Intermittent explosive disorder (abbreviated IED) is a behavioral disorder characterized by extreme expressions of anger, often to the point of uncontrollable rage, that are disproportionate to the situation at hand. It is currently categorized as an impulse control disorder. Some have reported that they have emotional changes prior to an outburst which could lead one to think that a person is aware when an outburst is about to occur.
Prevalence is higher in men than in women. The disorder itself is not easily characterized and often exhibits with dual diagnoses with other mood disorders, particularly bipolar disorder. Individuals diagnosed with IED report their outbursts were brief (lasting less than an hour), with a variety of bodily symptoms such as sweating, chest tightness, twitching, palpitations. The violent acts were frequently reported accompanied by a sensation of relief, and in some cases, pleasure, but accompanied by remorse after the fact; similar to that of an addict getting a fix.
The DSM-IV criteria for IED include:
• Occurrence of discrete episodes of failure to resist aggressive impulses that result in violent assault or destruction of property.
• The degree of aggressiveness expressed during an episode is grossly disproportionate to provocation or precipitating psychosocial stressor.
• Diagnosis is made only when all other mental disorders and all general medical condition that may cause violent outbursts have been ruled out.
Intermittent Explosive Disorder is treated through both cognitive behavioral therapy and psychotropic medication. Therapy goal is to help patient recognize the impulses that lead to the outburst with the reasoning, if they can recognize and are aware of the changes, they can take necessary action to control the outburst. It also aims to treat the emotional stress that comes with these violent outburst. Medications have shown effective in alleviating some of the pathopsychological symptoms.
If you need help, are struggling with an addiction, or know of someone who is, please contact A Better Tomorrow Treatment Center today. We are here to help.
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This fits my daughter to a 'T'. She has been diagnosed with bipolar disorder and I always thought the anger outbursts were part of that. I'm going to contact her doctor and talk to her about these episodes.
ReplyDeleteThis sounds like my boss. I've always thought he overreacted to situations. Last week he tossed a chair right down the middle of the conference table because he didn't like an idea that someone put out for consideration. I think I'm going to print off this article and send it through the inter-offce mail. I wonder if he'll recognize himself?
ReplyDeleteThis sounds like it would be difficult to diagnose since it happens every so often. It is probably the case that it is underdiagnosed as well. I can see it being explained away as someone just having a bad day.
ReplyDeleteI went with a guy for almost 8 years and I'm convinced that he suffers from this. He didn't get mad often, but when he did it was over a minor thing, and it would send him off the deep end. There were times I swore I saw red in his eyes. It was actually kind of scary, which is why we're not together any longer.
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