I’m not sure what this will be like but it might be interesting. I think apathy can be seen as “laziness” by some people so perhaps it has some ways to help with apathy which is one of my husbands symptoms. Apathy is caused by low dopamine. I am pretty sure his was also caused by taking mirtazapine.
PS he is now completely off sertraline and mirtazapine and his personality has returned almost to normal! He is sitting with us in the evenings. Talking endlessly about bridge and football. Recording sports matches and getting up earlier to watch cricket. This was his normal previous behaviour so I take it as a win! Even though the cricket on drives me nuts🤣
He sits at his desk in the bedroom and plays bridge all day online most days. He will go on a walk most days with the dog for about 75 minutes. Monday afternoon and Fridays, and Tuesday and Thursday nights he plays bridge at the club.If he is feeling ok in the evenings he comes out and watches TV after dinner until bed time.
His routine is very fixed. Any deviation normally brings on extreme anxiety, but he has been a bit better lately. He came out with us for dinner one night and actually suggested it. And stopped for a coffee at a cafe on our dog walk. Normally he would refuse to do anything not in the normal schedule.
He can’t do much with his hands any more as he drops things and is struggling with holding cards. I’m hoping that doesn’t get worse as if he can’t go to bridge he will have no contact with the outside world. Last years lockdown really set him back.
I want him to do hand and shoulder exercises and stretches but he won’t.
Before I was diagnosed with PD, I was energetic, not lazy, and got a lot done! After at least 10 years of having diagnosed PD, apathy has gradually been eating away at me, and, sometimes, the stiffening and slowness, that I get, gets very painful! There are times, now, that, even with the Sinemet I take, I am slow, and in pain! Some people do seem to think that I am lazy! If they only knew, what PD can do, as it continues, it’s slow progression, and life becomes slower, and more difficult to handle!
Yes, I don't think it is laziness. But for the people who are undiagnosed it may appear that way to others in the early stages. Who knows, people who appear lazy may just be developing PD and not realise it.
for years before my dx I told my wife I was getting lazy, unlike my old self. Instead of rising early and accomplishing a lot, or going hunting, like I always did before, I was happy to stay late in bed with her on non-work days, but I had no idea my brain was already rotting.
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