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What is a common symptom associated with akathisia?

1. Severe memory loss

2. Physical agitation

3. Excessive energy and hyperactivity

4. Complete muscular relaxation

The correct answer is: Physical agitation

Akathisia is characterized by a feeling of inner restlessness and an uncontrollable need to be in constant motion. This condition often manifests as physical agitation, where individuals may experience symptoms such as pacing, fidgeting, or an inability to sit still. This agitation can significantly impact a person's ability to remain calm or engaged in typical activities, which is a hallmark feature of akathisia. While physical agitation is central to the diagnosis, symptoms like severe memory loss, excessive energy and hyperactivity, or complete muscular relaxation do not accurately reflect the nature of akathisia. Severe memory loss is more typical of cognitive issues or dementia; excessive energy and hyperactivity might be seen in other conditions such as ADHD or mania, but they do not specifically pertain to akathisia. Lastly, complete muscular relaxation is contrary to the restless aspects of akathisia, as this condition involves a heightened state of tension and discomfort rather than relaxation. Understanding these distinctions helps clarify why physical agitation is the most relevant symptom associated with akathisia.