Treatment typically involves a combination of medication and psychotherapy studies show that a combination of both approaches offers the best prognosis. School-based violence prevention programs, for example, may lead to early identification of IED cases, leading to treatment that could prevent associated psychopathology. Treatment of IED, while challenging, can also be highly effective, particularly if it's started as early as possible, and eventually help individuals limit and control their aggressive impulses.

People with IED may sometimes be prone to self-harm or suicidal ideation. Therefore, the disorder can have serious consequences for an individual’s everyday life, leading to job loss, school suspension, divorce and irreparable damage to other close relationships, accidents (such as car accidents), hospitalization due to injuries, financial problems, or incarceration or other serious legal problems. Intermittent explosive disorder tends to be persistent with episodes occurring for many years.

They also may not be due to the direct physiological effects of a substance, such as a medication or a drug of abuse, or a general medical condition, such as head trauma or Alzheimer's disease. A person can also be diagnosed with IED if they have fewer but more destructive episodes specifically, three such episodes within a 12-month period that result in damage to property, or physical assaults that lead to injury.įor an IED diagnosis to be made, the aggressive episodes may not be better accounted for by another disorder such as antisocial personality disorder, borderline personality disorder, a psychotic disorder, a manic episode, conduct disorder, or attention-deficit/hyperactivity disorder. This aggression does not necessarily have to result in damage to property or injury in animals or other people. To be diagnosed with IED, an individual must have displayed verbal or physical aggression toward property, animals, or other people approximately twice weekly for a period of at least three months. In general, these outbursts are brief and impulsive, not premeditated, and last less than half an hour, but can result in serious acts of assault or property destruction.

Intermittent explosive disorder is marked by frequent and distinct episodes in which an individual fails to resist aggressive impulses or reactions grossly out of proportion to any provocation.

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