Tardive Dyskinesia- 76-year-old woman with tardive dyskinesia and associated oral pain, showing tongue and mouth movements, bridling, and blepharospasm

This video features a brief clip from an HCP-patient interaction and is not a complete formal exam.

MIND-TD Questionnaire (Partial)

Look for movements in the face:

Tardive dyskinesia

  • Increased blinking
  • Brow Wrinkling
  • Chewing/sucking
  • Mouth opening/closing
  • Grimacing
  • Tongue protrusion/darting
  • Bonbon sign
  • Lateral jaw movement

Drug-induced parkinsonism

  • Decreased blinking/reptilian stare
  • Tremor in jaw or tongue
  • Decreased facial expression
  • Mouth hanging open
  • Drooling

Look for movements in the neck and trunk:

Tardive dyskinesia

  • Rocking/jerking
  • Arching backward
  • Head nodding/dropping
  • Irregular respiration

Drug-induced parkinsonism

  • Stooped posture
  • Shuffling gait
  • Slowness
  • Muscle rigidity

Look for movements in the extremities:

Tardive dyskinesia

  • Piano/guitar-playing fingers
  • Wriggling
  • Tapping
  • Sustained postures

Drug-induced parkinsonism

  • Tremor
  • Muscle rigidity
  • Slow finger-to-thumb movements

The completed portions of the MIND-TD Questionnaire that accompany this video are taken from sections of the questionnaire and do not represent the screening tool in its entirety.

The MIND-TD Questionnaire is intended to facilitate a dialogue about abnormal movements with patients at risk for TD. Diagnosis of TD should be based on the patient’s medical history, their symptoms, and the clinician’s best judgment.