Intermittent explosive disorder

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Definition

By Mayo Clinic staff

Intermittent explosive disorder involves repeated episodes of impulsive, aggressive, violent behavior or angry verbal outbursts in which you react grossly out of proportion to the situation. Road rage, domestic abuse, throwing or breaking objects, or other temper tantrums may be signs of intermittent explosive disorder.

People with intermittent explosive disorder may attack others and their possessions, causing bodily injury and property damage. They may also injure themselves during an outburst. Later, people with intermittent explosive disorder may feel remorse, regret or embarrassment.

If you have intermittent explosive disorder, treatment may involve medications and psychotherapy to help you control your aggressive impulses.

References
  1. Ebert MH, et al. Current Diagnosis & Treatment: Psychiatry. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2008. http://www.accessmedicine.com/content.aspx?aID=3289149. Accessed Aug. 7, 2012.
  2. Nickerson A, et al. The relationship between childhood exposure to trauma and intermittent explosive disorder. Psychiatry Research. 2012;197:128.
  3. Intermittent explosive disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed Aug. 7, 2012.
  4. Coccaro E. Intermittent explosive disorder in adults: Epidemiology, clinical features, assessment, and diagnosis. http://www.uptodate.com/index. Accessed Aug. 7, 2012.
  5. Coccaro E. Intermittent explosive disorder in adults: Treatment and prognosis. http://www.uptodate.com/index. Accessed Aug. 7, 2012.
  6. McCloskey MS, et al. Prevalence of suicidal and self-injurious behavior among subjects with intermittent explosive disorder. Psychiatry Research. 2008;158:248.
  7. Safety planning. National Domestic Violence Hotline. http://www.thehotline.org/get-help/safety-planning/. Accessed Aug. 7, 2012.
  8. Finding resources in your area. National Domestic Violence Hotline. http://www.thehotline.org/2012/07/finding-resources-in-your-area/. Accessed Aug. 7, 2012.
  9. Kung S (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 23, 2012.
  10. Coccaro EF. Intermittent explosive disorder as a disorder of impulsive aggression for DSM-5. American Journal of Psychiatry. 2012;169:577.
DS00730 Sept. 18, 2012

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