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Answer 3
  1. Refer for CBT. A recent study suggests that CBT may be effective for the treatment of depression in patients with Parkinson’s disease.7 Because the patient’s depression is mild, CBT can be initiated first. An antidepressant should be reconsidered if CBT is ineffective. The effectiveness of psychodynamic psychotherapy has not been studied in depression occurring with Parkinson’s disease.

    7.  Dobkin RD, Allen LA, Menza M. Cognitive-behavioral therapy for depression in Parkinson’s disease: a pilot study. Mov Disord 2007;22:946-52.

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