The ABCs of Parkinson’s Disease: The Letter C

The ABCs of Parkinson’s Disease: The Letter C

Sherri Journeying Through

Third in a series. Read part one and two.

In this column, the letter C is for cognitive changes and caregiving.

Cognitive changes

Some possible Parkinson’s disease symptoms are obvious because they are visible: tremors, abnormal gait, a non-swinging arm. You can see them. Others can see them. But some symptoms are not so obvious because they are invisible: internal tremors, dystonia (muscle cramping/twisting), and pain in many and various places.

Other invisible symptoms are cognitive changes (brain symptoms such as disturbance of memory, thinking and language abilities). These changes can range from mild (feelings of distraction or disorganization, finding it difficult to plan and accomplish tasks) to more severe (such as Parkinson’s dementia).

The struggle to remember certain things — such as dates, directions, or where your glasses or car keys are hiding — may be a clue that your cognitive functions are faltering. Or it may be just a case of forgetfulness. It is best to seek out your doctor’s expert advice.


One area that doesn’t get enough attention is caregiving. Sooner or later the Parkinson’s patient will need help, and those tasks will most likely fall upon family members. Whether you are a family member or a good friend, offering your time and extending your love to care for your loved one is a tiring, wearisome task. It takes a lot of energy and time. To prevent burnout, it is important that the caregiver takes time for themselves to keep from becoming resentful and exhausted. Some suggestions include:

  • Have lunch with an encouraging friend who knows your situation
  • Join a support group for caregivers, a book club, or an exercise or dance class
  • Take daily walks
  • Listen to encouraging music
  • Start a game night with some friends
  • Go to church
  • Begin a new hobby

The sky’s the limit, but as a caregiver, you are limited in what you can personally give. Try to share the load. Ask a friend if they can sit in for you once in a while when you need to go to the store or grab a hamburger and sit in the parking lot to read a book. You won’t do your “patient” any good if you become resentful for the time it is taking to care for them and lose sight of the fact that they really aren’t trying to make life more difficult for you. It’s just called Parkinson’s disease, and unfortunately, you or your loved one has it. But don’t forget, we’re in this together.


Note: Parkinson’s News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Parkinson’s News Today or its parent company, BioNews Services, and are intended to spark discussion about issues pertaining to Parkinson’s disease.

How useful was this post?

Click on a star to rate it!

Average rating 5 / 5. Vote count: 3

No votes so far! Be the first to rate this post.

As you found this post useful...

Follow us on social media!

We are sorry that this post was not useful for you!

Let us improve this post!

Tell us how we can improve this post?


  1. Barbara Kehm says:

    My husband’s cognitive, emotional changes have been sudden and dramatic. Math had always come easily, not now. Following a conversation is hard work and it takes times for him to respond causing people to think he doesn’t care. To add to his situation, speech is at times almost inaudible and word finding more difficult. Frustration and despondency increasing especially when there appears little motor symptoms. Group support and faith are my rock.

  2. Annalisa Tay says:

    I’m new to this, my husband was diagnosed about a year ago. He seems cranky and agitated all the time. He never seems to smile. Is this part of the Parkinson’s?

  3. Paul S. Lausell says:

    On YouTube, there are several singing coaches that teach how to breathe, project your voice, etc. I am using singing as a way to strengthen my voice, with modest success, so far, but showing improvement, nonetheless.

Leave a Comment

Your email address will not be published. Required fields are marked *