Hi, my husband is 54 and was diagnosed with PD four years ago, although I suspect that he has had it for eight years or so. He says that he feels confused, like he doesn't belong at work and that he forgets where he is or what he is doing. He is so young and his physical symptoms are not too bad, lots of stiffness, but his tremor is controlled with Sinemet. His presenting symptoms were sexual dysfunction and confusion which just seems so different than what most experience, I think. I keep thinking he might have LBD. Does Sinemet help with cognition? The only thing that he seems to think helps him is Concerta which wakes him up. His sexual dysfunction seems to be physical and mental, can't do it and doesn't care that he can't. I feel like I'm living with an alien sometimes. Parkinsons has destroyed our relationship for the most part. He is not the man I fell in love with. He doesn't seem to care about anything or anybody. I don't think he can care. He just plays video games for most of the day, while I work and do all the chores. It is so hard to not resent him.