ABSTRACT
CASE PRESENTATION A 52-year-old woman with a 12-year history of Parkinson’s disease (PD) was referred with severe anxiety, depression, and parkinsonism. She was initially evaluated in the emergency room and then admitted to the psychiatric unit. The psychiatric evaluation documented a tearful anxious demeanor, variable agitation, tremulousness, a very soft voice, slow, stiff movements, and an unsteady, shuffling gait. She also complained of dyspnea and cramps. She was noted to have vegetative signs of depression with insomnia, anorexia, and 12-pound weight loss. The psychiatric diagnosis was agitated depression.
