Explosive eruptions, usually lasting less than 30 minutes, often result in verbal assaults, injuries and the deliberate destruction of property. These episodes may occur in clusters or be separated by weeks or months of nonaggression. In between explosive outbursts, the person may be irritable, impulsive, aggressive or angry.
Aggressive episodes may be preceded or accompanied by:
- Increased energy
- Racing thoughts
- Chest tightness
- Feeling of pressure in the head
Depression, fatigue or relief may occur after the episode.