Robin Williams' suicide is a tragedy that broke the hearts of his family
and friends and an entire nation. But with the stunning revelation that
the famous comedian had recently been diagnosed with Parkinson's disease,
the actor's death is particularly hard felt in the Parkinson's
In the first few days after Williams' widow revealed the comedian's
diagnosis, my email inbox began filling up with notes from patients and
their concerned family members expressing dismay and fear.
If someone of Robin Williams' stature could be made so despondent
by the diagnosis as to commit suicide, how could the average Parkinson's
patient possibly be expected to cope?
As one patient wrote me, "Hearing this makes me feel hopeless."
I have been telling my patients at the Hoag Neurosciences Institute that
while there is a link between depression and Parkinson's disease,
the situation they are reading about in the papers is unique.
I was not Williams' physician, but I believe we're dealing with
different demons. The actor had had a well-documented history of depression
and addiction and had strongly been associated with bipolar disorder.
It is more likely this history, and not Parkinson's disease, that
played a part in Williams' tragedy.
Because Parkinson's disease involves the death or impairment of nerve
cells in the brain that produce dopamine, a mood stabilizer, people will
often suffer from depression or anxiety for years before receiving a diagnosis
of Parkinson's. But the type of depression typically experienced tends
to affect a person's motivation, sleep patterns, weight management
and energy level. Rarely does it inspire suicidal ideation.
That said, it is still difficult to face a diagnosis, and a good support
system of family, friends, physicians, movement specialists, psychologists
and psychiatrists is necessary to help a person cope, manage and thrive.
That is why at Hoag Hospital, we approach the disease comprehensively
– offering not only top-rated neurologists, but also physical, speech
and occupational therapists, mental health and social work specialists
to help patients maintain a good quality of life.
There are many misconceptions about the disease. Parkinson's is a
disorder of tremors, stiffness, slowness and motor control, but too many
people confuse it with Alzheimer's or dementia. Also, contrary to
what too many believe, the disease is not life-threatening.
Many of my patients live full and active lives. Thanks to innovations
in medicine and physical therapy, some of my patients are so active and
mobile you would never guess they have the disease.
One of my patients, in fact, said that thanks to his current medication
and treatment plan, that include better sleep hygiene, physical therapy
and addressing his mood, his golf swing and score post-diagnosis is actually
better now than it had been in 20 years.
Another important point I hope people with Parkinson's disease and
their loved ones bear in mind is that Williams was an individual, not
an emblem of any of the diseases or disorders he may have had. Depression
and suicide involve many factors, and no one should assume that they are
at greater risk for suicide because they share any one trait with the actor.
For most people with Parkinson's disease, life can be just as fulfilling
as it can be for anybody else. We're in a revolutionary stage in neurosciences,
with a great horizon of therapies, including medications that buffer the
effects of the disease, ahead of us.
Robin Williams' death is terrible, but it shouldn't spell doom
to people with Parkinson's disease. For them, as for the rest of us
left grappling with this tragedy, there still exists hope.
Dr. Sandeep Thakkar is a movement disorders specialist at the Hoag Neurosciences
Institute Parkinson's and Movement Disorders Program.