Hi all. I am a 25 y/o M with diagnosed BPD2. My episodes are far more depressive than manic (to the extent I’m not confident in my diagnosis, but that’s neither here nor there. At the very least, I have more than standalone depression). 

I was originally prescribed Vraylar, which did a wonderful job keeping me stable, but did so at a significant cost. A few weeks after starting, I began noticing an unsettling internal feeling of dread. The best way I can describe it would be like when you’ve had way too much caffeine—but it’s a much more sinister feeling than that. I’m a runner and generally cover 40+ miles a week. Around this same time, I noticed that I was walking and running strangely. I couldn’t run nearly as far as I normally could, and I can only describe the reason why as something being “off” with my legs. My heart rate was fine when running, but I had an irresistible urge to quit moving to try and absolve the sensation in my legs. I fought it for a few miles, but ended up quitting early each time. This sensation persisted and I ended up tapering off the medication altogether within a few weeks. 

I’ve since tried Latuda, but it was ineffective for me. I’m now on Geodon, but within two doses, the same sensations came rushing back, just as they were when I took Vraylar. 

What I’m wondering: is this akathisia? I know akathisia is described as an urge to move around that’s difficult to absolve no matter how much you move, but this just feels…different. It’s by far the most distressing sensation I’ve ever felt and I’m not sure what to do. Any responses are appreciated—thank you so much in advance. 

TL;DR: walking weird, can’t run as far, incredibly distressing internal sensation that’s hard to describe - is this akathisia?