Doctor Discussion Guide

Take an important first step right now by filling out our Doctor Discussion Guide below for your next appointment in person, over the phone, or online.

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Indicate where you have uncontrollable body movements. [check all that apply]
Regions/Areas affected by tardive dyskinesia, Icon
How long have you been taking medication(s) for your mental health condition?
When did you or a loved one first notice your uncontrollable body movements?
How impactful are uncontrollable body movements on your daily routine?
Please note all of the ways in which uncontrollable body movements have impacted your life. [check all that apply]
How likely are you to consider treatment for uncontrollable body movements with a one-capsule, once-daily treatment that allows you to stay on most mental health medicines?

If you prefer, download a blank Doctor Discussion Guide instead.

This discussion guide is for your personal use and to help you talk to your healthcare provider about your uncontrollable body movements.

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Your results:

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Your uncontrollable body movements occur in:

You have been taking medication(s) for your mental health condition for:

You or a loved one first noticed your uncontrollable body movements:

Your uncontrollable body movements are this impactful on your daily routine:

The ways in which uncontrollable body movements have impacted your life are:

The likeliness you would consider treatment for uncontrollable body movements with a one-capsule, once-daily treatment that allows you to stay on most mental health medicines:

Additional ways that you or loved ones have noticed uncontrollable movements affecting you:

If you prefer, you can download a blank version instead.

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Ready to take the next step?
Find a specialist.

You’ve worked hard to improve your mental health. Don’t let uncontrollable movements hold you back.

Take an important step forward by connecting with a psychiatry or neurology healthcare provider who has experience diagnosing and treating TD.

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