The Possibility of the Second Generation Antipsychotic-Olanzapine to Cause Severe Akathisia in a Drug Naive Patient -A Case Report

Here we are presenting this case of 26 years old gentleman with no past psychiatric history who presented initially tothe emergency department with anxiety and depressive symptoms in the context of ongoing stressors, diagnosed as acase of severe anxiety and started on neuroleptic medication.A few days later, it was reported by the family that the patient was moving around and only sit for a few minutes beforestarting to move again in response to an urge to keep moving. Barnes Akathisia-Rating Scale was administered andindicated severe akathisia.The patient started on Mirtazapine 15 mg and Propranolol 20 mg twice daily, and he dramatically improved in a few days.