Psychological and neural issues affect multiple bad behaviors found in individuals. While one cannot label every bad behavior as a mental issue, one cannot dismiss that some individuals with bad behaviors are stricken with imbalances within the neurotransmitters, brain development and genetics. In regards to anger, it is critically important to control one’s temper but for those suffering from Intermittent Explosive Disorder it can be more difficult.
Like any neurotransmitter, when something is chemically off, it can make life difficult to respond as one should. Anxiety, depression and anger are all closely connected to neurotransmitters and proper balances such as serotonin. When imbalances occur, individuals can have hard times emotionally controlling their behaviors. In addition, certain issues within the amygdala can play key factors how one processes emotion.
While as a society, we do not condone violence, out bursts or tempers, it is critical to help those who suffer a disadvantage to better be equipped from a cognitive stance to cope and also if necessary receive the necessary medication to stabilize moods or treat imbalances within the neurotransmitters. This in no way condones uncontrolled angry behavior but in some cases it helps one understand others and can provide treatment to help someone gain control of one’s life.
The article, “Intermittent Explosive Disorder” from the Cleveland Clinic takes a comprehensive view on what this disorder entails and how to better overcome it. The article states,
“Intermittent explosive disorder (IED) is a mental health condition marked by frequent impulsive anger outbursts or aggression. The episodes are out of proportion to the situation that triggered them and cause significant distress. People with intermittent explosive disorder have a low tolerance for frustration and adversity. Outside of the anger outbursts, they have normal, appropriate behavior. The episodes could be temper tantrums, verbal arguments or physical fights or aggression.”
“Intermittent Explosive Disorder”. Cleveland Clinic. (2022). To review the article, please click here
Commentary
Intermittent explosive disorder (IED) is a psychiatric condition characterized by recurrent episodes of impulsive anger and aggressive outbursts. Individuals with IED often struggle to control their anger, leading to verbal or physical aggression that is out of proportion to the situation. These explosive episodes can cause significant distress and impairment in various areas of life, including relationships, work, and overall well-being.
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), outlines the criteria for diagnosing IED. To receive a diagnosis, an individual must have recurrent episodes of verbal or physical aggression at least twice a week for a period of three months. The outbursts must be disproportionate to the provocation, and the individual must experience a sense of relief or satisfaction immediately after the outburst. It is essential to remember that occasional anger or irritability is not sufficient for an IED diagnosis.
Symptoms and diagnosis of intermittent explosive disorder
The symptoms of IED can vary from person to person, but common signs include intense anger, rage, and aggression. These outbursts may be triggered by seemingly minor incidents or frustrations, and the individual may feel unable to control their emotions. Physical symptoms such as increased heart rate, sweating, and trembling may also accompany these episodes. After the outburst, individuals with IED often experience feelings of guilt, remorse, and shame.
Diagnosing IED involves a thorough evaluation by a mental health professional. The clinician will assess the individual’s history of anger and aggression, including the frequency and severity of outbursts. They will also consider other potential causes for the anger, ruling out any underlying medical conditions or substance abuse. It is crucial to undergo a comprehensive assessment to ensure an accurate diagnosis and appropriate treatment plan.
Causes and risk factors of intermittent explosive disorder
The exact cause of IED is unknown, but a combination of biological, genetic, and environmental factors is believed to contribute to its development. Some studies suggest that abnormalities in the brain’s serotonin and dopamine pathways may play a role in the regulation of anger and aggression. Genetic factors may also influence the risk of developing IED, as individuals with a family history of the disorder are more likely to experience it themselves.
Certain environmental factors can increase the risk of developing IED. These may include a history of childhood trauma or abuse, exposure to violence or aggression during early development, or growing up in a chaotic or unpredictable environment. Additionally, individuals with certain personality traits, such as impulsivity or low frustration tolerance, may be more susceptible to experiencing intermittent explosive episodes.
The impact of intermittent explosive disorder on individuals and their relationships
IED can have a profound impact on individuals and their relationships. The frequent outbursts of anger and aggression can strain personal relationships, leading to conflicts, isolation, and even the breakdown of partnerships or friendships. The unpredictable nature of these explosive episodes can create fear and uncertainty among loved ones, causing them to walk on eggshells or avoid triggering situations. The individual with IED may also experience feelings of guilt, shame, and regret after an outburst, further exacerbating the emotional toll of the disorder.
In addition to the strain on relationships, IED can also affect various areas of an individual’s life. It can lead to difficulties at work or school, as the outbursts may result in disciplinary actions or strained professional relationships. Individuals with IED may also struggle with low self-esteem and feelings of frustration due to their inability to control their anger. Overall, the impact of IED on an individual’s life can be significant, affecting their mental health, well-being, and overall quality of life.
Treatment options for intermittent explosive disorder
Fortunately, there are effective treatment options available for individuals with IED. The primary goal of treatment is to help individuals gain control over their anger and reduce the frequency and severity of explosive episodes. Treatment approaches may include a combination of medication, psychotherapy, and anger management techniques.
Medications such as selective serotonin reuptake inhibitors (SSRIs) or mood stabilizers may be prescribed to help regulate mood and reduce impulsive behavior. Psychotherapy, such as cognitive-behavioral therapy (CBT), can help individuals identify and change negative thought patterns and develop healthier coping mechanisms. Additionally, anger management techniques, such as deep breathing exercises, mindfulness, and relaxation techniques, can empower individuals to manage their anger more effectively.
It is essential to work closely with a mental health professional to develop an individualized treatment plan tailored to specific needs and circumstances. With the right treatment and support, individuals with IED can gain control over their anger, improve their relationships, and enhance their overall well-being.
Anger management techniques for individuals with intermittent explosive disorder
For individuals with intermittent explosive disorder (IED), learning effective anger management techniques is crucial in gaining control over their anger and reducing the frequency and severity of explosive episodes. Here are some strategies that can be helpful:
- Recognize triggers: Identifying the situations, thoughts, or emotions that trigger anger can help individuals anticipate and prepare for potential outbursts. This self-awareness allows for the implementation of coping strategies before anger escalates.
- Practice deep breathing: Deep breathing exercises help regulate emotions and promote relaxation. Take slow, deep breaths in through the nose, hold for a few seconds, and exhale slowly through the mouth. Repeat this process several times until feelings of anger subside.
- Utilize relaxation techniques: Engaging in relaxation techniques such as progressive muscle relaxation or guided imagery can help individuals manage anger more effectively. These techniques promote a sense of calm and reduce the physiological arousal associated with anger.
- Engage in physical activity: Regular exercise can serve as a healthy outlet for anger and stress. Engaging in physical activity helps release pent-up energy and promotes the release of endorphins, which can improve mood and reduce anger.
- Practice effective communication: Learning assertive communication skills can prevent anger from escalating into aggression. Expressing feelings and needs in a calm and respectful manner can help resolve conflicts and improve relationships.
Remember, managing anger takes time and practice. It is essential to be patient with oneself and seek support from mental health professionals who can provide guidance and assistance throughout the journey.
Coping strategies for loved ones of individuals with intermittent explosive disorder
Living with a loved one who has intermittent explosive disorder (IED) can be challenging and overwhelming. It is crucial for family members, friends, and partners to develop effective coping strategies to navigate the unique challenges that arise. Here are some strategies that can be helpful:
- Education and understanding: Educate yourself about IED, its symptoms, and triggers. Understanding the nature of the disorder can help you develop empathy and compassion towards your loved one, reducing feelings of frustration or confusion.
- Set boundaries: Establish clear and healthy boundaries to protect your emotional and physical well-being. Communicate your limits and expectations in a calm and assertive manner, ensuring that you prioritize your own needs.
- Practice self-care: Taking care of yourself is essential when supporting someone with IED. Engage in activities that bring you joy and relaxation, such as hobbies, exercise, or spending time with supportive friends and family. Prioritize self-care to maintain your own mental and emotional well-being.
- Seek support: Reach out to support groups or therapy for yourself. Connecting with others who are in similar situations can provide a sense of understanding and validation. Professional therapy can also offer guidance and coping strategies to navigate the challenges of living with someone with IED.
- Encourage treatment: Encourage your loved one to seek professional help and engage in treatment for IED. Support them in finding a mental health professional who specializes in anger management or IED. Be patient and understanding as they navigate the treatment process, offering encouragement and reassurance.
Remember, supporting someone with IED can be challenging, but it is essential to prioritize your own well-being while providing support. By implementing these coping strategies, you can maintain a healthy balance and contribute to the overall well-being of both yourself and your loved one.
Support groups and resources for individuals with intermittent explosive disorder
For individuals with intermittent explosive disorder (IED), connecting with support groups and accessing available resources can be instrumental in their journey towards recovery. Here are some options to consider:
- Online support groups: Joining online support groups specific to IED can provide a safe space to share experiences, concerns, and coping strategies with others who understand the challenges associated with the disorder. Websites like PsychForums and DailyStrength offer online communities for individuals with IED and their loved ones.
- Local support groups: Seek out local support groups or therapy groups that focus on anger management or IED. These groups offer the opportunity to connect with others facing similar struggles, share experiences, and learn from one another. Local mental health organizations or community centers may have information on available support groups in your area.
- Therapy: Engaging in individual therapy or group therapy with a mental health professional who specializes in IED can be highly beneficial. Therapists can provide guidance, support, and evidence-based interventions to help individuals manage their anger and develop healthier coping strategies.
- Books and literature: There are various books and literature available that provide valuable insights and practical advice for individuals with IED. Some recommended titles include “The Explosive Child” by Ross W. Greene and “The Dance of Anger” by Harriet Lerner. These resources can offer valuable tools and perspectives for managing anger.
- National organizations: National organizations such as the National Alliance on Mental Illness (NAMI) or the National Institute of Mental Health (NIMH) may offer resources, helplines, or referral services for individuals with IED and their loved ones. These organizations can provide up-to-date information and connect individuals with appropriate support.
Remember, reaching out for support is a sign of strength, and connecting with others who understand your struggles can provide a sense of validation and empowerment. By utilizing these support groups and resources, individuals with IED can access valuable tools and support in their journey towards managing anger and improving their overall well-being.
The importance of seeking professional help for intermittent explosive disorder
Intermittent explosive disorder (IED) is a complex mental health condition that requires professional intervention and support. Seeking professional help is essential for several reasons:
- Accurate diagnosis: A mental health professional can conduct a comprehensive evaluation and accurately diagnose IED. Proper diagnosis is crucial in developing an individualized treatment plan that addresses the specific needs and challenges associated with the disorder.
- Treatment options: Mental health professionals specialize in providing evidence-based treatments for IED. They can prescribe medications, offer psychotherapy, and teach anger management techniques that have been proven effective in reducing the frequency and severity of explosive episodes.
- Monitoring and support: Regular appointments with a mental health professional allow for ongoing monitoring of symptoms and progress. They can provide the necessary support, guidance, and adjustments to treatment plans as needed. Continued therapy sessions also offer a safe space for individuals to discuss their experiences, emotions, and challenges.
- Education and coping strategies: Mental health professionals can educate individuals about IED, its causes, and its impact. They can also teach coping strategies and techniques to help manage anger and develop healthier ways of expressing emotions. This knowledge and skill-building are vital in empowering individuals to take control of their anger and improve their overall well-being.
- Improved quality of life: Seeking professional help for IED can significantly improve an individual’s quality of life. Treatment can reduce the frequency and severity of explosive episodes, leading to better relationships, improved work performance, and increased overall well-being.
Remember, there is no shame in seeking professional help for IED. It is a courageous step towards taking control of one’s anger and improving overall mental health. Mental health professionals are trained to provide the necessary support and guidance needed for individuals with IED to lead fulfilling and happier lives.
Conclusion
Intermittent explosive disorder (IED) is a challenging mental health condition characterized by recurrent episodes of impulsive anger and aggressive outbursts. It can have a profound impact on individuals and their relationships, leading to distress, impaired functioning, and emotional turmoil. However, with proper diagnosis and treatment, individuals with IED can gain control over their anger and improve their overall well-being.
Understanding the symptoms, causes, and risk factors of IED is essential in addressing the disorder effectively. Treatment options, including medication, psychotherapy, and anger management techniques, can empower individuals to manage their anger more effectively and reduce the frequency of explosive episodes. Support groups, resources, and professional help are also critical in providing guidance, education, and ongoing support.
By promoting understanding, empathy, and access to appropriate resources, we can create a supportive environment for individuals with IED and their loved ones. Together, we can help unleash the power of anger management and improve the lives of those affected by intermittent explosive disorder. Seek professional help, educate yourself, and don’t hesitate to reach out for support. It is never too late to take control of your anger and live a healthier, happier life.
Please also review AIHCP’s Anger Management Consulting Certification and see if it matches your academic and professional goals. The program is online and independent study and open to qualified professionals seeking four year certification in Anger Management
Reference
“Intermittent Explosive Disorder”. Cleveland Clinic. (2022).
Additional Resources
“Intermittent Explosive Disorder”. Mayo Clinic. (2018). Access here
“Intermittent Explosive Disorder”. Psychology Today Staff. (2019). Psychology Today. Access here
“What Is Intermittent Explosive Disorder?”. Bottaro, A. (2019). VeryWellHealth. Access here
“Intermittent Explosive Disorder”. Vandergriendt, C. (2018). Healthline. Access here