I don't know why this did not come through in my 2 previous attempts Sorry about any inconvenience this may have caused,. Rick, Mary Ann and Jann. Unfortunately Mary Ann's expense with her husband is similar to mine . I have had PD diagnosed 16 years ago and I have had a significant reduction of ny speaking skills and consequently my ability to converse with others. My ability to speak has diminished due to my motor function of my facial muscles I form words with as well as slowing of my thought processes and inability tot word find .. This leads to social withdrawal. My cognitive abilities are only slightly affected and I want to join conversations but I speak so slowly and haltingly that it is quite difficult. for me and the people I do converse with. Talking on the phone is quite difficult too. BTW citralopam is an antidepressant which came out after I stopped practice. Therefor I have no experience with it . It is my guess than the CLINICAL NURSE SPECIALIST that your husband saw was concerned wit his speech reduction as a result of depression which can create a clinical picture similar to that of dementia. Charlie Charles T.Meyer, MD Middleton WI ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn