Extra Pyramidal Side Effects (EPSE) Examination - Tardive Dyskinesia

[@MICKEYISLOWD]

If only every doctor was this passionate about their patients and work ethic as this doc is. Wonderful job.

[@anubhavjha854]

Ive been suffering from residual schizophrenia for 10 years. I was prescribed clozapine from my doctor and Im completely fine. I feel extremely happy and Im filled with joy all the time.

[@notatrollll]

Awesome! Sometimes you have to try a few out before one works. Newer antipsychotics have been more successful with less harmful side effects. Unfortunately it’s far from a perfect process and we are still learning so much.

[@PsychiatrySimplified]

Thanks for sharing your personal experience . That is good to know.

[@drlovie]

hope this young man is better. thank you

[@kristincarmichael6377]

Actor.

[@mansakonko7777]

Actors...really? I work in psychiatry and was convinced this was an actual medication review! Awesome piece of work.

[@drlovie]

Wow! I thought so too. Great work:)

[@anon1068]

What convinced you

[@momijisohma3246]

If this was real, the patient would be 50 pounds overweight. Never seen anyone this thin on psych meds

[@123________]

No one seems to tell patients that are taking anti no one seems to tell patients that of taking antipsychotics but they actually get more receptors in their brain from the antipsychotics and become sensitive to Doberman over time so they're more likely to have more episodes of psychosis even though they're compliant with their medication

[@kabindraification]

one of the best video i have seen so far.. . .please make few more such videos. thanks

[@PsychiatrySimplified]

Thank you! We have created a number of videos on this channel. We also have psychinterview.com for interviewing and examination videos

[@niseyedwards2650]

This is exactly what happened to me on a trial of Buspar. No doctor could diagnose me, in spite of me telling them it started after taking Buspar. I am no longer taking any meds, but sadly, still experience the side effects: jaw movements, movements in hands/fingers and my gait was affected. Anyone else have a reaction to Buspar?

[@PsychiatrySimplified]

Sorry to hear. Please see a doctor to investigate. It can happen as a side effect - not common but possible.

[@fmango]

I had it for Abilify, up until now, almost two years later I get days of inmense anxiety and restlessness, and facial ticks and twitches. It usually keeps me up, and it's not that frecuent, but it doesn't go away completely

[@desnw5631]

The doc knows his stuff. Thanks for sharing. Subscribing now!

[@nadeeraattanayake8562]

Very good and very clear from drs side

[@kristianmuus5672]

A very respectfull examination. Good video.

[@familylifescienceeducation5227]

The best. No contest.

[@maheenzehra1630]

Please keep coming up with such videos!

[@PsychiatrySimplified]

We have other videos on this channel. For interviewing and examination skills in psychiatry we do have psychinterview.com

[@Mcrochev1994]

Excellent video.

[@yeganehghalichebaf6067]

Excellent video

[@raheelshafi882]

Very informative.

[@aminrashid2469]

Simply outstanding

[@ohh338]

wow, so how to safely reverse this without any side effects because I'm tired:(

[@maheenzehra1630]

Absolutely love this one!

[@thepsychclinic1398]

Short history, organicity, substance abuse. On haloperidol for 3yrs. Inspection. Do you have any problem in chewing, jaw pain, cramps any dental problem, denture, any cramps, abnormal restlessness, movement observed by you or anyone else. observe. Tongue inside tongue outside. Finger counting. Tone. Any stiffness, tremers. Arm swing. Gait.

[@PsychiatrySimplified]

Thank you

[@gopigopicopyrider8247]

Nice evaluation

[@sheilafitzgerald478]

Hi, I was taking wellbutrin for a while but using it improperly (under and over dosing myself and taking it inconsistently when you’re specifically supposed to take it consistently). I did this due to adhd and I thought it was a good method for me. I now think I am experiencing symptoms of tardive and that really freaks me out and I don’t know what I should do because the wellbutrin really DOES help my mental health, I’m so much more depressed without it and if I had to stop taking it forever that would be heartbreaking :/ I’ve started taking it more regularly now that I’ve learned my lesson about proper use but still have tardive symptoms :( my friends say I should stop fully, but I want to be able to get back on it in the near future since it helps my depression SO much. What should I do? And if I stop fully will I be able to get back on it in the future without “reigniting” the tardive?

[@joshualamberth3812]

Yo, I'm not a dr just personal experience, if you feel the Wellbutrin helps, talk to your doctor about taking a lower dosage. Quitting cold-turkey could exascerbate your TD symptoms. Each medication comes with its own neat little withdrawal effects too! Quitting or changing meds should also involve your doctor as ideally WD can be avoided by tapering your medication downward over time. Hope this helps!

[@jodi-annedavidson5348]

Very helpful. Thank you!

[@PsychiatrySimplified]

Thanks for the feedback 🙏

[@gopigopicopyrider8247]

They don't examin in this detail in India.

[@abbiesagastume2990]

super helpful thank you!

[@mickfizz1]

so why does this man have the diagnosis of schizophrenia, IF he does not meet the DMS IV criteria? He should not be on the haldol /haloperidol (serenace) ... it is best for him to trial an atypical antipsychotic such as resperidone (olanzapine), IF he really needs to be on any of them at all. What is the evidence for psychosis here in this man ? How common is it for cogentin (benztopine) to also cause some degree of EPS such as TD, when it in itself is often used to help reduce TD in persons on typical antipsychotic meds ?

[@PsychiatrySimplified]

When patients are on medication they have residual symptoms and may not meet full criteria. This man is an actor. Other atypical antipsychotics may be preferable in his case. You are correct - cogentin can lead to tardive dyskinesia. Nowadays valbenazine or deutetrabemazine is available for TDs. Read more here psychscenehub.com/psychinsights/extrapyramidal-movement-disorders-antipsychotics-epse/

[@borsalinho]

Dear Sirs, thanks. In Germany in 2021, valbenazine is not being allowed in germany. The local bavarian clinics partly still prescribe Halodiperol... I got my TDs from an overdose of Eli lilly's Zyprexa (TM). The doctor tried me to get rid of those dyskenesia I got from the maximum dose of zyprexa. He wouldn't believe me I was not ill. We have this sometimes in Bavaria, germany. Psychiatry ain't a big strength even on the most renowned psychiatries in Bavaria county, gemany... It makes me havon trouble w/ police and authorities as well as w/ employers (I am mechanical engineer and am giving lessons on emgineering. I worked as a scientist for engineering and Miss it a bit :-) India is a strong competitor). Kindest of regards Alex Dipl.ing.b At Gmail Da Com .

[@jessewru6425]

😐😐😐😑😶😂 😂 "Fortyy..fiftyyyy-two? packs." Great video btw

[@Maven0666]

Austedo for side effects of td.

[@johnbates-xc2ly]

Shame their is no help for TD in wales just have to self medicate

[@biomedicDE]

so.. which one of the treating options would you recommend?

[@PsychiatrySimplified]

Risk benefit analysis after discussion with patient. Here is an article psychscenehub.com/psychinsights/extrapyramidal-movement-disorders-antipsychotics-epse/

[@gopigopicopyrider8247]

Time to whithdraw meds doc.

[@PsychiatrySimplified]

Risk benefit analysis - correct. Treat side effects but ensure he doesn't relapse

[@gringo1965able]

They have succeeded in making him a zombie. -- If I can see it, anybody can.

[@PsychiatrySimplified]

He is a good actor