What is the intermittent explosive disorder, symptoms and treatment

Intermittent explosive disorder is characterized because attacks of uncontrolled anger and sudden aggression occur in response to a stimulus, and can be accompanied by verbal and physical aggression lasting less than 30 minutes, which can harm the person or when they are in their surroundings. .

Before an attack of rage, there may be symptoms such as headache, nausea, nausea and changes in consciousness; Afterward, the person suele experiences remorse, guilt and even vergüenza. This disorder is accompanied by substance abuse, depression, OCD and social phobia.

The treatment of intermittent explosive disorder includes the use of medications such as fluoxetine or sertraline, as well as sessions of cognitive-behavioral psychotherapy to control impulses and anger problems.

It is common to feel anger in a situation of stress, as in a car accident or too much work; But this feeling is normal whenever you have awareness and control over it, without the presence of sudden changes to a state of fury, it will be an aggressive behavior, which can put at risk the well-being and security of other people.

However, when anger is disproportionate to the situation that triggered the anger, it can be a sign of intermittent explosive upheaval, which is characterized by:

  • Lack of control over the aggressive impulse;
  • Breaking one’s own belongings or the bonds of others;
  • Sweating, tingling sensation and muscular muscles;
  • Increase in heart rate;
  • Verbal threats or physical aggression to another person without a reason that justifies this attitude;
  • Feelings of guilt and shame after the attacks.

The diagnosis of this syndrome is carried out by a psychiatrist based on the personal history and the reports of friends and family, because this disorder is only confirmed when there is a repetition of the aggressive behavior for several months, which suggests that this is an illness chronic.

Similarly, it is necessary to rule out the possibility of other behavioral changes, such as Antisocial Personality Disorder and Personality Limit Disorder. See where the borderline or borderline personality disorder is characterized.

The cause of the intermittent explosive disorder is not known with certainty, however, it is believed that factors such as family members with a history of impulsive aggressive behavior, alterations in neurotransmitters and alterations in the area of ​​the brain responsible for impulse control may be related.

In addition, people with this disorder have a history of physical abuse, sexual abuse during childhood and exposure to traumatic situations such as serious accidents or disasters.

When rage attacks are frequent and control is lost, the orientation of a psychologist is recommended through several sessions of individual and/or group psychotherapy, being able to apply cognitive-behavioral therapy to learn on the ground how to manage rage as well as identify the situations that can provoke an aggressive response.

During the therapy, it helps the surrounding family members to learn to face and control these episodes with aggressive behavior and are of paramount importance.

In addition to psychotherapy, in this syndrome it may be necessary to use antidepressant and anticonvulsant drugs such as fluoxetine, citalopram, sertraline, carbamazepine and valproate that help control emotions, reducing aggression.

The consequences of the intermittent explosive disorder arise due to the thoughtless actions taken during the rage attacks, such as loss of employment, suspension or expulsion from the school, divorce, problems with alcohol consumption or other substances, difficulty in relating to other people, accidents automovilísticos and hospitalizations for injuries suffered during the aggression.

The situation of aggression occurs even when you are not under the effects of alcohol, however, in general it is more serious when you are under this effect, in a few corners.

Asimism, rage attacks can cause the development of coronary disease, diabetes, hypertension, cerebrovascular accident and can even lead a person to commit suicide.

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Consult a Doctor | Translated by User2937

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Disclaimer – (English version>) This content has been prepared based on information from research, additional publications, or the translation/verification work of a volunteer editor of This is a non-profit service. It is strongly recommended that all details and information published be carefully verified with your trusted doctor, this being just a vehicle for basics about certain healthy behaviors, conscious food consumption and other notions. We never allow medication recommendations, medication package inserts or any medication guidance.

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