Intermittent Explosive Disorder

Intermittent explosive disorder is defined by recurrent, sudden behavioral outbursts representing a failure to control aggressive impulses, disproportionate to the provocation. Etiologies include neurobiological dysfunction (serotonergic and amygdala pathways), genetic factors, and psychosocial influences. Clinical features include verbal aggression, physical aggression, and property destruction, often causing legal or social consequences. Diagnosis requires assessment of frequency, intensity, and functional impact, excluding other psychiatric or medical conditions. Management combines cognitive-behavioral therapy, anger management, and pharmacologic intervention with SSRIs or mood stabilizers for severe cases. Prognosis improves with structured behavioral interventions and ongoing monitoring.