I know it's the worst. I wonder how many people in the hospital get it and the pdocs just raise their ap thinking it's part of the psychosis. No doc told me what was happening. I had to figure it out on my own. When I was in the hospital when I went into the psychosis, I was on 9 mgs of risperdal. I was taking it at night. Now I know why I couldn't sleep. And my pdoc at the time was a decent doc. I just don't understand why I wasn't told that I was having akathisia. He did give me benadryl for it but I was still pacing and anxious. But the worst I've had it has been on latuda and geodon.