Akathisia as Violence

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Letter to the Editor

Sir: Manifestations of akathisia, a side effect of antipsychotic drugs, include restlessness, muscular tension, and a compulsion to move. Infrequently, agitation and violence have been reported to be associated with antipsychotic treatment and could be related to akathisia. Differentiating between akathisia that manifests itself as violence and generalized psychotic agitation is clinically important in order to avoid a vicious circle of violence in patients who are being treated with antipsychotics. We report a case of persistent agitation and violence in a patient with bipolar mood disorder that was probably a manifestation of akathisia.

J Clin Psychiatry 1997;58(1):31-32 [letter]