1. intermittent explosive disorder is usually associated with which type of course?

by Amie Schiller 8 min read

IED is commonly associated with mood (both unipolar depression and bipolar disorder), anxiety, and substance use disorders, as well as antisocial and borderline personality disorders (Bromet et al., 2005; Kessler et al., 2006; McElroy et al., 1998; Ortega et al., 2008; Yoshimasu and Kawakami, 2011).

IED is commonly associated with mood (both unipolar depression and bipolar disorder), anxiety, and substance use disorders, as well as antisocial and borderline personality disorders (Bromet et al., 2005; Kessler et al., 2006; McElroy et al., 1998; Ortega et al., 2008; Yoshimasu and Kawakami, 2011).

Full Answer

What causes intermittent explosive disorder?

The exact cause of the disorder is unknown, but it's probably caused by a number of environmental and biological factors. Environment. Most people with this disorder grew up in families where explosive behavior and verbal and physical abuse were common.

What type of disorder is explosive rage disorder?

Intermittent explosive disorder (IED) is an impulse-control disorder characterized by sudden episodes of unwarranted anger. The disorder is typified by hostility, impulsivity, and recurrent aggressive outbursts. People with IED essentially “explode” into a rage despite a lack of apparent provocation or reason.

What is the comorbidity most commonly occurring with intermittent explosive disorder?

In the clinical research sample ADHD was the most prevalent comorbid diagnosis with IED followed by ODD and CD; the odds ratios for these comparison did not differ from each other and did not differ from the community sample.

Is IED linked to bipolar?

The association of the explosive episodes in these subjects with maniclike affective symptoms, the high rate of lifetime comorbid bipolar disorder, and the favorable response of explosive episodes to mood-stabilizing drugs suggest that intermittent explosive disorder may be linked to bipolar disorder.

Is intermittent explosive disorder common?

Depending upon how broadly it's defined, intermittent explosive disorder (IED) affects as many as 7.3 percent of adults — 11.5-16 million Americans — in their lifetimes.

What is intermittent explosive disorder UK?

Intermittent explosive disorder (IED) is a condition that involves sudden outbursts of rage, aggression, or violence. These reactions tend to be irrational or out of proportion to the situation. While most people lose their temper once in a while, IED involves frequent, recurring outbursts.

Is intermittent explosive disorder Axis I or Axis II?

Intermittent explosive disorder is a diagnosis that characterizes individuals who have episodes of dyscontrol, assaultive acts, and extreme aggression that is out of proportion to the precipitating event and is not explained by another Axis I or an Axis II disorder.

What is intermittent explosive disorder kids?

Intermittent explosive disorder (IED) A child with IED may have impulsive behavior outbursts very frequently, or two or more outbursts per week for three months. Outbursts include temper tantrums, verbal or physical fights, the harming of an animal, or the damaging of property.

Is intermittent explosive disorder in the DSM 4?

Intermittent explosive disorder (IED), as operationalized in DSM-IV, is characterized by recurrent episodes of serious assaultive acts that are out of proportion to psychosocial stressors and that are not better accounted for either by another mental disorder or by the physiological effects of a substance with ...

Can brain injury cause intermittent explosive disorder?

Traumatic brain injury especially to the frontal cortex had occurred in some individuals who later became impulsive or had one of the impulse control disorders. This is important in that damage to the prefrontal cortex is known to produce such behavioral patterns.

Is intermittent explosive disorder a disability?

There is a specific disability listing for all personality disorders in the "blue book" that covers borderline personality disorder (as well as schizotypal personality disorder, avoidant personality disorder, schizoid personality disorder, intermittent explosive disorder, and others).

Is intermittent explosive disorder DSM 5?

The DSM-5 defines intermittent explosive disorder as “recurrent behavioral outbursts representing a failure to control aggressive impulses.” (American Psychiatric Association, 2013).

How to diagnose intermittent explosive disorder?

To determine a diagnosis of intermittent explosive disorder and eliminate other physical conditions or mental health disorders that may be causing your symptoms, your doctor will likely: Do a physical exam. Your doctor will try to rule out physical problems or substance use that could be contributing to your symptoms.

What type of therapy is used for intermittent explosive disorder?

A commonly used type of therapy, cognitive behavioral therapy , helps people with intermittent explosive disorder: Identify which situations or behaviors may trigger an aggressive response. Learn how to manage anger and control inappropriate responses using techniques such as relaxation training, thinking differently about situations ...

What to do if you have a repeated emotional outburst?

If you're concerned because you're having repeated emotional outbursts, talk with your doctor or make an appointment with a mental health professional who specializes in treating emotional disorders, such as a psychiatrist, psychologist or social worker.

What is the DSM-5?

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association, is often used by mental health professionals to diagnose mental conditions.

Is it safe to leave someone with an explosive temper?

If you see that a situation is getting worse, and suspect your loved one may be on the verge of an explosive episode, try to safely remove yourself and your children from the scene. However, leaving someone with an explosive temper can be dangerous.

Intermittent Explosive Disorder

Intermittent explosive disorder (IED) is a DSM-IV diagnosis defined by repeated acts of impulsive aggression that are disproportionate to any provocation and can include verbal assault (e.g., screaming), destructive and nondestructive property assault, and/or physical attack.

Disruptive, Impulse-Control, and Conduct Disorders

Oppositional defiant disorder (ODD) is characterized by a pattern lasting at least 6 mo of angry, irritable mood, argumentative/defiant behavior, or vindictiveness exhibited during interaction with at least 1 individual who is not a sibling ( Table 42.1 ).

Disorders of Impulse Control

D.W. Woods, ... I. Snorrason, in Encyclopedia of Mental Health (Second Edition), 2016

Impulse-control disorders

Mark R. Dixon, ... Taylor E. Johnson, in Functional Analysis in Clinical Treatment (Second Edition), 2020

The Human Hypothalamus: Neuropsychiatric Disorders

Michele Rizzi, ... Carlo Efisio Marras, in Handbook of Clinical Neurology, 2021


David Myland Kaufman MD, ... Mark J. Milstein MD, in Kaufman's Clinical Neurology for Psychiatrists (Eighth Edition), 2017


The episodic dyscontrol syndrome—roughly equivalent to the DSM‐IV‐TR condition, Intermittent Explosive Disorder —usually consists of violently aggressive, primitive outbursts, including screaming, punching, wrestling, and throwing objects that injure people or destroy property.