What are the symptoms of rage disorder?

Anger disorder is a very common phenomenon in life. In fact, rage disorder is a kind of emotional response of dissatisfaction. People with rage disorder often do some venting behaviors. Some serious rage disorder may even lead to loss of rationality. Therefore, if you encounter stimulation in life, it is best to avoid it or learn to enlighten yourself, vent your emotions appropriately and go out for a walk when you have nothing to do.

Just a bad temper? Intermittent rage disorder

Have uncontrollable impulsive behavior

Chen Dashen, chief physician of the Department of Psychiatry at Taipei City United Hospital who treated the man, said that the man with intermittent rage disorder was actually a nice person, but he had a bad temper and could have uncontrollable impulsive behavior; he even had a conflict with a colleague and was charged with assault.

Often combined with depression and alcohol abuse

Dr. Chen Dashen pointed out that intermittent rage disorder is often accompanied by depression and alcohol abuse. Because impulsive behavior is difficult to control, it is also easy to cause domestic violence, which will affect marriage, family, work, etc. and cause great pressure in life. If not treated, the prognosis will be poor and it will pose a great threat to the family, so you must be very careful.

Imbalance of neurotransmitters in the brain

If you find yourself prone to short temper, it's best to see a doctor to determine if you have intermittent explosive disorder or another medical condition. Dr. Chen Dashen further pointed out that intermittent explosive disorder is caused by an imbalance of neurotransmitters in the brain and can be improved by taking antidepressants and psychotherapy.

What are the causes of rage?

Rage is an emotional response when one is dissatisfied. It often leads to some venting behaviors, and in severe cases, people may even lose their rationality. Anger may cause hallucinations in the ears, such as auditory and visual hallucinations, and is also reported in medicine as endocrine disorders. When encountering something unsatisfactory, schizophrenia occurs. Personal experiences, stress, and brain diseases may also be causes that we should pay attention to.

What are the symptoms of schizophrenia?

Common symptoms: associative disorder, emotional apathy, relaxed thinking, hallucinations, silly laughter, fragmented thinking, disordered thinking, psychomotor excitement, lonely personality in the elderly, obsessive neurosis, associative and emotional disorders in children, single episode of depression

The manifestations of schizophrenia involve many aspects and there will be various different manifestations, but each patient only manifests individual symptoms and does not necessarily have to have all the symptoms. For details on how to make a diagnosis based on symptoms, see Disease Diagnosis.

Early symptoms of the disease

Most patients have a chronic onset of the disease, with decreased work enthusiasm and ability, decreased academic performance of students, indifference and alienation towards others, lack of interest in external things, lack of care and concern for family members, lazy lifestyle, sensitivity and suspicion, and personality changes. Some patients may experience insomnia, headache, dizziness, weakness, emotional instability and other discomforts and neurotic symptoms. In some cases, the onset may be acute, and clinical manifestations are often sudden excitement, impulsiveness, incoherent speech, disordered behavior, fragmentary hallucinations and delusions.

Thought association disorder

It is characterized by a lack of coherence and logic in the thought association process, which is the most characteristic symptom of schizophrenia.

The patient's entire conversation or writing lacks logic, the narration is not very relevant, and he cannot clearly express the meaning around the central idea of ​​the conversation. It feels very difficult to talk to him, and people feel confused (loose thinking). There is a lack of connection between sentences and the speech is disorganized (fragmented thinking).

When the patient is speaking, his associations are suddenly interrupted, his mind goes blank, and then he switches to a new topic (thinking interruption). At the same time, I feel that my thoughts are being taken away (my thoughts are being taken away). A sudden series of associations in the mind (thought cloud or compulsive thinking). Sometimes I feel that the thoughts in my mind are not my own, but imposed by the outside world, and that others are using my brain to think about problems (thought insertion). In the above cases, patients have a clear sense of involuntary feeling and are out of their own control.

When thinking, the patient feels that his thoughts turn into words at the same time, which can be heard by himself and others (thoughts become sounds). Your thoughts are spread and everyone knows them (diffusion of thoughts).

The patient's logical reasoning process is bizarre and absurd (logical perversion). Some ordinary words, actions, and symbols are given special meanings that cannot be understood by others except the patient (pathological symbolic thinking). Create characters, words or symbols and give them special meanings (neologization).

Chronic patients and patients with mainly negative symptoms speak little, simple speech, poor speech content, and lack of active speech (poor thinking). Poor thinking, apathy, and lack of will constitute the negative symptoms of schizophrenia

Thought content disorder

The main manifestation is delusion. Delusion is a pathologically distorted belief that is inconsistent with objective facts, educational level, cultural background, etc., and may even be absurd and bizarre. However, the patient firmly believes in it and cannot be convinced or corrected through personal experience.

Delusion is one of the most common symptoms of schizophrenia. Various delusions may occur, and some patients have very prominent delusions. In the early stages of the disease, patients may be skeptical about certain obviously irrational ideas, but as the disease progresses, they become integrated with the pathological beliefs and cannot be recognized by themselves.

Delusions of association and persecution are the most common delusions. Patients feel threatened and believe without basis that someone wants to frame, destroy, murder them, follow them, monitor them, etc. (delusions of persecution). The patient feels that everything happening around him is related to him and is directed at him, and he believes that people around him are talking about him and talking about him (delusion of reference). The patient feels that his or her thoughts, emotions, behaviors, and body movements are controlled by outsiders or some external force, and are not under his or her own control (passive experience, sense of being controlled, and delusions of influence). Believing that others already know what you think and do (a sense of inner insight). Believing that one's parents are not one's biological parents (non-systematic delusion). Firmly believing that a member of the opposite sex is in love with you (erotomania). Firmly believe that your lover is unfaithful to you and is having an affair (jealousy delusion). Unfounded exaggeration of one's own abilities, status, and wealth (delusion of grandeur). A sudden onset of pathological beliefs that are unrelated to the patient's experience or real environment (primary delusion). The patient suddenly develops delusions about normal perceptual experiences (delusional perceptions).

Hallucinations

Hallucination refers to the patient's perception of the existence of something that does not exist in objective reality. It is a common symptom of schizophrenia.

The most common hallucination is auditory hallucination, where the patient hears voices even when there is no one talking around. Verbal auditory hallucinations are the most common, with content that is commentary, argumentative, commanding, or thought-mongering (whatever the patient thinks of, a voice will tell him what he is thinking). These are characteristic auditory hallucinations, and more persistent verbal auditory hallucinations also have diagnostic value.

Other types of hallucinations include visual hallucinations, tactile hallucinations, taste hallucinations, olfactory hallucinations, visceral hallucinations, etc.

Affective disorders

The patient lacks emotional response to the things around him. In the early stage, it is a delicate emotional loss, such as caring and caring for relatives (emotional indifference). In severe cases, he is indifferent to major events involving his own interests, and has no corresponding emotional response to things that most people find annoying and painful (emotional indifference). They may also show emotions that are out of harmony with their surroundings, laugh for no reason, and it is difficult to communicate emotionally with the patient. The above symptoms are characteristic symptoms of schizophrenia.

Will and behavior disorder

The patients are lonely, withdrawn, lack initiative and enthusiasm, do nothing all day, live a lazy life, have no high-level desires (decline of will), have no interest in work, study and communication, have a significant decline in ability and impaired social function. Stupid, childish, and strange behavior may also occur.

In mild cases, the patient is less talkative, less active, and has slow behavior. In severe cases, the patient refuses to eat, drink, speak, or move, and has increased muscle tone (tonic stupor). During the catatonic state, there may be sudden excitement, impulsiveness, and disorganized behavior (catatonic excitement). Catatonic stupor and catatonic excitement constitute the catatonic symptom complex.

Self-awareness

Self-awareness refers to the ability to recognize one's own illness and symptoms.

The patient is not aware that hallucinations, strange thoughts and behaviors are a disease. The patient cannot recognize that there is a problem with his mental activity, is unaware of his own pathological changes, denies that he is ill, and has no self-awareness.

Clinical types and manifestations

1. The paranoid type has delusion as the main clinical manifestation, often accompanied by hallucinations. The most common symptoms are sensitivity, suspicion, relationship delusions, and persecution delusions. Followed by influence, jealousy, etc. The vast majority of patients have several delusions at the same time.

2. The adolescent type begins in adolescence and is characterized by excitement, talkativeness, high activity, incoherent speech, strange, chaotic, stupid, childish behavior, and uncoordinated thinking, emotion, and behavior.

3. Catatonic stupor and catatonic excitement, with catatonic syndrome as the main clinical manifestation.

4. The simple type is characterized by negative symptoms such as poor thinking, emotional indifference, lack of will, and social withdrawal. The onset is insidious, the disease progresses slowly, the course of illness is at least two years, and there is a gradual tendency towards mental decline. Generally there are no positive symptoms such as hallucinations and delusions.

5. Those that do not conform to the above four types, are difficult to classify or are mixed types.

6. Others such as childhood or late-onset schizophrenia, post-schizophrenia depression, or residual type, chronic degenerative type, etc.