Understanding Akathisia: Treatment ,Causes and Symptoms

Akathisia is a lesser-known yet troubling condition that can affect individuals, often as a side effect of certain medications. This article will delve deep into the world of akathisia, providing insights into its causes, symptoms, diagnosis, and most importantly, treatment and management options. By the end, you’ll have a comprehensive understanding of akathisia and how to address it effectively.

What Is Akathisia?

Akathisia, often described as an inner restlessness, is a neurological disorder that can result from various factors, including medication use. People experiencing akathisia may find it challenging to stay still, often feeling an irresistible urge to move their legs or bodies. This condition can be deeply distressing, affecting one’s overall well-being and quality of life.

The Importance of Understanding Akathisia

While akathisia is not as well-known as some other medical conditions, it is crucial to shed light on it. Knowledge empowers individuals to recognize the signs, seek help, and make informed decisions about their treatment and management options. In this article, we will explore the various aspects of akathisia, from its causes to effective ways to address it.

Causes of Akathisia

Medications and Akathisia

One of the primary causes of akathisia is the use of certain medications, particularly antipsychotic drugs and some antidepressants. These medications can disrupt the brain’s chemical balance, leading to symptoms of akathisia. Understanding the role of medications is crucial in managing and preventing this condition.

Neurological Factors

In addition to medication-induced akathisia, neurological factors can contribute to its development. Anomalies in the brain’s structure or function may increase the risk of experiencing akathisia. Uncovering these neurological links is an ongoing area of research.

Genetics and Akathisia

Genetics also play a role in predisposing individuals to akathisia. Some people may have a genetic predisposition that makes them more susceptible to developing this condition when exposed to certain triggers. Investigating the genetic underpinnings of akathisia holds promise for future treatments.

Substance Abuse:

The misuse of substances like cocaine, amphetamines, or alcohol can induce akathisia as a temporary effect of intoxication or withdrawal.

Stress and Anxiety:

High levels of stress, anxiety, or emotional turmoil can exacerbate or trigger akathisia symptoms in some individuals.

Metabolic Factors:

Imbalances in certain chemicals in the body, such as electrolyte disturbances or thyroid dysfunction, can potentially contribute to akathisia.

What is symptoms and signs of Akathisia?

Akathisia is a movement disorder characterized by a range of symptoms and signs, which can vary in intensity from mild to severe. Common symptoms and signs of akathisia include


A pervasive feeling of inner restlessness is the hallmark of akathisia. Individuals with this condition often describe an overwhelming urge to move their legs or body continuously.

Leg Restlessness:

Restlessness in the legs is a prominent feature of psychosis. This can manifest as an inability to sit still, pacing back and forth, or a constant need to shift position.


People with psychosis may become agitated, irritable, or even aggressive due to the discomfort and restlessness they experience.

Muscle Tension:

Muscle tension is often present, particularly in the legs. It can feel like a constant need to flex or stretch the muscles.

Inability to Relax:

Individuals with psychosis find it challenging to sit or lie down comfortably because of the constant urge to move. Even when they do sit or lie down, they may continue to fidget or tap their feet.

Difficulty Sleeping:

Akathisia can interfere with sleep, making it difficult for individuals to rest or fall asleep due to the restlessness and discomfort.


An inclination to pace or walk around, even in situations where it is not socially appropriate or practical, is common.

Nervous Movements:

People with akathisia may exhibit nervous habits like tapping their fingers, shaking their legs, or constantly adjusting their posture.


Treatment Approaches for Akathisia

Treatment for akathisia primarily focuses on alleviating the distressing symptoms and addressing the underlying cause, which can include medication side effects or underlying medical conditions. Here are some common treatment approaches for psychosis:

  1. Medication Adjustments:

    • Reduce or Change Medications: If akathisia is caused by a specific medication, a healthcare provider may consider lowering the dose, switching to a different medication, or discontinuing the medication altogether.
    • Addition of Medications: In some cases, certain medications can be prescribed to counteract akathisia symptoms. These may include beta-blockers (e.g., propranolol) or anticholinergic drugs (e.g., benztropine).
  2. Behavioral Interventions:

    • Counseling and Therapy: Psychotherapy or counseling can be beneficial in helping individuals cope with the distress and anxiety associated with psychosis. Cognitive-behavioral therapy (CBT) may be particularly helpful.
    • Relaxation Techniques: Learning relaxation techniques such as deep breathing, progressive muscle relaxation, or mindfulness meditation can help manage the restlessness and anxiety associated with psychosis.
  3. Supportive Care:

    • Educational Support: Providing education about psychosis and its symptoms can help individuals understand their condition and reduce anxiety related to the unknown.
    • Family and Social Support: Family and friends can provide emotional support and understanding, which can be crucial in managing psychosis.
  4. Addressing Underlying Causes:

    • Medical Evaluation: If psychosis is suspected to be related to an underlying medical condition, such as thyroid dysfunction or electrolyte imbalances, addressing the primary medical issue is essential.
  5. Monitoring and Follow-Up:

    • Regular Check-Ins: Close monitoring by a healthcare provider is important to track the progress of treatment and adjust medications as needed.
    • Medication Reassessment: If medications were adjusted or changed, ongoing assessment of their effectiveness and any potential side effects is crucial.


Here are the steps and considerations involved in diagnosing psychosis:

  1. Clinical Assessment:

    • A healthcare provider will begin by conducting a comprehensive clinical assessment, which includes taking a detailed medical history and gathering information about the individual’s symptoms and any medications they are currently taking.
  2. Symptom Evaluation:

    • The healthcare provider will inquire about the presence and characteristics of akathisia symptoms, such as restlessness, leg movements, anxiety, and agitation. It’s important for the individual to describe their experiences and sensations in detail.
  3. Medication Review:

    • The healthcare provider will review the individual’s current medication regimen, including prescription drugs, over-the-counter medications, and supplements. They will assess whether any of these medications are known to cause psychosis as a side effect.
  4. Differential Diagnosis:

    • Akathisia must be differentiated from other conditions that may present with similar symptoms, such as anxiety disorders, restless legs syndrome, drug withdrawal, or movement disorders like Parkinson’s disease. The healthcare provider will consider these possibilities.
  5. Physical Examination:

    • A physical examination may be conducted to assess for any neurological abnormalities, muscle tension, or other physical signs that may be associated with akathisia or its underlying causes.
  6. Laboratory Tests:

    • Depending on the individual’s history and presentation, the healthcare provider may order laboratory tests, such as blood tests or imaging studies, to rule out underlying medical conditions that could be contributing to the symptoms.
  7. Psychiatric Assessment:

    • A psychiatric evaluation may be performed to assess the individual’s mental health and emotional state, as psychosis can often be accompanied by significant anxiety or distress.
  8. Severity Assessment:

    • The healthcare provider may use standardized rating scales to assess the severity of akathisia symptoms, which can help guide treatment decisions and monitor progress over time.

Healthy Lifestyle 

Here are some healthy lifestyle practices to consider if you have psychosis:

  1. Regular Exercise:

    • Engaging in regular physical activity can help reduce restlessness and anxiety. Activities like walking, jogging, swimming, or yoga may be particularly helpful.
    • Exercise can also improve sleep quality, which is often disrupted by psychosis.
  2. Balanced Diet:

    • Eat a well-balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats.
    • Limit the consumption of caffeine and stimulants, as they can exacerbate restlessness and anxiety.
  3. Adequate Sleep:

    • Ensure you get enough sleep each night. Establish a regular sleep schedule and create a relaxing bedtime routine.
    • Avoid caffeine and heavy meals close to bedtime, as they can interfere with sleep.
  4. Stress Management:

    • Practice stress-reduction techniques such as deep breathing exercises, progressive muscle relaxation, or mindfulness meditation.
    • Engage in hobbies or activities that you find relaxing and enjoyable.
  5. Limit Alcohol and Substance Use:

    • Minimize or avoid alcohol and recreational drug use, as these substances can worsen psychosis symptoms and may interact negatively with medications.


 Akathisia is a complex condition with various causes and manifestations. However, with the right knowledge and support, individuals can effectively manage and overcome akathisia. By understanding its causes, recognizing its symptoms, and exploring treatment options, we can improve the lives of those affected by this condition.


1.What drugs cause akathisia?

  • Antipsychotics: These drugs are used to treat schizophrenia, bipolar disorder, and other mental health conditions. They work by blocking dopamine receptors in the brain.
  • Antidepressants: Some antidepressants, such as tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs), can also cause akathisia.

2.What are the horrors of akathisia?

Akathisia is a movement disorder that is characterized by an inner feeling of restlessness and an urgent need to move. It can be caused by a variety of medications, including antipsychotics, antidepressants, and antiemetics. Akathisia can also be caused by withdrawal from certain medications, such as benzodiazepines.

3.How do you calm akathisia naturally?

  • Exercise: Exercise can help to release endorphins, which have mood-boosting and calming effects. Aim for at least 30 minutes of moderate-intensity exercise most days of the week.
  • Relaxation techniques: Relaxation techniques such as deep breathing, meditation, and yoga can help to reduce stress and anxiety, which can worsen akathisia.

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