Psychomotor agitation is the worst! It's like akasthesia, actually I'm never sure what one it is but meds (both ADs & stelazine) seem to make it worse but it exists without meds also.

I can't sit still, ALWAYS moving my feet or legs, I pace, I scratch at or rub my skin & have crated sores many many times over, I bite my nails to the skin, I tend to have obsessive thoughts during (self harm & suicidality ideation), I can't focus on anything to distract me although I'm driven to find distraction, nothing seems to feel good, paranoia, ranting, lots of anger.

I have no advice as to how to deal with it because all my coping mechanisms are substance related.