Agitation (medical)

Agitation
Other namesPsychomotor agitation, restlessness
SpecialtyPsychiatry, Neurology, Emergency medicine
SymptomsExcessive motor activity, restlessness, pacing, hand-wringing, fidgeting, verbal outbursts
ComplicationsInjury, aggression, worsening of underlying condition
Usual onsetVariable
DurationVariable, often acute
CausesPsychiatric conditions (e.g. schizophrenia, bipolar disorder), delirium, substance use, withdrawal, medication side effects
Risk factorsUnderlying psychiatric or neurological disorders, drug or alcohol use
Differential diagnosisAnxiety, akathisia, delirium, psychosis
PreventionManagement of underlying conditions, medication adherence, early recognition
TreatmentSedation, antipsychotics, benzodiazepines, behavioral interventions
PrognosisDepends on cause and treatment
FrequencyCommon in psychiatric and emergency settings

Agitation is a state of heightened motor and cognitive activity characterized by excessive or inappropriate verbal and physical behaviors, emotional excitement, and restlessness, often arising as a symptom of underlying medical, psychiatric, or neurological conditions. It is considered both a medical and psychiatric emergency due to the potential for harm to patients, caregivers, and healthcare providers, and may escalate to aggression or violence if not promptly recognized and managed.