This training reviews the recognition, differential diagnosis, and management of movement disorders encountered in psychiatric practice. It covers focused neurological examination, abnormal movements associated with psychiatric conditions, medication- and substance-induced syndromes, and neuropsychiatric symptoms linked to Parkinson’s disease, Lewy body dementia, progressive supranuclear palsy, and Huntington’s disease. The session emphasizes distinguishing similar presentations, monitoring treatment effects, and selecting appropriate interventions for acute, chronic, and tardive movement disorders.

Key points and strategies include:

• Identifying tremor, dyskinesia, dystonia, chorea, tics, gait abnormalities, and psychomotor changes during psychiatric assessment.
• Differentiating primary psychiatric movement abnormalities from medication-induced, substance-related, and neurological movement disorders.
• Applying focused examination techniques involving eye movements, muscle tone, coordination, gait, and standardized movement screening.
• Evaluating acute and chronic drug-induced syndromes, including akathisia, dystonia, parkinsonism, neuroleptic malignant syndrome, and tardive dyskinesia.
• Selecting appropriate management strategies, including medication adjustment, symptomatic treatment, VMAT2 inhibitors, monitoring, and specialty referral.

These recordings of the Department of Mental Health (DMH) Quarterly Psychiatrists’ Meeting (QPM) are restricted. They are provided specifically for DMH psychiatrists who missed and/or want to review the quarterly meeting.