u/mochiweed

I'm scared but can give you guys timeline to help me. I'm 26, f, healthy. I have diagnosed OCD... been on Fluvoxamine for years just fine.

First time I got Aka was October 2025 with 1 dose of IV Reglan. I was lucky it only lasted 24 hours and went away.

In March 2026, my psych noticed my OCD was still severe so she added risperidone (antipsychotic) 0.25mg which is the lowest dose. I was taking it for about 2-3 weeks till I noticed I was having stiff muscles and twitching, so I stopped the medication. There was no taper bc it was the lowest starting dose.

About 4-5 days after my last dose, that Akathisia feeling came back again. Thankfully it was not as terrible as Reglan IV, it was just an electric, buzzing, crawling in my skin feeling, constantly. I took vitamin b6 and after 3-4 weeks of Akathisia it was gone... or so i thought

last week, right before my period, the feeling came back and its been back ever since. I'm lucky that propranolol can take the edge off and i might get a window for a couple hours but it feels worse than before, wtf, why did this happen... what can i do?

i haven't taken any new meds or increased doses of anything. no withdrawals either. i suspect its my
hormones but i thought my akathisia was healed, i can't have this every menstrual cycle

I've been on an SSRI for many years, no issues.
Healthy, 26 yr old female.

I tried an antipsychotic on top of my SSRI (Risperidone 0.25mg, lowest dose) for about 3 weeks from March till beginning of April. I stopped it quickly, like I said. There was no need to taper bc it was the lowest dose.

After about 4-6 days after my last dose, I developed what I felt like was constant, but luckily moderate, Akathisia. It was more inner for me. Restlessness, doom, crawling in skin feeling, but I did not need to pace 12 hours a day thankfully.

After about 2 weeks of this inner Akathisia I tried b6 and propranolol which helped slightly, and after a full month of this, I was healed... or so I thought.

I was free of this sensation for about a week, maybe 2, and now it came back 2 days ago. However this time, I have no idea why. I tried no new meds, no supplements, no sickness, nothing.

I just woke up and felt the same deeply uncomfortable feelings. Inside of my skin felt like it was electric, uncomfortable, crawling. It felt like restless leg all over my body, but again, I am lucky that it doesn't cause me to pace all day. I can *mostly* stay still if needed, but I do get relief moving

I've had anxiety for over 10 years and i know this is different from anxiety or panic. I just don't know if this is actually Akathisia or what to do...