What Causes Disrespectful And Aggressive Behaviour?
What I want to know is (1) what are the chances that these disrespectful behaviours will cease in him (2) what he needs to do for that to happen and (3) what I can do to reduce the chance of being on the receiving end of it? He is 40 years old. I had a father that was physically and emotionally abusive.
Such isolated episodes can also occur in intermittent explosive disorders
Detailed Answer:
Hello thanks for asking from HCM for your health related queries
I can understand your concern. Yes such type of behaviour can be seen in Paranoid Personality Disorder but the symptoms you have mentioned are not sufficient to make diagnosis of Paranoid personality disorder. Frequent abuses, irritability etc are seen in paranoid personality but such symptoms should persist in every domain of life like in relation with others, in work place, in social life etc. Intermittent anger outbursts can occur due to Intermittent explosive disorder (IED) also. In IED individuals have anger outbursts, episodes of verbal abuse and physical harm and in between episodes individuals remain normal and show love and care for others.
If possible provide me more details about his symptoms so that I can say with more confidence about his clinical condition.
- If this is personality disorder then the improvement would take time. He should undergo psychotherapy treatment by a good psychologist to improve from these symptoms.
- Anger management, Psychotherapy etc are modality of treatment for him. He should try to do relaxation exercises and other relaxation therapies like music therapy to improve from these symptoms.
- You should not confront him during episodes of anger. Try to take some time before reaction to his anger episodes. If possible ask him to visit a psychiatrist. Mood stabilisers like Sodium Valproate, Lithium Carbonate etc are commonly used to reduce anger episodes in such cases.
Thanks, please don't hesitate to ask again for more doubts.
With regard to what has happened in our relationship, the following things stand out:
-When I fumbled my words and couldn't explain something I'd said in a conversation, he said 'You're being a dickhead'
-When I raised my voice while we were returning home from a night out, he said, 'You've fucked the night up'
-When he had been drinking, he accused me of lying, and I said sorry, even though I had not lied. I went into my room and he came in shortly after to see me on my phone. I wasn't receptive to his presence in light of him being angry with me shortly prior and he said, 'I might as well fuck a hole in the wall'
-When I clarified the nature of sexual activity with a previous partner, because he had seemed confused as to the facts, he replied, 'I know, you fucken idiot'
-I arranged to meet him somewhere and when I got there I called him to ascertain his exact location. When I couldn't make sense of his explanation and got anxious he said, 'Fuck you're hard work sometimes'. When we did meet, I was upset as I got in the car and he said, 'If you're going to be upset, don't bother coming'
-He encouraged me to do a Bachelor course. One night after starting it, I had to cancel plans to come to his house due to the amount of study I had to do. He sent me a text telling me I was a selfish parent to take on what I was, and he puts his own kids ahead of his career ambitions (although he had not long before been a Police Cadet, but had resigned from the Academy when he found out his ex-wife had had an affair that she had kept secret from him, 4 years earlier)
-Many times called me a Nutcase when I wailed with anxiety
-I would scream at him at times to stop, when he rambled on with comments like, 'If you don't like it, don't be with me'. One time when I did this, I put earphones in and I said as he kept rambling, 'I can't hear you, and it feels great'. He responded with, 'You can come across as a fucken pig sometimes'
-One time we arranged to meet for a rendezvous. I got there and got into his car and I picked up a negative energy from him, and also that if we were to interact, it was to be up to me to initiate it (he later acknowledged that his mood was 'off' and it was indeed going to be up to me to initiate any activity. Because I felt unnerved by his mood, I stretched and yawned and asked, 'Are you up for interaction?'. He got angry and that was the end of that idea. He later sent a message stating, 'Yawning, stretching, checking my mood, just fucked me off because nothing's ever fucken simple'.
Is this enough?
-Oops, I forgot...he does swear at his teenaged kids frequently. 'Fuck' and 'fucken' are used frequently, and readily when he is annoyed with their behaviour. For me who came from an abusive childhood, this triggers a fear response of anxiety when directed at my conduct, because it is attached to memories of it preceding being physically abused. I made him aware of this 2 years ago, and ended the relationship several times because I couldn't deal with it. Two years ago he acknowleged in writing that he did not realise that he was re-traumatising me with his behaviour, and he was sorry, and pledged to do things to change. He never stuck with anything, and the cyclical pattern of abuse continued.
should I take anything for my anxiety, or should the focus be on him managing his anger?
The history doesn't classify him in paranoid personality disorder
Detailed Answer:
Hello again and thanks for providing details about his symptoms
After reading the history I can comment that these symptoms don't classify him to be suffering from Paranoid Personality Disorder. In paranoid personality the main focus of the individual is around suspicion and mistrust. He has impulsive behaviour and that too is not so severe enough to result in physical harm. So this history also don't classify him into intermittent explosive disorder. Though his anger outbursts can occur due to some personality issues or due to some mood disorder. Try to talk to him directly when he is in relaxed state and then explain to him about the words you don't like and the words that aggravate anxiety in you like "fu*** or fu**** up or similar abusive words". Make him clear that you would not tolerate these words and they create panic in you. He should understand your side also.
Request him to visit a counsellor for help. Counselling will help to find out exact problem in his psychological process.
Try to relax yourself. For severe anxiety you can take help of a psychiatrist. Medicines like low dose benzodiazepines like Clonazepam or Lorazepam can help to reduce the anxiety symptoms and you will feel better. Visit a psychiatrist for prescription of these medicines. Also in the mean time focus on managing his anger. When his anger would get reduced your anxiety will also decrease.
Thanks, hope this helps you. Please ask again for more doubts or if you want to clarify anything.
Take care
can you [please let me know if the above information changes the diagnosis?
The information doesn't change diagnosis
Detailed Answer:
Hello again, thanks for asking again
Such behaviour could be due to some ideas of jealousy. In some persons such ideas of jealousy or delusions can result in even a normal person also. Such symptoms can result in anger outbursts. Usually such delusions of jealousy or infidelity about partner occurs in patients who take alcohol but some times can occur in normal person also. So as per my opinion this information doesn't change diagnosis and he is not having paranoid personality disorder.
Thanks