@santosha I want to thank so many of you for your support and have really given me many helpful avenues to go the follow with dealing with my multiple changes with my early onset Parkinson's seems to of brought on. I do want to try to remain calm and feel the first step for me will be to focus on a neuro psychiatrist. My neurologist recommended one who is on my insurance! This is a very good place to start. Monday I will find out if I will be needing my Thyroid removed many of my Parkinson symptoms could also be caused from a goiter which I have along with to large masses in my thyroid. The other major symptom was my bloodwork came back extremely abnormal so last night I had a CT Coronary calcium score test. I unfortunately received the results already less than 24 hrs showing Atherosclerotic cardiovascular disease. It is just another set of tests that I will be dealing with. If I have the right support system to get through all of these issues I feel the psychiatrist can help me put it into the right perspective. I have already start a very strongly supported exercise program which is being monitored by licensed physical therapists specializing in Parkinson. I also have started on the Mediterranean diet. One step at a time.