Tami Northcote
Blog entry by Tami Northcote

What is akathisia?
Akathisia is a condition characterized by an inability to sit or remain still, resulting in feelings of restlessness and agitation. It is a common side effect of many medications, including antipsychotic drugs and antidepressants.
There are varying levels of severity for akathisia, ranging from mild to acute. Acute akathisia can be debilitating and even life-threatening if it is not treated quickly and appropriately. In this blog post, we will explore whether or not you should go to the Emergency Room (ER) for acute severe akathisia and what to expect when you get there.
Symptoms of akathisia
Symptoms of akathisia include: feeling restless, unable to sit still or stand still for long periods of time; fidgeting; pacing; anxiety; agitation; and insomnia. These symptoms can be mild to severe, and may come and go. Akathisia can also cause depression and suicidal thoughts. If you are experiencing any of these symptoms, it is important to seek medical help right away.
The main symptom of akathisia is an overwhelming feeling of restlessness. People with akathisia often feel like they can't sit still or stand still for long periods of time. They may pace back and forth, fidget, or squirm in their seats. Akathisia can be so severe that it causes people to feel like they're going crazy. Other symptoms of akathisia include:
• Difficulty sleeping
• Anxiety
• Irritability
• Depression
• Memory problems
• Trouble concentrating
Acute, severe akathisia is characterized by a sudden onset of restlessness and anxiety. Patients may feel an overwhelming urge to move, fidget, or pace. They may also experience difficulty sitting or standing still for long periods of time. Other symptoms include insomnia, irritability, and difficulty concentrating. In some cases, akathisia can lead to depression and suicide.
Causes of akathisia
The most common cause of akathisia is antipsychotic medication. Other potential causes include:
-Anxiety disorders
-Depression
-Stressful life events
-Certain medical conditions (e.g., Parkinson's disease)
-Drugs used to treat other psychiatric conditions (e.g., lithium)
-Illegal drugs (e.g., cocaine, methamphetamine)
There are many potential causes of akathisia, but the most common cause is taking certain types of medication. Akathisia can also be caused by other medical conditions, such as Parkinson's disease. In some cases, the exact cause of akathisia is unknown.
Certain medications are the most common cause of akathisia. These include antipsychotic medications, such as chlorpromazine and haloperidol. Akathisia can also be caused by antidepressant medications, such as fluoxetine and sertraline. In rare cases, akathisia has been linked to the use of beta blockers, such as propranolol.
Other medical conditions that can cause akathisia include Parkinson's disease and Huntington's disease. Akathisia can also occur in people who have had a stroke or head injury. In some cases, the exact cause of akathisia is unknown.
Akathisia is a condition that can be caused by a number of different things. It is most often caused by certain types of medication, such as antipsychotics, antidepressants, and anti-anxiety medications. It can also be caused by withdrawal from alcohol or drugs, or from other medical conditions such as Parkinson's disease. In some cases, the cause of akathisia is unknown.
If you are experiencing akathisia, it is important to talk to your doctor about what may be causing it. There are treatments available that can help relieve the symptoms of akathisia, but it is important to identify the cause so that the proper treatment can be provided.
Akathisia treatment options
Acute severe akathisia is a medical emergency and should be treated in the ER. Treatment options for akathisia include:
-Benzodiazepines: Benzodiazepines are the most effective treatment for akathisia and can provide immediate relief. Examples of benzodiazepines include lorazepam (Ativan) and diazepam (Valium).
-Anticholinergics: Anticholinergics can also be effective in treating akathisia, although they may take longer to work than benzodiazepines. Examples of anticholinergics include diphenhydramine (Benadryl) and cyclobenzaprine (Flexeril).
-Propranolol: Propranolol is a beta blocker that has also been shown to be effective in treating akathisia.
-SSRIs: Some studies have shown that SSRIs may be effective in treating akathisia, although they are not approved by the FDA for this purpose. Examples of SSRIs include fluoxetine (Prozac) and sertraline (Zoloft).
If you are experiencing acute severe akathisia, your first course of action should be to seek medical attention. There are a number of treatment options available for akathisia, and your doctor will be able to recommend the best course of treatment for you based on the severity of your symptoms.
Akathisia can be treated with a variety of medications, including beta blockers, antipsychotics, and anticholinergics. In some cases, electroconvulsive therapy (ECT) may also be an effective treatment option. If your akathisia is caused by a medication you are taking, your doctor may recommend changing or discontinuing the medication.
If you are experiencing severe akathisia, it is important to seek medical attention as soon as possible. Akathisia can be a debilitating condition, and the sooner you start treatment, the better your chances are of recovery.
Acute severe akathisia is a medical emergency. If you are experiencing akathisia, you should go to the emergency room. There are several treatment options available for akathisia, including:
• Benzodiazepines:Benzodiazepines such as lorazepam (Ativan) and diazepam (Valium) can be effective in treating akathisia. These medications can help to reduce anxiety and agitation.
• Antipsychotics:Antipsychotic medications such as haloperidol (Haldol) and chlorpromazine (Thorazine) can also be used to treat akathisia. These medications can help to reduce the psychotic symptoms associated with akathisia.
• Beta-blockers:Beta-blockers such as propranolol (Inderal) can be used to treat the physical symptoms of akathisia, such as rapid heartbeat and sweating.
• serotonin reuptake inhibitors (SSRIs): SSRIs such as fluoxetine (Prozac) and sertraline (Zoloft) may be effective in treating the anxiety and depression associated with akathisia.
When to go to the ER for akathisia
If you are experiencing akathisia, it is important to seek medical help right away. This condition can be extremely distressing and even dangerous. Here are some signs that you should go to the emergency room:
• You feel like you can’t sit still or keep still
• You feel restlessness or an inner tension
• You pace back and forth or move constantly
• You have trouble sleeping
• You feel agitated, irritable, or anxious
• You feel like you are going to crawl out of your skin
• You have thoughts of harming yourself or others
If you are experiencing any of these symptoms, it is important to seek medical help immediately. Akathisia can be a sign of a serious underlying condition and can be very distressing. The sooner you get help, the better.
Conclusion
Acute severe akathisia can be a very scary experience, and it is important to seek medical attention if you are experiencing any of the symptoms associated with it. If these symptoms persist or worsen, then going to the emergency room for an evaluation should be considered. While traditional treatments such as medications may help lessen akathisia's effects, seeking professional help from a mental health provider may also provide additional support when dealing with this condition.