Edited sentence: After which the person is unable to relieve their need to constantly move about so they struggle on the bed in sheer agony unable to move while making attempts to free themselves of the restraints.Akathisia makes many patients act out in violent fits of rage throwing and breaking things or harming others.In an institutionalized setting such behavior will get the person tied to the bed in four point restraints and injected with more antipsychotics.In many countries the orderlies will get angry at the patient and abuse them while they lay restrained on the bed in attempts to silence them or force them to stop making attempts to free themselves.Ironically antipsychotic drugs are many times prescribed as “mood stabilizers” but then have the opposite intended effect, which often leads to increased doses further escalating the symptoms when the intent was to ameliorate the symptoms.Often the staff will close the door to the isolation room - sometimes called a quietroom or observation room - so they can stop being annoyed by the patient and then when the real need to urinate arrives the patient is forced to urinate on their selves while laying restrained to the bed.Patients often beg the staff to let them get up to relieve a need to urinate when the need is not so urgent just so they can have a moment to stand on their legs.Some patients may shout at the staff, accusing them of torturing them while the staff can't understand how they can possibly be tortured when they are simply just laying flat on their back.They will prolong the urinating experience, which may result in the staff becoming irritable, which then results in the patient reciprocating by shouting back or even acting out in further violence which is caused by the akathisia