{"id":14290,"date":"2025-12-19T15:04:07","date_gmt":"2025-12-19T15:04:07","guid":{"rendered":"https:\/\/fernwerkfilms.ch\/?page_id=14290"},"modified":"2026-05-06T13:09:57","modified_gmt":"2026-05-06T13:09:57","slug":"icd-overdrive","status":"publish","type":"page","link":"https:\/\/fernwerkfilms.ch\/?page_id=14290","title":{"rendered":"ICDs & Balance"},"content":{"rendered":"\t\t
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ICDs & Balance<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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“While the video is playing, click the settings (gear) icon in the bottom-right corner and select the automatically\u00a0 generated desired subtitles”<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Impulse control in Parkinson\u2019s disease can be understood as a system that has lost its balance. While dopaminergic therapies are essential for improving motor symptoms, they may inadvertently overstimulate neural circuits involved in reward, motivation, and decision-making. This imbalance can manifest as impulse control disorders, including for example compulsive gambling, hypersexuality, binge eating, or uncontrollable shopping.<\/p>

In this context, balancing neural drive reflects the need to recalibrate, not eliminate, the dopaminergic stimulation that sustains daily functioning. The challenge lies in finding a balance where motor benefits are preserved while excessive reward-seeking behaviors are restrained. Impulse control disorders do not arise from moral weakness or lack of discipline, but from altered signaling within frontostriatal circuits that govern inhibition, risk evaluation, and delayed gratification.<\/p>

Effective management requires awareness, early detection, and individualized adjustment of treatment strategies. Medication review, gradual dose reduction or considering second-line treatment options such as subthalamic deep brain stimulation may reduce impulsivity. Behavioral interventions, in turn, support patients in regaining insight and self-control. Equally important is open communication between patients, caregivers, and clinicians, as shame and underreporting often delay intervention.<\/p>

Ultimately, Balance and ICDs is about restoring equilibrium, carefully tuning dopaminergic stimulation to support movement without overwhelming self-control. By recognizing impulsivity as a neurobiological consequence of treatment rather than a personal failing, Parkinson\u2019s care can move toward more compassionate, precise, and holistic management.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Impulse Control Disorders in Parkinson\u2019s \u2013 When Does Passion Become a Problem? Where is the line between a long-standing passion and an impulse control disorder? What changes can occur under Parkinson\u2019s medication? And how are they perceived by those affected and the people around them? Dr. med. Ines Debove speaks with a person living with Parkinson\u2019s about his personal experiences: his enthusiasm for sports and collecting, the changes after starting medication therapy, and the challenge of making sense of these developments himself. Together, they explore how difficult it can be to distinguish between passion and problematic behavior and the important role that family members and medical professionals play in this process. An open and moving conversation for people affected, relatives, and healthcare professionals\u2014raising awareness, providing information, and encouraging dialogue.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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“While the video is playing, click the settings (gear) icon in the bottom-right corner and select the automatically\u00a0 generated desired subtitles”<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Early detection: Sleep as a possible key In Parkinson\u2019s disease, the transition is often gradual and not always easy to recognize. In this episode, Dr. Ines Debove speaks with a person affected by Parkinson\u2019s about how his great passion for model building slowly changed under Parkinson\u2019s therapy. What initially began with more energy and creativity, in retrospect was accompanied by an important warning sign: sleep became increasingly shorter. Impulse control disorders can frequently occur during dopaminergic therapy. Nevertheless, they are often recognized late due to shame, lack of awareness of the illness, or because the changes are initially experienced as something positive. Sometimes a simple question can help make these changes visible early: \u201cAre you sleeping less today than you used to?\u201d This short clip shows how important it is to address such changes early for people affected, their families, and medical professionals.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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“While the video is playing, click the settings (gear) icon in the bottom-right corner and select the automatically\u00a0 generated desired subtitles”<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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In this episode, Dr. med. Ines Debove speaks with a patient about Dopamine Dysregulation Syndrome (DDS), a possible complication of dopaminergic therapy in the context of impulse control disorders in Parkinson\u2019s disease. This can lead to an increased urge for medication, for example through a desire to take it more frequently or by independently adjusting the dosage. \u201cI only knew that the medication helped immediately\u2026\u201d The patient shares what lies behind this and how it can manifest in everyday life in the video. A topic that affects patients, relatives, and healthcare professionals alike. Were you aware of such changes in the use of Parkinson\u2019s medication?<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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“While the video is playing, click the settings (gear) icon in the bottom-right corner and select the automatically\u00a0 generated desired subtitles”<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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In this episode, Dr. med. Ines Debove speaks with a person living with Parkinson\u2019s about how a passion can take on a new dynamic. Can a hobby provide strength while also becoming a challenge? When does enthusiasm turn into a loss of control? This insight into an often underestimated aspect shows just how fine this line can be relevant for those affected, their families, and professionals alike.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

ICDs & Balance https:\/\/youtu.be\/J5SIddMJxeA “While the video is playing, click the settings (gear) icon in the bottom-right corner and select the automatically\u00a0 generated desired subtitles” Impulse control in Parkinson\u2019s disease can be understood as a system that has lost its balance. While dopaminergic therapies are essential for improving motor symptoms, they may inadvertently overstimulate neural […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-14290","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/fernwerkfilms.ch\/index.php?rest_route=\/wp\/v2\/pages\/14290","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fernwerkfilms.ch\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/fernwerkfilms.ch\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/fernwerkfilms.ch\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fernwerkfilms.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=14290"}],"version-history":[{"count":26,"href":"https:\/\/fernwerkfilms.ch\/index.php?rest_route=\/wp\/v2\/pages\/14290\/revisions"}],"predecessor-version":[{"id":14606,"href":"https:\/\/fernwerkfilms.ch\/index.php?rest_route=\/wp\/v2\/pages\/14290\/revisions\/14606"}],"wp:attachment":[{"href":"https:\/\/fernwerkfilms.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}