Hi……yes yes yes……just like all these other people have said…..yes to communication to the doctors! We are in a new world in health and you must be an advocate for your loved ones. My mother had it and honestly made the last few years of my dad’s life VERY difficult. The PD makes them very rigid in mind as well as body. My sister and I took over when my father died and we took no prisoners with her! We put her in a nursing home, got her on all the meds but I insisted they put her on Effexor as GAD runs in the family and is thought to be a precursor to PD, thanks to the research from Robin Willians!..I have GAD as did my mom, and her siblings and now my grown children!……all on Effexor xr. In any case, that was a huge game changer for handling her, and actually enjoying her and her enjoying life until she was 94!…..She didn’t want to deal with it when my dad was alive and her world became smaller and smaller and she became more intense. She never could help it but my dad begged for Effexor from the doctor and he was old school and uninformed. So I just wanted to share that in case it helps you, and since you have 5 grandchildren at least, that they know about the Anxiety Disorder actually coming first. I am 72 now and still have no signs of PD but I am the only one of my cousins who can say that and one just died of it!. Four of the grands have been diagnosed w GAD in different states and countries!….And if you ever see someone “pilling” w their fingers…..get them to a doctor!!