Effective Management Approaches for Psychosis in Patients With Parkinson Disease




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Parkinson disease (PD) is the fastest growing neurologic disease worldwide, and the majority of patients with PD will experience symptoms of psychosis during the course of the disease. Psychotic symptoms lead to poor outcomes and increase the already heavy burden on patients with PD and their caregivers. Treatment is available but must be initiated early for optimal outcomes. Therefore, clinicians need to be familiar with and vigilant for potential signs of psychosis. Once psychotic symptoms are detected, clinicians should follow a cautious management plan that includes a medical evaluation, medication review and reduction (while trying to avoid worsening motor symptoms), and possibly the addition of an antipsychotic. However, antipsychotics must be used with caution in this population because of the risk of increased mortality in elderly patients.

J Clin Psychiatry 2018;79(suppl E1):ad18017su1c