Behavior Disorder Treatment in India

Patient Name: Aditya Sharma. Age: 42...

Patient Name: Aditya Sharma. Age: 42. Background: A successful software engineer, married with two young children. He has always been a high achiever but described himself as 'wound tight'. Symptoms/History: Over the past 18 months, Aditya's family noticed a drastic change. He developed severe, unpredictable outbursts of rage over minor frustrations, yelling at his children, throwing objects, and once putting his fist through a door. These episodes were followed by intense shame and withdrawal. He was constantly irritable, had trouble sleeping, and his work performance began to suffer due to an inability to concentrate and collaborate. Doctor Recommendation: After a comprehensive psychiatric evaluation, Aditya was diagnosed with Intermittent Explosive Disorder (IED). The doctor recommended a multi-modal treatment plan: starting with a mood-stabilizing medication (Lamotrigine) and committing to weekly Cognitive Behavioral Therapy (CBT) focused on anger management and emotional regulation. Treatment Experience: The first month was difficult. Aditya struggled with the stigma of medication and found it hard to open up in therapy. The CBT sessions were challenging, as he learned to identify the physical cues (clenched jaw, racing heart) that preceded an outburst and practiced techniques like paced breathing and timeout. The medication helped take the 'sharp edge' off his irritability, making the therapy work possible. Post-Procedure Recovery Outcome: After six months, the explosive episodes had reduced in frequency and intensity by over 80%. He and his wife established a 'safe word' system for when he felt overwhelmed. He was sleeping better, re-engaged with his family, and received positive feedback at work for his improved teamwork. Emotional Journey: Before treatment, Aditya felt like a prisoner to his own anger, terrified he would hurt his family and consumed by guilt. He saw himself as a 'monster.' After treatment, while he acknowledges it's a lifelong practice, he feels back in control. The greatest relief was seeing the fear leave his children's eyes and rebuilding trust with his wife. He now views his mental health as a priority, not a weakness.