> My boyfriend is in a high stress job which requires a tremendous amount of detailed concentration. As long as I have known him - about a year (he has been diagnosed with Parkinson's for about 8 years) he has been forgetful and I have no way of knowing how much was just him and how much can be attributed to Parkinson's. > > At the moment he is under extreme pressure as he is winding down his job - thankfully! I have begged him for the last few weeks to go and see his PD doc but he insists on waiting until he finishes the final project he is working on which will be next week (but that seems a lifetime away). There has been a definite deterioration in his condition recently but I was horrified today to find that he has no recollection of a fairly indepth conversation we had yesterday. He said if he thought hard enough it might come back to him. > > Does anyone have experience of this and if so do you think it is stress related or purely PD related and Elaine, I think it is inappropriate and unfair for me to speculate about the psychological and cognitive state of your boyfriend and the dynamics of your relationship with your boyfriend. But most PWP experience "deterioration," greater difficulties and aggravation of symptoms when under stress. Here your boyfriend has stress from his job, which, although this stress is apparently a considerable amount of stress, it will end in a week. He also has stress imposed by you, described as you as pressure to see a doctor about his deterioration and pressure to recall a specific, lengthy conversation with you. I was evaluated by a neuropsychologist because I was experiencing cognitive problems after I was diagnosed with PD. I was concerned about the change in my memory,. but the psychologist said that my memory seemed to be functioning at a rather high level (although he had no prior testing and evaluation to establish a baseline for functioning of my memory prior to the diagnosis for PD). He said a problem, which was characteristic of PWPs, was with "attention and concentration." The problems with attention and concentration could block information from getting into the memory. Also, if pressured or under stress, when expected to recall information from memory, I might not be able to intentionally recall information from my memory. When I was first diagnosed with PD, I was given the standard information that PD was a movement disorder with specific physical symptoms. I was later given, or found, information that PD does effect cognitive functioning--everything for that matter! My employment disability was based upon the neuropsychologist's evaluation and my problems with cognitive functioning. I have a medical textbook which is devoted entirely to the cognitive effects of PD. Apparently many, many PWP have, particularly in the later stages of the disease, problems with cognitive functioning and/or dementia. And these problems, as well as physical symptoms, are clearly aggravated by stress. You think your boyfriend needs to see his PD doctor about his recent "deterioration." You are probably correct. I would just suggest, since his major stress from his job will end in one week and he seems unwilling anyway to see his doctor until the job is finished, that you consider reducing the stress you put on him about your relationship and about seeing the doctor until after his job stress ends. This suggestion is not meant to be flippant, or insensitive to your needs or your stress and discomfort in the past several weeks, and it does not foreclose the possiblity of emergency, or more immediate, intervention if you deem it necessary. His response to you that he might be able to recall your conversation later after he thinks about it, when he is no longer under stress, and stress from you to recall that specific information, indicates to me that it is possible he may have the combination of cognitive problems and stress which I and many other PWPs have. You are the only person who can know if his comments are due to his personality or "Mr. P.D. talking." Hopefully, once your boyfriend's stress is removed, or becomes more manageable, his condition will also improve. And, then, the burdens and stresses on you, and the relationship, should also be improve. Just some armchair psychologizing from a PWP. Katie ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn