Intermittent Explosive Disorder


You’re at your favorite coffee shop on a beautiful morning. You’re happy; your morning has gone ideally, and it’s one of the best days you’ve had in a while. They call out your name to get your favorite drink, you take a large sip and…spit it all out.

Instantly, you are filled with a blinding rage—they’ve messed up your order!

You hurl it at the counter, cursing and screaming at everyone and everything around you.

You storm out, but by the time you get to your car, immense guilt has settled in.

You feel so bad, but you can’t face going back to apologize. You drive off and never return.

For someone with intermittent explosive disorder (IED), this happens regularly. Small things, like getting stuck in traffic on their way to work, can cause episodes of rage so intense, that the individual with this disorder can pose a threat to others or to themselves. Intermittent explosive disorder is a lesser-known mental disorder marked by episodes of unwarranted anger. It is commonly described as “flying into a rage for no reason” (Cleveland Clinic). Behavioral outbursts in an individual with intermittent explosive disorder are often disproportionate to the situation and often manifests itself in what seems like “adult temper tantrums” (Cleveland Clinic). Throwing objects, fighting for no reason, road rage, and domestic abuse are examples of intermittent explosive disorder. The outbursts typically last less than 30 minutes. After an outburst, an individual may feel a sense of relief – followed by regret and embarrassment.

IED often remains undiagnosed because of the nature of the disorder. People with this disorder are often labeled as “angry” and “impulsive”. The people around them don’t think to explore the underlying causes of the behaviors. Treatment options include cognitive behavioral therapy and medications, but they aren’t always effective. IED isn’t curable. These treatments attempt to make IED manageable by identifying triggers and teaching coping methods. However, the quality of life for many individuals who suffer from IED is still very low.

Carolina, age 31, who suffers from IED on a daily basis says, “I wish almost every day I could wake up and be someone else—a bubbly, happy, laughing girl who everyone likes and no one fears.”  She would see people shrug off incidents that would trigger her and feel both amazed and jealous. IED holds her back from the life she wants saying, “…I am dying for a family of my own and fear I won’t get it. All I’ve ever wanted was to be a mother and a wife. This is such a lonely life. Why am I this way?”

In her post on a support forum, she shared that two ex-boyfriends who were close to proposing left her because of her angry outbursts. One of them told her “he didn’t want to raise children in an environment where their mother would curse, shout and break things.”

She’s been fired for throwing a plant across the room at work. She also admits to calling her parents and yelling at them to the point where her mother starts crying. She feels regret and shame once the episodes pass, but she cannot control them:

“I was arrested in January for simple assault. I was in a verbally abusive relationship and my ex knew how to push my buttons. He one day went through my phone and said a bunch of crap to a guy friend of mine and then blocked him. When I found out the next day, I became enraged and physically beat my boyfriend to the point he called the police. Not only was I arrested but I was held in jail for two days…It was the lowest point of my life.” (Moon, C)

Carolina also shared that she has been taking medications and trying to manage her disorder for the past ten years. She says the medications will help calm her nerves with minor annoyances, such as road rage incidents. But she still struggles with IED every day, and she feels it is ruining her life.

Carolina’s feelings are not uncommon among those with IED. Many people feel like their disorder is ruining their lives and there isn’t much they can do about it. They worry about hurting those around them and themselves. Carolina is able to control some of her rage because she is receiving treatment. She understands that her disorder has a lot to do with her outbursts. However, someone who never received a diagnosis may be left wondering what is wrong with them. Caring for someone with IED is also a challenge. Support groups and classes are available to help caretakers understand what their loved ones need, and the best way to support them. IED is a relatively uncommon, often undiagnosed disorder. Parents assume their child is just being ‘difficult’ and don’t express their concerns to doctors or therapists. Expressing these concerns is crucial. Living with IED is not easy on the individual with the disorder or those around them, but living with undiagnosed, untreated IED is far worse.

References:

Cleveland Clinic. (n.d.). Intermittent Explosive Disorder Management and Treatment. Retrieved February 12, 2019, from https://my.clevelandclinic.org/health/diseases/17786-intermittent-explosive-disorder

Moon, C. (2016, July 20). IED is ruining my life: Intermittent Explosive Disorder Forum. Retrieved March 3, 2019, from https://www.psychforums.com/intermittent-explosive-disorder/topic184139.html

Staff. (2018, September 19). Intermittent explosive disorder. Retrieved March 3, 2019, from https://www.mayoclinic.org/diseases-conditions/intermittent-explosive-disorder/symptoms-causes/syc-20373921

2 Comments

Add yours
    • 2
      trash

      i have some version of it. various meds and other things dont help me. maybe it has some root in self esteem and how the self feels an assault and also fight or flight when a problem appears that seems like there is no solution to it in the time given, especially when elements of blame or sense of unfairness, certain elements get added in, and personal conditioning throughout life has built up kinds of negativity, both to self and in kinds of relationship structures, like parent-child, negative authority, bullying, etc., where the self has a kind of premade negative that then lashes out defensively like it cant win or succeed any other way in what it just encountered. I think some damage in the self and perhaps the way the brain has become set this way over much repeated conditioning, then results in such explosive extreme responses.

+ Leave a Comment