I am the daughter of a 72-year-old woman who was diagnosed with PD some six years ago. We live in different states, so I haven't seen her since last Christmas (!), keeping in touch several times a week by telephone. I just recently joined this listserv, and have been following with great interest the various references to dimentia and memory loss. I would greatly appreciate some feedback. My mother is showing increased signs of confusion, especially when she is tired, and especially in the evening. She is forgetful, but she also has a hard time getting sentences out: scrambling meanings, struggling for words, speaking sometimes in almost dreamlike symbols. I will (at last!) be visiting her in a few days and was hoping to have some ideas as to what people have found to be the causes of/influences on such problems. (She herself has feared Alzheimer's, but her doctor and two consultative specialists have said no.) Her doctor speaks of "Parkinson's dimentia," and describes brain lesions. Yet he is concerned and somewhat at a loss to explain how rapidly it seems to be progressing. What is going on? Most messages on the list blame forgetfulness and confusion in people with PD on depression. (I have also seen on the list some blame placed on levadopa and decreased blood flow to the frontal lobes.) My mother was treated with antidepressants to no avail. She also suffers from anxiety, which the antidepressant tended to aggravate; they also seemed to make her vague and "flat" in personality. So she is now off of them. My first question/s is: what IS Parkinson's dimentia, does my mother seem to fit the profile, and what can we attempt to do about it? Second, I am not sure how to help her balance two somewhat contradictory goals: to keep active in community affairs and not just retreat into the house out of insecurity and embarrassment (her husband is particularly concerned to keep her active, and both she and I agree in principle) and yet help her to minimize her stress levels (she finds going out and socializing stressful, and it often worsens her symptoms). Any wise words on this? I'm sorry to send such a long message on my first "go." I am VERY glad to have found this listserv, and am grateful for any feedback. Best wishes, Virginia. _____________________________________________________________________________ Virginia Tilley email: [log in to unmask] TEL: Political Science Department office: 608-263-2414 ADDR: Dept of Political Science, 110 North Hall U. of Wisconsin-Madison, Madison WI 53715 _____________________________________________________________________________