The NP and PA Leaders of The POCN Psychiatry Center of Excellence

POCN’s Psychiatry Center of Excellence is curated by NPs and PAs who review the latest content and select only the information and resources that are most useful to NPs and PAs. They also provide their own unique points of view on the latest news and best practices in treating psychological disorders and related diseases.

Carmen Kosicek, MSN, PMHNP-BC

CEO, Founder and PMHNP Prescriber of Alay Health Team/Alay Psychiatry

Psychiatric and Buprenorphine Prescribing Provider caring for children through adults via onsite and tele psych.

Jeremy Schreiber,

MSN, PMHNP-BC

Founder, CEO, and PMNHP of Enlighten Health Care

In addition to his busy practice, Jeremy is a nationally recognized educator, speaker, and advocate for psychiatric providers and their patients.

Michael Asbach,

DMSc, PA-C, Psych-CAQ

Associate Director, Interventional Psychiatry, DENT Neurologic Institute

Michael Asbach is a Doctorally trained Psychiatric Physician Assistant at DENT Neurologic Institute.

Amber R. Hoberg, PMHNP

Psychiatric Mental Health Nurse Practitioner, Morningstar Family Medicine

Amber contributes to research and authors recommendations from a consensus panel of TD experts that had generated best practices for assessing the impact of TD in clinical practice.

Tardive Dyskinesia: More than Skin Deep

Despite the recent availability of safe and effective treatments for Tardive Dyskinesia, many healthcare providers remain hesitant to use them. They may believe that TD does not bother those who suffer from it or feel that the impact of TD pales in comparison to the primary symptoms they are treating, such as psychosis or mania. My experience is that some clinicians just don’t realize that the involuntary movements can cause physical, emotional, and interpersonal problems.

PERSPECTIVES

Dr. Rakesh Jain on tardive dyskinesia guidelines from HMP on Vimeo.

Voices of Tardive Dyskinesia - Designer's Cut from Diego Coutinho on Vimeo.

PATIENT RESOURCES

Features of the disorder may include:

  • Frowning
  • Tongue sticking out
  • Lip smacking
  • Puckering and pursing of the lips
  • Rapid eye blinking
  • Rapid movements of the arms, legs, and trunk may also occur.

Approximately 60 to 70 percent of the cases are mild, with about 3 percent being extremely severe.

Severe cases may involve problems such as difficulty swallowing, speech interference, disfigured facial features, and breathing trouble.

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