title: Consultation-liaison Approach for the Management of Psychiatric Manifestations in Parkinson's Disease and Related Disorders: A Report from Neuropsychiatric Hospital, India.
abstract: BACKGROUND
  Non-motor psychiatric manifestations of Parkinson's disease have been increasingly noted to contribute to morbidity and mortality.
  
  
  METHODS
  We studied the psychiatric manifestations among inpatients with Parkinson's disease and other movement disorders by examining the referrals (N = 127) to consultation-liaison psychiatry services from neurology/neurosurgery between July 2009 and April 2010 using structured clinical proforma.
  
  
  RESULTS
  Parkinson's disease and other movement disorders was the most common neurological diagnosis (19%). The most common reason for referral was depression (38%) followed by behavioral problems (33%). Post-assessment, depression rates were higher (54%) and behavioral manifestations were diagnosed as sleep problems (13%), organic psychiatric syndrome (13%), psychosis (8%), anxiety and obsessive compulsive disorder (8%), nil psychiatry (4%).
  
  
  CONCLUSIONS
  Psychiatric comorbidity is high among in-patients with movement disorders and affective changes are common. Timely assessment using structured clinical proforma would help in enhanced detection of depression in patients with movement disorders.
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
authors.forename: Harish
authors.initials: H
authors.lastname: Thippeswamy
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
authors.forename: Biju
authors.initials: B
authors.lastname: Viswanath
authors.affiliation: Department of Psychiatry, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India.
authors.forename: Girish N
authors.initials: GN
authors.lastname: Babu
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
authors.forename: V Senthil K
authors.initials: VS
authors.lastname: Reddi
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
authors.forename: Santosh K
authors.initials: SK
authors.lastname: Chaturvedi
keywords: Depression; Parkinson's disease; liaison psychiatry