How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Kaushik Your Own Question

Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4087
Experience:  MD Psychiatry
9385906
Type Your Mental Health Question Here...
Dr. Kaushik is online now
A new question is answered every 9 seconds

Hello, my wife is 40 years old and has a long history of schizophrenia.

Resolved Question:

Hello, my wife is 40 years old and has a long history of schizophrenia. She has been on almost all the newer antipsychotic meds and at least one {TRILOPHON} older one . I have a serious concern and I am not sure where to go for an answer. My wife was taking 80 mg of GEODON last summer after a hospitalization when her lower jaw started moving from side to side without her being able to control it. Her doctor at that time lowered it to 60mg but it did not help. This concerned me because I am aware of the tardive dyskinesia that can be caused my meds. My wife got sick again and I had a new doctor switch her to a new med because I was concerned. After 6 weeks in the hospital the movements come back. She was taking 30 mg ABILIFY and 10 mg ZYPREXA. Her med have been slowly decreased to 5 mg of ABILIFY and 10 mg of ZYPREXA. but there is no change. Her dr. says the alternative of taking her off her meds is worse. Is this common and what can I do, I don't want this to be permanant. Thank you.
Submitted: 5 years ago.
Category: Mental Health
Expert:  Dr. Kaushik replied 5 years ago.

Hi there ,

 

Welcome to Just Answer !

 

Well, i am really sorry to know about the condition of your wife and all the mental trauma you and your wife have been going through.

 

Now, before any thing else, i must tell you that those movements of her jaw from side to side , as you suspected are a part of Tardive dyckinesia( involuntary repetitive movements) which is a side effect of ANTIPSYCHOTICS , and in her case although she has been placed on atypical anti psychotics which are shown to have a lesser predisposition to this side effect , but the fact that she has been placed on 3 Anti psychotics , all of which can cause this side effect, answers the question quite well, as to why she developed tardive dyskinesia in the first place, but also to mention that it is not uncommon though , in cases of people who have been on antipsychotics for a long duration.

 

And what amazes me is that besides using 3 anti psychotics , the psychiatrist has not even thought of placing her on a mood stabilizer such as Lithium or valproate or carbamazepine, which themselves act as good anti psychotics and are very much needed in Schizophrenia for not only stabilizing mood swings but also as adjuvants to treat and prevent psychoses , and donot cause tardive dyskinesia.

 

Now , coming to the present problem , well the usual convention in treatment, in such a case of schizophrenic patient who has developed tardive dysknesia as a side effect to the use of anti psychotics , is to STOP ALL THE PSYCHIATRY DRUGS , and if the schizophrenic symptoms are bothering enough then let the patient to be placed on only 1 Mood stabilizer such as lithium or valproate or carbamazepine,but it should be low to moderate dose and preferably lithium to be used . Since Tardive dyskineia is self limiting and after stopping all the anti psychotics which are nothing but precipitants of it, the tardive dyskinesia will slowly resolve , and once it is no longe there the psychiatrist shall start on anti psychotics again.

 

So, i suggest that in your wife's condition ask her Psychiatrist to stop all the psychiatry drugs , that is the two antipsychotics -- Abilify and Zyprexa , and any other drug , let only her be placed on lithium or valproate all this while , and once her tardive dyskinesia resolves , she again may be started on anti psychotics , but it will be better if she is placed on 1 anti psychotic such as Zyprexa ( olanzapine) or risperdal ( risperidone) or clozapine , as these anti psyhotics have lesser propnsity for causing tardive dyskinesia, and along with this antipsychotic, THE MOOD STAILIZER IS TO BE CONTINUED.

 

I wish your wife rapid recovery to the best of health.

 

I hope my answer serves your query according to your satisfaction.

 

Regards....

Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4087
Experience: MD Psychiatry
Dr. Kaushik and other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 
Chat Now With A Mental Health Professional
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
3761 Satisfied Customers
MD Psychiatry