Akathisia Symptoms: Physical, Mental & Emotional Signs

Akathisia is a movement disorder characterized by intense inner restlessness. Symptoms span three domains:

Physical

• Inability to sit still, pacing, rocking
• Fidgeting, foot tapping, leg shaking
• Muscle tension, stiffness
• Headaches, nausea

Mental

• Anxiety, agitation, irritability
• Difficulty concentrating
• Insomnia
• Hypersensitivity to noise/light
• Rarely: hallucinations or delusions

Emotional

• Depression, hopelessness
• Suicidal thoughts or behaviors

Akathisia is often medication-induced (especially antipsychotics). If you suspect akathisia, contact a healthcare provider immediately—dose adjustment or medication change may be needed.