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Re: Anxiety versus akathisia? » SLS

Posted by g_g_g_unit on September 23, 2010, at 1:53:09

In reply to Re: Anxiety versus akathisia?, posted by SLS on September 23, 2010, at 1:01:30

Thanks! That scale is really handy, and based on which I'd say the drug, at the worst, was producing mild akathisia, given that it is worse when I have to sit still and does not provoke a lot of distress (well not enough to discontinue the trial). I have had marked akathisia from Prozac and Seroquel and that was hell-on-earth.


> Hi GGG.
>
> It is not obvious that you have akathisia from what I know of it.
>
>
> From Wiki:
>
> http://en.wikipedia.org/wiki/Akathisia
>
> .
> .
> .
> .
>
> From the Barnes akathisia scale:
>
> 4. Global clinical assessment of akathisia SCORE: _____
> 0. Absent.
> No evidence of awareness of restlessness. Observation of characteristic movements of
> akathisia in the absence of a subjective report of inner restlessness or compulsive desire
> to move the legs should be classified as pseudoakathisia.
> 1. Questionable.
> Non-specific inner tension and fidgety movements.
> 2. Mild akathisia.
> Awareness of restlessness in the legs and/or inner restlessness worse when required to
> stand still. Fidgety movements present, but characteristic restless movements of
> akathisia not necessarily observed. Condition causes little or no distress.
> 3. Moderate akathisia.
> Awareness of restlessness as described for mild akathisia above, combined with
> characteristic restless movements such as rocking from foot to foot when standing.
> Patient finds the condition distressing.
> 4. Marked akathisia.
> Subjective experience of restlessness includes a compulsive desire to walk or pace.
> However, the patient is able to remain seated for at least five minutes. The condition is
> obviously distressing.
> 5. Severe akathisia.
> The patient reports a strong compulsion to pace up and down most of the time. Unable
> to sit or lie down for more than a few minutes. Constant restlessness which is associated
> with intense distress and insomnia.

 

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