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Intermittent Explosive Disorder: Causes, Symptoms and Treatments

Saiful is a Chemist and Paramedical Physician. His passion is writing quality articles.

Intermittent Explosive Disorder (IED) is a psychological disorder marked by excessive unwarranted anger, temper outbursts, aggression, excessive reprimanding trigger, screaming, shouting, breaking objects, etc. During this time behavioral outbursts become out of proportion of the situation.

It can’t be premeditated with its lesser-known causes and characteristics. It can be defined as an excessive reaction to provocation, original or perceived facts. It is very complicated with its turning characteristic to mood swing, tension, energy changes, etc.

This malady can cause unbearable distress, negative impacts on social and personal relationships. Moreover, it can lead to legal and financial issues.

What are the signs and symptoms of IED?

There are numerous kinds of signs and symptoms of Intermittent Explosive Disorder. These prefixes appear based upon different social skills development, genetic facts, heredity, influencing and accelerating factors, drug addiction, etc. This disease has a variety of signs and symptoms. Among them, some can be easily diagnosed when some are very complicated. Affected peoples can show different signs and symptoms such as-

  • Behavioral signs and symptoms:

    • Verbal Aggression
    • Physical Aggression
    • Angry Outbursts
    • Rampage
    • Slapping others
    • Breaking or damaging properties
    • Attacking peoples physically
    • Road Rage
    • Yelling
    • Threatening others
    • Argumentative
    • Fighting Mentality
    • Slang or abuse speech
    • Tirades
    • Assaulting over peoples and animals

These all signs and symptoms of this malady happen with no pre-warning. Sometimes these can be notable normally when sometimes can be worst. Moreover, these behavioral prefixes may last for short time about 30 minutes to 1 hour. Some physical signs and symptoms can appear alongside behavioral activities, such as-

Man is Suffering from IED Associated  Depressions

Man is Suffering from IED Associated Depressions

Physical signs and symptoms:

  • Increased energy as Adrenaline Rush
  • Irritability
  • Heart Palpitations
  • Increased Blood Pressure
  • Tremors
  • Sensations
  • Tingling
  • Chest Tightness
  • Muscle Tension
  • Headache
  • Head Pressure

Intermittent Explosive Disorder spread through sudden aggression and increased energy among peoples. But, after sometimes they might feel tired with loss of energy and low blood pressure. Later, they feel remorse for the incidents.

What causes IED?

The causes of IED are a combination of Physical, Genetic, and Environmental factors. The exact causes of these illnesses are lesser-known to us, but there are some notable factors which involved with these sicknesses, such as-

  • Physical: Varieties of researches suggested that this malady can be occurred due to the abnormal conditions and activities of the brain. A neurotransmitter called serotonin is involved with inhibits-prohibits and controlling muscle activities. Serotonin sends necessary chemical messages to the brain and the brain starts to respond according to it.

If there have any abnormalities in the brain that control arousal and inhibition, it may be composed serotonin messages differently cause Intermittent Explosive Disease. So, there are some structural, functional, and chemical differences in the brain of normal people and affected peoples.

  • Environmental: This disease may grow up in the peoples who are from the families with explosive behaviors, harsh punishments, abuse activities, slang, excessive social bounding, excessive quarrels, dishonor, etc.

Children grew up seeing parent’s activities. They will adapt and exhibits according to their parent’s activities as they mature. This morbidity may happen to those peoples who experienced traumatic events in childhood.

  • Genetics: It is hypothesized that there may be a hereditary and genetic component that passes this illness from parent to child. But until now, no specific gene has been identified that can prominently impact the development of this disease.

Impacts of Intermittent Explosive Disorder

This morbidity has different devastating impacts. It can be worst for those who remain untreated. Some impacts are given below-

  • Inferiority
  • Impaired Interpersonal Relationship
  • Legal Issues
  • Child Abuse
  • Incarceration
  • Social Disturbances
  • Low Self Esteem
  • Self-Loathing
  • Suicidal Mentality and activities
  • Self-harm
  • Drug Addiction
Young IED Patient Putting Rose in his Head in Suicidal Activities

Young IED Patient Putting Rose in his Head in Suicidal Activities

What Are the Complications of Intermittent Explosive Disorder?

IED can impact badly in your life. It hampers interpersonal and social relationships due to excessive unwarranted anger and rude behavior.

Its worst complications can cause loss of a job, car accidents, and repulse from school or community, financial loss, legal problems, etc. This disease leads to having other psychological and physical problems and diseases. Some complications are given below-

  • Depression
  • Attention deficit hyperactivity disorder (ADHD)
  • Anxiety
  • Eating and Appetite Chaos
  • Chronic Headache
  • Diabetes
  • High Blood Pressure
  • Risky habits such as gambling, unsafe sex
  • Chronic Heart Diseases
  • Stroke
  • Ulcer
  • Suicide
  • Self-Harm
  • Pain
  • Mood Swing
  • Bipolar Disorder
  • Oppositional Defiant Disorder (ODD)
  • Post-Traumatic Stress Disorder (PTSD)

Prevention and Treatments of Intermittent Explosive Disorder

This malady can be worst and beyond control if it remains untreated for a long time. Combined therapeutic and medication treatments need to prevent these sicknesses. Here are some suggestions-

Medication: To successfully manage this malady, certified and skilled psychiatrists and medical professionals will closely monitor medication during the rehab process. There are many therapeutic processes in the rehab center including individual therapy, Group therapy, Family therapy, experimental therapy, etc.

Doctors usually recommended Fluoxetine as the most studied effective drug to treat these sicknesses. Carbamazepine, Oxcarbazepine, or Phenytoin can be recommended if Fluoxetine fails to treat.

Generally, antidepressants, mood regulators, anti-anxiety and anti-convulsion, mood stabilizers, Valproic acid drugs can be included in the treatment process. Patients have to ensure continuing medication and rehab process until fully recover from this sickness.

IED Patient Discussing and Sharing His Problems with a Psychotherapist

IED Patient Discussing and Sharing His Problems with a Psychotherapist

Relaxation Techniques: To stay calm, different yoga, deep breathing, relaxing imagery, meditation have to practice regularly.

Restructuring level of thinking: You have to change your behavioral attitude and way of thinking during frustration. Rational thoughts, compliance logic, and reasonable expectations can improve and restructure your way of view and reaction during worst events.

Improve communications: try to build up good relations and communications with others. Listen to other's opinions and give value. Response to them controlling own self rather than what your mind says to do you at first.

Find Problem Solving Way: Take a break and calm your mind. Try to find out the right ways to solve frustration, even you unable to fix it. Make an effective plan for it refocusing your energy.

Avoid mood swing substances: Avoid all types of recreational, addictive, and illegal drugs.

Change Environment and Surroundings: Avoid and leave all types of elements that upset you and create frustrations. Change your entire environment and surroundings that accelerate worst situations. Schedule a personal time and go on a trip to a new place.

Can IED be fully cured?

There is no full cure process for Intermittent Explosive Disorder. Patients can control these illnesses. They have to maintain long-term medication and rehab processes to lessen their suffering. If they maintain appropriate medications with good life practice, these sicknesses may vanish but will appear again with the indiscipline of life.

Bottom Line Advice

A good environment and a good lifestyle can act as a strong catalyst to reduce the worst symptoms of IED bewith proper diagnosis and medication. Some patients do not take treatment because of being called psycho person. But remain untreated for a long time, becomes much worst, and creates different other associated mental diseases.

Moreover, maximum patients give up taking treatment and medication as their symptoms disappear. It creates many worst situations. Forasmuch, there is no full remedy for Intermittent Explosive Disorder; patients should continue their treatment and medication for a lifetime.

This content is accurate and true to the best of the author’s knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Drugs, supplements, and natural remedies may have dangerous side effects. If pregnant or nursing, consult with a qualified provider on an individual basis. Seek immediate help if you are experiencing a medical emergency.

© 2021 Md Saiful Islam

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