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Intermittent Explosive Disorder

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Liinda Resto

on 7 May 2015

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Transcript of Intermittent Explosive Disorder


There are no medications specifically for IED, but a variety of medications have been used to help people with IED.

-Antidepressants, such as fluoxetine (Prozac) and Anticonvulsants, carbamazepine (Tegretol), oxcarbazepine (Trileptal),
phenytoin (Dilantin),
topiramate (Topamax) and lamotrigine (Lamictal)

-Anti-anxiety agents in the benzodiazepine family, such as lorazepam (Ativan) and clonazepam (Klonopin)
Mood stabilizers, such as lithium (Lithobid)
Intermittent Explosive Disorder
Diagnostic Criteria
Verbal aggression (temper tantrums, verbal arguments or fights)
Physical aggression toward property, animals, or other indvs. occurring twice weekly on average, for a period of 3 months.
Three behavioral outbursts involving damage or destruction of property and/or physical injury against others within a year.
Risk Factors
Behavioral symptoms:
Physical aggressiveness
Verbal aggressiveness
Angry outbursts
Physically attacking people and/or objects
Damaging property
Road rage

Physical symptoms:
Muscle tension
Chest tightness
Feelings of pressure in the head

Cognitive symptoms:
Low frustration tolerance
Feeling a loss of control over one’s thoughts
Racing thoughts
Psychosocial symptoms:
Feelings of rage
Uncontrollable irritability
Brief periods of emotional detachment
The recurrent aggressive outburst are not premeditated and are not committed to achieve some tangible objective (money, power, intimidation).

***Can be diagnosed with other diagnosis when recurrent impulsive aggressive outbursts are in excess of those usually seen in the disorder and warrant independent clinical attention.
By: Linda Resto
Involves repeated episodes of impulsive, aggressive, violent behavior or angry verbal outbursts in which the individual react grossly out of proportion to the situation.
312.34 FM 63.81
IED is more prevalent in younger individuals (younger than 35-40) and in individuals with an high school education or less.
Affects as many as 7.3 % of adults: 11.5-16 million Americans in their lifetimes
Greater in male than females.
Environmental: Indvs with a history of physical & emotional trauma during the first two decades of their life are more prone to have IED.

Genetic & Physiological:
First-degree relatives of indvls with IED are at increased risk.

May occur as the result of
in the areas of the
that regulate arousal and inhibition. Impulsive aggression may be related to abnormal mechanisms in the part of the brain that

muscular activity
through the neurotransmitter serotonin.
, which works to send chemical messages throughout the brain, may be composed differently in people with intermittent explosive disorder.

Social Work Intervention
Counseling or psychotherapy.
Psychodynamic psychotherapy which involves some focus on underlying feelings and motivations, including conscious and unconscious thought processes.

Cognitive behavioral therapy (CBT) is commonly used to help people with IED learn which situations trigger their rage episodes. Through CBT they can learn to recognize and manage their anger in a healthy, non-disruptive way

Specific techniques used in CBT include:

●Cognitive restructuring
●Relaxation training
●Coping skills training
●Relapse prevention

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C: American Psychiatric Association.

Emil, Cooccaro. May 1, 2014.
Intermittent explosive disorder in adults: Treatment and prognosis.

Intermittent Explosive disorder Risk factors - Mayo Clinic. (n.d.). Retrieved from http://www.mayoclinic.org/diseases-conditions/intermittent-explosive-disorder/basics/risk-factors/con-20024309

Sturmey, Peter.
Treatment interventions for
people with aggressive behaviour.
Works Cited
Axis I
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