What multidisciplinary management strategies are recommended for patients with Huntington's Disease to address both motor and psychiatric symptoms?

Multidisciplinary management strategies for patients with Huntington's disease should comprehensively address both motor and psychiatric symptoms through coordinated care involving various healthcare professionals.

Although the provided context primarily focuses on Parkinson's disease and motor neurone disease, principles of multidisciplinary care can be extrapolated to Huntington's disease management.

• Motor symptoms: Management should include physiotherapy to improve motor function, balance, and mobility, and occupational therapy to assist with activities of daily living and maintain independence.
• Psychiatric symptoms: Psychiatric and psychological support should be integrated, including assessment and management of cognitive and behavioral changes, depression, anxiety, and psychosis.
• Multidisciplinary team composition: The team should include neurologists, psychiatrists, physiotherapists, occupational therapists, speech and language therapists, specialist nurses, and social care practitioners to provide coordinated care.
• Regular assessments: Regular, coordinated assessments of motor function, psychiatric symptoms, cognition, nutrition, communication, and social needs are essential to tailor interventions and monitor progression.
• Care coordination: Effective communication and coordination between all healthcare professionals and social care practitioners involved in the person's care and their family or carers are crucial.
• Advance care planning: Discussions about future care needs and end-of-life planning should be offered early and revisited regularly.

These strategies align with the multidisciplinary approach recommended for neurodegenerative diseases with complex motor and psychiatric manifestations, such as motor neurone disease and Parkinson's disease, and are applicable to Huntington's disease management ³,¹.