00:00
When you think about these
extrapyramidal symptoms (EPS),
these are disorders that come because the
person is taking antipsychotic medications.
00:14
You have tardive
dyskinesia as well.
00:18
And so when we're thinking about
them, we have this dystonia,
which are spasms
and contractions.
00:25
So you might see like people are
talking to you, and all of a sudden,
you see that they have some
sort of spasm or contraction,
and they don't have
control over them.
00:37
These are Automatic Involuntary
Movements, A-I-M-S (AIMS).
00:45
Akathisia or is restlessness
and constant movement.
00:49
So one time,
one of my patients explained to me
that it felt like someone
had taken a helium balloon
and release the helium
inside of his body.
01:01
And so it was like, it was a constantly
feeling of movement inside of their body.
01:10
They may have a parkinsonism-
rigidity in the way they move,
or they may have
that shuffling gait.
01:18
They may have Bradykinesia,
or movements that are exceptionally slow.
01:24
And you kind of think that
they're walking through water,
the way they're moving.
01:29
And it's not that they're
doing it on purpose.
01:32
These are Automatic
Involuntary Movements (AIMS),
keep it in your mind,
you're not doing it on purpose.
01:43
Tremors, and sometimes
you'll see it in the hands.
01:47
Sometimes you might see
it in the whole arm,
you might see it in the leg.
01:53
Sometimes you'll see it
just in their jaw.
01:59
But you have to be
watching your patients
in order to be able to see
some of these symptoms.
02:05
And then there's the
tardive dyskinesia,
the different types of
movements that again,
automatic and involuntary.
02:20
So these are uncontrollable
irregular movements
in my head affect the tongue or
the face or the upper bodies.
02:28
It might be the hands,
the arms or the legs.
02:31
And when we see tardive
dyskinesia, it's already very late,
we've missed the
smaller symptoms,
because remember,
tardive dyskinesia can't be reversed.
02:44
They might have unintentional blinking,
or like I was just showing you
these tongue movements,
like they're talking to you.
02:56
And then all of a sudden,
they protrude a tongue.
02:59
It's not what they
want to be doing,
or they're talking to you and their
eyes are blinking uncontrollably.
03:06
They also might have
some difficulty speaking.
03:09
Now, if you consider the fact that
already from the disease that they have,
and the impact that disease
has on their thoughts.
03:19
They're now having a
body muscle impairment,
that is furthering this inability
to communicate with speech.
03:30
They also might not be able to understand
the speech that they're hearing.
03:35
Of course, if they have tremors, and if
they're having difficulty in movement,
the idea of reading or writing
becomes very, very difficult for them.
03:48
And think about eating,
think about lifting
a hot cup of coffee
if your hands shake.
03:56
Think about trying to go out
to dinner and cut some steak
if you're unable to
coordinate your movements.
04:04
Think about putting food in your
mouth if you don't have control
over where your
tongue is going to go.
04:13
Putting food in your mouth and
suddenly digging
your tongue out.
04:19
It's really,
tardive dyskinesia is really,
it makes such a negative
impact on a human beings life.