Make a donation. It is commonly described as “flying into a rage for no reason.” In an individual with intermittent explosive disorder, the behavioral outbursts are out of proportion to the situation. (2001). As regards the course of the disease, it usually appears during childhood and adolescence, with an average age of 14 years and the highest age recorded. Advertising revenue supports our not-for-profit mission. In antisocial personality disorder, interpersonal aggression is usually instrumental in nature (i.e., motivated by tangible rewards), whereas IED is more of an impulsive, unpremeditated reaction to situational stress. Washington, DC: National Academies Press (US); 2014. A 2008 study found that 12 weeks of individual or group CBT reduced IED symptoms including aggression, anger control, and hostility. Accessed July 10, 2018. Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Multiple drug regimens are frequently indicated for IED patients. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). 2012;197(1-2):128-34. doi:10.1016/j.psychres.2012.01.012. Controlling anger before it controls you. A tendency towards low 5-HIAA may be hereditary. Injuries related to IED requiring medical attention reportedly occurred 52.5 times per 100 lifetime cases. It is for all this that the classification of this disorder as a mental disorder has created some controversy over time. Pent-up anger getting the best of you? Here are some strategies that can help you manage racing thoughts, plus insight into what may be causing them. Has anyone else in your family ever been diagnosed with a mental illness? Legal help. For its part, a study conducted by Monopolis and Lion showed that 2.4% of psychiatric patients were diagnosed with intermittent explosive disorder . Threatening or assaulting people or animals. Intermittent explosive disorder is characterized by disproportionate rage responses, leading to serious harm through violent words or deeds. Intermittent Explosive Disorder Treatment. Mayo Clinic, Rochester, Minn. Sept. 6, 2018. However, it was first called IED in the third edition. Subjects reported engaging in 27.8 high-severity aggressive acts during their worst year, with 2–3 outbursts requiring medical attention. American Psychological Association. Accessed July 10, 2018. It is argued that being exposed to scenes of habitual violence during childhood and adolescence increase the likelihood of showing certain features of this disorder at an early age and end up manifesting an intermittent explosive disorder during adolescence.
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