Episodic dyscontrol syndrome

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Episodic dyscontrol syndrome (EDS, or sometimes just dyscontrol), is a pattern of abnormal, episodic, and frequently violent and uncontrollable social behavior[1] in the absence of significant provocation;[2] it can result from limbic system diseases, disorders of the temporal lobe,[3] or abuse of alcohol or other psychoactive substances.[4][5]

EDS may affect children or adults.[6][7][8]

Treatment

Treatment for EDS usually involves treating the underlying causative factor(s). This may involve psychotherapy, substance abuse treatment, or medical treatment for diseases.

EDS has been successfully controlled in clinical trials using prescribed medications, including Carbamazepine,[9][10] Ethosuximide,[11] and Propranolol.[12]

Legal implications

A diagnosis of EDS has been used as a defense in court for persons accused of committing violent crimes including murder.[13][14][15]

See also

References

  1. Elliott FA. (1984) The episodic dyscontrol syndrome and aggression. Neurologic Clinics 2: 113–25.
  2. Maletzky BM. (1973) The episodic dyscontrol syndrome. Disorders of the Nervous System 34: 178–85.
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  4. Drake ME, Hietter SA, Pakalnis A. (1992) EEG and evoked potentials in episodic-dyscontrol syndrome. Neuropsychobiology 26: 125–8.
  5. Harbin HT. (1977) Episodic dyscontrol and family dynamics. American Journal of Psychiatry 134: 1113–6.
  6. Nunn K. (1986) The episodic dyscontrol syndrome in childhood. Journal of Child Psychology and Psychiatry 27: 439–46.
  7. Bach-y-Rita G, Lion JR, Climent CE, Ervin FR. (1971) Episodic (1986) dyscontrol: a study of 130 violent patients. American Journal of Psychiatry 127: 49–54.
  8. Elliott FA. (1982) Neurological findings in adult minimal brain dysfunction and the dyscontrol syndrome. Journal of Nervous and Mental Disease 170: 680–7.
  9. Tunks ER, Dermer SW. (1977) Carbamazepine in the dyscontrol syndrome associated with limbic system dysfunction. Journal of Nervous and Mental Disease 164: 56–63.
  10. Lewin J, Sumners D. (1992) Successful treatment of episodic dyscontrol with carbamazepine. British Journal of Psychiatry 161: 261–2.
  11. Andrulonis PA, Donnelly J, Glueck BC, Stroebel CF, Szarek BL. (1990) Preliminary data on ethosuximide and the episodic dyscontrol syndrome. American Journal of Psychiatry 137: 1455–6.
  12. Grizenko N, Vida S. (1988) Propranolol treatment of episodic dyscontrol and aggressive behaviour in children. Canadian Journal of Psychiatry 33: 776–8.
  13. Myers WC, Vondruska MA. (1998) Murder, minors, selective serotonin reuptake inhibitors, and the involuntary intoxication defence. Journal of the American Academy of Psychiatry and Law 26: 487–96.
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External links