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Lorraine Jeffe wrote: > Stress seems to excerabate most things .... Does this have a lasting > impact on PD. or does it have only a transitory one? My symptoms get worse under stress, and after the stressful time is past, the symptoms seem to return to their pre-stress level. My neurologist told me that this is what usually happens in PD. Whether the symptoms return to exactly the pre-stress level or whether and to what extent the stress has made the underlying neurodegeneration worse is an important question that I don't think has been researched. There are lots of individual accounts of PD symptoms appearing for the first time after highly stressful events. This would seem to indicate stress has an impact. But no one has compared this to how PD emerges when there is low stess. Having PD is in itself stressful. If stress makes the underlying neurodegeration worse, then there would be a snowball effect. So it would be important to know whether the progression could be slowed by psychological ways of dealing with the impact of stress, including the stress of having PD itself. Phil Tompkins age 61/dx 1990 Hoboken NJ