Not necessarily td. I worked with a lovely lady way back in the day who had tics. Not sure what was what but it wasn’t a mental illness. It could be something entirely different so don’t be quick to judge or diagnose.
I had seen two patients who had some movement disorder.
One was an old lady customer in a restaurant. She was with her family. She had facials muscle movements and neck jerks.
Another was a patient refilling his trihexyphenidyl. Don’t know if it was Parkinson’s or extrapyramidals. I felt sad for this person. Because I was taking trihexy back then as well. And doc hadn’t noticed his jerky movements of neck and face.
But who am I to judge competence of doc. Or try to diagnose these people.
One thing I try to do these days with everyone and specifically strangers and new introducees is not trying to help them unless they ask for it.