Loving You Is Explosive You Know This

In July 2016, Leslie Khoo Kwee Hock strangled Cai Yajie in his car at Gardens by the Bay E, before called-for her body completely at Lim Chu Kang. He allegedly did so to silence her repeated threats of exposing his lies and confronting his family.

Defence psychiatrist Dr Ken Ung Eng Khean, diagnosed and supported the merits that Mr Khoo suffered from Intermittent Explosive Disorder (IED) at that fourth dimension, which explained his impulsive assailment towards the eventual demise of Ms Cai.

More recently, a young man was charged in Court after telling his 13 yr-old sis that he wanted to kill her after slapping and kicking her. He was diagnosed with deport disorder with intermittent explosive disorder, sentenced to xviii months probation and admitted to a hostel for a year.

What is Intermittent Explosive Disorder? (IED)

According to the Diagnostic and Statistical Manual of Mental Disorders-5, Intermittent Explosive Disorder "is the failure to command impulsive aggressive behaviour" in response to a minor provocation that may typically not upshot in an ambitious outburst.

Information technology may be diagnosed by either:

– Verbal or physical aggression that occur on an boilerplate of twice weekly for a period of 3 months; or

– 3 behavioural outbursts involving destruction to property or physical injury to animals or other individuals over a flow of 12 months.

The outbursts of an individual with IED are "grossly out of proportion" to the stressor. In the defense force case of Mr Leslie Khoo, ane of the incidents used to back up his diagnosis was when he flung a pen confronting the wall due to his anger confronting a colleague and caused it to suspension.

The flare-up may provide relief to the individual with IED who has difficulty coping with his frustrations and impulses. Once the rage has dissipated, he is likely to feel regret and remorse for his behaviour. He may even feel depressed and ashamed, citing that he lost control during the angry outburst, with no premeditation to cause damage to anyone or impairment a property.

What is Someone with IED Like in His/Her Daily Life?

Someone with IED may more often than not be irritable, restless, throw atmosphere tantrums, engage in heated arguments, or even have a history of set on. Those around him may perceive his reaction to the stressor or trigger as being over the top or existence out of control.

Loved ones or friends may start fugitive them in fear of the sudden extreme angry outbursts. The individual himself may even alienate himself from friends and colleagues due to embarrassment, or fear of hurting them when he is unable to command himself once more.

This could be someone you know who becomes aggressive out of a sudden for no credible reason. He may and then apologise for his behaviour, and feel ashamed of being unable to control himself. In some cases, yous may notice restlessness and frustration as he struggles to manage his anger, which may exist signs leading to an flare-up.

Some individuals with IED may too use booze, drugs, or engage in self-harm to manage their acrimony or command the impulsive aggression.

If you know of a friend or loved one who seems to display such behaviour as frequently as several times a week, you may be concerned as to whether he has IED.

How should you discuss this with someone y'all care nigh, without offending him or triggering an impulsive aggression?

Someone with IED tends to feel ashamed and regret for his uncontrollable outburst.

If you believe that a loved i is very likely to become aggressive towards you, or has done and then before, it is important to get abroad from the state of affairs equally soon as possible, instead of confronting that person.

Someone with IED tends to feel aback and regret for his uncontrollable flare-up.

A typical IED outburst ordinarily lasts for less than xxx minutes. Thus, a recommended approach is to expect for him to at-home downwards, before letting him know that you recognise his remorse for the behaviour and would like to assist him preclude future outbursts.

Remind your loved one that you care, that you lot desire to see his point of view, and gently suggest seeking the opinion of a medical professional.

Unfortunately, broaching such a topic may be tense or fifty-fifty anger-inducing. Thus, information technology is still up to your loved ane to hold that his behaviour has been causing strained relationships, affecting his job, and even his daily life.

Tin can IED Be Treated, and How Can I Be Supportive?

Medications such as anti-depressants or mood stabilisers may be prescribed to someone with IED, alongside with behavioural therapy and skills-training.

These may include:

• Cognitive Behavioural Therapy (CBT) to identify triggers
• Relaxation Techniques
• Mindfulness
• Self-soothing methods to cope with anger
• Learning techniques to manage an overload of emotions

If yous or your loved one with IED are able to identify potential stressors in the environment, information technology will also be helpful to reduce exposure to such situations whenever possible.

Remind your loved i that you are supportive of him/her seeking handling, and learn about the coping skills taught during therapy sessions. Practice them together to support your loved one in acquiring these coping skills and techniques. With time, someone with IED can be in better command and mindful of his/her impulsive aggression.

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References:

1. Diagnostic and Statistical Transmission of Mental Disorders, 5th Edition: DSM-5, American Psychiatric Clan, 2013
2. Gardens past the Bay murder trial: Debate over man's pen throwing outburst, Straits Times -https://world wide web.straitstimes.com/singapore/courts-crime/debate-over-mans-pen-throwing-flare-up
3. How to deal with assailment, Everyday Health -https://www.everydayhealth.com/emotional-health/how-bargain-with-assailment/
4. Intermittent Explosive Disorder: Clinical Anger issues, Low Alliance – https://www.depressionalliance.org/intermittent-explosive-disorder/
5. Intermittent Explosive Disorder: Wellness Line – https://www.healthline.com/health/mental-health/intermittent-explosive-disorder

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Source: https://www.jaga-me.com/thecareissue/defusing-intermittent-explosive-disorder-ied/

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