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Definition
By Mayo Clinic staffIntermittent explosive disorder is characterized by repeated episodes of aggressive, violent behavior in which you react grossly out of proportion to the situation. Road rage, domestic abuse, and angry outbursts or temper tantrums that involve throwing or breaking objects may be signs of intermittent explosive disorder (IED).
People with intermittent explosive disorder may attack others and their possessions, causing bodily injury and property damage. Later, people with intermittent explosive disorder may feel remorse, regret or embarrassment.
If you have this anger disorder, treatment may involve medications and psychotherapy to help you control your aggressive impulses.
- Thompson JW Jr, et al. Impulse-control disorders. In: Ebert MH, et al. Current Diagnosis and Treatment: Psychiatry. 2nd ed. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=3289149. Accessed March 6, 2010.
- Intermittent explosive disorder. In: Sadock BJ, et al. Kaplan and Sadock's Comprehensive Textbook of Psychiatry. Philadelphia, Pa.: Lippincott, Williams and Wilkins; 2005. http://ovidsp.tx.ovid.com/sp-2.3/ovidweb.cgi?&S=LIGLFPOGPNDDKGHDNCELCBCKMEKJAA00&Link+Set=S.sh.16%7c5%7csl_10. Accessed March 8, 2010.
- Kessler RC. The prevalence and correlates of DSM-IV intermittent explosive disorder in the national comorbidity survey replication. Archives of General Psychiatry. 2006:63;669.
- Intermittent explosive disorder. In: Stern TA, et al. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, Pa.: Mosby Elsevier; 2008. http://www.mdconsult.com/das/book/body/187865115-2/0/1657/221.html?tocnode=57542767&fromURL=221.html#4-u1.0-B978-0-323-04743-2..50025-1--cesec2_542. Accessed March 6, 2010.
- Kessler RC, et al. Intermittent explosive disorder is common, has an early age of onset and is associated with the development of other mental disorders in the US population. Evidence Based Mental Health. 2007;10:32.
- McCloskey MS, et al. Prevalence of suicidal and self-injurious behavior among subjects with intermittent explosive disorder. Psychiatry Research. 2008;158:248.
- Koelsch S, et al. EEG correlates of moderate intermittent explosive disorder. Clinical Neurophysiology. 2008;119:151.
- Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. March 9, 2010.
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