and blogs are the Official Website for the books:  Parkinson's Treatment: 10 Secrets to a Happier Life and 10 Breakthrough Therapies for Parkinson's Disease.

Dr. Okun is the co-founder of the University of Florida Center for Movement Disorders and Neurorestoration, the National Medical Director for the National Parkinson Foundation, as well as the author of several books including Ask the Expert about Parkinson's Disease, Lessons from the Bedside, 10 Breakthrough Therapies for Parkinson's Disease and Parkinson's Treatment: 10 Secrets to a Happier life due out in 2013.  His secrets book was translated into 20 languages so that it can be made available to Parkinson's disease sufferers around the world.  Dr. Okun has been recently been honored at the White House as a Champion of Change for Parkinson's Disease. Dr. Okun has been published in journals such as the New England Journal of Medicine and people travel from around the world to seek his opinion on best treatment approaches for this disease.

What to do if your Parkinson Spouse Develops an Impulse Control Disorder

If your Parkinson's disease spouse suddenly develops an odd behavior keep in mind that it may be the Parkinson's disease medication that is causing the problem

-We have observed symptoms such as hypersexuality, gambling, bing eating (weight gain), compulsive internet use, compulsive internet pornography, and many others behavioral symptoms

-The symptoms are usually related to dopamine agonist use (pramipexole, ropinerole, cabergoline, pergolide, others)

-Some experts decrease the dosage of dopamine agonists, but most experts will discontinue this class of medications

-You should be aware that discontinuation of dopamine agonists can lead to a withdrawal syndrome called DAWS, and therefore doses should be slowly waned over many weeks

-If symptoms do not resolve with discontinuing dopamine agonists and switching to levodopa some experts have tried adding other drugs such as low dose depakote (valproic acid), anticonvulsants, clozapine, and amantadine.  Also, behavioral therapy has been used with some recent success.

-Impulsive and compulsive behavior resulting from dopamine agonist use can destroy marriages and bankrupt families, so the symptoms if they appear should be treated quickly and aggressively.