A Behavioral Approach to Management of Neuroleptic-Induced Tardive Dyskinesia: Progressive Relaxation Training

Abstract

The effectiveness of progressive relaxation training in decreasing the severity of neuroleptic-induced tardive dyskinesia (TD) was examined in the current study. Three residents at a county-owned nursing home who had been receiving neuroleptic medications for a number of years to treat severe mental illness participated in this study. A multiple baseline across subjects design was used to evaluate the effect of progressive relaxation training on the participant's orofacial TD symptomatology. The severity of each participant's orofacial TD was observed to improve when the intervention was introduced. Treatment integrity and IOA data that were collected indicate that the intervention was implemented at a high level of fidelity and that data were reliable. Thus, a clear functional relationship was established between progressive relaxation training and severity of orofacial TD in this study. Although the present study was preliminary in nature, the results that were obtained provide a basis upon which to develop a behavioral treatment protocol for managing TD.