Manifestations of TD

The movements usually disappear during sleep, although I have seen exceptions. They sometimes can be partially suppressed by willpower, frequently are made worse by anxiety or tiredness, and can vary from time to time (see subsequent discussions). 

Many cases of TD appear to be relatively mild, often limited to movements of the tongue, mouth, jaw, face, or eyelids. Nonetheless, they are frequently disfiguring and often embarrassing. Patients have been known to commit suicide (Yassa et al., 1985). 

Ironically, the disease makes the patient look very crazy because of the seemingly bizarre facial and bodily movements. Tragically, this has often led to patients being treated more vigorously with neuroleptics, ultimately worsening their TD. 

As in other neurological disorders, the patient may attempt to hide the disorder by adding voluntary movements to the involuntary ones to disguise them. For example, to cover up a tendency to move the arms continually, the patient may make grooming movements around the face 

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As in many neurological disorders, the manifestations of TD can worsen during stress and can be somewhat calmed with sedation (Jeste... 

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