Doctor Discussion Guide
You are not alone! Within the last year,* the Doctor Discussion Guide has been downloaded over 4000 times.
Take an important first step right now by filling out our Doctor Discussion Guide for your next appointment in person, over the phone, or online.
*Source: Google Analytics 4. January 1, 2025–August 31, 2025.
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If you prefer, download a blank Doctor Discussion Guide instead:
Download English Guide |
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This discussion guide is for your personal use and to help you talk to your healthcare provider about your uncontrollable body movements.
This website will not save your information, nor share any information with Neurocrine Biosciences, Inc.
Your results:
All set! As a next step, save this guide to your computer or mobile device, or email it to yourself to discuss with your healthcare provider.
1. I have uncontrollable movements of my:
[check all that apply]
Face/Jaw
Mouth/Tongue
Torso
Arms/Hands
Legs
Feet/Toes
2. I have taken medication(s) for my mental health for:
Less than 3 months
3 months to 1 year
1 year or longer ago
3. I first noticed my uncontrollable movements:
Less than 3 months ago
3 months to 1 year ago
1 year or longer ago
4. My uncontrollable movements impact my daily routine:
Not at all
Somewhat
A lot
5. My uncontrollable body movements have impacted my life in the following ways:
Physical impact (eg, household activities, sleeping, writing, typing):
Social impact (eg, personal relationships, employment):
Emotional impact (eg, frustration, anxiety, worry):
6. Some health issues in my medical history include:
[check all that apply] (These may be important for your doctor to know when choosing the right treatment)
Diabetes
High blood pressure
High cholesterol
Alcohol or substance use
Heart disease or recent heart attack
Heart rhythm problems
Liver or kidney problems
Other
7. When it comes to taking medicines, I prefer something that is:
[check all that apply]
Taken once a day
Taken with or without food
Taken any time of day
Simple to start/get to effective dosage (low or no dose adjustments)
Able to be sprinkled on food (vs swallowed whole)
Other
8. Some other questions or concerns I have about TD treatment:
[check all that apply]
How long it takes to work
Any potential side effects
Prescription cost and coverage
If I can take it with my other medications
Other
9. Additional questions I have:
If you prefer, download a blank Doctor Discussion Guide instead:
“Being heard. Being diagnosed, and being prescribed a medication that could help me was a game changer.”
Individual results may vary
– Davitria, living with bipolar disorder and tardive dyskinesia
Davitria was compensated by Neurocrine Biosciences, Inc. to share her story
You are not alone—Help may be closer than you may think.
There are over 25,000 neurologists, psychiatrists, and advanced-practice healthcare providers who have experience with diagnosing and treating TD.†
