Tardive Dyskinesia: How Stress Affects Symptoms

How Reducing Stress Can Help Ease Tardive Dyskinesia Symptoms

How Reducing Stress Can Help Ease Tardive Dyskinesia Symptoms
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Tardive dyskinesia is a neurological condition that causes involuntary repetitive movements, most often affecting the face, mouth, tongue, or limbs. It typically develops as a side effect of certain medications, such as antipsychotics or anti-nausea drugs. Symptoms frequently include grimacing, lip-smacking, rapid blinking, tongue protrusion, and jerky finger or pelvic motions.

 This movement disorder affects an estimated 750,000 people in the United States.

Research shows that the mean prevalence of tardive dyskinesia among people treated with antipsychotics is approximately 20 to 25 percent, though some reports note rates ranging from 15 to 50 percent. While typical antipsychotics carry a higher risk than atypical ones, they’re not the only cause. Tardive dyskinesia and other tardive syndromes can also be caused by anti-nausea medications, certain antidepressants, and some anti-Parkinson agents.

How Stress Impacts Tardive Dyskinesia

Tardive dyskinesia is what’s known as a hyperkinetic movement disorder. Like the movement disorders chorea and tremors, it’s characterized by excessive involuntary movements and can be made worse by stress.

“When people are upset, agitated, or have heightened emotions or stress, their tardive dyskinesia movements get worse,” says Jessica Tate, MD, a specialist in movement disorders at Atrium Health Wake Forest Baptist in Winston-Salem, North Carolina.

What’s more, she adds, stress can be a “very common complaint” among patients with the condition.

Indeed, stress and tardive dyskinesia can sometimes create an unfortunate cycle. Stress can make symptoms worse, which can bring additional distress or social embarrassment and further exacerbate unwanted movements, Dr. Tate notes.

The reverse can also be true. “I have had people with tardive dyskinesia and other movement disorders who have experienced an improvement in symptoms and quality of life when they find strategies to manage or reduce stress,” she says.

Tate recalls a patient in a high-stress occupation who struggled with unwanted movements. “He was close to retirement, and once he stopped working, it made a world of difference in his symptoms, because it reduced his stress level so much,” she says.

Although most of us can’t stop working or eliminate stressors, it does show that there can be a real connection among stress and tardive dyskinesia, Tate adds.

Take Steps to Reduce Stress and Ease Tardive Dyskinesia Symptoms

Research on stress and tardive dyskinesia is limited, but it’s a good idea to try lifestyle habits traditionally associated with lowering stress levels, she says.

Try Mindfulness and Meditation

These relaxation techniques “have been effective in improving symptoms and quality of life,” Tate says. One study found that people who completed four weeks of mindfulness-based cognitive therapy and stress reduction saw improvements in their tardive dyskinesia symptoms during sessions and afterward.

Mindfulness activities, such as breathwork or walking meditation, focus your attention on the present moment and help prevent you from worrying about the future. Meditation may also help activate your parasympathetic nervous system (the “rest and digest” mode).

Consider Cognitive Behavioral Therapy

If the social stigma of having involuntary movements is causing you distress, working with a mental health professional can be beneficial. Cognitive behavioral therapy is designed to help you identify and address negative thought patterns. Reframing these thoughts can lower your perceived stress in public spaces and mute the anxiety that often triggers tardive dyskinesia symptoms.

Exercise Regularly

Any exercise can help ease your stress levels, especially if you enjoy doing it, says Tate. “I tell my patients that many different types of exercise can have benefits — in the pool, on a bike, on an exercise machine — just as long as it gets the heart rate up for 30 minutes,” she says. Consider low-impact activities like swimming, tai chi, or yoga. Walking in a natural, outdoor setting may provide additional mental and physical health benefits as well.

Get a Better Night’s Sleep

A bad night of sleep can set you up for a stressful day. Clinical data show that tardive dyskinesia symptoms fluctuate throughout the day and often become more pronounced during periods of fatigue or stress. While sleep disturbances are a common complication of the condition, involuntary movements typically improve or stop entirely during sleep and relaxation. Practicing healthy bedtime habits can help you get the rest you need to manage stress and take control of your symptoms.

Take Up a Hobby

“Carving out time to pursue a hobby or interest that you’re passionate about can make a big difference in quality of life,” Tate says. As with exercise, it doesn’t really matter what extracurricular activity you choose, as long as it brings you joy, which will probably lower your stress levels too.

Join a Support Group

Finding support is a big part of dealing with the stress of something chronic, such as tardive dyskinesia, according to Tate. “Although having understanding friends and family is huge, I think it can be even more important to find a support group and interact with people who are going through the same thing, who actually have that insight,” she says. Sharing your experiences with others facing similar challenges can provide emotional uplift and practical coping strategies.

“With so many online communities, even if there’s nothing in your town or city, there’s likely an online community that you can access,” she adds. The National Organization for Tardive Dyskinesia offers information and resources, including support groups via Zoom.

EDITORIAL SOURCES
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Resources
  1. Tardive Dyskinesia. Cleveland Clinic. July 10, 2024.
  2. About Tardive Dyskinesia. National Organization for Tardive Dyskinesia.
  3. Raza M et al. Tardive Dyskinesia. StatPearls. January 31, 2026.
  4. Santoro MA et al. Improvement of Tardive Dyskinesia During Mindfulness Meditation. Neurology International. August 30, 2021.
  5. Sezer I et al. Advanced and long-term meditation and the autonomic nervous system: A review and synthesis. Neuroscience & Biobehavioral Reviews. April 9, 2025.
  6. Spend Time in Nature to Reduce Stress and Anxiety. American Heart Association. May 21, 2024.

Rachana K. Gandhi Mehta, MBBS

Medical Reviewer

Rachana K. Gandhi Mehta, MBBS, is an associate professor in the department of neurology at Wake Forest University School of Medicine in Winston-Salem, North Carolina. She specializ...

Becky Upham, MA

Becky Upham

Author

Becky Upham has worked throughout the health and wellness world for over 25 years. She's been a race director, a team recruiter for the Leukemia and Lymphoma Society, a salesperson...