling irritable or restless n loss of interest in activities or hobbies once enjoyable, including sex n Feeling tired all the time n Difficulty concentrating, remembering details, or making decisions n Difficulty falling asleep or staying asleep, a condition called insomnia, or sleeping all the time n overeating or loss of appetite n Thoughts of death and suicide or suicide attempts n ongoing aches and pains, headaches, cramps, or digestive problems that do not ease with treatment. For more information, see the NIMH booklet on Depression at http://www.nimh.nih.gov/health/publications/depression/ index.shtml. What is Parkinson’s disease? parkinson’s disease is a chronic disorder that worsens over time and results in the loss of brain cells that produce dopamine, a chemical messenger that controls movement. parkinson’s disease usually affects people over age 50. The main symptoms of parkinson’s disease are: n Rigidity, or stiffness, of the arms, legs, and torso How is depression treated in people who have Parkinson’s disease? Depression is diagnosed and treated by a health care provider. Treating depression can help you manage your parkinson’s disease treatment and improve your overall health. Recovery from depression takes time but treatments are effective. At present, the most common treatments for depression include: n Cognitive behavioral therapy (CBT), a type of psychotherapy, or talk therapy, that helps people change negative thinking styles and behaviors that may contribute to their depression n selective serotonin reuptake inhibitor (ssRI), a type of antidepressant medication that includes citalopram (Celexa), sertraline (Zoloft), and fluoxetine (prozac) n serotonin and norepinephrine reuptake inhibitor (sNRI), a type of antidepressant medication similar to ssRI that includes venlafaxine (effexor) and duloxetine (Cymbalta). Tremor, or shaking, in the hands, arms, legs, jaw, and face n For people with depression and parkinson’s disease, each illness can make symptoms of the other worse. For example, people with both illnesses tend to have more movement problems and greater levels of anxiety than those who have just depression or parkinson’s disease.2,3 Compared with people who are depressed but do not have parkinson’s, people who have both illnesses may have lower rates of sadness and guilt, but greater problems with concentration.3 one recent brain imaging study also suggests that people with parkinson’s disease may have an unusually high number of reuptake pumps for the brain chemical messenger serotonin.4 serotonin helps regulate mood, but overactive pumps reduce serotonin levels, possibly leading to depressive symptoms in some people with parkinson’s disease. While currently available depression treatments, particularly ssRIs, are generally well tolerated and safe for people with parkinson’s disease, talk with your health care provider about side effects, possible drug interactions, and other treatment options. For the latest information on medications, visit the u.s. Food and Drug Administration website at http://www.fda.gov. Not everyone responds to treatment the same way. Medications can take several weeks to work, may need to be combined with ongoing talk therapy, or may need to be changed or adjusted to minimize side effects and achieve the best results. A variety of medications can provide dramatic relief from the symptoms of parkinson’s disease. However, no current medication can stop the progression of the disease, and in many cases, medications lose their benefit over time. In such cases, the doctor may recommend deep brain stimulation, a surgery that places a battery-operated medical device called a neurostimulator—similar to a heart pacemaker—to deliver electrical stimulation to areas in the brain that control movement. some doctors recommend physical therapy or muscle-strengthening exercises to improve movement and balance and make it easier to continue doing daily tasks, such as getting dressed and bathing. Although usually associated with treating severe or treatment-resistant depression, electroconvulsive therapy may improve parkinson’s disease symptoms in some people.5 More information about depression treatments can be found on the NIMH website at http://www.nimh.nih. gov/health/publications/depression/how-is-depressiondetected-and-treated.shtml. If you think you are depressed or know someone who is, don’t lose hope. seek help for depression.
  • 4. D epression not only affects your brain and behavior— it affects your entire body. Depression has been linked with other health problems, including Parkinson’s disease. Dealing with more than one health problem at a time can be difficult, so proper treatment is important. What is depression? n slowness of movement Major depressive disorder, or depression, is a serious mental illness. Depression interferes with your daily life and routine and reduces your quality of life. About 6.7 percent of u.s. adults ages 18 and older have depression.1 n Impaired balance and coordination. � parkinson’s can also affect thinking and emotions. At present, there is no way to predict or prevent parkinson’s disease. Signs and Symptoms of Depression How are depression and Parkinson’s disease linked? n ongoing sad, anxious, or empty feelings n Feeling hopeless n Feeling guilty, worthless, or helpless n Feeling irritable or restless n loss of interest in activities or hobbies once enjoyable, including sex n Feeling tired all the time n Difficulty concentrating, remembering details, or making decisions n Difficulty falling asleep or staying asleep, a condition called insomnia, or sleeping all the time n overeating or loss of appetite n Thoughts of death and suicide or suicide attempts n ongoing aches and pains, headaches, cramps, or digestive problems that do not ease with treatment. For more information, see the NIMH booklet on Depression at http://www.nimh.nih.gov/health/publications/depression/ index.shtml. What is Parkinson’s disease? parkinson’s disease is a chronic disorder that worsens over time and results in the loss of brain cells that produce dopamine, a chemical messenger that controls movement. parkinson’s disease usually affects people over age 50. The main symptoms of parkinson’s disease are: n Rigidity, or stiffness, of the arms, legs, and torso How is depression treated in people who have Parkinson’s disease? Depression is diagnosed and treated by a health care provider. Treating depression can help you manage your parkinson’s disease treatment and improve your overall health. Recovery from depression takes time but treatments are effective. At present, the most common treatments for depression include: n Cognitive behavioral therapy (CBT), a type of psychotherapy, or talk therapy, that helps people change negative thinking styles and behaviors that may contribute to their depression n selective serotonin reuptake inhibitor (ssRI), a type of antidepressant medication that includes citalopram (Celexa), sertraline (Zoloft), and fluoxetine (prozac) n serotonin and norepinephrine reuptake inhibitor (sNRI), a type of antidepressant medication similar to ssRI that includes venlafaxine (effexor) and duloxetine (Cymbalta). Tremor, or shaking, in the hands, arms, legs, jaw, and face n For people with depression and parkinson’s disease, each illness can make symptoms of the other worse. For example, people with both illnesses tend to have more movement problems and greater levels of anxiety than those who have just depression or parkinson’s disease.2,3 Compared with people who are depressed but do not have parkinson’s, people who have both illnesses may have lower rates of sadness and guilt, but greater problems with concentration.3 one recent brain imaging study also suggests that people with parkinson’s disease may have an unusually high number of reuptake pumps for the brain chemical messenger serotonin.4 serotonin helps regulate mood, but overactive pumps reduce serotonin levels, possibly leading to depressive symptoms in some people with parkinson’s disease. While currently available depression treatments, particularly ssRIs, are generally well tolerated and safe for people with parkinson’s disease, talk with your health care provider about side effects, possible drug interactions, and other treatment options. For the latest information on medications, visit the u.s. Food and Drug Administration website at http://www.fda.gov. Not everyone responds to treatment the same way. Medications can take several weeks to work, may need to be combined with ongoing talk therapy, or may need to be changed or adjusted to minimize side effects and achieve the best results. A variety of medications can provide dramatic relief from the symptoms of parkinson’s disease. However, no current medication can stop the progression of the disease, and in many cases, medications lose their benefit over time. In such cases, the doctor may recommend deep brain stimulation, a surgery that places a battery-operated medical device called a neurostimulator—similar to a heart pacemaker—to deliver electrical stimulation to areas in the brain that control movement. some doctors recommend physical therapy or muscle-strengthening exercises to improve movement and balance and make it easier to continue doing daily tasks, such as getting dressed and bathing. Although usually associated with treating severe or treatment-resistant depression, electroconvulsive therapy may improve parkinson’s disease symptoms in some people.5 More information about depression treatments can be found on the NIMH website at http://www.nimh.nih. gov/health/publications/depression/how-is-depressiondetected-and-treated.shtml. If you think you are depressed or know someone who is, don’t lose hope. seek help for depression.
  • 5. D epression not only affects your brain and behavior— it affects your entire body. Depression has been linked with other health problems, including Parkinson’s disease. Dealing with more than one health problem at a time can be difficult, so proper treatment is important. What is depression? n slowness of movement Major depressive disorder, or depression, is a serious mental illness. Depression interferes with your daily life and routine and reduces your quality of life. About 6.7 percent of u.s. adults ages 18 and older have depression.1 n Impaired balance and coordination. parkinson’s can also affect thinking and emotions. At present, there is no way to predict or prevent parkinson’s disease. Signs and Symptoms of Depression How are depression and Parkinson’s disease linked? n ongoing sad, anxious, or empty feelings n Feeling hopeless n Feeling guilty, worthless, or helpless n Feeling irritable or restless n loss of interest in activities or hobbies once enjoyable, including sex n Feeling tired all the time n Difficulty concentrating, remembering details, or making decisions n Difficulty falling asleep or staying asleep, a condition called insomnia, or sleeping all the time n overeating or loss of appetite n Thoughts of death and suicide or suicide attempts n ongoing aches and pains, headaches, cramps, or digestive problems that do not ease with treatment. For more information, see the NIMH booklet on Depression at http://www.nimh.nih.gov/health/publications/depression/ index.shtml. What is Parkinson’s disease? parkinson’s disease is a chronic disorder that worsens over time and results in the loss of brain cells that produce dopamine, a chemical messenger that controls movement. parkinson’s disease usually affects people over age 50. The main symptoms of parkinson’s disease are: n Rigidity, or stiffness, of the arms, legs, and torso How is depression treated in people who have Parkinson’s disease? Depression is diagnosed and treated by a health care provider. Treating depression can help you manage your parkinson’s disease treatment and improve your overall health. Recovery from depression takes time but treatments are effective. At present, the most common treatments for depression include: n Cognitive behavioral therapy (CBT), a type of psychotherapy, or talk therapy, that helps people change negative thinking styles and behaviors that may contribute to their depression n selective serotonin reuptake inhibitor (ssRI), a type of antidepressant medication that includes citalopram (Celexa), sertraline (Zoloft), and fluoxetine (prozac) n serotonin and norepinephrine reuptake inhibitor (sNRI), a type of antidepressant medication similar to ssRI that includes venlafaxine (effexor) and duloxetine (Cymbalta). Tremor, or shaking, in the hands, arms, legs, jaw, and face n For people with depression and parkinson’s disease, each illness can make symptoms of the other worse. For example, people with both illnesses tend to have more movement problems and greater levels of anxiety than those who have just depression or parkinson’s disease.2,3 Compared with people who are depressed but do not have parkinson’s, people who have both illnesses may have lower rates of sadness and guilt, but greater problems with concentration.3 one recent brain imaging study also suggests that people with parkinson’s disease may have an unusually high number of reuptake pumps for the brain chemical messenger serotonin.4 serotonin helps regulate mood, but overactive pumps reduce serotonin levels, possibly leading to depressive symptoms in some people with parkinson’s disease. While currently available depression treatments, particularly ssRIs, are generally well tolerated and safe for people with parkinson’s disease, talk with your health care provider about side effects, possible drug interactions, and other treatment options. For the latest information on medications, visit the u.s. Food and Drug Administration website at http://www.fda.gov. Not everyone responds to treatment the same way. Medications can take several weeks to work, may need to be combined with ongoing talk therapy, or may need to be changed or adjusted to minimize side effects and achieve the best results. A variety of medications can provide dramatic relief from the symptoms of parkinson’s disease. However, no current medication can stop the progression of the disease, and in many cases, medications lose their benefit over time. In such cases, the doctor may recommend deep brain stimulation, a surgery that places a battery-operated medical device called a neurostimulator—similar to a heart pacemaker—to deliver electrical stimulation to areas in the brain that control movement. some doctors recommend physical therapy or muscle-strengthening exercises to improve movement and balance and make it easier to continue doing daily tasks, such as getting dressed and bathing. Although usually associated with treating severe or treatment-resistant depression, electroconvulsive therapy may improve parkinson’s disease symptoms in some people.5 More information about depression treatments can be found on the NIMH website at http://www.nimh.nih. gov/health/publications/depression/how-is-depressiondetected-and-treated.shtml. If you think you are depressed or know someone who is, don’t lose hope. seek help for depression.
  • 6. National Institute of Mental Health For More Information on Depression Citations Reprints visit the National library of Medicine’s Medlineplus http://medlineplus.gov en español http://medlineplus.gov/spanish 1. Kessler RC, Chiu WT, Demler o, Merikangas KR, Walters ee. prevalence, severity, and comorbidity of 12-month DsM-Iv disorders in the National Comorbidity survey Replication. Arch Gen Psychiatry. 2005 Jun; 62(6):617–27. This publication is in the public domain and may be reproduced or copied without permission from NIMH. We encourage you to reproduce it and use it in your efforts to improve public health. Citation of the National Institute of Mental Health as a source is appreciated. However, using government materials inappropriately can raise legal or ethical concerns, so we ask you to use these guidelines: For information on clinical trials http://www.nimh.nih.gov/health/trials/index.shtml National library of Medicine clinical trials database http://www.clinicaltrials.gov Information from NIMH is available in multiple formats. You can browse online, download documents in pDF, and order materials through the mail. Check the NIMH website at http://www.nimh.nih.gov for the latest information on this topic and to order publications. If you do not have Internet access please contact the NIMH Information Resource Center at the numbers listed below. National Institute of Mental Health science Writing, press & Dissemination Branch 6001 executive Boulevard Room 8184, MsC 9663 Bethesda, MD 20892-9663 phone: 301-443-4513 or 1-866-615-NIMH (6464) toll-free TTY: 301-443-8431 or 1-866-415-8051 toll-free FAX: 301-443-4279 e-mail: nimhinfo@nih.gov Website: http://www.nimh.nih.gov 2. Rahman s, Griffin HJ, Quinn Np, Jahanshahi M. Quality of life in parkinson’s disease: the relative importance of the symptoms. Mov Disord. 2008 Jul 30; 23(10):1428–34. 3. Raskind MA. Diagnosis and treatment of depression comorbid with neurologic disorders. Am J Med. 2008 Nov; 121(11 suppl 2):s28–37. 4. Boileau I, Warsh JJ, Guttman M, saint-Cyr JA, McCluskey T, Rusjan p, Houle s, Wilson AA, Meyer JH, Kish sJ. elevated serotonin transporter binding in depressed patients with parkinson’s disease: a preliminary peT study with [11C] DAsB. Mov Disord. 2008 sep 15; 23(12):1776–80. 5. Wilkins KM, ostroff R, Tampi RR. efficacy of electroconvulsive therapy in the treatment of nondepressed psychiatric illness in elderly patients: a review of the literature. J Geriatr Psychiatry Neurol. 2008 Mar; 21(1):3–11. n NIMH does not endorse or recommend any commercial products, processes, or services, and our publications may not be used for advertising or endorsement purposes. n NIMH does not provide specific medical advice or treatment recommendations or referrals; our materials may not be used in a manner that has the appearance of such information. n NIMH requests that non-Federal organizations not alter our publications in ways that will jeopardize the integrity and “brand” when using the publication. n Addition of non-Federal Government logos and website links may not have the appearance of NIMH endorsement of any specific commercial products or services or medical treatments or services. If you have questions regarding these guidelines and use of NIMH publications, please contact the NIMH Information Resource Center at 1-866-615-6464 or e-mail at nimhinfo@nih.gov. For More Information on Parkinson’s Disease National Institute of Neurological Disorders and Stroke (NINDS) p.o. Box 5801 Bethesda, MD 20824 phone: 1-800-352-9424 or 301-496-5751 TTY: 301-468-5981 e-mail: http://www.ninds.nih.gov/contact_us.htm Website: http://www.ninds.nih.gov u.s. DepARTMeNT oF HeAlTH AND HuMAN seRvICes National Institutes of Health National Institute of Mental Health NIH publication No. 11–5007 Revised 2011 Depression and Parkinson’s Disease
  • 7. National Institute of Mental Health For More Information on Depression Citations Reprints visit the National library of Medicine’s Medlineplus http://medlineplus.gov en español http://medlineplus.gov/spanish 1. Kessler RC, Chiu WT, Demler o, Merikangas KR, Walters ee. prevalence, severity, and comorbidity of 12-month DsM-Iv disorders in the National Comorbidity survey Replication. Arch Gen Psychiatry. 2005 Jun; 62(6):617–27. This publication is in the public domain and may be reproduced or copied without permission from NIMH. We encourage you to reproduce it and use it in your efforts to improve public health. Citation of the National Institute of Mental Health as a source is appreciated. However, using government materials inappropriately can raise legal or ethical concerns, so we ask you to use these guidelines: For information on clinical trials http://www.nimh.nih.gov/health/trials/index.shtml National library of Medicine clinical trials database http://www.clinicaltrials.gov Information from NIMH is available in multiple formats. You can browse online, download documents in pDF, and order materials through the mail. Check the NIMH website at http://www.nimh.nih.gov for the latest information on this topic and to order publications. If you do not have Internet access please contact the NIMH Information Resource Center at the numbers listed below. National Institute of Mental Health science Writing, press & Dissemination Branch 6001 executive Boulevard Room 8184, MsC 9663 Bethesda, MD 20892-9663 phone: 301-443-4513 or 1-866-615-NIMH (6464) toll-free TTY: 301-443-8431 or 1-866-415-8051 toll-free FAX: 301-443-4279 e-mail: nimhinfo@nih.gov Website: http://www.nimh.nih.gov 2. Rahman s, Griffin HJ, Quinn Np, Jahanshahi M. Quality of life in parkinson’s disease: the relative importance of the symptoms. Mov Disord. 2008 Jul 30; 23(10):1428–34. 3. Raskind MA. Diagnosis and treatment of depression comorbid with neurologic disorders. Am J Med. 2008 Nov; 121(11 suppl 2):s28–37. 4. Boileau I, Warsh JJ, Guttman M, saint-Cyr JA, McCluskey T, Rusjan p, Houle s, Wilson AA, Meyer JH, Kish sJ. elevated serotonin transporter binding in depressed patients with parkinson’s disease: a preliminary peT study with [11C] DAsB. Mov Disord. 2008 sep 15; 23(12):1776–80. 5. Wilkins KM, ostroff R, Tampi RR. efficacy of electroconvulsive therapy in the treatment of nondepressed psychiatric illness in elderly patients: a review of the literature. J Geriatr Psychiatry Neurol. 2008 Mar; 21(1):3–11. n NIMH does not endorse or recommend any commercial products, processes, or services, and our publications may not be used for advertising or endorsement purposes. n NIMH does not provide specific medical advice or treatment recommendations or referrals; our materials may not be used in a manner that has the appearance of such information. n NIMH requests that non-Federal organizations not alter our publications in ways that will jeopardize the integrity and “brand” when using the publication. n Addition of non-Federal Government logos and website links may not have the appearance of NIMH endorsement of any specific commercial products or services or medical treatments or services. If you have questions regarding these guidelines and use of NIMH publications, please contact the NIMH Information Resource Center at 1-866-615-6464 or e-mail at nimhinfo@nih.gov. For More Information on Parkinson’s Disease National Institute of Neurological Disorders and Stroke (NINDS) p.o. Box 5801 Bethesda, MD 20824 phone: 1-800-352-9424 or 301-496-5751 TTY: 301-468-5981 e-mail: http://www.ninds.nih.gov/contact_us.htm Website: http://www.ninds.nih.gov u.s. DepARTMeNT oF HeAlTH AND HuMAN seRvICes National Institutes of Health National Institute of Mental Health NIH publication No. 11–5007 Revised 2011 Depression and Parkinson’s Disease
  • 8. National Institute of Mental Health For More Information on Depression Citations Reprints visit the National library of Medicine’s Medlineplus http://medlineplus.gov en español http://medlineplus.gov/spanish 1. Kessler RC, Chiu WT, Demler o, Merikangas KR, Walters ee. prevalence, severity, and comorbidity of 12-month DsM-Iv disorders in the National Comorbidity survey Replication. Arch Gen Psychiatry. 2005 Jun; 62(6):617–27. This publication is in the public domain and may be reproduced or copied without permission from NIMH. We encourage you to reproduce it and use it in your efforts to improve public health. Citation of the National Institute of Mental Health as a source is appreciated. However, using government materials inappropriately can raise legal or ethical concerns, so we ask you to use these guidelines: For information on clinical trials http://www.nimh.nih.gov/health/trials/index.shtml National library of Medicine clinical trials database http://www.clinicaltrials.gov Information from NIMH is available in multiple formats. You can browse online, download documents in pDF, and order materials through the mail. Check the NIMH website at http://www.nimh.nih.gov for the latest information on this topic and to order publications. If you do not have Internet access please contact the NIMH Information Resource Center at the numbers listed below. National Institute of Mental Health science Writing, press & Dissemination Branch 6001 executive Boulevard Room 8184, MsC 9663 Bethesda, MD 20892-9663 phone: 301-443-4513 or 1-866-615-NIMH (6464) toll-free TTY: 301-443-8431 or 1-866-415-8051 toll-free FAX: 301-443-4279 e-mail: nimhinfo@nih.gov Website: http://www.nimh.nih.gov 2. Rahman s, Griffin HJ, Quinn Np, Jahanshahi M. Quality of life in parkinson’s disease: the relative importance of the symptoms. Mov Disord. 2008 Jul 30; 23(10):1428–34. 3. Raskind MA. Diagnosis and treatment of depression comorbid with neurologic disorders. Am J Med. 2008 Nov; 121(11 suppl 2):s28–37. 4. Boileau I, Warsh JJ, Guttman M, saint-Cyr JA, McCluskey T, Rusjan p, Houle s, Wilson AA, Meyer JH, Kish sJ. elevated serotonin transporter binding in depressed patients with parkinson’s disease: a preliminary peT study with [11C] DAsB. Mov Disord. 2008 sep 15; 23(12):1776–80. 5. Wilkins KM, ostroff R, Tampi RR. efficacy of electroconvulsive therapy in the treatment of nondepressed psychiatric illness in elderly patients: a review of the literature. J Geriatr Psychiatry Neurol. 2008 Mar; 21(1):3–11. n NIMH does not endorse or recommend any commercial products, processes, or services, and our publications may not be used for advertising or endorsement purposes. n NIMH does not provide specific medical advice or treatment recommendations or referrals; our materials may not be used in a manner that has the appearance of such information. n NIMH requests that non-Federal organizations not alter our publications in ways that will jeopardize the integrity and “brand” when using the publication. n Addition of non-Federal Government logos and website links may not have the appearance of NIMH endorsement of any specific commercial products or services or medical treatments or services. If you have questions regarding these guidelines and use of NIMH publications, please contact the NIMH Information Resource Center at 1-866-615-6464 or e-mail at nimhinfo@nih.gov. For More Information on Parkinson’s Disease National Institute of Neurological Disorders and Stroke (NINDS) p.o. Box 5801 Bethesda, MD 20824 phone: 1-800-352-9424 or 301-496-5751 TTY: 301-468-5981 e-mail: http://www.ninds.nih.gov/contact_us.htm Website: http://www.ninds.nih.gov u.s. DepARTMeNT oF HeAlTH AND HuMAN seRvICes National Institutes of Health National Institute of Mental Health NIH publication No. 11–5007 Revised 2011 Depression and Parkinson’s Disease