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Is Road Rage A Psychiatric Disorder?

Recent headline: "Road Rage may be due to Unlikely! Some are and some are not. This
medical condition called Intermittent is why it is important to have a
Explosive Disorder (IED)" professional assessment of each case of
WHAT IS THE SCIENCE BEHIND THIS? "road rage" to determine the underlying
The study, reported in the June (2006) cause, such as IED - or some other
issue of the Archives of General problem.
Psychiatry was based on a national Other causes that could come into play
face-to-face survey of 9,282 U.S. adults would include: alcohol or drug
who answered diagnostic questionnaires in intoxication, stress, depression or
2001-03. It was funded by the National bipolar disorder and, of course, bad,
Institute of Mental Health. selfish or inconsiderate behavior.
Results? About 5 percent to 7 percent of ROAD RAGE VS AGGRESSIVE DRIVING
the nationally representative sample had The person who weaves in and out of
had the disorder, which would equal up to traffic, tail gates, or cuts in front of
16 million Americans. That is higher than you may not be showing "road rage" per
better-known mental illnesses such as se, but inconsiderate aggressive driving.
schizophrenia and bipolar disorder. He is not angry at you; he probably
The average number of lifetime attacks doesn't even know you exist, being
per person was 43, resulting in $1,359 in preoccupied with his own selfish needs.
property damage per person. About 4 IED SEEN IN OTHER LIFE AREAS
percent had suffered recent attacks. It is also important to remember that
IS IT REAL? persons who do indeed suffer from
This study has created much controversy Intermittent Explosive Disorder may
regarding exactly what is "medical" about explode in many other situations besides
road rage and how it differs from plain road rage. Often they "blow up" at
bad, inconsiderate behavior. spouses, children, co-workers, or
Take the two following headline which customer service employees.
were published recently: REMEDIES FOR ROAD RAGE
News Item #1: "Police search for shooter If road rage is indeed due to IED, there
following road rage incident" are two treatments that can help both
Date: June 10, 2006. City: Indianapolis, adolescents and adults: (1)medications ,
Indiana. and (2) cognitive training
The event: At an intersection, two The medications usually involve SSRIs (a
drivers were involved in a confrontation type of anti-depressant). In my opinion,
when one of them opened fire on the other most people who show rage on the road do
at a stoplight. not need medication, but some do and will
News Item #2: "Man, 21, charged in road benefit greatly from them.
rage shooting." Cognitive Training means learning to
Date: May 21, 2006. City: San Antonio, think differently about driving,
Texas. aggression on the road, and other
The event (according to news reports): drivers. Cognitive training is an
"Around 3AM Samuel Hitchcock, 21, Daniel important element in many anger
Pena, 17, and another man were driving management programs, which a few states
when a pickup passed them on an inside now require for "road rage" behavior and
lane, striking Hitchcock's side mirror. or aggressive driving.
Hitchcock followed the truck into a In our anger management classes and
residential area to gather information programs, we teach specific cognitive and
and the truck made a sudden turn, behavior skills to control aggressive,
stopping. Hitchcock pulled up next to the inconsiderate, and dangerous driving
truck. Pena, who was in the front behaviors. These skill include:
passenger seat told police the truck's *managing life stress better, including
driver pulled a gun and started shooting time-management skills
at them, striking him and killing *developing empathy for other drivers
Hitchcock. *learning healthy "self-talk" phrases
Are all cases like this due to *adjusting expectations of others on the
Intermittent Explosive Disorder? Very road.




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