Temper Tantrums, Mental disorder, and DSM-5: The Case for Caution – Psychiatric Times

At the same time, throughout psychiatry, there has been a continuing debate over the status of aggressive behavior in children and in relation to other disorders. Lee and Galynker3 reported that “just under 50% of people with bipolar disorder have some history of violent behavior.” Violence can occur in manic or in depressive states, or even in euthymic moods. They saw a close and compounding relationship between childhood trauma and violence in adult Bipolar Affective Disorder (BAD): “A history of 2 or more types of trauma has been associated with a 3-fold increased risk of bipolar disorder, as well as a worse clinical course that includes early onset, faster cycling, and increased rates of suicide.” Early trauma complicates adult affective disorder by predisposing to substance abuse, criminality, and personality disorder. In general, early onset of aggressive behavior indicates a poorer prognosis, and not just for the affective disorder. So what is the disorder, and what should be treated?

via Temper Tantrums, Mental disorder, and DSM-5: The Case for Caution – Psychiatric Times.

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4 thoughts on “Temper Tantrums, Mental disorder, and DSM-5: The Case for Caution – Psychiatric Times”

  1. Wow, I didn’t know that there was such a high incidence of violent behavior in bipolars! That sounds sort of frightening. Perhaps this is the information that people are looking at- is partially responsible for the stigma?

    • These stats shocked me, too. I have no doubt you’re right – information like this only adds to the stigma issues. I’ve known a few bipolar people in my life, and I can’t say I would not consider any of them ‘violent’ or even ‘aggressive.’ Before making a sweeping statement such as, “just under 50% of people with bipolar disorder have some history of violent behavior,” a definition of ‘violent behavior’ should be given. I’ll have to do some more digging on this. When I have the chance I’d like to dig up stats regarding violent crime and BP.

      • I only acquainted with one other bipolar person intimately. She has bouts of rage and crying spells, but she is nonviolent. I am completely passive and non-confrontational myself and cannot even imagine being belligerent.
        To be sure, there will be both bipolar+violent crime and non-bipolar+violent crime but the statistics should be interesting.

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