When Movement Isn’t the Primary Problem: Reframing Treatment Priorities in Early Huntington’s Disease

By Gina ShawHuntington’s disease (HD) is often thought of as a movement disorder, defined by chorea and other involuntary movements that emerge as the disease progresses. But for many patients, the most disabling aspects of HD appear long before abnormal movements are obvious, and they are not primarily motor. Cognitive and psychiatric symptoms frequently dominate the early course of the disease, shaping patients’ daily functioning, relationships, and ability to work years before cho