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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 47222
Experience:  Board Certified Physician
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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: 4 years ago.
Category: Medical
Expert:  Dr. David replied 4 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.