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Raising
Special Kids is Changing to My Special Kids
Raising Special Kids site is coming down soon - by the end of the
month, but don't worry, I am putting together a brand new site from
Raising Special Kids - and because that brand is already in use by www.raisingspecialkids.org,
I am
changing my site to www.my-special-kids.com.
I will have the index page up and will rewrite and post the pages as I
go along, updating and adding new information and experiences. Stay
tuned
Intermittent
Explosive Disorder
Everyone loses their
temper now and again, so what makes it
Intermittent Explosive mper
now and
again, so what makes it a disorder? Disorder (IED)? When
it becomes a
repeated series of aggressive and violent behavior that is totally out
of
proportion with what is going on, and especially out of character for
the
person. The person with IED can act without realizing or being able to
control
the attack on other people or their property and are embarrassed and
regretful
later when they realize what has happened.
These violent outbursts,
sometimes called explosive
eruptions, will sometimes happen in clusters around a short period of
time, or
the person can go for long periods of time (weeks, months) in between
episodes
of violence. An outburst can last anywhere from 10 to 20 minutes and
someone
will usually get hurt or something broken within that time.
Preceding
Symptoms
According to the Mayo
Clinic, there are symptoms which can
happen before an outburst or even happen along with the explosive
eruption.
Things to look for are:
- Tingling
- Tremor
- Palpitations
- Chest
tightness
- Head
pressure
- Hearing
an echo
How
Common is
Intermittent Explosive Disorder?
A study conducted by the
National Institute of Mental Health
(NIMH) places the number of Americans affected by Intermittent
Explosive
Disorder (depending on either a strict or loosely defined diagnostic
criteria)
to be approximately 7.3% of American adults., or between 12 and 16
million.
This disorder will
usually start to become noticeable in the
early teen years, and unless it is correctly diagnosed and treated, the
young
teen may end up in trouble at school and with the law very quickly.
Following
Intermittent Explosive Disorder episodes, the teen may be dealing with
depression and substance abuse and guilt, be sure to watch for suicide
indicators.
Research (NIMH) also
indicates that about 80% of people
affected by IED, do eventually reach the clinical criteria for
depression,
anxiety and substance abuse, although less than half of them will seek
professional treatment.
Treatment
Most patients are treated
with a combination of cognitive
behavioral therapy (CBT) and medication. Therapy sessions focus on
identifying
the warning signs of the impulses and developing coping mechanisms to
try to
control them or to find alternative safe outlets.
Drugs that are commonly
prescribed for intermittent
explosive disorder include:
- Antidepressants, such as fluoxetine (Prozac)
and paroxetine
(Paxil)
- Selective serotonin reuptake inhibitors as
fluoxetine (Prozac)
and sertraline (Zoloft)
- Mood regulators, such as lithium and
propranolol (Inderal)
- Anticonvulsants, such as carbamazepine
(Tegretol), phenytoin
(Dilantin), gabapentin (Neurontin) and lamotrigine (Lamictal)
- Anti-anxiety agents in the benzodiazepine
family, such as
diazepam (Valium), lorazepam (Ativan) and alprazolam (Xanax)
What
to Do If You
Think Your Child Has IED
Seek professional help
immediately. Make an appointment to
see your primary care physician (PCP) and discuss your observations and
suspicions. Your doctor can help you to know what to do next and can
make
referrals to a psychiatrist or other specialist if needed, or may ask
you to
observe the situation a while longer to get more information.
It is important that you
get help right away because IED, if
not treated and the correct supports put in place, can get your child
removed
from school and in trouble with the law very quickly.
Return
From Intermittent Explosive Disorder to Emotional Disorders

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