17/04/20 – Akathisia

Woke up early after having nightmares. Seems to be a nightly occurrence atm.

I spent the morning feeling super jittery. Like, I’ve never felt anything like it. I literally couldn’t stay still.
My dad says it’s called Akasthisia.

Akathisia is a movement disorder characterized by a feeling of inner restlessness and inability to stay still. Usually, the legs are most prominently affected. Those affected may fidget, rock back and forth, or pace, while some may just have an uneasy feeling in their body. The most severe cases may result in aggression, violence or suicidal thoughts.
Antipsychotics, particularly the first generation antipsychotics, are a leading cause. Other causes may include selective serotonin reuptake inhibitors, metoclopramide, reserpine, Parkinson’s disease, and untreated schizophrenia. It may also occur upon stopping antipsychotics.
The underlying mechanism is believed to involve dopamine.


So, it’s definitely a side effect from my medication. It’s only 3 days since I increased my antidepressants (selective serotonin reuptake inhibitors – SSRI), probably combined with the antipsychotic that I take too. The side effects are probably just bouncing off each other to make one big super unpleasant side effect.

It was so bad that I pretty much had to medicate myself throughout the day. The recommended course of treatment is either switching drugs, or using benzodiazepines (diazepam is the one that I have). Seeing as it’s such early days with my new medication combo it should hopefully even itself out, so not worth looking in to alternative medication at this point.

I felt a bit better after a walk, and expending some energy, even though it was really cold.

It was just a bit of a weird day. I didn’t really do much out of the ordinary – playing games on my tablet and watching Netflix, but just felt really jittery and my back was in more pain that usual. I didn’t even get texts off any of my friends, so it really was me just distracting myself on my own, apart from the odd chat with my parents.
The fact that I didn’t hear from any of my friends made me a bit paranoid and sad. I suspect that they spent the day chatting in the group chat that I am not in, but my ex is. I’m not ready to face him yet, but I do feel quite disconnected and left out. As a result of avoiding him I’m not in contact with so many of my friends.

Bit of a write off, with overwhelming side effects. Hopefully they’ll improve soon.

One thought on “17/04/20 – Akathisia

  1. Akathisia sounds awful! It is similar, but not the same as restless leg syndrome which I have which means I sometimes cane even sit in a seat. But at least RLS goes away for some of the day!
    I really hope it settles down soon x

    Liked by 1 person

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