Quotes of dating violence
This seems hardly surprising in someone who is having to adapt to a new environment, but we are provided no details with regards to his psychosocial context, other than the fact that he had a wife and 9-year-old daughter, and that he didn’t speak English. Several studies using depot fluphenazine report an incidence around 35%.” “Akathisia is a distressing symptom which may be difficult to diagnose and treat.
When the symptoms worsened, he began a series of visits to hospital emergency rooms and private psychiatrists. 65-71, wrote: “Antidepressants have been reported as causing suicide and homicide and share the class attribute of frequently producing akathisia, a state of severe restlessness associated with thoughts of death and violence.” and “In this paper, we report our investigation into adverse drug reactions/interactions in three persons who committed homicide, two also intending suicide, while on antidepressants prescribed for stressful life events” and “Three persons committed homicide, two of which intended to commit suicide.
We are reporting suicides in two young Hispanic men who had developed severe akathisia after treatment with depot fluphenazine. There was no improvement in his akathisia and no anticholinergic side effects. These adverse drug reactions include the following overlapping clinical phenomena: a stimulant profile that ranges from mild agitation to manic psychoses, agitated depression, obsessive preoccupations that are alien or uncharacteristic of the individual, and akathisia. “Although violent acts performed by people with this disorder often attract public attention, whether their frequency is actually greater than in the general population is not known. “Serotonin-specific reuptake inhibitor antidepressant medications may produce akathisia that appears to be identical in phenomenology and treatment response to Neuroleptic-Induced Acute Akathisia. How much longer can psychiatry sustain this dreadful, self-serving deception?
Depression with suicidal behavior has been observed following fluphenazine injection, but suicide associated with akathisia has not been previously noted.” Fluphenazine is a neuroleptic drug of the phenothiazine class that was introduced in 1959. He soon stopped attending the day hospital and a family member called a week later to say that the man had killed himself by jumping off the roof of their building. Each of these reactions can worsen the individual’s mental condition and can result in suicidality, violence, and other forms of extreme abnormal behavior. What is known is that the life expectancy of people with Schizophrenia is shorter than that of the general population because of an increased suicide rate and death from a variety of other causes.” (p 191) As is clear from the material quoted earlier, suicide is frequently a result of akathisia. Akathisia due to nonneuroleptic medication can be diagnosed as Medication-Induced Movement Disorder Not Otherwise Specified.” (p 745) [Bold face in original] and “Individuals with Depressive Episodes, Manic Episodes, Generalized Anxiety Disorder, Schizophrenia and other Psychotic Disorders, Attention-Deficit/Hyperactivity Disorder, dementia, delirium, Substance Intoxication, (e.g., with cocaine), or Substance Withdrawal (.e.g., from an opioid) may also display agitation that is difficult to distinguish from akathisia.” (p 745-746) [Bold face in original] Which prompts one to wonder how many people who have been assigned these so-called diagnoses were actually suffering from one of the toxic effects of neuroleptic drugs or SSRI’s. INCIDENTALLY Senator John Mc Cain and Congressman David Jolly have introduced bills in their respective chambers that if enacted will require the Veterans Administration to conduct a comprehensive study of the link between psychiatric drugs and veterans’ suicides.
One of the psychiatrists “diagnosed paranoid schizophrenia”, and gave him a depot injection of fluphenazine. Although we cannot be sure that akathisia caused the deaths of our patients, akathitic symptoms seemed to be immediate precipitants of suicidal behavior. Hamilton, MS, MD, Obler, LA, , J Clin Psychiatry, 1992, Nov 53(11), 401-406, write: “The propose[d] link between fluoxetine and suicidal ideation is explained by fluoxetine-induced akathisia and other dysphoric extrapyramidal reactions.” and “The literature suggests that fluoxetine-induced extrapyramidal reactions may be a mediator of de novo suicidal ideation.” Fluoxetine is an SSRI, marketed as Prozac, Sarafem, and other names.
He developed severe akathisia, and continued to visit emergency rooms and private psychiatrists in an attempt to gain some relief. We urge clinicians to be alert to the discomfort of akathisia and to treat it aggressively.