Discussing the Risk of Tardive Dyskinesia With Patients and Screening for Signs.

J Clin Psychiatry

University of North Carolina, Chapel Hill, and the Mood Disorders Clinic, Cone Family Practice Center, Greensboro, North Carolina, USA.

Published: June 2019

Your patients taking antipsychotics may be at risk for developing tardive dyskinesia. In this Case and Comment activity, follow Martha, a 60-year-old woman being treated with an antipsychotic medication for her treatment-resistant depression.

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Source
http://dx.doi.org/10.4088/JCP.NU16048CC1CDOI Listing

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Background: Despite efforts to visualize all the movements of tongue and oropharynx in individuals with focal movement disorders (specifically tardive dyskinesia (TD)), clinicians can miss the complete picture and additional tools may be required to reach an accurate diagnosis.

Cases: We present three cases with TD where ultrasound assisted in diagnoses. These individuals had difficulty swallowing and abnormal sensations in the tongue, which remained undiagnosed until we performed ultrasound of oropharynx which allowed for characterization of these movements.

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