What is Intermittent Explosive Disorder?

Intermittent psychiatry is not a professional term used in clinical psychiatry and judicial psychiatry in China, but a legal term used in criminal legislation according to the daily views of the public in the draft laws of China and in the current criminal code. Intermittent psychiatric disorders are known in the United States as acute transient mental disorders or transient mental disorders. China's criminal law stipulates that: Intermittent mental patients who commit crimes when mentally normal should bear criminal responsibility. Mental patients who have not completely lost their ability to identify or control their behaviors shall bear criminal responsibility, but may be given a lighter or lighter punishment.

Intermittent psychiatry is not a professional term used in clinical psychiatry and judicial psychiatry in China, but a legal term used in criminal legislation according to the daily views of the public in the draft laws of China and in the current criminal code. Intermittent psychiatric disorders are known in the United States as acute transient mental disorders or transient mental disorders. China's criminal law stipulates that: Intermittent mental patients who commit crimes when mentally normal should bear criminal responsibility. Mental patients who have not completely lost their ability to identify or control their behaviors shall bear criminal responsibility, but may be given a lighter or lighter punishment.

Chinese name

Intermittent psychosis

Foreign name

recurrent insanity

Department

Psychiatry

Intermittent psychiatric diseases 1. Causes and clinical symptoms

The pathogenesis of acute transient mental disorders is unclear, and there is generally no cause for the onset of the disease.

Acute transient mental disorder has the following characteristics:

Delusional experience: Many delusions, rapid onset, and rapid development are unique clinical manifestations of the disease. Patients often have multiple delusions of victimization, poisoning, control, religion or mystery. These delusions can be mixed, that is, two or three delusions occur simultaneously. Patients are completely attracted by this vivid delusion, and various hallucinations occur, sometimes indulging in an immersive feeling.

Mood disorders: Emotional variability is also one of the important symptoms of the disease. With the rise and fall of delusions, the patient may show high or low emotions, or from fear to bewilderment, or anxiety or agitation. Emotional disorders can occur alternately and do not last long, usually for a few hours or 1 to 2 days, and the longest is no more than 1 week.

Behavior and consciousness: Patients may have abnormal behaviors or shout loudly, which is mostly related to delusions and emotional changes. Sometimes the patient suddenly feels confused when he walks into a new environment, and there are symptoms of delusion or hallucination and disintegration of personality. At the same time, he shows increased activity or silent whispers. Afterwards, the patient has a dream-like feeling.

Intermittent psychosis 2. Differential diagnosis

Intermittent psychiatry in psychiatry consists of different stages and different degrees of remission. When the mental abnormality has completely disappeared, the mental disorder can disappear. At this time, it can be considered a normal mental stage.

For acute transient mental disorders, diagnosis is mainly based on history collection, mental examination and physical examination. Acute transient mental disorder is short-lived and the clinical manifestations seem simple, but the diagnosis must be careful. Due to diseases with similar manifestations, mental disorders caused by reactive psychosis, psychoactive substances and non-addictive substances, schizophrenia-like psychosis, periodic psychosis, schizoaffective psychosis, depression with psychotic characteristics, and bipolar disorder Psychological characteristics, etc., so before definite diagnosis, these similar conditions need to be ruled out one by one.

Intermittent psychosis III. Principles of treatment

Intermittent psychiatric treatment: Give antipsychotic drug haloperidol injection 15mg, divided into two intramuscular injections (5mg at noon, 10mg at night).