A client experiencing akathisia would be observed exhibiting repetitive movements driven by an intense, subjective feeling of inner restlessness.
Akathisia is a neurological movement disorder characterized by a distressing sensation of internal restlessness or jitteriness, coupled with a compelling, irresistible urge to move. This internal discomfort directly manifests as observable physical behaviors, as the individual attempts to alleviate the discomfort through movement.
Observable Behaviors of Akathisia
The core observable behavior in a client with akathisia is the presence of repetitive, often agitated, movements. These movements are an attempt to relieve the profound inner tension and the urge to move. Common examples of such observed behaviors include:
- Leg crossing and uncrossing: A frequent and often continuous action where the individual repeatedly crosses and uncrosses their legs.
- Swinging of limbs: This can involve the arms or legs, characterized by a persistent, rhythmic swinging motion, even when seated.
- Persistent shifting of weight or position: The client may constantly shift from one foot to another while standing, or repeatedly change their posture, fidget, and shift in their chair while sitting.
- Pacing: A common manifestation where the individual feels compelled to walk back and forth.
- Inability to remain still: A general inability to sit or stand motionless for any period, leading to constant subtle or overt movements.
These behaviors are not voluntary in the typical sense; they are driven by an overwhelming internal compulsion that the client often finds difficult or impossible to suppress. The observed movements are a direct behavioral consequence of the underlying subjective experience of severe inner restlessness.
