Navigating the effects of Parkinson’s disease on speech, part 2
Stress and tears can make communication a challenge
Second in a series. Read part one.
Every Tuesday I go on a walk with my Parkinson’s buddies. I started this “walk ‘n’ talk” group after my deep brain stimulation (DBS) surgery in 2021. I like talking about Parkinson’s, and usually I ask the other walkers questions about what’s going on with them or share about my own symptoms, medications, supplements, and so forth.
I talk about my speech a lot, but one thing I find difficult to discuss is how emotional I can get over the slightest thing — good news or bad. I’ll often choke back sobs by the time a conversation is over, which can make for some awkward situations. Am I really so upset that I need to sob? No, I’m not, but some switch in my brain flips, and before you know it, my voice is getting thick with tears.
Sometimes I can’t talk at all; I’ll look at the person I’ve been conversing with and think, “I hope you can read my mind because this is as far as I can go.” The only way I can stop myself from sobbing at that point is total silence. My friends are kind; they wait out this situation and pretend they don’t notice. My husband usually hugs me and asks, “Are you too emotional to talk right now?”
Don’t get me started about talking on the phone or doing a Zoom call. Unbeknownst to the “normal” world, these are highly stressful situations. Making dinner reservations takes a heroic effort. I shake, get choked up, and garble my words. But I still like going out for dinner, so I go forth!
I don’t usually share these details about my speech because it makes me feel incompetent and powerless. It isn’t comfortable!
We’re in this together
A few weeks ago, our group went on our usual Tuesday walk. It was a windy fall day with leaves blowing around us, and I walked with somebody I don’t often walk with. He’s a quiet gentleman, so I knew I’d be doing a lot of the talking. We talked about medication, neurologists, and dyskinesia, and then we got on to the subject of our speech. Discomfort and stress were the ties binding us. I told him I was uncomfortable with many situations — shaking, anxious, and strangely tearful.
He stopped walking, stared hard at me, and said, “I thought it was just me. I thought I was the only one.”
His words struck me and echoed my feelings. In that moment, we both realized we weren’t alone in our struggles.
It was a moment of relief and reassurance. No, you aren’t alone, friend. We’re in this together.
He also told me his concern that perhaps others thought it was rude when he had to leave a conversation after a few minutes because of his discomfort. Shoot, I hadn’t even thought of that! His perspective opened my eyes to a whole new aspect of our shared experiences. I hope nobody is thinking that I’m rude when I don’t respond.
I’ll never know what people are thinking, but trying to explain my speech to people I don’t know is tricky, especially on Zoom. Gory details revealed in my next column!
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, and are intended to spark discussion about issues pertaining to Parkinson’s disease.
Comments
Joseph st john
Great stuff
Christine Scheer
Hi Joseph,
Thanks for reading!
Christine
Randi Schwartz
Wow! I have found myself uncomfortable in the strangest situations. Really odd things like when someone on TV show is in an embarrassing position. I have to look away until it’s over. Crazy right??
Christine Scheer
Hi Randy,
Not crazy, just another thing that I blame on Parkinson's!
Thanks for reading.
Christine
Geradette Giardino
so good. please send me part one! will you do 3 and mor?
Christine Scheer
Hi Geradette,
Thanks for reading. You can read part one by clicking the link at the beginning of the column, and part 3 is coming next week.
Thanks for your comments!
Christine
Roberta Wegner
I too get overly emotional and tearful, even when talking about things that don’t call for such a response. It makes me feel ridiculous, so embarrassing. I never realized it could be a PD symptom. So glad I read this.
Christine Scheer
Hi Roberta,
I honestly thought I was the only one that got overly emotional, but when my friend and I were talking and realized we weren't alone, I thought maybe others could relate.
Thanks for your comments,
Christine
Sam Buchanan
I have been diagnosed for about a year. My voice is weak but not so emotional. I have never been a cryer but I don’t in any way look down on people that do. I’ve been done some speech therapy to make it stronger.
Christine Scheer
Hi Sam,
Yes, speech therapy can do wonders. I was never a crier in the past, but, well, here I am.
Thanks for your comments,
Christine
Sam Buchanan
I have had low blood pressure especially when standing suddenly. Mine sometime hits the lowest when I might have walked a hundred feet. My BP is even low when I’m not suddenly changing positions and I even have to sometimes to low BP meds to raise it. The low BP first manifested by making my knees get “noodling to the point of falling. I have found that by walking 20 minutes at least every other day I don’t get noodling knees.
Kristi
I will have to go back and read the first article. I am a caregiver for my sister with Parkinson's, she's 83 & I'm 70, She's been having more trouble with her speech lately, things are changing with her mucosa which makes it hard for her as well. I survived a closed TBI in a car accident in my 20's and eventually recovered. It took a lot of hard work and frustration. I'll always remember "the look" from others when I couldn't function as well. They don't think you recognize their reactions, it's like you're no longer a person when injured. I learned a lot ways to flip my freeze to a different focus and break the evil spell. It would be good for you to share with those around you just what you're going through (on a good day) so they can make a bridge for you. It would certainly be a gift worth giving to share.
Christine Scheer
Hi Kristi,
Yes! The 'look'! And the tone of voice as well. It can be dehumanizing.
Thanks for your comments, and for reading.
Christine
Marni Wynne
Whoa! I have become so emotional over the last year, I thought it was just me! This makes a lot of sense. I took become choked up over small things, a TV show, a cute baby, a silly text, or even a big moment, I choke up. I'm not sad, I'm actually doing well emotionally and psychologically. But I say thank you for these two articles!
Christine Scheer
Hi Marni,
Isn't it weird? I too feel pretty good most of the time, and then -wham- out of the blue I'm choking back tears.
Thanks for reading and your comments,
Christine
Cheri DeLand
I too have Parkinson’s and experience trouble projecting my voice. And liked the author, i cry so easily that i often feel liked there’s something wrong with me (other than Parkinson’s) so it’s comforting to know that I’m not alone!
Christine Scheer
Hi Cheri,
Oh, you are not alone! Thanks for reading and commenting.
All my best,
Christine