VIDEO: Optimizing care coordination with a multidisciplinary approach for patients with TD

Editor’s note: This is a previously posted video, and the below is an automatically generated transcript to be used for informational purposes. Please notify iwaters@healio.com if there are concerns regarding accuracy of the transcription.

TD is definitely a multidisciplinary disease. I would say it's a neuropsychiatric disease. So, patients who have this condition oftentimes have a psychiatric background but have neurologic complications of their psychiatric treatment. And I think the psychiatrist and the neurologists have to work hand in hand to try to figure out what is the best course of action, which is not always simple. You know, mental illness in my mind takes precedence. And sometimes, as much as we would like to reduce the dose or switch the agent of the anti-psychotic that a patient is taking, sometimes I realize that it's just not feasible. So I think it's really important that there is that open communication between the neurologist and that psychiatrist such that between the two, they can come up with, A: plan of action. B: the addition of one of the new agents, like I mentioned before, or the reduction of those, of the antipsychotic, or switching to one of the antipsychotics that we as neurologists prefer. Usually those are quetiapine and clozapine as the agents that we think are the least offending, or not offending at all, in the emergence of tardive dyskinesia, and maybe adding one of the other medications that I was mentioning before that can also help treat the symptoms, even if they include botulinum toxin injections, but that all does require coordination of care. And, and I think to have one physician to care for everything, it's probably not realistic and not in the patient's best interest. I think it's in the patient's best interest to have their psychiatrist who will basically look at the control of the psychiatric symptoms, but also to have the neurologist who will focus more on how to minimize or stop the movements.