Dear Jennifer: My husband has much the same problems you experience. I share some of our approach, simply as something to consider- He's had PD for l2 yr. and from the beginning we realized massage helps. It just makes him feel better, don't really know if there is med. reasons or long term affects on progression, but I can feel much of the stiffness and rigidity leave him as I massage- some days he's "loose" , others tight, but always the contact helps. It sounds like what you are doing in exercise, showers, etc, is great- I wish he had the overall energy to do that -I encourage and help all I can. Our reasoning also tells us to keep the Sinimet as even in the system over a 24 hr. period - so we have always gone to the trouble of taking medication on a 6 hour interval, including 1-2 A.M. . When he started with a new Neuro- he was told to drop the overnite dosing, and compress the intervals to 3 hr. - No good for him. It caused too much fluctuations and he felt terrrible. Several times and ways we have tried to wean off the overnite pill, always with bad effects. We find that as long as he gets 4 hr stretches of good sleep at a time, overall he feels better. This works for us- may not for you but thought I'd give you the input anyway... The depression is something we also have dealt with "together" - a couple of times Dr. have prescribed mild sedatives but he has found it better to stay off the medication and deal with it from other aspects of his life. If you want more discus- sion about this, let me know - I know many people believe strongly that medication is the way to go, but pertaining to depression, my recommendation if to keep talking and explore the best solutions FOR YOU- my door is certainly open for any private discussions- and I feel the list is a great source of help... Hoping this 2cents worth gives you some ideas, if nothing else, encouragement that can help you through the nights... Marie