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Why do I have no energy or motivation for hobbies but also feel restless?

Feelings of apathy, lack of energy and not wanting to do things because of decreased motivation are associated with negative symptoms, which are often a core feature of schizophrenia. Anxiety and agitation are also common in schizophrenia. And, these may give rise to feelings of unease and restlessness. (You can also just have an inner sense of restlessness without actually moving around more.)

https://www.ahdbonline.com/articles/2007-the-spectrum-of-agitation-associated-with-schizophrenia-and-bipolar-disorder

Cognitive Behavioral Therapy (CBT) has shown positive results in treating apathy and negative symptoms.

https://www.nami.org/About-NAMI/NAMI-News/2013/Treating-Apathy-in-Schizophrenia

People taking antipsychotic medications often describe lethargy, difficulty thinking, dampened emotions and reduced motivation with a variety of physical effects.

Thompson J et al. Experiences of taking neuroleptic medication and impacts on symptoms, sense of self and agency: a systematic review and thematic synthesis of qualitative data. Soc Psychiatry Psychiatr Epidemiol 2020; 55: 151-164. https://doi.org/10.1007/s00127-019-01819-2.

Restlessness is also relatively common among people taking antipsychotic medications. Possible causes include agitation, anxiety, and a movement disorder called akathisia that can make it difficult to sit still.

Bratti IM, Kane JM, Marder SR. Chronic Restlessness With Antipsychotics 2007; 164 (11): 1648-1654. https://doi.org/10.1176/appi.ajp.2007.07071150

If you’re experiencing these or other potential side effects with antipsychotic medication, it’s important to discuss them with your doctor or healthcare team and decide what to do together.

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