I had 2 psychiatrists at the time I first started taking this drug, which has improved my life. (I still have fears of movement disorders developing, though.) One psychiatrist knew that to stop some side effects, I had to go UP on the dosage (from 80 mg). After I did, I quit experiencing "urge incontinence", peeing in your pants as soon as you think about peeing. Later I had problems falling asleep on my way to work, or after I'd been at work an hour or so I'd have to go out to my car and tilt the seat back so I could sleep. The other psychiatrist had no clue about what to do, but the more experienced one had me take the whole dosage (by then about 160 - 180 mg) at night. I no longer was sleepy during the day.