My Guide

Thank you for completing the TD doctor discussion guide

Take a moment to review the summary of your answers below with a family member or friend. If you would like to change a response, hit the “start over” button. When you’re ready, you can access a copy of your guide to take to your next appointment by either emailing it to yourself or downloading and printing it.

Question 1:

Where do you experience involuntary body movements such as twitching, shaking, or jerking?1

Select all that apply:

silhouette indicating parts of the body where involuntary movements happen: face, torso, hands, feet.

Question 2:

Do you experience any of the following other types of involuntary movements?1

Select all that apply:

Question 3:

How often do you experience these involuntary movements?1,2

Please select one:

Question 4:

Do you have trouble with any of these daily activities?1-3

Select all that apply:

Speaking or being understood by others.
Reading or writing.
Cutting your food or holding a drink.
Walking (problems with balance or coordination)

Question 5:

Do your movements make you feel self-conscious around others, including family and friends?1,3

Please select one:

Question 6:

Do you experience any of the following because of your involuntary movements?1-3

Select all that apply:

Stress
Embarrassment
Isolation
Pain and Discomfort.
Sleep Loss

Don’t forget to print or email your guide and take it to your next appointment.

Whether it’s in person or through telemedicine, start a conversation about your TD symptoms and treatment with your doctor.

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References: 1. Warikoo N, Schwartz T, Citrome L. Tardive dyskinesia. In: Schwartz TL, Megna J, Topel ME, eds. Antipsychotic Drugs: Pharmacology, Side Effects and Abuse Prevention. Nova Science Publishers, Inc; 2013:235-258. 2. Waln O, Jankovic J. An update on tardive dyskinesia: from phenomenology to treatment. Tremor Other Hyperkinet Mov (N Y). 2013;3:tre-03-161-4138-1. Published online July 12, 2013. doi:10.7916/D88P5Z71 3. Sharing the impact of tardive dyskinesia. National Alliance on Mental Illness website. Accessed August 11, 2020. https://notalone.nami.org/post/97568253959/sharing-the-impact-of-tardive-dyskinesia