What is a common feature of Intermittent Explosive Disorder?

Intermittent Explosive Disorder (IED) is characterized by recurrent episodes of impulsive aggression that are disproportionate to the circumstances prompting the outburst. A key feature of IED is that these aggressive episodes often occur in response to minor provocations, indicating an extreme sensitivity to irritation and frustration. This starkly contrasts with the typical emotional responses expected in most situations, where slight provocations would not normally elicit such intense anger or aggression.

The significance of this characteristic in IED is that individuals may frequently find themselves reacting to trivial annoyances or minor setbacks with explosive anger. This impulsivity and lack of control over these aggressive behaviors are central to the diagnosis of IED. Thus, the connection between seemingly minor events and the intense outbursts is a hallmark symptom that helps differentiate IED from other disorders involving anger or aggression.

In contrast, strategic planning prior to acting is inconsistent with the impulsive nature of IED. The disorder is marked by the spontaneity of aggressive outbursts rather than premeditation. Consistent feelings of joy and excitement are not characteristic of IED; rather, individuals may experience feelings of distress, irritability, or remorse following their outbursts. Finally, a gradual buildup of stress over time is not