Episode 98: How to Talk about Impulse Control Disorders

It is estimated that about one in six people with Parkinson’s disease (PD) taking dopaminergic medication will develop an impulse control disorder (ICD) sometime during the course of their disease. Such impulsive behaviors may include uncontrolled gambling, eating, shopping, sexual activity, or punding, a purposeless activity in which a person repetitively organizes, sorts, or collects items. ICD’s are more likely to occur in older people on dopamine agonists than in younger people. Some forms of ICD can have devastating outcomes personally or within the family. Fortunately, these adverse effects of the drugs can often be managed well, especially if they are caught early, and in this regard, the family and care partners are key to recognizing and discussing them with the person with PD and the neurologist.

In this podcast, Dr. Gregory Pontone, Director of the Parkinson’s Neuropsychiatry Clinic at Johns Hopkins School of Medicine, a Parkinson’s Foundation Center of Excellence, discusses forms of ICD’s, some means to recognize them, and tools for communicating about them.

Released: February 9, 2021

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