I’ve been on many anti psychotics both first and second gen over the years. I’ve had the best luck for managing psychotic symptoms on seroquel. I don’t think I’ve had any psychotic symptoms in a couple years actually (crazily enough...that is until today when I was hearing mumbling voices like in a transistor radio through my headphones...a symptom that has historically happened identically to this) on it. I take 600MG. If the med works and the akathesia is the only issue, there is a med you can take (can’t remember the name as I’ve never needed it) to counteract it. I also take 60MG of Latuda but that was added more for depression. I second Haldol and Saphris as those were both meds that I found very helpful as well. Thiothixine (aka—brand name “Navane”) kept me stable for a long time as well. It was eventually replaced by Seroquel. Maybe look into those meds as well?