Degenerative diseases of the basal ganglia, such as Huntington's disease (H
D), Parkinson's disease, and Wilson's disease, are characterized by motor c
ognitive and psychiatric manifestations. HD, in particular can be considere
d a paradigmatic neuropsychiatric disorder that has all three components of
the "Triadic Syndromes": dyskinsia, dementia, and depression. The authors
examine the phenomenology prevalence, and management of psychiatric disturb
ances occuring in diseases of the basal ganglia. They address psychiatric c
onditions such as depression, mania, psychosis, obsessive-compulsive disord
ers, aggression, irritability, apathy, sexual disorders, and delirium, disc
ussing subtleties of diagnosis, and making reference to more unusual disord
ers of the basal ganglia, such as postencephalitic parkinsonism and Fahr's
disease.