Extra Pyramidal Side Effects (EPSE) Examination - Tardive Dyskinesia

Extra Pyramidal Side Effects (EPSE) Examination - Tardive Dyskinesia: EPSE examination based on the gold standard Abnormal Involuntary Movement Scale. Present your findings to the examiner succinctly and describe the management of tardive dyskinesia. The slides outline the management of EPSE.
Read more about the examination and management of EPSEs - psychscenehub.com/psychinsigh...

Пікірлер: 57

  • @MICKEYISLOWD
    @MICKEYISLOWD Жыл бұрын

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

  • @anubhavjha854
    @anubhavjha8544 жыл бұрын

    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

    @notatrollll

    3 жыл бұрын

    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

    @PsychiatrySimplified

    2 жыл бұрын

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

  • @mansakonko7777
    @mansakonko77774 жыл бұрын

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

  • @drlovie

    @drlovie

    4 жыл бұрын

    Wow! I thought so too. Great work:)

  • @anon1068

    @anon1068

    3 жыл бұрын

    What convinced you

  • @momijisohma3246

    @momijisohma3246

    Жыл бұрын

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

  • @maheenzehra1630
    @maheenzehra16304 жыл бұрын

    Absolutely love this one!

  • @kristianmuus5672
    @kristianmuus56726 жыл бұрын

    A very respectfull examination. Good video.

  • @drlovie
    @drlovie6 жыл бұрын

    hope this young man is better. thank you

  • @kristincarmichael6377

    @kristincarmichael6377

    3 жыл бұрын

    Actor.

  • @desnw5631
    @desnw56314 жыл бұрын

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

  • @maheenzehra1630
    @maheenzehra16304 жыл бұрын

    Please keep coming up with such videos!

  • @PsychiatrySimplified

    @PsychiatrySimplified

    4 жыл бұрын

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

  • @kabindraification
    @kabindraification7 жыл бұрын

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

  • @PsychiatrySimplified

    @PsychiatrySimplified

    4 жыл бұрын

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

  • @aminrashid2469
    @aminrashid24696 жыл бұрын

    Simply outstanding

  • @nadeeraattanayake8562
    @nadeeraattanayake85625 жыл бұрын

    Very good and very clear from drs side

  • @abbiesagastume2990
    @abbiesagastume29904 жыл бұрын

    super helpful thank you!

  • @123________
    @123________5 жыл бұрын

    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

  • @familylifescienceeducation5227
    @familylifescienceeducation52272 жыл бұрын

    The best. No contest.

  • @yeganehghalichebaf6067
    @yeganehghalichebaf60674 жыл бұрын

    Excellent video

  • @jodi-annedavidson5348
    @jodi-annedavidson53484 жыл бұрын

    Very helpful. Thank you!

  • @PsychiatrySimplified

    @PsychiatrySimplified

    3 жыл бұрын

    Thanks for the feedback 🙏

  • @raheelshafi882
    @raheelshafi8825 жыл бұрын

    Very informative.

  • @Mcrochev1994
    @Mcrochev19946 жыл бұрын

    Excellent video.

  • @gopigopicopyrider8247
    @gopigopicopyrider82474 жыл бұрын

    Nice evaluation

  • @jessewru6425
    @jessewru64254 жыл бұрын

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

  • @niseyedwards2650
    @niseyedwards26504 жыл бұрын

    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

    @PsychiatrySimplified

    4 жыл бұрын

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

  • @fmango

    @fmango

    3 жыл бұрын

    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

  • @thepsychclinic1398
    @thepsychclinic13982 жыл бұрын

    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

    @PsychiatrySimplified

    Жыл бұрын

    Thank you

  • @sheilafitzgerald478
    @sheilafitzgerald4783 жыл бұрын

    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

    @joshualamberth3812

    2 жыл бұрын

    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!

  • @Maven0666
    @Maven06666 жыл бұрын

    Austedo for side effects of td.

  • @ohh338
    @ohh3387 жыл бұрын

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

  • @biomedicDE
    @biomedicDE4 жыл бұрын

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

  • @PsychiatrySimplified

    @PsychiatrySimplified

    4 жыл бұрын

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

  • @mickfizz1
    @mickfizz14 жыл бұрын

    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

    @PsychiatrySimplified

    4 жыл бұрын

    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

    @borsalinho

    3 жыл бұрын

    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 .

  • @gopigopicopyrider8247
    @gopigopicopyrider82474 жыл бұрын

    They don't examin in this detail in India.

  • @johnbates-xc2ly
    @johnbates-xc2ly Жыл бұрын

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

  • @gopigopicopyrider8247
    @gopigopicopyrider82474 жыл бұрын

    Time to whithdraw meds doc.

  • @PsychiatrySimplified

    @PsychiatrySimplified

    4 жыл бұрын

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

  • @gringo1965able
    @gringo1965able5 жыл бұрын

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

  • @PsychiatrySimplified

    @PsychiatrySimplified

    4 жыл бұрын

    He is a good actor