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August 22, 1986

Tardive Dyskinesia and Informed Consent

JAMA. 1986;256(8):1000-1001. doi:10.1001/jama.1986.03380080046018

To the Editor.—  Dr Glass and Mr Arkin1 provided important guidelines in their response to Dr Schnee's question regarding tardive dyskinesia and informed consent. An issue that was not addressed by any of the individuals is the inappropriateness of having a psychiatric patient discharged from a hospital, whether this be a private or state mental health facility, if he or she has never been informed of the risks of tardive dyskinesia. Indeed, the need to educate patients regarding the longterm risk of tardive dyskinesia is one that is certainly a necessity and in most instances is best performed by the psychiatrist initially treating the patient.As consultant to an adolescent day program and director of an adolescent inpatient unit, I insist that all patients be fully educated regarding the side effects of their medications. Given the age of these patients, the families are always included either separately or jointly in