How do you approach diagnosing suspected early tardive dyskinesia with minimal positive findings on AIMS examination?

Before adding any medications, I generally try to remove any offending medications, like antipsychotics, or meds like stimulants that can lead to tardive tics. One can see TD with SSRI medications, but it is rare.

If I suspect TD despite not having a positive AIMS test, I will sometimes have patient...

Oftentimes, when movements are suspected secondary to TD, discontinuation of the suspected agent will exacerbate the movements, making them worse. Hence, this is highly suggestive of dopamine blockade-induced movement disorder.