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Dear Martha,

It sounds like you and your family are having more than your share of
challenges.  You give a good deal of information in your post but there are  some
things that need to be addressed.

First: Have you attempted to get help from your county services  agencies?
Most counties have services for the elderly and disabled.   That is where I
would look first for assistance. I have not dealt with  these agencies myself but
they normally provide such things as visiting nurses,  aides, therapists,
meals-on-wheels, people to come in to tidy up the house,  etc.  Your doctor
should have directed you to these services.  Look in  your phone book for your
local/county health services agencies and call them  today. If you can't get the
information you need over the phone, call your  doctor's office and have them
direct you to the right people.

Second:  A support group can be a good thing but in your mother's  state of
mind and body (depression, stress, pain and lack of physical  ability) it can
also be an intimidating thing.  The chemicals being lost in  Parkinson's
disease ( seratonin, and L-Dopa, etc) are chemicals that provide  us with
motivation, and that "feel good" sensation. A shortage of  these chemicals can lead to
such problems as social anxiety and withdrawal  which make facing a group of
strangers especially difficult. Is your mother  taking any drug for
depression/anxiety?
Her doctor should be looking into this and perhaps prescribing something to
address these problems.  The pleasure and stimulation of participating in a
social setting such as a support group could be a catalyst for  breaking the
chain of depression and anxiety and could relieve the need for
anti-depressants.  Getting your mother to attend her first session is the  first step. After
finding a group in your area, I would approach your mother  with this scenario:
 Ask her to agree to attend a meeting with the  understanding that you (and
whomever else can lend support) will attend with  her.  On the day of the
meeting you will all get ready to go in plenty  of time to get out the door without
rushing.  You will help her in any way  that she needs in getting ready to
go...whether that means helping her with her  hair, getting dressed, or simply
leaving her alone and keeping everything as  free of stress and hurry as you
can manage.  If your mother is relaxed,  unhurried and calm when she arrives at
the meeting, chances are  better that she will have an enjoyable and
stimulating experience  and making it more likely that she will want to participate in
future group  sessions.

 To find a support group in your area you can contact the  National
Parkinson's Foundation web site or call them at  1-800-327-4545.

Hope this helps.

Dee

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