When a loved one begins to show signs of memory loss, movement difficulties, or changes in behavior, families often wonder: Is it Parkinson’s Disease or something else? One condition that is often confused with Parkinson’s is Lewy Body Dementia (LBD). Because the two disorders share overlapping symptoms, it’s common for people to feel uncertain or overwhelmed.

👉 So, is Lewy Body Dementia the same as Parkinson’s Disease? Continue reading to discover the differences, their interconnection, and why support is crucial for navigating both effectively.

What is Lewy Body Dementia?
Lewy Body Dementia is a progressive brain disorder caused by abnormal protein deposits (called Lewy bodies) that affect both movement and cognition. People with LBD may experience memory problems, confusion, hallucinations, sleep disturbances, and movement symptoms similar to Parkinson’s. It is the second most common type of dementia after Alzheimer’s disease.

How Does It Compare to Parkinson’s Disease?
Parkinson’s Disease is primarily a movement disorder. Symptoms usually begin with tremors, stiffness, and slowed movement. Cognitive changes may occur in the later stages, but they are not always present early on.
​
By contrast, Lewy Body Dementia often presents with cognitive changes first, such as confusion or visual hallucinations, alongside Parkinson-like motor symptoms.
In short:

• Parkinson’s Disease (PD): Starts with movement issues → may develop dementia later.
• Lewy Body Dementia (LBD): Starts with dementia → includes Parkinson-like motor symptoms.

Why the Confusion?
The confusion comes from the fact that both conditions involve Lewy bodies in the brain. Because of this, some researchers consider them part of the same spectrum of disorders. A doctor’s careful evaluation is needed to make the distinction.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For over 25 years, PASWFL has provided free, high-quality services and programs to individuals and families touched by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech exercise classes
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

When a person begins to notice shaking in their hands or other parts of their body, one of the first questions that comes up is: Is this Parkinson’s disease—or could it be something else, like essential tremor? Both conditions can look similar at first, but they are distinct disorders with different causes, symptoms, and treatments.

Understanding the difference between Parkinson’s disease and essential tremor is crucial—not only for an accurate diagnosis but also for finding the right treatment and support. Keep reading to learn the key distinctions that can help bring clarity and peace of mind.

What Is Parkinson’s Disease?
Parkinson’s disease (PD) is a neurodegenerative disorder that affects movement, muscle control, and balance. It occurs when the brain gradually loses dopamine-producing cells, leading to hallmark symptoms such as:

• Resting tremor (shaking when muscles are at rest)
• Muscle stiffness and rigidity
• Slowness of movement (bradykinesia)
• Changes in posture and balance
• Non-motor symptoms such as sleep issues, mood changes, and speech difficulties

What Are Essential Tremors?
Essential tremor (ET) is a neurological condition that primarily causes involuntary shaking, most often in the hands, head, or voice. Unlike Parkinson’s, essential tremor is not caused by dopamine loss or progressive neurodegeneration.
Key features include:

• Tremors that occur during movement or when holding a position (not at rest)
• A family history—ET often runs in families
• Tremors that may worsen with stress, fatigue, or caffeine
• Usually fewer non-motor symptoms compared to Parkinson’s

Why an Accurate Diagnosis Matters
Because the two conditions require different management strategies, it’s essential to seek evaluation from a neurologist or movement disorder specialist. Correct diagnosis ensures the most effective treatment plan and helps individuals access the right resources for long-term well-being.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.

For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida (PASWFL) at www.paswfl.org or call 239-417-3465.
For over 25 years, PASWFL has provided free, high-quality services and programs to individuals and families touched by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech exercise classes
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.
Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

When neurologist Michael Okun, MD, first used the phrase “Parkinson’s pandemic” over a decade ago, his warning was dismissed as alarmist. Today, the numbers show he may have been ahead of his time. In 2020, Dr. Okun projected there would be 12 million people living with Parkinson’s by 2035.
Shockingly, the latest estimates already put the global number at 11.8 million cases — and rising rapidly. As he told Katie Couric Media, “The growth has been explosive.”

This dramatic increase in Parkinson’s disease cases is sparking urgent questions: What’s driving the rise? What can be done to slow it? And how can individuals protect themselves?

Why Parkinson’s Rates Are Climbing
Researchers now believe environmental exposure plays a major role in the global increase. For more than two decades, studies have shown strong links between Parkinson’s and exposure to certain chemicals, particularly pesticides. Two widely used ones — paraquat and rotenone — have been tied to higher rates of Parkinson’s, along with trichlorethylene (TCE), a chemical still used in dry cleaning and industrial degreasing.

How Chemicals Affect the Brain
So why do these pesticides matter? The science points to their impact on mitochondria — the powerhouses of our cells. When mitochondria are impaired, the brain struggles to maintain balance, or homeostasis. For individuals who already carry certain genetic risk factors for Parkinson’s, exposure to pesticides can act as a powerful trigger, dramatically increasing their chances of developing the disease.

Current Treatments and Future Hope
Despite the alarming rise, treatment options remain largely the same as they were half a century ago. Levodopa, introduced in the 1960s, is still considered the gold standard for easing symptoms, though it does not slow disease progression. Surgical interventions, such as deep brain stimulation, and experimental gene-editing therapies are providing new avenues of hope. Still, as Dr. Okun emphasizes, more research is needed to better understand where Parkinson’s begins and how it spreads before a cure becomes possible.

What You Can Do to Lower Your Risk
While much of the research is ongoing, Dr. Okun offers practical steps for protection:

• Wash produce thoroughly to remove pesticide residues.
• Test and filter drinking water, especially if you live near golf courses or areas with heavy agricultural use.

Exercise regularly and maintain good sleep habits, both proven to support brain health.

Did you know? The Parkinson’s Association of Southwest Florida (PASWFL) hosts monthly talks that members can join live on Zoom, featuring world-renowned Parkinson’s specialists like Dr. Michael Okun. These sessions give you the chance to hear the latest research, ask questions directly to experts, and connect with others in the community. Can’t make it live? Recordings of past talks are available anytime on our website: https://parkinsonassociationswfl.org/recordings.html.

For over 25 years, PASWFL has provided free, high-quality services and programs to individuals and families touched by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.
Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech Exercise classes
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.
Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

Receiving a Parkinson’s disease (PD) diagnosis often brings a flood of questions. One of the most common—and understandably most urgent—is: How long can someone live with Parkinson’s disease?

👉 The answer is encouraging: with modern treatments, lifestyle adjustments, and the right support, many people with Parkinson’s live for decades after their diagnosis. Life expectancy can be close to that of the general population, especially when symptoms are managed well.

Life Expectancy with Parkinson’s
Parkinson’s itself is not considered a fatal disease. Rather, it is a progressive neurological condition that can make people more vulnerable to complications—such as pneumonia, falls, or infections—that may affect health over time. Advances in medical care, therapies, and community support have greatly improved outcomes, allowing people with Parkinson’s to live longer, fuller lives than ever before.

Factors That Influence Longevity
Several factors can play a role in how Parkinson’s progresses and impacts a person’s lifespan, including:

• Age at diagnosis: Younger individuals may live with Parkinson’s for several decades.
• Overall health: Those with fewer additional health conditions generally do better long-term.
• Access to treatment and therapies: Medications, physical therapy, and speech exercise can slow the progression of symptoms.
• Support systems: A strong circle of care, including family and community programs, helps reduce isolation and stress.

Quality of Life vs. Length of Life
Equally important to life expectancy is quality of life. Many people with Parkinson’s continue to enjoy meaningful activities, relationships, and independence for years after diagnosis. Staying active, engaging socially, and following a tailored care plan can make a tremendous difference.

Living Well with Parkinson’s
Studies show that with proactive care, people with Parkinson’s often live nearly as long as those without the condition. What matters most is managing symptoms early, staying consistent with therapies, and having access to resources that support physical, mental, and emotional health.
While Parkinson’s brings challenges, it does not define a person’s future. With the right mindset, medical care, and supportive community, individuals can live well for many years.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For over 25 years, PASWFL has provided free, high-quality services and programs to individuals and families touched by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech Exercise classes
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

When someone hears the word Parkinson’s, one of the most common fears that arises is dementia. Because Parkinson’s is known as a neurodegenerative disease, it’s natural to wonder: Does everyone who has Parkinson’s eventually develop dementia?

👉 The answer may surprise you. While cognitive changes are possible, not all people with Parkinson’s develop dementia—and for many, symptoms are manageable with the right strategies and support.

Understanding Parkinson’s and the Brain
Parkinson’s disease primarily affects movement by disrupting dopamine production in the brain. Over time, it can also impact thinking, memory, and problem-solving skills. But dementia in Parkinson’s—referred to as Parkinson’s disease dementia (PDD)—is only one possible outcome, and not everyone experiences it.

How Common Is Dementia in Parkinson’s?
Research shows that between 50–80% of people with Parkinson’s may eventually develop dementia, but this usually happens later in the disease course. Importantly, many individuals live with Parkinson’s for decades without significant cognitive decline.

Risk factors for Parkinson’s dementia include:

• Older age at Parkinson’s diagnosis
• Longer duration of the disease
• Presence of hallucinations or severe movement symptoms
• Family history of dementia

Mild Cognitive Changes vs. Dementia
It’s also important to distinguish between mild cognitive impairment (MCI) and dementia. Many people with Parkinson’s experience subtle changes—such as slower thinking or difficulty multitasking—without progressing to dementia. Dementia is diagnosed when cognitive changes interfere significantly with daily life and independence.

Managing Cognitive Health
While there is no guaranteed way to prevent dementia, there are steps people with Parkinson’s can take to support brain health:

• Stay physically active with regular exercise
• Engage the mind through reading, puzzles, or learning new skills
• Connect socially to reduce isolation and depression
• Eat a balanced diet rich in fruits, vegetables, and healthy fats
• Follow treatment plans and attend regular checkups

The Bottom Line
Not all Parkinson’s patients develop dementia. For those who do, changes often occur gradually, and supportive care can greatly improve quality of life. Knowledge, preparation, and community resources can empower individuals and families to face the future with resilience.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.
For over 25 years, PASWFL has provided free, high-quality services and programs to individuals and families touched by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech Exercise classes
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

For many people living with Parkinson’s disease, changes in speech can be one of the most frustrating symptoms. Words may become soft or mumbled, conversations harder to follow, and expressing feelings more difficult. These changes, known as hypophonia (reduced voice volume) and dysarthria (slurred or unclear speech), are caused by the effects of Parkinson’s on the muscles used for speaking and breathing.

👉 But here’s the good news: speech exercise programs can make a big difference—helping people maintain stronger voices, clearer speech, and better communication with family and friends.

Why Speech Changes Happen in Parkinson’s
Parkinson’s disease affects the nervous system, which controls movement—including the small, precise movements required for speech. As the disease progresses, people may find their voices getting quieter, their words less distinct, or their speech less expressive. These changes can also affect confidence, leading to isolation or frustration in social situations.

The Role of Speech Exercise
Speech therapy isn’t just about practicing words—it’s about retraining the voice and breath to work together more effectively. Evidence-based programs such as LSVT LOUD® and other speech exercise approaches have been shown to:

• Improve Voice Volume – Helping individuals speak louder without straining.
• Enhance Clarity – Making it easier for others to understand.
• Boost Confidence – Supporting self-expression in everyday conversations.
• Improve Swallowing – Since the same muscles are used for speaking and swallowing, exercises can help both.

Benefits Beyond Communication
Practicing speech exercises also helps with overall quality of life. Stronger communication means stronger connections—with family, friends, and the community. In fact, research shows that regular speech therapy can slow the decline of communication skills, keeping people active and engaged for longer.

Tips for Success

• Start early—even if symptoms are mild.
• Practice regularly, just like exercise for the body.
• Stay consistent with a supportive program or group.

The PASWFL holds 5 Speech exercise classes each week with Judy A. Jenner, MS, CCC. These groups are offered at no cost to members of the PASWFL.

Why Support Matters
A diagnosis of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.
For over 25 years, PASWFL has provided free, high-quality services and programs to individuals and families touched by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech Exercise classes
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you or a loved one are experiencing changes in speech, remember—you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

When someone begins to experience symptoms such as tremors, muscle stiffness, or difficulty with balance, the first thought might be Parkinson’s disease. However, not all conditions that resemble Parkinson’s are the same. Some fall under the broader term Parkinsonism. Understanding the difference is important for diagnosis, treatment, and support.

👉 So, what exactly separates Parkinson’s disease from Parkinsonism? Keep reading to find out — the answer can help families navigate care more effectively.

Parkinson’s Disease: A Specific Diagnosis
Parkinson’s disease (PD) is a progressive neurological disorder that primarily affects movement. It occurs when dopamine-producing cells in the brain begin to die off, leading to hallmark symptoms such as:

• Resting tremor (shaking in hands, arms, or legs)
• Muscle rigidity
• Slowness of movement (bradykinesia)
• Balance and coordination difficulties

Over time, PD can also affect speech, mood, sleep, and cognition. While the exact cause is still unknown, genetics, environment, and aging all play a role.

Parkinsonism: An Umbrella Term
Parkinsonism, on the other hand, is not a single disease. Instead, it’s a term used to describe a group of conditions that share similar symptoms to Parkinson’s disease. These include tremors, stiffness, and movement difficulties — but the underlying causes can be very different.
Types of Parkinsonism include:

• Drug-induced Parkinsonism: Caused by certain medications, often reversible when the drug is stopped.
• Vascular Parkinsonism: Linked to small strokes or reduced blood flow in the brain.
• Atypical Parkinsonism: Includes conditions like Multiple System Atrophy (MSA), Progressive Supranuclear Palsy (PSP), and Corticobasal Degeneration (CBD), which mimic PD but progress differently.

Key Differences Between Parkinson’s and Parkinsonism
While the symptoms may look similar, there are crucial differences:

• Cause: PD is linked to loss of dopamine cells; parkinsonism may be caused by medications, vascular changes, or other neurological diseases.
• Response to treatment: People with PD often respond well to medications like levodopa. Those with atypical parkinsonism typically do not.
• Progression: PD usually progresses gradually, while other forms of parkinsonism may advance more quickly and affect additional body systems.

Why This Distinction Matters
Accurate diagnosis ensures the right treatment plan, realistic expectations, and access to the right support resources. For families, understanding whether a loved one has Parkinson’s disease or another form of parkinsonism can help guide long-term planning and care decisions.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For over 25 years, PASWFL has provided free, high-quality services and programs to individuals and families touched by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech Exercise classes
• Educational seminars
• Support for care partners
• Support groups

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

When someone in your family is diagnosed with Parkinson’s disease, it’s natural to wonder: Is Parkinson’s hereditary? It’s a question that often carries fear and uncertainty, especially for children or grandchildren who may worry about their own risk.

👉 Keep reading to learn what science tells us about genetics and Parkinson’s — and why family history is only one piece of the puzzle.

Genetics and Parkinson’s Disease
Research shows that Parkinson’s disease is caused by a combination of genetic and environmental factors. About 10–15% of cases are linked to inherited genetic mutations. Scientists have identified specific gene changes, such as mutations in the LRRK2, PARK7, PINK1, PRKN, and SNCA genes, that can increase the likelihood of developing the condition.

However, most cases of Parkinson’s are considered “sporadic”—meaning they occur without a direct hereditary link. This suggests that while genes can play a role, other factors like aging, environmental exposures, and lifestyle may contribute just as strongly.

Family Risk: What Does It Mean for You?
Having a relative with Parkinson’s doesn’t mean you’ll definitely develop the disease. Your risk may be slightly higher, but it is not absolute. Many people with a family history never develop Parkinson’s, while others with no family connection do.

Genetic testing is available for those who are concerned, but it’s not recommended for everyone. Talking with a neurologist or genetic counselor can help determine if testing is appropriate for you.

Lifestyle and Protective Factors
Emerging research suggests that certain lifestyle choices may help reduce risk or delay onset. Regular exercise, a balanced diet rich in antioxidants, and staying socially and mentally engaged are all linked to better brain health. While these steps are not guarantees, they can support overall well-being and resilience.

If you think yoga is just about stretching, think again. At the Parkinson’s Association of Southwest Florida (PASWFL), yoga is so much more—it’s a lifeline for balance, flexibility, mental focus, and emotional well-being. For individuals living with Parkinson’s disease (PD), each movement matters. Yoga offers a safe, supportive way to build strength, improve mobility, and ease stiffness—while also providing a sense of calm and control over the unpredictable nature of PD. And the best part? These classes are free for members and tailored to meet the needs of every participant, no matter their experience level. Let's dive deeper into the benefits of Yoga as a form of exercise for PD.

Yoga is uniquely suited for those with PD because it addresses both body and mind. Gentle poses can help increase range of motion, support better posture, and reduce the risk of falls by improving stability. Breathing exercises calm the nervous system, while mindful movement can sharpen focus and relieve stress. At PASWFL, trained instructors adapt every session for individual needs, ensuring that everyone can participate at their own pace—whether seated or standing.

For many participants, the benefits go beyond physical gains. Yoga becomes a source of connection—time spent with others who understand the challenges of PD, in a judgment-free environment. The class fosters community, encouragement, and moments of joy. 

PASWFL offers yoga as part of its extensive roster of more than 25 free weekly programs. These include fitness and wellness classes, cognitive and speech therapy, educational seminars, and support groups for both individuals with PD and their care partners. By addressing the whole person—physical, mental, and emotional—PASWFL empowers members to live their best lives despite a Parkinson’s diagnosis.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For more than 25 years, PASWFL has provided free, high-quality services and programs to individuals and families affected by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech and cognitive therapy
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it’s free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

Living with Parkinson’s disease doesn’t always mean you need round-the-clock assistance. For many, the need for help comes and goes — and that’s where intermittent support comes in. This flexible approach allows individuals to get the assistance they need only when they need it, empowering them to stay as independent as possible while still having help available during challenging times.

Here’s the thing — intermittent support can make the difference between feeling isolated and staying connected, between struggling alone and having the right resources at the right time. Let’s take a closer look at how it works and why it matters.

What is Intermittent Support?
Intermittent support is assistance that’s provided on an as-needed basis, rather than continuously. For people with Parkinson’s disease, this might mean having someone check in once a week, joining a fitness or speech therapy class when symptoms flare, or attending support groups during emotionally difficult periods.

The goal is to fill in the gaps — providing help at specific moments when it’s most beneficial. This could be:

• Physical support during times when movement symptoms worsen.
• Speech support for communication challenges.
• Emotional support during times of stress, anxiety, or depression.
• Practical support for tasks that have become temporarily difficult, such as cooking, driving, or managing medications.

Why Intermittent Support Works for Parkinson’s
Parkinson’s symptoms often fluctuate, and needs can change from day to day. Some days are more manageable, while others can be more physically or emotionally demanding. Intermittent support respects this variability, offering a flexible safety net without taking away independence.

It’s also highly customizable — it could be a neighbor dropping off groceries, a care partner assisting during medical appointments, or participating in a specialized exercise program once or twice a week. This approach helps people conserve their energy for what matters most: living well.

A Community-Based Approach
Organizations like the Parkinson’s Association of Southwest Florida (PASWFL) make intermittent support more accessible by offering a variety of programs that individuals can join when they choose.
​
​This helps create a rhythm of support that fits into each person’s lifestyle, rather than forcing a one-size-fits-all approach.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For over 25 years, PASWFL has provided free, high-quality services and programs to individuals and families touched by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech exercise classes
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

Receiving a Parkinson’s disease diagnosis can be daunting, and some may feel tempted to “wait and see” before starting treatment. But ignoring Parkinson’s symptoms can have serious consequences — not only for your mobility and health but also for your overall quality of life. The truth is, Parkinson’s is a progressive condition, and early intervention can make a profound difference in slowing symptom progression, preserving independence, and maintaining emotional well-being. Learn why early intervention matters.

Why You Shouldn’t Wait
Parkinson’s disease affects movement, balance, and coordination — but its reach goes far beyond physical symptoms. If left untreated, Parkinson’s can lead to increased tremors, muscle stiffness, and slower movement (bradykinesia). These changes make daily activities like walking, writing, or speaking more difficult over time.

What’s more, untreated Parkinson’s can cause non-motor symptoms such as depression, anxiety, sleep disturbances, and cognitive decline. Without proper treatment and lifestyle adjustments, these issues can severely impact social connections, emotional health, and independence.

The Compounding Effect
One of the greatest risks of leaving Parkinson’s untreated is the compounding effect. As symptoms progress, mobility decreases — leading to less physical activity, which in turn weakens muscles and cardiovascular health. This physical decline can also increase the risk of falls and injuries. Cognitive and emotional symptoms can worsen when daily life becomes more restricted, further reducing a person’s ability to participate in hobbies, social gatherings, and family events.

The Role of Early Treatment
While there is currently no cure for Parkinson’s disease, early treatment — often including medications, physical therapy, speech therapy, and exercise programs — can help manage symptoms and maintain a higher quality of life. Studies have shown that staying active and engaged can slow the progression of certain symptoms.

Early intervention also means building a strong support network from the outset, ensuring that individuals and care partners have the necessary tools and resources to adapt as the disease progresses.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For over 25 years, PASWFL has provided free, high-quality services and programs to individuals and families touched by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech exercise classes
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

Understanding Hypokinetic Dysarthria in Parkinson’s Disease
For many people living with Parkinson’s disease (PD), speech changes can be one of the most frustrating symptoms. Friends and loved ones may start asking them to “speak up” or “slow down,” and conversations may require more effort than before. These changes are often the result of a condition called hypokinetic dysarthria—a speech disorder directly linked to the effects of PD on the brain and muscles used for speaking.

Why does Parkinson’s affect speech in the first place—and more importantly, what can be done to improve communication? Keep reading to discover how PD impacts the voice and how speech exercise can help people be heard again.

What Is Hypokinetic Dysarthria?
Hypokinetic dysarthria is a type of motor speech disorder that occurs when the muscles involved in speech—such as those controlling the lips, tongue, vocal cords, and respiratory system—don’t receive proper signals from the brain. The term “hypokinetic” means “reduced movement,” which explains why speech can become quieter, less clear, and more monotone.

Common symptoms include:

• Reduced vocal loudness
• Monotone pitch
• Imprecise articulation
• Short rushes of speech
• Hoarseness or breathy voice

For someone with Parkinson’s, these changes are not simply “getting older” but a direct result of the disease’s effect on the nervous system.

Why Speech Is Affected by Parkinson’s
Parkinson’s disease affects the basal ganglia, a region of the brain that plays a crucial role in controlling movement. This includes not only walking and hand movements but also the fine motor control of the muscles that produce speech. When dopamine-producing neurons in the brain are lost, muscle movements become slower, smaller, and less coordinated—speech muscles included.

In addition, people with PD often experience changes in self-perception of their voice. They may believe they’re speaking at a normal volume when, in fact, they’re speaking much more softly, making communication even more challenging.

Therapies That Help
The good news is that evidence-based speech therapy programs—such as the Lee Silverman Voice Treatment (LSVT LOUD®)—can significantly improve vocal loudness and clarity. Research has shown that with regular practice, many people with PD can regain stronger, more expressive voices and maintain these improvements over time.
​
Speech therapy like the Speech Exercise classes offered free of charge multiple times a week by a certified speech therapist also works best when combined with cognitive and breathing exercises, which can help keep the brain and respiratory system working in harmony for better communication.

​Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For more than 25 years, PASWFL has provided free, high-quality services and programs to individuals and families touched by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech Exercise classes
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Sign up for the PASWFL newsletter
👉 Become a member (it's free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

When you or a loved one hears the words “You have Parkinson’s disease,” the first question is often, “What’s the best treatment?” While there is no cure yet, the number one treatment for managing Parkinson’s disease (PD) remains medication—particularly levodopa—which helps replenish dopamine levels in the brain to improve motor symptoms like tremors, stiffness, and slowness.
For decades, levodopa, often paired with carbidopa, has been the gold standard for PD symptom control. These medications work by replacing the dopamine the brain no longer produces in adequate amounts, allowing many people to move more freely and with less discomfort. In many cases, medication can be life-changing, restoring independence and quality of life for years. But here’s the thing—medication is just one piece of the puzzle.

Parkinson’s is a complex condition that also affects mood, sleep, speech, balance, and thinking skills. That’s why the best approach combines medication with comprehensive support—including exercise, therapy, education, and emotional connection.

Why a Holistic Approach Matters
Movement disorders specialists recommend that people with Parkinson’s begin physical activity and therapy early—not as an afterthought. Exercise is often described as the “second most important treatment” for PD, helping maintain strength, balance, and flexibility. Programs like speech therapy, cognitive exercises, and targeted fitness classes can help slow functional decline.
​
Equally important is emotional support. Parkinson’s can take a toll not only on the person diagnosed but also on care partners and family. Having access to knowledgeable professionals, community resources, and peer support can make an enormous difference in navigating daily challenges.

What is the #1 treatment for PD?
​Working with your care team and using an integrated aproach is proven to be the most effective way  to Live Well with PD. Aspects of your approach may include:
💊 Levodopa medication remains the gold standard for symptom control.
🏃 Exercise is powerful—helps maintain strength, balance & mobility.
🗣️ Speech & cognitive therapy support communication & brain health.
💬 Support groups connect you with people who understand.
📚 Educational programs help you & your family navigate PD.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.

For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For more than 25 years, PASWFL has provided free, high-quality services and programs to individuals and families affected by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech and cognitive therapy
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Sign up for the PASWFL newsletter
👉 Become a member (it’s free!)
​
Visit www.paswfl.org and discover the power of support, education, and community.

If you’ve ever smiled through a silly improv game and felt lighter afterward, you’ve already experienced a small version of what improvisational theatre can do for people with Parkinson’s disease (PD). Improv isn’t just fun—it’s a therapeutic tool that helps with communication, cognitive flexibility, mood, and social connection. In Naples, Florida, the Parkinson’s Association of Southwest Florida (PASWFL) is among a small number of community groups offering regular improv for PD—led by Margot Escott, LCSW, who has trained with top improv teachers and used applied improvisational theatre (AIT) in clinical settings for 15 years. PASWFL offers these classes for free on Saturdays via Zoom, making this creative therapy accessible to people across Southwest Florida and beyond.

Improvisational programs for Parkinson’s
These applied improvisational programs are rooted in the idea that play, spontaneity, and social interaction stimulate the brain in unique ways. Several pilot studies and program evaluations suggest real benefits: a notable program run with The Second City showed that improv classes were enjoyable, well-attended, and improved activities of daily living measures in people with PD. (PubMed, ScienceDirect) Other research and pilot trials using theater-based interventions and applied improv report improvements in mood, communication, and psychological well-being for participants across ages and disease severity. (Semantic Scholar, ResearchGate)

How does improv help?
Games and exercises used in AIT encourage quick decision-making, turn-taking, vocal projection, and expressive facial movement—skills that can be affected by PD. The mild challenge and safe “risk” of improv can boost confidence and once-dormant social muscles; laughter and novelty also trigger positive neurochemical responses, which participants and facilitators report as energizing. A bigger, recent push in the literature looks at arts-based interventions (music, dance, theater) for PD and finds promising improvements in motor and non-motor symptoms when programs are consistent and targeted. (PMC, ScienceDirect)

A Rare and Unique Opportunity in Naples Florida
Margot Escott, LCSW, developed Improv for PD programs based on over 40 years of training and experience as a practicing LCSW, and training with national AIT teachers.  Margot leads therapeutic improv groups for diverse clinical populations and has used improv with people living with PD for many years in both in-person and online formats. Her approach adapts exercises so participants of any mobility level can join—seated or standing—and includes caregivers. You’ll find the class both accessible and heartening: members report reduced stress, increased voice confidence, and better social connection after consistent practice. (Psychology Today, Parkinson's Association of SWFL)

It's easy and there is no charge to join in an Improv for PD class through the PASWFL
​
​If you live in Naples—or you want a Zoom class on a Saturday that centers on play, voice, and connection--PASWFL’s Improv for Parkinson’s could be an inviting next step. It’s free to members, offered weekly, and designed to meet people where they are while building skills that matter both onstage and off.

Want to try it?
The PASWFL offers free improv classes on Saturdays via Zoom to members. Visit the PASWFL website to register and learn more about the program and other free classes that support living well with Parkinson’s.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For more than 25 years, PASWFL has provided free, high-quality services and programs to individuals and families affected by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech and cognitive therapy
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

If you or someone you love has been diagnosed with Parkinson’s disease (PD), you may have heard the term “five stages of Parkinson’s” and wondered what it really means. Understanding these stages can provide clarity, help you prepare for changes, and guide conversations with healthcare providers. While every person’s experience with PD is unique, these stages offer a general framework that describes the progression of symptoms over time. Here are the 5 stages explained...

​Stage 1: Mild Symptoms
In the earliest stage, symptoms are usually mild and may not interfere much with daily life. Tremors or slight changes in posture, facial expression, or walking pattern may appear, often on one side of the body. Many people can continue working and living independently, though loved ones may start noticing subtle changes.

Stage 2: Symptoms on Both Sides
At this stage, symptoms typically affect both sides of the body. Muscle stiffness, slower movements, and mild balance issues may become noticeable. While daily activities can still be performed without assistance, tasks may take longer, and fatigue may become more pronounced.

Stage 3: Balance and Coordination Challenges
This stage marks a turning point where balance problems become more apparent. Falls may occur, and movement slows further. Although individuals can still be independent, they may need adaptive strategies or minor assistance for certain activities. This is often the stage when treatment plans are adjusted to address mobility and safety concerns.

Stage 4: Increased Assistance Needed
Symptoms become more severe, and daily tasks such as dressing, cooking, or walking may require help. Standing without support may be difficult, and a walker or other mobility aid may be recommended. At this stage, quality of life can still be maintained with strong support systems and the right resources.

Stage 5: Advanced Symptoms
In the final stage, stiffness in the legs may make standing or walking impossible without assistance. A wheelchair is often needed, and around-the-clock care may be required. Cognitive changes, such as dementia, can occur in some individuals.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For more than 25 years, PASWFL has provided free, high-quality services and programs to individuals and families affected by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech and cognitive therapy
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Sign up for the PASWFL newsletter
👉 Become a member (it’s free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

The Heart of PASWFL Support Groups
In-person and Zoom support groups at PASWFL are designed with one thing in mind: helping people live well with Parkinson’s, every step of the way. Whether you are newly diagnosed, a long-time fighter, or a care partner, there’s a group that’s right for you. Each session is facilitated by experienced leaders who guide discussions, share helpful resources, and ensure everyone has a safe space to speak and be heard.

What members are saying about support groups provided free of charge to members of the PASWFL:
“When I don’t know what to do, I know there are people at the PASWFL who can help us, people we can depend on for answers and assistance. You can handle PD if you feel you are not alone.” – PASWFL Members Carol and Kurt

Variety That Meets Individual Needs
No two journeys with Parkinson’s are the same—so PASWFL offers different groups tailored to meet unique needs:

• Newly Diagnosed Groups – Guidance and encouragement in the early stages of your journey.
• Living Well with PD Groups for specific needs– Ongoing support to help you maintain independence and quality of life. (Includes support groups for men with PD, Women with PD, and general support groups for all)
• Care Partner Groups – A space for those who support loved ones to share, learn, and recharge. (Includes both female and male care partner support groups)

The Power of Community
Science shows that peer support can improve emotional well-being, reduce stress, and help people better manage symptoms. But the impact goes beyond research—it’s about real people making real connections. Many participants say their support group has become like family, offering encouragement, hope, and practical tips for daily living.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For more than 25 years, PASWFL has provided free, high-quality services and programs to individuals and families affected by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech and cognitive therapy
• Educational seminars
• Support for care partners
• Support groups for persons with PD

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it’s free!)

To learn more, visit www.paswfl.org and discover the power of support, education, and community.

Understanding Off-Time
Parkinson’s is caused by the loss of dopamine-producing brain cells. While medications like levodopa help replace or mimic dopamine, they can only do so for a limited period before wearing off. Off-time occurs when the effects fade, often bringing back stiffness, slowness, tremors, or difficulty walking. Some people experience non-motor symptoms as well, such as anxiety, fatigue, or mood changes.

Off-time can be predictable—happening at specific intervals between doses—or unpredictable, appearing suddenly without warning. As Parkinson’s progresses, off-time can become more frequent and harder to manage, significantly impacting independence and quality of life.

Managing Off-Time
The good news is that there are strategies to reduce off-time and help people live more comfortably. These may include:

• Medication adjustments: Changing dosage timing or using longer-acting forms.
• Add-on therapies: Medications that extend the effect of levodopa.
• Lifestyle approaches: Exercise, stress management, and balanced nutrition can help.
• Advanced treatments: For some, deep brain stimulation or continuous infusion therapies may be options.

If you notice symptoms returning before your next dose, track the timing, severity, and triggers. Share this information with your neurologist or movement disorder specialist—they can help tailor your treatment plan to manage off-time better.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For more than 25 years, PASWFL has provided free, high-quality services and programs to individuals and families affected by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech and cognitive therapy
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it’s free!)
Visit www.paswfl.org and discover the power of support, education, and community.

Imagine living with Parkinson’s disease (PD) and feeling as though you’re doing “all the right things” — taking your medications, exercising, eating well — yet your symptoms still interfere with daily life. The truth is, Parkinson’s is a complex, progressive condition, and even with treatment, symptoms can fluctuate. This is where the 5:2:1 rule comes in — a simple tool for recognizing when someone’s current treatment plan may need adjusting.

What is the 5:2:1 Rule?
The 5:2:1 rule is used by healthcare providers and Parkinson’s specialists to help identify when a person’s medication regimen may not be adequately controlling symptoms. It’s based on three key indicators:

1. 5 — The person takes levodopa (or another Parkinson’s medication) five or more times per day.
2. 2 — They experience two or more hours per day when their symptoms are not adequately controlled (called “OFF time”).
3. 1 — They have one or more hours per day with involuntary movements caused by medication (known as dyskinesia).

If someone meets any of these points — especially if all three apply — it’s a signal to talk with their neurologist or movement disorder specialist. Adjustments in medication timing, dosage, or type may help improve symptom control.

Why This Rule Matters
The 5:2:1 rule isn’t a diagnosis — it’s a conversation starter. Many people living with PD think worsening symptoms are just “part of the disease” and don’t realize that better control might be possible. This tool empowers individuals and care partners to track what’s happening day-to-day and advocate for changes that could improve quality of life.
​
The rule also highlights a larger truth: Parkinson’s care is not “one and done.” It’s an ongoing process that requires regular communication with healthcare providers, especially as the condition changes over time.

When to Seek Help
If you or someone you care for might fit the 5:2:1 rule, don’t wait for the next routine appointment. Keep a symptom diary for a week, then share it with your doctor. This record can make it easier to pinpoint patterns and find solutions.

Parkinson’s may be a lifelong condition, but with the right approach, people can continue to live active, fulfilling lives. Recognizing when it’s time to reevaluate treatment is a key part of that journey.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For more than 25 years, PASWFL has provided free, high-quality services and programs to individuals and families affected by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech and cognitive therapy
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.
Take the First Step Toward Living Well with PD, you don’t have to face it alone.
👉 Sign up for the PASWFL newsletter
👉 Become a member (it's free!)

​It’s a question that crosses many minds the moment they hear the word “Parkinson’s”—but the truth may surprise you. While Parkinson’s Disease (PD) is the second most common neurodegenerative disorder in the world, there’s still no single known cause. If you or a loved one has recently been diagnosed, or if you’re searching for answers after noticing troubling symptoms, understanding the risk factors and scientific insights can help you take the first step toward managing PD with knowledge and hope.

Understanding What Causes Parkinson’s Disease
Parkinson’s Disease develops when cells in a specific part of the brain—called the substantia nigra—begin to die off or stop functioning properly. These cells produce dopamine, a neurotransmitter that plays a key role in movement, coordination, and mood. As dopamine levels drop, individuals may experience tremors, stiffness, balance issues, and more.
While we don’t yet know exactly what causes these cells to malfunction, research has identified several possible contributors:

​1. Genetics
Only about 10–15% of Parkinson’s cases are considered hereditary. Scientists have identified several gene mutations linked to PD, but having a mutation doesn’t guarantee someone will develop the disease. It only increases the risk.
2. Environmental Triggers
Prolonged exposure to pesticides, herbicides, and certain industrial chemicals may contribute to the development of Parkinson’s. Rural living and well-water use have also been correlated in some studies.
3. Age & Gender
PD most commonly appears after the age of 60, although early-onset cases do occur. Men are about 1.5 times more likely to develop Parkinson’s than women.
4. Head Trauma
Studies show that a history of serious head injuries may increase the risk of developing PD later in life.
Even with these risk factors, the cause is often a complex interplay of genetics and environmental factors. In many cases, there is no clear “why.”

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.
​
For more than 25 years, PASWFL has provided free, high-quality services and programs to individuals and families affected by Parkinson’s Disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech and cognitive therapy
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

 Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)

​Learn more at www.paswfl.org and discover the power of support, education, and community

If you or a loved one has been diagnosed with Parkinson’s Disease (PD), one of the first questions you may ask is, “Where can I find the best care?” While several top-tier medical centers across the U.S. offer specialized Parkinson’s treatment, the answer isn’t always about the largest or most well-known institutions. The best Parkinson’s center is the one that offers compassionate, comprehensive care where you are—support that meets the needs of both those diagnosed and their families, every step of the way.

A Nationwide Network of Excellence
Centers like the Cleveland Clinic, Mayo Clinic, and UCSF Parkinson’s Disease and Movement Disorders Center, the University of Florida (Parkinson's Center of Excellence), and the University of Miami Movement Disorders Division, are often recognized nationally for their medical research and advanced treatment capabilities. These centers offer access to neurologists, clinical trials, surgical interventions, and deep brain stimulation (DBS) technologies.

However, these large institutions aren’t always accessible to everyone. That’s why regional centers and nonprofit organizations play such a critical role—providing support that is not only accessible but also personalized and deeply rooted in the community.

A Local Resource with National Impact: PASWFL
For those living in Southwest Florida, the Parkinson’s Association of Southwest Florida (PASWFL) stands out as one of the most impactful and compassionate centers supporting individuals with Parkinson’s and related neurological conditions.

Unlike large medical institutions that focus on the clinical side of PD, PASWFL takes a whole-person approach. They understand that Parkinson’s affects more than movement—it impacts speech, mental health, relationships, and independence. That’s why they provide over 25 weekly programs designed to help individuals live well with PD at every stage of the disease.
From wellness and fitness classes to speech therapy, cognitive workshops, support groups, and care partner education, every service PASWFL offers is free of charge—ensuring finances are never a barrier to care.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.
​
For more than 25 years, PASWFL has provided free, high-quality services and programs to individuals and families affected by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech and cognitive therapy
• Educational seminars
• Support for care partners
• Peer-led support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

What You Don’t Know Can Help You
When most people hear “Parkinson’s Disease,” they think of tremors and older adults. But PD is a complex neurological condition that affects people in many different ways—and at all stages of life. Understanding the truth about Parkinson’s can lead to better care, earlier diagnosis, and greater compassion for those living with it. Here are 10 important things everyone should know:

​1. Currently, PD's cause is unknown and there is no cure.
Currently, the cause of Parkinson's Disease (PD) remains unknown, and there is no cure. Despite this, various treatments and interventions can help manage symptoms and improve the quality of life for those affected. Organizations like the Parkinson’s Association of Southwest Florida provide essential programs and resources to support individuals living with PD.

2. The best way to manage PD is through the team approach.
The best way to manage Parkinson's Disease (PD) is through a multidisciplinary team approach, which combines the expertise of neurologists, physical therapists, occupational therapists, and speech therapists. This comprehensive care model addresses the diverse needs of PD patients, from medication management to physical activity and communication strategies. By working together, these specialists can create a personalized treatment plan that enhances the quality of life for individuals with PD.

3. No 2 people with PD have the exact same symptoms.
No two individuals with Parkinson's Disease (PD) experience the exact same symptoms, as the disease affects each person uniquely. Variations in symptoms can include differences in motor issues like tremors and rigidity, as well as non-motor symptoms such as sleep disturbances and cognitive changes. This individuality requires personalized treatment plans to effectively manage each person's specific needs and challenges.

4. People with PD can maintain a good quality of life.
People with Parkinson's Disease (PD) can maintain a good quality of life through effective symptom management, including medication, exercise, and therapeutic interventions. Supportive programs and resources, such as speech and movement therapies, play a crucial role in enhancing daily functioning and well-being. With the right care and support, individuals with PD can continue to lead fulfilling lives. Supportive programs and resources, such as those provided by organizations like the Parkinson’s Association of Southwest Florida, offer crucial assistance to enhance well-being and daily living.

5. There is no one-size-fits-all treatment approach when it comes to PD.
There is no one-size-fits-all treatment approach when it comes to Parkinson’s. Treatment options vary and can include medications or surgery. Personalized care is essential to effectively manage this multifaceted condition.

6. Exercise helps manage PD.
Exercise is vital to maintain balance, mobility, and activities of daily living. Regular exercise plays a crucial role in alleviating Parkinson's symptoms, aiding in the preservation of balance, mobility, and overall functionality. Engaging in physical activity not only helps manage the disease but also enhances quality of life by promoting independence in daily activities. Incorporating a tailored exercise regimen can be a cornerstone of Parkinson's management strategies. Supportive programs and resources, such as those provided by organizations like the Parkinson’s Association of Southwest Florida, offer crucial assistance to enhance well-being and daily living.

​7. There are a number of non-motor symptoms associated with PD.
Non-motor/movement symptoms including cognitive changes, mood disorders, fatigue, hallucinations and delusions, sexual problems, and sleep disorders can be more troublesome than movement symptoms. Supportive programs and resources, such as those provided by organizations like the Parkinson’s Association of Southwest Florida, offer crucial assistance to enhance well-being and daily living.

8. Facial masking is common with PD
A masked face (bradykinesia) is often associated with PD. People with Parkinson’s are not always angry or sad. Often, people with Parkinson’s look serious, depressed, or mad, because many times the disease causes facial masking, where muscles in the face are stiff or take a long time to move. Supportive programs and resources, such as those provided by organizations like the Parkinson’s Association of Southwest Florida, offer crucial assistance to enhance well-being and daily living.

9. Resting tremor may be a sign of PD
​Resting tremor, a hallmark symptom of Parkinson's disease, manifests as a subtle shaking of the finger, thumb, hand, chin, or foot when at rest. This tremor often becomes more noticeable as the disease progresses, affecting fine motor control and coordination. Understanding and recognizing resting tremor is pivotal in the diagnosis and management of Parkinson's disease.

10. You can live well with PD
​From diagnosis through the progression of the disease, we provide free programming to help person’s with PD, their care partners and loved ones to ensure healthier outcomes in our community such as  movement, educational classes, speech therapy, and so much more.

​Our services and programming are free to members and their families affected by PD and other neurological disorders, because we believe that everyone should have access to our programming and that finances should never be a barrier to our members.

Why Support Matters
A Parkinson’s diagnosis can feel overwhelming. But with the right support and resources, individuals can maintain independence, health, and hope.
👉 For help and local programs, visit www.paswfl.org or call 239-417-3465.

About PASWFL
For over 25 years, we’ve provided free, high-quality services to individuals and families affected by Parkinson’s in Southwest Florida. We offer:

• Weekly fitness, speech, and wellness classes
• Support for caregivers and care partners
• Educational seminars and local resources
• Over 25 programs each week—at no cost

Membership is free and open to anyone affected by Parkinson’s.


Take the First Step
Whether you’re newly diagnosed or just looking for support, we’re here for you.
👉 Sign up for our newsletter
👉 Become a member

If you or someone you love has been diagnosed with Parkinson’s disease, one of the most important—and often overlooked—questions is: Where is the best place to live with Parkinson’s? While there’s no one-size-fits-all answer, the right location can make a world of difference in maintaining independence, receiving quality care, and finding a supportive community.

Read on to discover the key factors that make a place ideal for living well with Parkinson’s—and why Southwest Florida might be at the top of the list.

What to Look for in a Parkinson’s-Friendly Community

When considering the best place to live with Parkinson’s disease, here are a few essential factors:
1. Access to Specialized Healthcare:
Neurologists who specialize in movement disorders and clinics with multidisciplinary care teams are vital. Look for communities with hospitals or care centers that offer physical therapy, speech therapy, and occupational therapy under one roof.
2. Parkinson’s-Specific Support Services:
Local organizations that understand Parkinson’s provide programs that go far beyond general senior services. These include wellness classes, support groups, education, and counseling for both individuals and care partners.
3. Climate and Lifestyle:
Many people with Parkinson’s find warmer climates more comfortable for mobility. Sunny, mild weather also encourages regular outdoor activity—an essential part of Parkinson’s management.
4. Community & Social Engagement:
Staying socially connected and mentally stimulated can improve emotional well-being. Places with active support groups, accessible transportation, and cultural or recreational activities can help individuals maintain independence and joy.
5. Affordability and Accessibility:
Consider housing options that are safe and easy to navigate, as well as proximity to care and services. A strong public transportation system or senior services that offer rides can also make a big difference.

​Why Southwest Florida Shines
Southwest Florida checks all the boxes. In addition to the sunny climate and active lifestyle, it’s also home to one of the most supportive communities for people living with Parkinson’s—thanks to the Parkinson’s Association of Southwest Florida (PASWFL).

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For more than 25 years, PASWFL has provided free, high-quality services and programs to individuals and families affected by Parkinson’s disease in Southwest Florida. Their goal is simple: help people live well with PD, regardless of where they are in their journey.

Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech and cognitive therapy
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)
To learn more, visit www.paswfl.org and discover the power of support, education, and community.

​If you or a loved one is living with Parkinson’s disease and taking Levodopa/Carbidopa, you may have noticed that your meals can impact how well your medication works. While this medication is one of the most effective treatments for managing motor symptoms, the foods you eat—and when you eat them—can affect how it’s absorbed in your body. The good news? With a few simple dietary strategies, you can make the most of your treatment and feel more in control. 

Timing Is Everything
Levodopa/Carbidopa works best when taken on an empty stomach. That’s because protein-rich foods (like meat, eggs, dairy, and legumes) can compete with the medication for absorption in the small intestine. This competition can lead to a delayed or reduced effect of the medication, making symptoms more difficult to manage.

To avoid this, many people find it helpful to take Levodopa/Carbidopa 30 to 60 minutes before meals, or at least 1 to 2 hours after eating. Always follow your doctor’s specific instructions, but being mindful of timing can dramatically improve symptom control.

Protein: Balance, Don’t Eliminate
You still need protein—it’s essential for muscle strength and overall health. Instead of cutting it out completely, consider spreading your protein intake throughout the day or reserving it for the evening, when medication timing may be less critical. This approach is often called a protein redistribution diet, and your healthcare team or dietitian can help tailor it to your needs.

Nutrients That Support Parkinson’s Health
In addition to adjusting protein intake, focus on nutrient-dense foods that support brain and body function:

• Fruits and vegetables: Rich in antioxidants that may reduce oxidative stress.
• Whole grains: Provide fiber to help manage constipation—a common PD symptom.
• Healthy fats: From sources like olive oil, nuts, and avocados, which support brain health.
• Fluids: Staying hydrated helps medications work effectively and combats common symptoms like low blood pressure.

Why Support Matters
A diagnosis of any form of Parkinson’s can feel overwhelming. But with the right support and resources, individuals can maintain independence, quality of life, and emotional well-being.
For resources, referrals, and support in navigating Parkinson’s and related conditions, contact the Parkinson’s Association of Southwest Florida at www.paswfl.org or call 239-417-3465.

For over 25 years, PASWFL has provided free, high-quality services and programs to individuals and families affected by Parkinson’s disease in Southwest Florida.
Each week, PASWFL offers more than 25 free programs and support groups, including:

• Wellness and fitness classes
• Speech and cognitive therapy
• Educational seminars
• Support for care partners
• Support groups

There are no fees to become a member, and PASWFL welcomes anyone touched by PD.

Take the First Step Toward Living Well
If you suspect early Parkinson’s or have been recently diagnosed, you don’t have to face it alone.
👉 Click here to sign up for the PASWFL newsletter
👉 Click here to become a member (it's free!)

Save the Date
The Parkinson’s Association of Southwest Florida (PASWFL) is thrilled to announce its signature annual fundraising event, A Step Forward: Overcoming Obstacles, set for Friday, March 20, 2026, at the luxurious LaPlaya Beach & Golf Resort in Naples. This empowering luncheon will feature an extraordinary speaker—Staff Sergeant (Ret.) Johnny “Joey” Jones, a decorated Marine veteran, FOX News contributor, and national advocate for veterans and resilience.

Joey Jones brings a story of unimaginable adversity transformed into purpose. After surviving a life-changing IED explosion in Afghanistan that resulted in the loss of both legs, Joey dedicated his life to supporting other wounded veterans and inspiring Americans with his message of strength, humor, and grit. His keynote will touch hearts and uplift spirits as he shares how personal tragedy became a powerful platform for service, leadership, and hope.

Guests will also hear firsthand stories of perseverance from PASWFL members who live daily with Parkinson’s Disease (PD), making the event not only a fundraiser but a deeply moving celebration of courage in the face of life’s toughest battles.

​This memorable afternoon includes:

• A gourmet three-course lunch at the LaPlaya Beach & Golf Resort in Naples, Florida
• Keynote presentation by Joey Jones
• Special member stories from individuals living with Parkinson’s
• Opportunity to support a powerful mission

​All proceeds directly benefit PASWFL’s work—providing more than 20 free weekly programs and support groups that improve the lives of those living with Parkinson’s and their care partners across Collier and southern Lee Counties.

Event Details:
When: Friday, March 20, 2026 – 11:30 a.m.
Where: LaPlaya Beach & Golf Resort, 9891 Gulf Shore Dr, Naples, FL
Register at: https://parkinsonassociationswfl.org/a-step-forward-overcoming-obstacles-lunch.html
 
REGISTRATION OPENS 10/1/25
Registration Options:

• General Admission ($350): Includes full luncheon, keynote presentation, and inspirational PASWFL stories. ($100 tax-deductible)
• VIP Admission ($500): Includes all general benefits plus a private pre-event champagne reception with Joey Jones, hors d’oeuvres, photo opportunity, and exclusive early remarks. ($200 tax-deductible)

VIP Experience Highlight: Guests will connect more intimately with Joey Jones and fellow PASWFL supporters in a relaxed pre-lunch gathering. It's a rare opportunity to meet a national hero while supporting a life-changing cause.

August is National Make-A-Will Month, a timely reminder of the importance of having a legal will in place—regardless of your age or financial situation. Creating or updating your will ensures your loved ones are cared for, your wishes are respected, and your legacy lives on in meaningful ways. It’s also an opportunity to reflect on the causes close to your heart and how you can support them for generations to come. Learn how and why it’s important.

If you’re one of the many Americans who hasn’t yet created a will, you’re not alone. According to Caring.com’s 2024 survey, nearly 66% of adults don’t have a will. For many, it’s something that’s easy to put off. But the truth is, having a will is a powerful act of love and care. It brings peace of mind, avoids confusion or disputes among family members, and gives you the ability to make decisions about how your assets should be used.

One of the most impactful choices you can make when writing your will is to include a charitable bequest. Designating a nonprofit organization as a beneficiary allows you to continue supporting the causes you care about, even after you’re gone. This simple, thoughtful gesture can leave a lasting legacy and make a real difference in your community.

At the Parkinson’s Association of Southwest Florida (PASWFL), we’re grateful to those who choose to support our mission in this special way. A bequest or naming PASWFL as a beneficiary of your life insurance policy or retirement account helps ensure we can continue to provide free, life-enhancing programs and services for individuals and families impacted by Parkinson’s Disease. Your generosity supports wellness classes, support groups, counseling, education, and community outreach—helping thousands of people in Collier and southern Lee Counties live well with PD.

Making a planned gift is easier than you might think.
Whether you're working with an attorney to draft your will or using a reputable online tool, you can simply include language that designates the Parkinson’s Association of Southwest Florida as a beneficiary. You can give a specific dollar amount, a percentage of your estate, or a remainder of your assets after other obligations are met. Naming PASWFL as a beneficiary of a life insurance policy or IRA is also a straightforward process that can have lasting impact.

If you already have a will, Make-A-Will Month is also a great time to review it. Life changes—marriages, births, moves, or new priorities—may mean it’s time for an update. Including a nonprofit like PASWFL in your estate plans can align your values with your legacy.

We’re here to answer any questions you may have about planned giving and how your support can change lives. For more information, please contact us at 239-417-3465 or visit www.paswfl.org.

By making your will this August—and considering a charitable gift—you’re not only protecting your future, you’re investing in a better one for others.