How does Parkinson’s disease affect memory, thinking, and emotional well-being? How can patients and care partners tell the difference between normal aging and cognitive changes that may need medical attention? In this episode of the National Parkinson’s Institute Podcast, host Eric Richardson is joined by NPI Vice President Erika Ganong and Chris Denny, publisher of The Movement Disorder Journal and News, for an insightful conversation with Dr. Robert Underwood, a board-certified neuropsychologist with UofL Health’s Brain & Spine Institute and Frazier Rehab Institute in Louisville, Kentucky. Dr. Underwood explains the role of neuropsychological testing, including its importance in determining eligibility for deep brain stimulation (DBS). He discusses warning signs of cognitive decline, the relationship between depression, anxiety, and memory, and practical strategies for helping people with Parkinson’s maintain their independence. Drawing on his professional experience and his personal journey caring for a father who lived with Parkinson’s disease, Dr. Underwood offers a compassionate perspective on how the condition affects not only patients but entire families. The conversation also highlights the importance of exercise, healthy sleep, nutrition, social engagement, and caregiver support in maintaining cognitive health and quality of life. Whether you are living with Parkinson’s, supporting a loved one, or simply interested in brain health, this episode offers valuable information, encouragement, and a reminder that cognitive decline does not necessarily mean dementia. The NPI Parkinson’s Podcast is produced by the National Parkinson’s Institute, a Louisville-based nonprofit providing free exercise, education, and support programs for people affected by Parkinson’s disease.