Intermittent Explosive Disorder

[PublicHealth]

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Have folks here ever diagnosed/treated IED?:

http://www.psycport.com/showArticle...ews_ap_org.anpa.xml&provider=Associated Press

What's the treatment approach?

 

[Psyclops]

Ok a couple of points about the article:

1.

"People think it's bad behavior and that you just need an attitude adjustment, but what they don't know ... is that there's a biology and cognitive science to this," said Dr. Emil Coccaro, chairman of psychiatry at the University of Chicago's medical school

An "biology and cognitive science" does not preclude, or is not mutually exclusive with it being "bad behavior and that there just needs to be an attitude adjustment". Harkening back to the racism comments on other threads, one could conceivably set up a grouping of symptoms, and call it a disorder. I don't know if that whould always be the case. It may very well be the case here. I'm on vacation now and don't have a DSM near by to take a look, but I would want to know what differentiates this d/o from people just being jerks. I'm not saying that it isn't a disorder just that it might be one that is open to debate.

2.

Jennifer Hartstein, a psychologist at Montefiore Medical Center in New York, said she had just diagnosed the disorder in a 16-year-old boy.

"In most situations, he is relatively affable, calm and very responsible," she said. But in stressful situations at home, he "explodes and tears apart his room, throws things at other people" to the point that his parents have called the police.

Soooo....maybe it has something to do with his parents, not an intermitent explosive d/o. This is a bad example in my opinion. If someone is only having these problems in home, I wouldn't think it was ageneralized disorder but a family interaction issue.

Just some thoughts, even on vaca I can't stay away from this internet based crack.

 

[Anasazi23]

Have folks here ever diagnosed/treated IED?:

http://www.psycport.com/showArticle...ews_ap_org.anpa.xml&provider=Associated Press

What's the treatment approach?

Depending on the symptoms, age, medical conditions, weight, personal habits, history and pathology style, any number of things:

VPA, carbamazepine, benzodiazepines, atypicals, or non-stimulating SSRIs.

 

[Poety]

Just some thoughts, even on vaca I can't stay away from this internet based crack.

You love us, you're obsessed with us, you know it, admit it

 

[PublicHealth]

Depending on the symptoms, age, medical conditions, weight, personal habits, history and pathology style, any number of things:

VPA, carbamazepine, benzodiazepines, atypicals, or non-stimulating SSRIs.

How about beta-blockers and behavioral approaches?

Original article:

http://www.ncbi.nlm.nih.gov/entrez/..._uids=16754840&query_hl=1&itool=pubmed_docsum

U Chicago Grand Rounds on IED:

http://psychiatry.uchicago.edu/grounds/001120/

 

[Doc Samson]

Jennifer Hartstein, a psychologist at Montefiore Medical Center in New York, said she had just diagnosed the disorder in a 16-year-old boy. "In most situations, he is relatively affable, calm and very responsible," she said. But in stressful situations at home, he "explodes and tears apart his room, throws things at other people" to the point that his parents have called the police.

Hmmm... Let's think about the differential for a 16 year old boy that violently acts out at home, but is "affable, calm, and very responsible" elsewhere.
That'd be:
1) Abuse
2) Abuse
3) Abuse
4) Substance Abuse
and a very distant 5) IED

 

[ORBITAL BEBOP]

Couldnt it be that he acts like a jerk at home, b/c he can, and like normal person in society, b/c he has to??

Send him away for a summer and he wont have an opportunity to act like a brat. And he is 16: at a super annoying age.

If it was true IED, couldnt it occur anywhere (in the car, at home, at work, etc)?

And do people with certain disorders have a predisposition to IED?

 

[Doc Samson]

Couldnt it be that he acts like a jerk at home, b/c he can, and like normal person in society, b/c he has to??

Send him away for a summer and he wont have an opportunity to act like a brat. And he is 16: at a super annoying age.

If it was true IED, couldnt it occur anywhere (in the car, at home, at work, etc)?

And do people with certain disorders have a predisposition to IED?

Seems like there are societal consequences to his acting out at home as well since the police have been involved.

 

[Triathlon]

Could be a result of the laissez-faire parenting style that is so popular these days. The kid can't handle the lack of boundaries and flips out at the slightest provocation at home when mom decides to start laying down the law because she watched Dr. Phil.