Anger :: Intermittent Explosive Disorder (IED)

IED is defined as repeated and uncontrollable anger attacks that often become violent. IED is different from common type of anger most people exhibit from time to time when they pout, throw a book down or walk out of the room banging door, activities that are better described as mild temper tantrums.

One in 20 people may be susceptible to repeated, uncontrollable anger attacks in which they lash out in road rage, spousal abuse or other unjustifiably violent actions.
Researchers from Harvard & the University of Chicago have found that 4-5% of people in the study have physically assaulted someone, threatened bodily harm or destroyed property in a rage an average of five times a year.

Some Disturbing Trends
IED is on the increase among teenagers & it may set the stage for the onset of other mental conditions such as depression and alcoholism.
The rage disorder typically begins at the age 12-13 in boys & 15-16 in girls, increases rapidly in the teen years, is less prevalent among respondents in 40?s and becomes even less so among people in their 60?s.

Why?
Here comes a question, why is it increasing day by day?

Is there something profoundly important about how society is changing that?s leading to this apparent increase in people not being able to control their emotions & lashing out at other people?
Is it that we are bad parents and we are creating these little monsters?
Is television doing it? Is it due to the increase in action movies or is it due to the increase in nudity & vulgarity in the movies?

Instead of being considered a mental health problem, anger was thought to be a matter of will power. But new brain imaging studies show that the people with IED have abnormal brain signaling in areas that control anger responses.
When people with rage disorder are shown pictures of people with angry faces, their amygdala lights up far more than is seen in healthy subjects. The amygdala, deep in the center of the brain, governs emotional responses to threats.
At the same time, the front portion of their brain, which serves as an executive control over emotional urges, is less active than in normal people, indicating that people with IED quickly lose control.
People with rage disorder often misinterpret another person?s harmless action as a personal threat and respond by slapping, hitting or threatening the other person, breaking things, punching holes in walls or even try to run the person down with a car. The large numbers of assaultive acts occur in interpersonal relationships, followed by social settings, home & work.

Relief turns to remorse.
During a rage attack people often feel a sense of relief, but they mostly feel remorse afterward. They run a high risk of getting divorced, losing friends, and getting into trouble with the law and being fired from jobs.

Anger attacks can be reduced with drug-therapy to raise the threshold at which people explode or with cognitive behavioral intervention that teaches people how to relax when they feel tense & how to recognize that another person is not trying to hurt them.
The simplest coping skill is to get out of the encounter. If you feel you are going to explode you just walk away, take a timeout.

Homoeopathic Approach

Rubrics to be consider: – (Kent?s Repertory-Mind)

1- Abrupt:
2- Abusive:
3- Anger, irascibility:
4- Anger, irascibility: Stabbed, so that he could have, anyone:
5- Anger, irascibility: Throws things away:
6- Anger, irascibility: Violent:
7- Break things, desire to:
8- Cruelty
9- Disturbed, averse to being:
10- Fight, wants to:
11- Impatience
12- Impertinence
13- Imprudence
14- Impulse: to kill
15- Indignation:
16- Insolent:
17- Irritability:
18- Kill: Desire to:
19- Kill: Desire to kill the person that contradicts her;
20- Kill: Sudden impulse: To
21- Kill: Sudden impulse: For a slight offense:
22- Kill: Sudden impulse: Throw child into fire:
23- Kill: Thought he ought to kill somebody:
24- Kill: Threatens to:
25- Looked at, cannot bear to be:
26- Offended, easily:
27- Quarrelsome:
28- Rage, fury:
29- Rage, fury; Insults after:
30- Rage, fury: Kill people, tries to:
31- Remorse:
32- Remorse: Repents quickly:
33- Remorse: Trifles, about:
34- Restlessness, nervousness: Rage, ending in a:
35- Rudeness:
36- Sadness, mental depression: Anger, after:
37- Sensitive, oversensitive:
38- Throws things: Away:
39- Throws things: Away: At persons: who offend:
40- Violent, vehement, etc.

Boenningheusen?s Repertory: – Mind

1- Abusive, scolding, railing etc:
2- Anger, crossness, etc.:
3- Anger, crossness, etc.: Remorse, followed by:
4- Bad part, takes everything in; easily offended:
5- Cruelty, harshness of heart etc:
6- Destructive:
7- Faultfinding, reproachful, etc:
8- Hatred and revenge:
9- Irritable, cross:
10- Irritable, cross: Alternating with wrath:
11- Knife, impulse to injure with:
12- Mania, madness, rages, etc.:
13- Profanity, cursing, etc;
14- Quarrelsome, contentious, strife:
15- Raving, raging:
16- Rude, coarse, insolent:
17- Shouting:
18- Shrieking, screams, cries out:
19- Striking (about):
20- Striking (about): The walls:
21- Trifles: Vexed over:

Boericke?s Repertory: – Mind

1- Mood, disposition: Complaining, discontented, dissatisfied
2- Mood, disposition: Fault-finding, finicky, cautious:
3- Mood, disposition: Fretful, Cross, irritable, peevish, quarrelsome, whining
4- Mood, disposition: Haughty, arrogant, prideful:
5- Mood, disposition: Hypersensitive, cannot bear contradiction, vexed at trifles;
6- Mood, disposition: Impudent, insulting, malicious, revengeful, spiteful:
7- Propensity to: Be abusive, curse, swear:
8- Propensity to: Be cruel, violent, inhuman:
9- Propensity to: Be destructive, bite, strike, tear clothes:
10- Propensity to: Kill beloved ones:
11- Propensity to: Scold:
12- Propensity to: Tear things:

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Dr. Navneet Bidani
Bidani Homoeopathic Clinic
DSB-199, Red Square Market,
Hisar-125001
Haryana (INDIA)

Mobile: 09416336371

E-mail: drbidani@gmail.com
drbidani@yahoo.co.in

Website: www.drbidani.multiservers.com


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