| Intermittent Explosive
Disorder
This disorder is characterized by frequent
and often unpredictable episodes of extreme anger or physical outbursts.
Between episodes, there is typically no evidence of violence or physical
threat.
This disorder is apparently rare, with the
majority of cases occurring when the individual is between late
adolescence and late twenties. There is some evidence of that the
neurotransmitter serotonin may play a role in this disorder.
Persons with Intermittent Explosive
Disorder may have a significant history of unstable interpersonal
relationships, illegal behavior, and substance abuse. A troublesome
pattern might include isolated outbursts of extreme temper with long
periods of reasonably normal functioning., which differs from the more
diffuse and continuous impulsivity of a personality disorder.
Symptoms
- Several discrete episodes of failure to
resist aggressive impulses that result in serious assaultive acts or
destruction of property.
- The degree of aggressiveness expressed
during the episodes is grossly out of proportion to any precipitating
psychosocial stressors.
- The aggressive episodes are not better
accounted for by another mental disorder (e.g., Antisocial Personality
Disorder, Borderline Personality Disorder, a Psychotic Disorder, a
Manic Episode, Conduct Disorder, or Attention-Deficit/Hyperactivity
Disorder) and are not due to the direct physiological effects of a
substance (e.g., a drug of abuse, a medication) or a general medical
condition (e.g., head trauma, Alzheimer's disease).
Treatment could involve medication or therapy, with the best prognosis
utilizing a combination of the two.
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