Skill Checkup: A 55-Year-Old Man With Schizophrenia and New-Onset Involuntary Movements

Christoph U. Correll, MD


January 14, 2022

There are several ways to minimize the risk for TD. For example, clinicians should follow the prescribing information for antipsychotic agents carefully, including avoiding off-label use. In addition, these drugs should be prescribed as a single agent (ie, avoid prescribing multiple antipsychotics in the same patient) and at the lowest effect dose and for the shortest possible time. Use of second-generation antipsychotics may also lower the risk for TD. In addition, clinicians should conduct a baseline evaluation of abnormal movements (eg, the AIMS) and continue to monitor for TD throughout treatment, so that treatment can be changed if involuntary movements emerge. Intermittent treatment should be avoided, as this has been associated with an increased risk for TD.

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