Questions and Answers About Explosive Anger Disorder

Explosive anger disorder, also known as intermittent explosive disorder (IED), is a mental health condition characterized by frequent episodes of intense, out-of-control anger that leads to aggressive verbal outbursts or violent behavior that is out of proportion to what triggered it.

IED is a formal diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, 5^th edition (DSM-5), listed under the category of disruptive, impulse control, and conduct disorders.

What are the symptoms of Explosive Anger Disorder?

A person with explosive anger disorder may feel as though he or she has lost control of his or her emotions and be so overcome by rage he or she lashes out verbally, makes threats, starts screaming, physically attacks animals or people, throws or breaks things, has temper tantrums, kicks in doors, punches holes in walls, or engages in behaviors such as road rage or domestic abuse.

Outbursts can come on suddenly, and the aggressive behavior is impulsive, with no thought of what the consequences might be. After the fit is over, the person may regret his or her actions and feel guilty, ashamed, or sorry for what he or she has said or done.

Are there any warning signs of an outburst about to happen?

Some warning signs that you are about to have an explosive anger outburst include irritability, a growing sense of tension, sudden rage, rapid heartbeat, racing thoughts, a feeling of tightness in your chest, tingling, and/or shakiness.

Causes

The exact cause of explosive anger disorder is unknown. However, there appear to be several possible contributing factors such as a genetic predisposition; changes in brain structure, function, and chemistry; life experiences; and the environment you are exposed to during childhood.

If, for instance, you were abused or bullied as a child or grew up in a family where aggressive outbursts were common, you would be at higher risk of developing explosive anger disorder.

What are the effects of Explosive Anger Disorder?

Left untreated, it can cause problems at work, home, or school; affect your personal relationships; lead to domestic violence or child abuse; have legal or financial consequences; and result in low self-esteem, self-loathing, substance abuse, self-harm, and suicidal thoughts.

Explosive anger disorder has also been linked to several physical health issues such as heart disease, high blood pressure, stroke, headaches, backache, and various chronic muscle aches and pains.

Can it be treated?

Explosive anger disorder is treatable. Some common therapies have been found effective in helping manage its symptoms.

Cognitive behavioral therapy (CBT)

Cognitive behavioral therapy is focused on showing you how to identify and address unhealthy thought patterns that are negatively impacting your behavior, recognize your impulses, and equip you with coping skills such as relaxation techniques to help keep your rage under control when something sets you off.

Dialectical behavioral therapy (DBT)

Dialectical behavior therapy is a modified form of CBT that is effective for people who have trouble with emotional regulation or who are exhibiting self-destructive behaviors. Its focus is on helping you learn how to live in the moment and equipping you with healthy techniques for coping with stress, regulating your emotions, and improving your relationships with others.

Anger management therapy

Anger management therapy is focused on helping you learn how to communicate your feelings in healthy ways and respond to triggers in a less damaging manner.

If you or someone you know is struggling with explosive anger disorder, please reach out for help today. Call now to set up a risk-free appointment with one of the faith-based counselors in Carrollton, Texas.