Atsushi doesn't want to do what Akutagawa tells him to, but he doesn't currently have the energy to pettily refuse doing so either, and standing up seems like a reasonable thing to do anyway. Something is still very much not right, but his mind is clearer now, and while his body is... uncomfortable... it's not nearly as much of a forced focal point as it was before.

Already standing up, Akutagawa grabs him before Atsushi has quite stretched his legs, and he yelps. Oh, for -... He's already standing up! If he's already standing up, why does Akutagawa still insist on yanking at his hair?! (Well, Akutagawa is just like that. And also: Atsushi's hair is just that bad. It makes sense, really.)

It's hard to concentrate on what Akutagawa is saying, and Atsushi grabs hold of the guy's wrist - not to try getting him to let go, but to hopefully ease the pressure somewhat, pulling Akutagawa's hand down a fraction - or himself up. Then he belatedly hears Akutagawa's words, and the physical pain is forgotten.

"Eh?" What exactly is Akutagawa saying? Is he... actually looking out for Atsushi, in some messed up way???

... No, that can't be. And yet, somehow the words still hit a lot harder than they have any right to. Atsushi does kind of feel like he has brought shame on Dazai-san now, even though practically none of this was his choice.

"... I got it." Maybe. He thinks.