Fact 7: Diagnosing Akathisia
The journey towards diagnosing akathisia begins with a keen understanding of the symptoms and a comprehensive medical history. Given the lack of specific laboratory or imaging tests for akathisia, the diagnosis relies heavily on clinical evaluation. This evaluation includes a detailed exploration of the symptoms, their onset and duration, and the individual’s medication history.
Several diagnostic scales assist in the evaluation of akathisia, including the Barnes Akathisia Rating Scale (BARS). These scales help quantify the symptoms and assess the severity of akathisia, which can guide the management approach. However, these scales are not standalone diagnostic tools—they need to be used in conjunction with a thorough clinical evaluation.
While diagnosing akathisia might seem straightforward, several challenges lurk beneath the surface. For instance, distinguishing akathisia from similar conditions, like restless legs syndrome, or identifying it in the backdrop of a mental health disorder, can be quite complex. Overcoming these challenges requires a deep understanding of akathisia, attention to detail, and a patient-centric approach.
The diagnosis of akathisia paves the way for targeted interventions. Depending on the severity of the symptoms and the individual’s overall health status, the healthcare provider can tailor a management plan. This plan might include adjusting the dosage or type of medication, introducing adjunct treatments, and implementing strategies to manage any accompanying mental health concerns.
The diagnostic journey is, therefore, not just about labeling the condition—it’s about unveiling a roadmap towards effective management and improved quality of life. (7)
