How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 42804
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

I am suffering from long term depression, but I believe I also

Customer Question

I am suffering from long term depression, but I believe I also have Intermittent Explosive Disorder
From my early married life till now, I suddenly have uncontrollable outburst of anger, for instance today
My eldest son, made a crass remark while visiting usd, I went mad, I was shouting all sorts of verbal abuse to him and my wife, I threw my keys and cup against the wall, and thumped the table I was sitting at.

I exchanged verbal abuse at my son, and said some unforgivable things,

I have recently had 3 similar episodes, but I have had these uncontrollable episodes for years, in the early years this included physically abusing my wife as well as verbal.

Although , I no longer resort to physical abuse, at least for the last 20- years, I cannot get control of the verbal abuse and Outbursts.

I am at my wits end, I am destroying my family around me, I am irritable , depressed all the time

I do have a Psychiatrist & Psychologist, that I see regularly, and I am having CBT, (I hour every 2 weeks) but I am not getting better

I want to be hospitalised and have intensive therapy and treatments, I cannot live like this anymore. What can I do?
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

Duloxetine is also called cymbalta and is for major depressive disorder and anxiety disorder and pain associated with depression.

Dr. David :

it might not be the right medication for your intermittent explosive disorder.

Dr. David :

you might benefit from another type of medication such as an SSRIs such as fluoxetine, fluvoxamine, or sertraline

Dr. David :

and a GABAergic mood stabilizer or anticonvulsive drugs such as gabapentin, lithium, carbamazepine, or divalproex might help stabilize your moods better.

Dr. David :

I would talk to your doctor about these other drug options to help your condition.

Dr. David :

let me know if you have other questions.

Dr. David :

I am glad you are reaching out for additional hepl.

Dr. David :

help.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions