Intermittent explosive disorder-What is it?

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Intermittent explosive disorder (IED) is a behavioral disorder characterized by extreme expressions of anger, often to the point of uncontrollable rage, that are disproportionate to the situation at hand. It is currently categorized in the Diagnostic and Statistical Manual of Mental Disorders as an impulse control disorder. IED belongs to the larger family of Axis I impulse control disorders listed in the DSM-IV-TR, along with kleptomania, pyromania, pathological gambling, and others. Impulsive aggression is unpremeditated, and is defined by a disproportionate reaction to any provocation, real or perceived. Some individuals have reported affective changes prior to an outburst (e.g., tension, mood changes, energy changes, etc.).

A 2006 study published by Harvard University researchers suggests that the disorder is considerably more prevalent than previously thought. In a study of almost 10,000 individuals 18 years or older, lifetime episodes were reported at 7.3%, while 12-month occurrences were reported at 3.9%. This suggests a mean lifetime occurrence of 43 instances, with an average of $1359 in property damage.

A 2005 study conducted in the U.S. State of Rhode Island found the prevalence to be 6.3% (SE, +/- 0.7%) for lifetime DSM-IV IED in a study of 1300 patients under psychiatric evaluation. Prevalence is higher in men than in women. The disorder itself is not easily characterized and often exhibits comorbidity with other mood disorders, particularly bipolar disorder.

In this same study, 27 subjects exhibiting DSM-IV IED were recruited and interviewed to describe their symptomology and episodic behaviors. All subjects described outbursts as brief, lasting an average of 22 minutes ± SD of 23 minutes. One-third of the subjects reported experiencing somatization prior to an episode, e.g. “tingling, tremor, palpitations, chest tightness, head pressure, or hearing an echo”. Over half of the subjects reported an alteration in their awareness during the episode, but none reported amnesia of the outburst. Subjects generally reported an inability to resist the impulse to violence, and often reported a feeling of relief (88% reporting) or even pleasure (46% reporting) while committing the acts. After the acts, many subjects reported feelings of remorse at their actions. Remarkably, all 27 subjects reported their experiences with IED consistently.-----------Source: Wikipedia

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When you hear the acronym IED you probably thing of an IED as in Iraq; an improvised explosive device. But IED can also stand for intermittent explosive disorder. It sounds like something made up, but it's not.

Intermittent explosive disorder is a behavioral disorder characterized by extreme expressions of anger, often to the point of uncontrollable rage. It is currently categorized in the Diagnostic and Statistical Manual of Mental Disorders (DSM) as an impulse control disorder.

According to the Mayo Clinic, intermittent explosive disorder occurs most often in young men (no!) and may affect as many as one in 14 U.S. adults.

Many people with IED grew up in families where physical abuse were common.

Interestingly, according to recent reports, WWE wrestler Randy Orton has intermittent explosive disorder or IED. He says he's been diagnosed with it, in fact. But it should be noted that some have posited that IED may be exacerbated by steroid use.

Treatment includes cognitive behavioral therapy, but also medication such as selective serotonin reuptake inhibitors (SSRIs), mood stabilizers such as lithium carbonate (Lithonate) or even some anticonvulsant medications.

Heavy-duty tranquilizers such as clozapine (Clozaril), haloperidol (Haldol) may also help, although these are traditionally used as anti-psychotic medication.

Beta blockers, are also known to help in some cases. These are usually prescribed to slow heart rate or control blood pressure.

It should be obvious from the medication list that often medication used to treat IED is used in the absence of the conditions that they are normally used for.----------Source:Huliq

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