triggers. It must occur twice a week for at least three months to make the diagnosis. Some explosive outbursts are normal and common, with a prevalence of the actual disorder being about 8 percent of young people. It is usually seen in those under 40 years of age but can be diagnosed at any age. The consequences of intermittent explosive disorder are great. It is the underlying factor in domestic violence, property damage, road rage, and child abuse. There are severe relationship problems because of this and there may be serious legal consequences if there is injury to property or other persons. The onset of IED happens at around the age of twelve but can be seen in kids as young as six years old. Besides the military and obese individuals, those who’ve been subjected to physical abuse, child abuse, assault, and human rights violations are at a high risk. The use of alcohol will exacerbate the disorder. Comorbidities include PTSD, depressive disorders, substance use disorders, borderline personality disorder, and antisocial personality disorder. The goal of treatment is remission in which few symptoms persist. The patient generally doesn’t seek help themselves but are court-ordered or encouraged to seek help by loved ones. There is poor insight into the problem and blaming often occurs. The person sees aggressive behavior as a strength rather than a weakness. The therapist is not often seen as a supportive person. Mood stabilizers and antidepressants are often used because therapy isn’t always successful. The overall prognosis for the disorder is reasonably good with an average disease duration of 12-20 years. The numbers of aggressive outbursts in general will decrease as the person ages. Those who seek treatment can learn anger management, stress management, and positive coping skills.
CONDUCT DISORDER (312.81) Conduct disorder or CD is generally a disorder of individuals under the age of eighteen years who do not conform to societal or legal norms as would be appropriate for their age. It is also 215
