Huntington's disease (HD), a neurodegenerative condition of the central nervous system, poses a major challenge for clinicians. The clinical presentation is variable and consists of cognitive, psychiatric and motor symptoms. The psychiatric manifestations often appear many years before the movement disorder. Lack of recognition of the psychiatric mani-festations may lead to delays in diagnosis and multidisciplinary interventions. The aim of this article is to highlight the psychiatric aspects

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... HD, particularly focusing on the early presenta-tion. Two cases of HD with prominent psychiatric symptoms are used to illustrate the preva-lence of these aspects of the disease. In the absence of treatment directly influencing the course of HD, psychiatrists remain central to the multidisciplinary team diagnosing and treating this debilitating condition.