Talk:Akathisia

message: This section needs some clarification, especially this statement: "Probably due to neurotoxicity of antidopaminergic drugs" -- this article (and wikipedia psychiatry articles in general) seems to extrapolate a lot of information and contain a lot of original research. I don't believe dopamine antagonists are acknowledged as neurotoxic; even though they can induce TD the exact mechanism behind this is still uncertain. Unfortunately, I'm unable to deactivate the paywall for the sourced review on SGAs, but I seriously doubt the review stated it in terms other than a vague, passing hypothesis because I can't find additional sources for 'DA neurotoxicity' anywhere. Can someone at least pull a quote from the review instead of just flippantly mentioning 'oh yeah probably due to neurotoxicity' because I mean... it's at the very least not encyclopedic.  — Preceding unsigned comment added by 47.184.211.178 (talk) 15:53, 5 March 2019 (UTC)
thread_title:  Tardive Akathisia 

message: The first paragraph is misleading in that it states that akathisia predates psychiatric drugs. The condition only comes from psychiatric drugs, and not just antipsychotics. This kind of misinformation is dangerous. AkathisiaInformation (talk) 02:36, 22 July 2020 (UTC)
replies: text: please see WP:V And WP:MEDRS; that reflects precisely what a 2020 review says.  SandyGeorgia (Talk)  02:39, 22 July 2020 (UTC)

text: See also, 1901. SandyGeorgia (Talk)  02:52, 22 July 2020 (UTC)
thread_title:  Misinformation provided 

message: Seems to be contradiction in defining it as a movement disorder and later..may just be a feeling. ?--Iztwoz (talk) 11:20, 22 July 2020 (UTC)
replies: text: The ref provided supports movement disorder but Lohr separates the purely subjective experience; some refs refer to akathasia as a neuropsychiatric disorder (cannot find a review).--Iztwoz (talk) 11:31, 22 July 2020 (UTC)
replies: text:  I have not yet read Lohr ... suggest we find an overall newer review, and the article is a mess.  Reminder that we should not write only leads, rather leads that summarize the contents in the body. . So far I have only cleaned out cruft and flagged what needs citation and updating. SandyGeorgia (Talk)  11:46, 22 July 2020 (UTC)
replies: text: An Australian site says that diagnosis is difficult since akathasia mimics movement disorders.; and quotes from DSM5 as - restlessness may be accompanied by observed excessive  movememts (in acute akathasia).--Iztwoz (talk) 12:03, 22 July 2020 (UTC)
replies: text:  It would be helpful to write the article first and the lead later. The first problem was the article was lead only, body outdated and out of sync.  The second problem was that most new edits were chunked in to the lead.  Wrong way to work.  First, find good, new, comprehensive sources to write the body. Then write the lead.  Picking apart individual things in the lead is a timesink. The Australian report above is a case report: start by finding good quality reviews.  I am done for now, back to sleep!  SandyGeorgia (Talk)  12:10, 22 July 2020 (UTC)
replies: text: Thanks--Iztwoz (talk) 12:13, 22 July 2020 (UTC)
replies: text: In psychiatric practice it is most commonly considered first and foremost a side effect, specific to antipsychotics. Agree that the body of the article is the place to start and leave the lead till later. Cas Liber (talk · contribs) 13:27, 22 July 2020 (UTC)
thread_title: Lead

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SandyGeorgia (Talk)  13:04, 22 July 2020 (UTC)
replies: text:  Salem looks like our best starting place. SandyGeorgia (Talk)  13:17, 22 July 2020 (UTC)
replies: text: Salem uses a source (32) which is  to support illicit drugs. The source makes only one loose connection to akathisia in the Cocaine section specifically to movements in crack dancing which cannot be attributed to akathisia since there is no subjective component. it is stated that the individuals are not aware of the movements that resolve when drug effects wear off. There is no other mention of this in the other drug sections.--Iztwoz (talk) 16:33, 27 July 2020 (UTC)
thread_title:  Reviews to incorporate 

message: This only has one subsection for drug induced - I'll try to add a paragraph or two about historical causes and non-drug causes above this subsection to complete the section sometime.
:  I am not sure about this, because we still have to add "drugs" like cocaine and others. Been busy working on my copyright infringement at DLB thing, sorry I haven't helped. SandyGeorgia (Talk)  18:42, 25 July 2020 (UTC)
replies: text: A quick pmid check for cocaine and akathisia found two that say - cocaine is a risk factor for the development of medication-induced akathisia. DSM5 refers to medication-induced akathisia. am doubtful that there is a separate 'drug-induced' as per recreational. ? --Iztwoz (talk) 19:22, 25 July 2020 (UTC)
replies: text:  All reviews I checked mentioned it ... I will catch up here once I finish copyvio stuff, but drug use in the sources I listed.  SandyGeorgia (Talk)  22:47, 25 July 2020 (UTC)
thread_title: Causes section

message: 1. I think the lead should be altered to cover all forms of akathisia, since movement is described elsewhere to as a sign of akathisia (especially the medication induced form) but akathisia is the urge to move rather than a movement disorder. The lead calls it a "movement disorder" but later on the page describes it sometimes not involving movement. I suggest changing it to a neuropsychological sign since that has support regardless of whether it's more neuropsychological or movement based. 
The amount of information on drug induced akathisia is vast in comparison to other forms.
2. Differential diagnosis don't make sense. It can't be both a symptom of Parkinsonism, and have a differential diagnosis of Parkinsonism. 
3. Different forms include medication induced akathisia, tarditive akathisia (which is drug induced but continues after drugs are stopped), restlessness resulting from extreme anxiety, a symptom of Parkinsonism or other illnesses. Sources below.
I couldn't find a reference to serotonin syndrome (in the table). 
4. Treatment and medication in the infobox should be merged.
5. More on the link with other EPS would be helpful. Amousey (they/them pronouns) (talk) 23:51, 25 July 2020 (UTC)
replies: text: * Added source quotes above ... drug induced is Not only antipsychotics.  Sorry, iPad typos, SandyGeorgia (Talk)  01:09, 26 July 2020 (UTC)
thread_title:  Akathisia vs drug-induced akathisia 

message: I check pages listed in :Category:Pages with incorrect ref formatting to try to fix reference errors. One of the things I do is look for content for orphaned references in wikilinked articles. I have found content for some of :Akathisia's orphans, the problem is that I found more than one version. I can't determine which (if any) is correct for this article, so I am asking for a sentient editor to look it over and copy the correct ref content into this article.
Reference named "DSM":
From Mood disorder: 
From Psychiatry: 
I apologize if any of the above are effectively identical; I am just a simple computer program, so I can't determine whether minor differences are significant or not. AnomieBOT⚡ 07:06, 27 July 2020 (UTC)
replies: text: but not with either of those :) bɜ:ʳkənhɪmez (User/say hi!) 16:52, 27 July 2020 (UTC)
thread_title:  Orphaned references in [[:Akathisia]] 

message: Not sure if one person's medical experience is notable, and cites NY Post, which is a questionable source rubah (talk) 04:15, 25 August 2021 (UTC)
replies: text: Quoting a notable person makes a disorde more real and more "something that could happen to me", it also increases memorability. I don't know if any of these things are relevant to wikipedia. The memorability might be Talpedia (talk) 17:06, 26 August 2021 (UTC)
thread_title:  Relevance of Peterson sentence? 

message: To quote: 
"The most severe cases may result in aggression, violence, and/or suicidal thoughts. Akathisia is also associated with threatening behaviour and physical aggression that is greatest in patients with mild akathisia, and diminishing with increasing severity of akathisia."
It is intuitively contradictive to say that the patients with more severe akathisia are less agressieve and at the same time say that agression occurs in the most severe cases. 
I suggest correcting it by just removing the first part, leaving:
"Akathisia is also associated with threatening behaviour and physical aggression that is greatest in patients with mild akathisia, and diminishing with increasing severity of akathisia."
But it should also be fact checked if that is truly the case so we are not logically correcting it to a false.
Also the part of increased suicidal thoughts should be added back in
Da4wiki (talk) 09:05, 10 August 2023 (UTC)
thread_title:  Contradictive, needs correction 

message: Benzodiazepines cause this same disorder from either abrupt discontinuation and prolonged use and slow taper TheTurtleTribalNation (talk) 17:25, 31 October 2023 (UTC)
replies: text: Sounds goods - can you find a recentish systematic review on the topic? That would be my favourite sort of source. My impression is that this is far less prevalent than some of the second generation / partial agonist AP's and it's worth noting that benzodiazapines are often one of the few treatments for this apart from cessation... so we want to be careful about what is WP:DUE (particularly given the potential for WP:RECENTISM following the  Peterson case).. Talpedia 09:45, 6 November 2023 (UTC)
thread_title:  Benzodiazepine