The most common psychiatric disorder associated with Huntington's disease is depression. This isn't simply a reaction to receiving a diagnosis of Huntington's disease. Instead, depression appears to occur because of injury to the brain and subsequent changes in brain function.
Early symptoms
memory lapses. depression – including low mood, a lack of interest in things, and feelings of hopelessness. stumbling and clumsiness. mood swings, such as irritability or aggressive behaviour.
However, almost all people with HD will manifest disease-specific personality and behavioral changes as part of what might be termed a hypofrontal or dysexecutive syndrome, characterized by apathy, irritability, impulsivity, and obsessionality, with potentially severe consequences for the HD person's marital, social, ...
Some of the suggestions I have for living with HD are: Keep life simple - Rest, Exercise, Nutrition, A daily laugh Carry earplugs with you when you are out (Some people with HD are sensitive to noise) Carry calendars with you to write down everything you must do for the day and any information you get from other people.
These patients often display a range of psychiatric symptoms, for example hallucinations or low mood, which coexist with behavioural change and symptoms such as apathy, irritability and aggression.
The disrupted information flow may make it difficult for people with the disease to organize or prioritize activities, or to multi-task. Damage to the caudate may also impair a patient's ability to control their feelings, resulting in outbursts over seemingly minor events.
During the early stages of HD, irritability, depression, anxiety and aggression are common behavior symptoms. In the later stages, individuals tend to be less irritable and aggressive, as apathy and a lack of concern become more pronounced.
Huntington's disease impairs the functioning of the brain, which can result in apathy, trouble organizing, impulsivity, irritability and anger, unawareness, disinhibition, preservation, and other psychiatric symptoms. These emotional and behavioral symptoms can further complicate the caregiver's role.
The disease attacks areas of the brain that help to control voluntary (intentional) movement, as well as other areas. People living with HD develop uncontrollable dance-like movements (chorea) and abnormal body postures, as well as problems with behavior, emotion, thinking, and personality.
The bottom line. Being physically and mentally active in life is good for everyone, and particularly for those at risk of developing HD, because it might affect symptom onset.
Impaired social functioning is a key feature of Huntington's disease (HD). In addition to motor limitations that prevent social participation (e.g., fall risk, driving cessation), personality changes caused by cognitive and psychiatric decline alter social functioning capacity in people with HD.
Early in the disease, cognitive decline may manifest as memory and learning difficulties, judgment impairment, and trouble with driving, answering questions or making decisions. As the disease progresses, concentration and focus on intellectual tasks become increasingly difficult.
Clustering of neuropsychiatric phenotypes such as depression in some HD families may indicate a biological predisposition to the disorder. These families may have a genetic background that increases the risk of developing depression in conjunction with the HD mutation.
Although not directly related to HD, stress is nevertheless related to the progression of the disease because it adds to the neurodegeneration that is already taking place. Chronic stress can alter nerve cells, brain structure, and brain function.
There is no cure for the disease, and there is a high rate of neuropsychiatric symptoms including depression, and aggressive behavior.
Weight loss can make symptoms worse and weaken the patient's immune system, making them more vulnerable to infections and other complications. Huntington's disease itself is not usually fatal, but it can lead to choking, pneumonia, or other infections that can lead to death.
Behavioural changes are often the first symptoms of Huntington's disease. These changes often include: a lack of emotions and not recognising the needs of others. periods of aggression, excitement, depression, antisocial behaviour and anger.
HD patients present a broad range of psychological disturbances such as cognitive rigidity, mood disturbances, lack of empathy and breakdowns of social relationships that might also manifest even before the onset of motor dysfunction (Marvel and Paradiso, 2004).
Many people with Huntington's disease report that their sleep patterns are affected and sometimes are awake most of the night, then continually catnap or doze throughout the day. Many find themselves experiencing long periods being awake or asleep.
Anxiety. Anxiety in Huntington's patients can be caused by both physical changes in the brain and the stress of having to cope with other symptoms of the disease like chorea.
Anxiety is common in Huntington's disease (HD), though it has been under-researched.
Medications for psychiatric disorders
Possible treatments include the following: Antidepressants include such drugs as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac) and sertraline (Zoloft). These drugs may also have some effect on treating obsessive-compulsive disorder.
Depression. A major depressive syndrome has been part of the nosology of HD from Dr Huntington's first description of the disease. In fact, the lifetime prevalence is high, perhaps about 30% to 40 %,8,9 with a suicide rate 4 to 6 times that of the general population.
Rarer causes of dementia. Huntington's disease is an inherited genetic condition that causes dementia. It causes a slow, progressive decline in a person's movement, memory, thinking and emotional state. Huntington's affects about 8 in every 100,000 people in the UK.
Memory problems are a frequently reported symptom of HD. Individuals with the disease will have difficulty learning new information and retrieving previously learned information [50–52].