Understanding Akathisia: Causes, Symptoms, and Management

Sign In

All Posts Conditions Community About

Explore Over 11,000+ Conditions, Medications, and Symptoms.

Get a personalized feed by signing up for free.

All Conditions

Akathisia

by Alike Medical Team ∙ Updated on June 13, 2023

General

Akathisia is a neurological disorder characterized by a feeling of inner restlessness and an irresistible urge to move or pace around. People with akathisia may feel as if they need to keep moving their legs, shift their weight from one foot to another, or rock back and forth. Akathisia can occur as a side effect of certain medications, particularly antipsychotic drugs that are used to treat conditions such as schizophrenia, bipolar disorder, and depression. It can also be caused by withdrawal from certain medications or illicit drugs.

3 people with Akathisia

Learn from others who are experiencing Akathisia.

Signs & symptoms

The symptoms of akathisia can vary from person to person, but the most common symptom is a feeling of inner restlessness that creates an irresistible urge to move or pace around. Other symptoms may include: * Constantly crossing and uncrossing the legs * Fidgeting or squirming in the seat * Shifting weight from one foot to another * Pacing or marching in place * Rocking back and forth * Shuffling the feet * Tapping or drumming the fingers * Feeling like you can't sit still or stay in one position * Anxiety or irritability * Insomnia or difficulty falling asleep * Difficulty concentrating or focusing These symptoms can be distressing and may interfere with a person's ability to carry out daily activities. Akathisia can occur as a side effect of certain medications, particularly antipsychotic drugs that are used to treat conditions such as schizophrenia, bipolar disorder, and depression

Diagnosis

Diagnosing akathisia typically involves a clinical evaluation by a healthcare provider. They will review the patient's medical history, including any medications they are taking, and perform a physical and neurological examination to assess their symptoms. There are no specific tests to diagnose akathisia, but doctors may use rating scales to assess the severity of the symptoms and track the progress of the condition over time. They may also order additional tests such as blood tests or imaging studies to rule out other underlying conditions that may be contributing to the symptoms.

Treatment

The treatment for akathisia depends on the underlying cause and the severity of the symptoms. The following are some common treatment options: * Adjusting or changing medication: If the symptoms are caused by medication, the healthcare provider may adjust the dose or change to a different medication to reduce or eliminate the symptoms. * Adding medications: In some cases, adding other medications such as beta-blockers, benzodiazepines, or anticholinergic medications may be helpful in managing the symptoms of akathisia. * Psychological interventions: Therapy, such as cognitive-behavioral therapy or relaxation techniques, may be helpful in reducing anxiety and managing symptoms. * Lifestyle changes: Practicing stress reduction techniques, such as meditation or yoga, getting regular exercise, and avoiding caffeine and other stimulants may help reduce symptoms. * Support groups: Support groups can provide emotional support and practical advice to those living with akathisia.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

National Institutes of Health ∙ World Health Organization ∙ MedlinePluse ∙ Centers for Disease Control and Prevention

☝ All information has been reviewed by certified physicians from Alike

Latest Discussions

Zoey_Val

Seeking Advice for Severe Medication Side Effects and...

sillynuts

Exploring the Impact of Medication on Mental Health

Alike Wisdom

Instantly get answers to medical questions with our AI, built from the collective wisdom of our community facing similar experiences

Seeking Advice for Severe Medication Side Effects and Emotional Impact