Fast Five Quiz: Tardive Dyskinesia Management

Christoph U. Correll, MD


June 28, 2023

The initial step in managing TD is to recognize and characterize its full spectrum of subjective and objective manifestations. Patients often have movement disorders that may represent a mixture or overlap of several involuntary movements. Individuals treated with antipsychotics may demonstrate both acute and chronic effects, including acute dystonia and TD. Akathisia and tics may occur simultaneously after long-term treatment with antipsychotics.

TD can vary substantially throughout the course of a day and can worsen with emotional stress. Similarly, the impact of TD varies over time; thus, assessment of TD and its impact should be a routine component of the evaluation performed at every patient visit, as also recommended by the 2020 American Psychiatric Association Practice Guideline for the Treatment of Patients With Schizophrenia.

During long-term treatment with dopamine antagonists, tardive dystonia occurs in approximately 1%-2% of individuals.

Learn more about the clinical manifestations of TD.


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