psychomotor agitation
Observable increase in motor activity and restlessness associated with psychological distress, commonly seen in mood disorders.
Full Definition
Psychomotor agitation refers to a syndrome characterized by increased motor activity, restlessness, and tension that occurs in response to mental tension or anxiety. Physical manifestations include pacing, hand-wringing, fidgeting, inability to sit still, pulling at clothing or hair, and repetitive movements. This symptom is commonly observed in major depression, anxiety disorders, bipolar disorder during mixed or manic episodes, and various medical conditions. In psychiatric documentation, psychomotor agitation is assessed and recorded as part of the mental status examination under behavior and psychomotor activity, helping clinicians monitor symptom severity and treatment response.
Usage
Usage note: Distinguish from akathisia (medication-induced) and normal anxiety responses
In Context
- "The patient exhibited marked psychomotor agitation, pacing continuously throughout the interview and unable to remain seated." — Mental status examination
- "Psychomotor agitation decreased significantly after anxiolytic medication was initiated." — Progress note