Tardive Dyskinesia: An Antipsychotic Side Effect that Has Not Gone Away

CASE PRESENTATION
An 82-year-old woman was referred for psychiatric evaluation by her primary care physician. Mrs. C was accompanied by her 86-year-old husband. She has suffered from dementia of the Alzheimer’s type for the past six years. Her husband has been her primary caregiver, with some assistance from the couple’s son and daughter-in-law, who live nearby. Mrs. C sat quietly next to her husband in the waiting room, but on observation displayed prominent movements of her lips and jaw, as well as restless and jerky movement in her arms and legs.

Mr. C is a very reliabl...