Thank you for your quick reply. She was diagnosed in March 2023 but it is clear the disease started about three years earlier. She was misdagnosed - and Parkinson's specifically ruled out - in January, 2022 so she went without any treatment for over a year. The current medication regimen helps a bit but there is more off time now. Motor symptom and non-motor symptoms are increasing, particulary cognition and memory deficits, benign hallucinations and some de-realization. There is extreme fatigue and some breathing and urinary and gastrointestinal problems as well. I am a clinical psychologist with 45 years experience and a neuropsychological and health psychology background but she obviously needs someone to work with other than me. There are no therapists in our area who would fit what she needs. Believe me, we have looked and I've used every resource I have. Our neurologist is of no help. He is largely unavailable, reactive rather than proactive in management of the illness, and it is almost impossible to get an appointment between his standard 4-5 month follow-ups, often with his PA. They are both competent and I don't blame them for the poor care; it is an insane health care system that is at fault. We are looking for a new neurologist as part of a team that would be both proactive and follow up frequently and consistently but so far, no luck.