Akathisia FAQ
What is akathisia?
Akathisia is a movement disorder characterized by a feeling of inner restlessness and a compelling need to be in constant motion.
What causes akathisia?
Akathisia can be an adverse effect of antipsychotic or other drugs, or it can occur spontaneously.
How is akathisia diagnosed?
Diagnosis is based on the symptoms reported by the patient and observation of the movements associated with akathisia.
What are the treatment options for akathisia?
Treatment may involve adjusting or changing the medication that caused akathisia, or using medications such as propranolol, benzatropine, or diphenhydramine to manage symptoms.
Is akathisia temporary or permanent?
Akathisia can be temporary if it is caused by medication and resolves once the medication is discontinued or the dosage is adjusted. However, in some cases it can persist even after stopping the causative medication.
Can akathisia lead to non-compliance with medication?
Yes, the distressing symptoms of akathisia can lead to non-compliance with medication, which can be concerning for individuals managing mental health conditions.
Who is at risk of developing akathisia?
Individuals taking antipsychotic medications or other drugs that can trigger akathisia are at risk of developing the condition.
Can akathisia be managed without medication?
Non-pharmacological interventions such as psychoeducation, supportive therapy, and stress reduction techniques can be considered to help manage akathisia.
What are the common signs and symptoms of akathisia?
Common signs and symptoms include fidgeting, pacing, an inability to sit still, and a constant need to move.
Is akathisia the same as restlessness?
Akathisia involves a specific type of restlessness that is not relieved by ordinary movement, whereas general restlessness may have various causes and can often be eased by physical activity.
Can akathisia affect sleep?
Yes, akathisia can disrupt sleep due to the persistent inner restlessness and the urge to be in constant motion, which can interfere with relaxation and falling asleep.
What should I do if I experience symptoms of akathisia?
It's important to seek medical advice if you experience symptoms of akathisia, especially if you are taking medications known to be associated with the condition.
Can akathisia occur in children?
Akathisia is rare in children, but it can occur, particularly in those who are prescribed antipsychotic medications for conditions such as bipolar disorder or schizophrenia.
Are there any lifestyle changes that can help manage akathisia?
Managing stress, maintaining a balanced lifestyle, and incorporating relaxation techniques may help alleviate the symptoms of akathisia.
Can akathisia be a side effect of antidepressants?
While akathisia is more commonly associated with antipsychotic medications, it can also manifest as a side effect of certain antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs).
Is akathisia the same as akinesia?
No, akathisia is characterized by a subjective feeling of restlessness and an urge to move, whereas akinesia refers to a lack of movement and is often associated with conditions such as Parkinson's disease.
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Information provided by Maryam Abdullahi-Mahdi. Reviewed by Mr. Matthew Liew