The ABCs of Parkinson’s Disease: The Letter C

Sherri Woodbridge avatar

by Sherri Woodbridge |

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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.


Barbara Kehm avatar

Barbara Kehm

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.

Sherri Woodbridge avatar

Sherri Woodbridge

Barbara - thanks so much for you comment. I’m glad you have your faith and great support!

Sherri Woodbridge avatar

Sherri Woodbridge

Barbara - I am glad you have your faith and good group support while you care for your husband. He is blessed to have you.

Annalisa Tay avatar

Annalisa Tay

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?

Paul S. Lausell avatar

Paul S. Lausell

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.

Sherri Woodbridge avatar

Sherri Woodbridge

Thanks, Paul, for the info! I’ll look into it!


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