Hello .
I don't have PD , i am a man with post traumatic stress dissorder - PTSD. and essential tremor.
This things can produce cognetive defects , like PD.
first of all i am crossing my fingers for all of you who has PD - and i am hoping you willl find relief with DBS , new drugs or some kind of new therapy .

my actually question is if someone have or had this defect.
i mean , you cannot decide between alternative actions - both on cognetive and motoric level . it is like you just cant decide and you hesitate , or you start an action (motor) and suddenly canceling it , and you have to say to yourself cognetivly what to do, in order to perform actions
- if you have this you know what i mean .
if you do know what am i talking about , does some medication helped with that ? ldopa ? or any other dopaminic therapy ?

best wishes.

hey ikop - I find what you describe to be part of my PD - I especially have a difficult time telling my hands what to do (you can let go of that fork now .... really!), and I also can get stuck on mental decision making. Off the top of my head, I believe l-dopa helps with the physical block, but not so much the mental. I think.

I'm just all around slower; l-dopa helps smooth and speed all processes.

Good luck to you, and thank you for your good wishes!

I have the same decision issue. I used to be a very clear black/white, make a decision, and run with it type of person. I now find myself agonizing a lot over small decisions that should be no big deal.

1. I read in this forum that sinemet is now believed to cause cognitive dysfunction
2. I also just found out I don't have PD (was misdiagnosed) now trying to get off sinemet. So while mine is not related to PD it is related to sinemet I believe.
3. I am under a LOT of stress finishing up a divorce.

Based on the time frame and when my biggest problems with this manifested I believe L-dopa is the biggest affecting element on my decision making process. Stress was also enough to cause PD symptoms and my timing indicates decision making was much harder when I added stress. A couple of docs threw out PTSD after the abusive marriage I endured.

You could ask your doc about any meds that might be changed to see if that helps. A quick Google suggests there is a clear link with decision making and PTSD. There is also a PTSD forum that discusses it below. Hope this helps.
http://www.nimh.nih.gov/health/publi...et/index.shtml
https://www.ptsdforum.org/c/threads/...anxiety.10149/

hi,
In my case the decision making degict is a clear neurological issue.
it's it in the motor aspect of evry movememnt, , even when i type in the keyboard i have this problem.
not the emotional decisions type problems with ptsd .

in my case it is very clear that it is not the anxiety type decion making problem
it is on the very basic motor movement form , and it is intense . and allways present . how to take things , go to lef or right , when typing the keyboard , use left hand or right etc. I even did a spect scan and i have hypo perfusion in the caudate nucleus a part of the brain that is in charge on plaing and making decisions.

Sorry I misunderstood. The only times I have this type of decision making issue (like whether to put a pen down) etc is when I overdose on l-dopa. So sinemet caused. As for new drugs, I haven't heard of any that help with PD sticking or issues where making a decision is part of the problem. PWP have to re-think about stepping up rather than walking to get started. In my case I had my dog touch my foot to get me started. Unf. that I’m aware no drugs to help with that aspect. Hopefully someone will be able to come up with something for you.

DBS works very well in some cases of Tourette’s, which seems like the ever-present motor aspect you describe. I'm not familiar with Tourette's drugs that might do the same. Maybe you could find some help with docs that treat it or the Tourette’s forum? Best of luck.

thank you for the information and the answers.
maybe somone else could say somthing about his experience ?