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Today my hr has ranged from 76 to 159. The most strenuous thing I’ve done today was walking and I didn’t feel tired or anything.

How do Ik if I have tachycardia or if I’m just out of shape?

Edit: I didn’t post this initially because I don’t want any comments about my weight. I’m aware my BMI puts me in the overweight category. I have body dysmorphia because of this, but visibly I do not appear overweight. I am a 20F and 5’1.5” and 140 lbs.

I also am experiencing non-medication induced akathisia. And I have been experiencing non-POTs symptoms for dysautonomia.

The earliest symptom I can remember was the “anxiety attacks.” We will refer to them as anxiety attacks from here on out. The first anxiety attack I can remember occurred at the end of my Fall 2024 semester. These would continue to occur, but very infrequently. 

These attacks would occur randomly at times when I had no internal or external stressors. They would not be accompanied by mental worry. These symptoms were purely physical: heart palpitations, internal shakiness, stomach butterflies. They were distressing and could last for hours, and would impair concentration.

The physical symptoms became noticeably worse in the beginning of my Fall 2025 semester. The anxiety attacks became more frequent. I also started experiencing other unexplained physical symptoms:
Teeth chattering when I wasn’t cold. Legs shaking occasionally when walking up or down stairs. “Oily” vision. Akathisia (intense inner restlessness like an itch under the skin).

Akathisia emerged during this time, and was initially only triggered by caffeine. It started off mild but got worse. It got to the point where a single caffeinated drink would cause me severe restlessness for days. It would feel like an itch under my skin that I would do all sorts of things to ease it (movements, vocalizations, straining, bracing, etc.). The pattern of the akathisia would be an entire day of intense internal restlessness, followed by multiple days of more rapid, but shorter fluctuations. In between these fluctuations, I would experience intense adrenaline crashes. During these crashes:
I would feel utterly depleted with no energy or motivation to move. I would usually end up laying on the floor, dissociating. Often, I would be extremely hungry or something, but still not have the energy to move.

About two months ago I went on anxiety meds to treat the physical symptoms. It helped but caused intense mood shifting so I had to go off it. But it might still be in my system. 

Currently, I am experiencing fatigued states. I have been experiencing an increasing amount of flashes of overheating. The anxiety attack feelings have also been coming back. Now, I have been experiencing akathisia on its own, without any triggers.

Other info:
- I have ruled out POTs bc it’s not related to sitting or standing. 
- My heart rate average is 86, but it is constantly at 90-100 when I’m sitting down. 

Do these symptoms sound familiar to anyone?

I have been experiencing akathisia (or something similar) for months now. At first it was induced by caffeine (which I stopped consuming). But lately its just been happening randomly on its own without any medication causes. I am not and never have been on any meds that can cause this.

Its driving me crazy because everything about akathisia says its induced by medications. My doctor and therapist were stumped. Does anyone know what could be causing this?

Edit: If this helps; the severe restlessness started appearing a few months ago and was initially only triggered by caffeine. It started off mild and got gradually worse. And now, after having a single frappuccino or energy drink, I will experience days of fluctuating akathisia type symptoms.

They will typically be severe and last hours at a time, on and off throughout the day. Over the next few days it will fluctuate more rapidly for shorter durations, with “crashes” strewn out in between spikes. During these crashes I experience utter energy depletion and dissociation.

Then (sorry this is so complicated), I went on an anxiety medication thinking it would help. But it only made the akathisia (or whatever it is) more frequent and worse, and would occur without any caffeine triggers. While on the anxiety meds, I had a couple sips of a frappuccino (was supposed to be decaf, but I think they made it regular on accident). But 10-15 minutes later I started having the intense restlessness again and it was so severe and lasted days.

I am off the anxiety meds now (and have been for a few weeks). But I had a restlessness episode again.

Note: While on the anxiety meds, I experienced rapid mood shifts that mimicked bipolar manic and depressive episodes. And I have continued having said episodes after going off the anxiety meds. So me and my doctor are watching this, and considering the possibility that the akathisia type symptoms are due to the potential onset of bipolar disorder.

I am sorry, that is a lot of information. I am just really lost because none of my diagnosis have been confirmed yet. And my symptoms don’t seem to match any of the conditions I have researched. I am a psych student btw.

I am undiagnosed, but my thought patterns strongly suggest I have OCD. However, my thought and doubt loops are primarily aimed at my own mental health. So my brain is constantly telling me I’m making up symptoms. I am afraid I will misrepresent or accidentally lie to the therapist during the evaluation.

I would like to be prepared for the evaluation. Does anyone have any advice of thought patterns and behaviors to pay attention to and document prior to my evaluation?

I am a 20 F and psychology student. I am living at home with my family. And I suspect I am developing some form of bipolar II disorder or cyclothymia. Either that, or I have having mood cycling from anxiety meds (which I am going off of).

But either way I’m feeling a lack of support from my family. It took a lot of distress for me to even tell people what’s going on with me. For example, I was sobbing on the floor the other night and didn’t feel like I could tell anyone.

My grandpa is staying with us from a broken hip, and requires a lot of attention from my family. So when I’m crashing, I usually just don’t bring it up because I don’t want to add to the burden.

My family is not neglectful, they are typically pretty supportive. But since I am the high achieving one, and my sister is the one with a history of depression and other mental health struggles, I feel like they don’t notice me struggling. Even when I try to tell them I just can’t seem to convey how distressing it has been. My mom seems to be convinced I’m a hypochondriac.

Btw, I am currently working with my doctor and therapist to get set up with a psychiatrist. I have started keeping a mood log. But my episode shifts are still very rapid. Any advice for what kind of information I should document?

Ik that it can causes changes in appetite, but can this present as major increases, not just decreases.

I’m not diagnosed with bipolar yet, but I think I might be experiencing a mood shift. I had two major “sobbing on the floor” crashes this weekend. And I’ve been fatigued all week with increase in appetite.

So I didn’t really cancel the order. What happened is that I got one order for a customer, then while in the store I got a second ping for the same customer. The workers could not find the second order in the system, so I canceled the second order.

But in doing so, I believe the system glitched and deleted the first order too. But I had already picked up the food and didn’t realize both orders were canceled until I dropped off a different order.

Now I have the food, but no way to contact the customer or deliver the food. And it’s too late to bring the food back to the store.

What do I do? I feel so guilty and I’m freaking out.

I suspect I may have OCD, but I don’t know if I should seek a diagnosis. I have a handful of compulsive behaviors (i.e. aligning things in my vision or repeating an action until it feels right). But these are not associated with intrusive thoughts.

I do have occasional intrusive thoughts, but these are not tied to repetitive behaviors. My main issue is constant reassurance seeking regarding my mental health. I used to spend hours reassurance seeking with AI, but I have decided to stop doing that.

I also have experienced body dysmorphia, where I spend hours body checking my proportions with google and AI.

However my main issue, in regard to my possible autism and development of bipolar II, is that I never trust my own experiences. No matter what happens I feel like my experience isn’t bad enough to count.

I am a 20 F and psychology student. I am living at home with my family. And I suspect I am developing some form of bipolar II disorder or cyclothymia. Either that, or I have having mood cycling from fluoxetine (which I am going off of).

But either way I’m feeling a lack of support from my family. It took a lot of distress for me to even tell people what’s going on with me. For example, I was sobbing on the floor the other night and didn’t feel like I could tell anyone. My grandpa is staying with us from a broken hip, and requires a lot of attention from my family. So when I’m crashing, I usually just don’t bring it up because I don’t want to add to the burden.

My family is not neglectful, they are typically pretty supportive. But since I am the high achieving one, and my sister is the one with a history of depression and other issues, I feel like they don’t notice me struggling. Even when I try to tell them I just can’t seem to convey how distressing it has been. My mom seems to be convinced I’m a hypochondriac.

I am a 20 F and psychology student. I am living at home with my family. And I suspect I am developing some form of bipolar disorder. Either that, or I have having mood cycling from fluoxetine (which I am going off of).

But either way I’m feeling a lack of support from my family. It took a lot of distress for me to even tell people what’s going on with me. For example, I was sobbing on the floor the other night and didn’t feel like I could tell anyone. My grandpa is staying with us from a broken hip, and requires a lot of attention from my family. So when I’m crashing, I usually just don’t bring it up because I don’t want to add to the burden.

My family is not neglectful, they are typically pretty supportive. But since I am the high achieving one, and my sister is the one with a history of depression and other issues, I feel like they don’t notice me struggling. Even when I try to tell them I just can’t seem to convey how distressing it has been. My mom seems to be convinced I’m a hypochondriac.