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EPS: A Guide to Prevention, Recognition and Treatment in the Era of Atypical Antipsychotics is a self-instructional activity consisting of a 38-minute videotape, a 10,000 word monograph and a post-test for CME credit. The video and monograph are divided into four sections: |
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Acute Dystonia presents two cases from Dr. Friedman's videotape archive: a young man who experienced generalized facial, oral, vocal and truncal spasms (or dystonia) after taking a single dose of a medication he had "borrowed" from a friend; and a middle-aged woman treated for gastrointestinal disease with a dopamine-blocking agent who came to the emergency room with painful spasms in her mouth and jaw. |
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Akathisia includes video of patients with varying degrees of what is arguably the most troubling form of EPS. The program explains why a lack of counseling about the risk of akathisia can put patients at risk of suicide. |
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Parkinsonism is the most common form of EPS. Case examples include a group home resident who is unaware of her slowness, patients treated with atypicals, and a young woman concerned that her stiffness and lack of apparent affect were making it impossible for her to find competitive employment. |
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Tardive Dyskinesia remains a concern even with the newer medications. Case examples include a woman with a 30-year history of TD whose symptoms partially respond to treatment, a young man whose TD was thought to be a manifestation of his tic disorder, and a woman with subtle oral movements. The section includes diagnostic and management strategies and explains why patients with early TD need a deliberate approach. |
