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akathisia vs hypomania/agitation

Posted by yesac on September 21, 2006, at 13:51:22

Is there some way to tell if a condition is akathisia versus it being some kind of agitation or mixed hypomania? Here's my situation....

I went off of EMSAM about 2.5 weeks ago after having been on it for nearly 6 weeks. After about 2 days off it, I started to get really "revved up" as my psychiatrist calls it. I just felt very agitated, both physically and mentally. Sometimes I would have to pace and I felt like my mind was spinning. I've been in these states before, sometimes due to taking certain drugs, and other times not caused by drugs.

Anyways, it's been like this for the past 2 weeks or so. I went back on EMSAM four days ago because I wasn't sure that I had given it a fair trial. THe condition doesn't seem any better or worse now that I'm using EMSAM again. In fact, I'm not even sure that it's related to the EMSAM at all.

It's very physical, as in I feel like I need to fidget a lot and jiggle my legs, etc. But I do sort of feel just an overall sense of revved-up-ness, physical and mental, as if I drank too much coffee or something. It's not as negative as it has usually been in the past, when I wanted to kick and punch and throw things.

Also, it seems to get worse as the day goes on. My theory about that is that I take Seroquel at night, and I think that later in the day my levels of Seroquel are much lower so these agitated symptoms are more apparant.

Any thoughts?




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