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Intermittent explosive disorder involves repeated, sudden episodes of impulsive, aggressive, violent behavior or angry verbal outbursts in which you react grossly out of proportion to the situation. Road rage, domestic abuse, throwing or breaking objects, or other temper tantrums may be signs of intermittent explosive disorder.
These intermittent, explosive outbursts cause you significant distress, negatively impact your relationships, work and school, and they can have legal and financial consequences.
Intermittent explosive disorder is a chronic disorder that can continue for years, although the severity of outbursts may decrease with age. Treatment involves medications and psychotherapy to help you control your aggressive impulses.
The disorder is probably more common than realized and may be an important cause of violent behavior. Some studies have found that intermittent explosive disorder is more common in men. Please discuss with your doctor for further information.
Explosive eruptions occur suddenly, with little or no warning, and usually last less than 30 minutes. These episodes may occur frequently or be separated by weeks or months of nonaggression. Less severe verbal outbursts may occur in between episodes of physical aggression. You may be irritable, impulsive, aggressive or chronically angry most of the time.
Aggressive episodes may be preceded or accompanied by:
The explosive verbal and behavioral outbursts are out of proportion to the situation, with no thought to consequences, and can include:
You may feel a sense of relief and tiredness after the episode. Later, you may feel remorse, regret or embarrassment.
There may be some symptoms not listed above. If you have any concerns about a symptom, please consult your doctor.
If you have any signs or symptoms listed above or have any questions, please consult with your doctor. Everyone’s body acts differently. It is always best to discuss with your doctor what is best for your situation.
The exact cause of intermittent explosive disorder is unknown, but it’s probably caused by a number of environmental and biological factors. The disorder typically begins in childhood — after the age of 6 years — or during adolescence and is more common in people under the age of 40.
There are many risk factors for intermittent explosive disorder, such as:
The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.
To determine a diagnosis of intermittent explosive disorder and eliminate other physical conditions or mental health disorders that may be causing your symptoms, expect your doctor to do a:
Treatment could involve medication or therapy, including behavioral modification, and a combination of both offers the best prognosis. Group counseling and anger management sessions can also be helpful. Relaxation techniques have been found to be useful in neutralizing anger.
Studies suggest that patients with intermittent explosive disorder respond to treatment with antidepressants, anti-anxiety agents in the benzodiazepine family, anticonvulsants, and mood stabilizers.
Controlling your anger
Part of your treatment may include:
If your loved one won’t get help
Unfortunately, many people with intermittent explosive disorder don’t seek treatment. If you’re involved in a relationship with someone who has intermittent explosive disorder, take steps to protect yourself and your children. The abuse isn’t your fault. No one deserves to be abused.
Create an escape plan to stay safe from domestic violence
If you see that a situation is getting worse, and suspect your loved one may be on the verge of an explosive episode, try to safely remove yourself and your children from the scene. However, leaving someone with an explosive temper can be dangerous.
Consider taking these steps before an emergency arises:
Get help to protect yourself from domestic violence
These resources can help:
If you have any questions, please consult with your doctor to better understand the best solution for you.
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