Increased Precautions We're Taking in Response to the Coronavirus
As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at Red River Hospital to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, on-site visitation is no longer allowed at Red River Hospital.

  • This restriction has been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • We are offering visitation through telehealth services so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services are being vetted and may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff has received infection prevention and control training.
  • Thorough disinfection and hygiene guidance has been provided.
  • Patient care supplies such as masks and hand sanitizer are being monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.
  • We are in communication with our local health department to receive important community-specific updates.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit

Signs & Effects of Intermittent Explosive Disorder

Red River Hospital helps individuals struggling with IED build a strong foundation for long-term recovery. Serving Wichita Falls, TX, Red River is the leading provider of IED treatment.

Understanding IED

Learn about Intermittent Explosive Disorder

Unprovoked episodes of anger in the forms of verbal or physical aggression are cornerstone to intermittent explosive disorder (IED). A disorder diagnosed between childhood and late adolescence, intermittent explosive disorder is one that causes an individual to essentially lose control of his or her emotions or to act out with extreme levels of hostility towards property, other people, or animals. Triggered by a sense of arousal and/or tension and resulting in feelings of relief, sufferers of intermittent explosive disorder often feel pangs of guilt or remorse following an episode, despite feeling justified in their words or actions.

Typically lasting for less than thirty minutes, the acting out and impulsive episodes associated with intermittent explosive disorder are lacking or include only minor provocation from before the episode. Furthermore, the unwary actions or belligerent verbal response is often clearly out of proportion to the initial stressor. And while the sufferer’s actions or words can be extremely disruptive to the people around him or her, the symptoms of the disorder can be equally, if not more, troublesome to the person diagnosed with the disorder.  With proper interventions, Intermittent Explosive Disorder can be treated and coping skills learned to prevent the uncontrollable outbursts.


IED statistics

Research has shown that males are diagnosed with intermittent explosive disorder more often than females, with the prevalence among Americans believed to be around 2.7%. Additionally, it is estimated that 82% of those diagnosed with intermittent explosive disorder are also suffering from another mental health disorder. It has been found that intermittent explosive disorder affects approximately 1 in 12 adolescents.

Causes and Risk Factors

Causes and risk factors for IED

Research has found that a combination of genetic, physical, and environmental factors can contribute to an eventual diagnosis of intermittent explosive disorder. The following explanations have been accepted by experts:

Genetic: Twin studies have shown a strong genetic component in the diagnosis of intermittent explosive disorder. It is believed that individuals with a first-degree family member who has the disorder have a greater chance of developing IED themselves.

Physical: Brain chemistry is believed to be strongly tied to the diagnosis of intermittent explosive disorder. Neurobiological research has shown that those with the disorder have abnormalities in the parts of the brain that inhibit motor activity and regulate responses to anger stimuli.

Environmental: Many believe that the environment in which a person is raised can contribute to the development of IED. Experiencing physical or emotional trauma early in life could render a person more susceptible to a subsequent diagnosis. Moreover, children with parents who model violent or aggressive behaviors and words are also at risk of showing symptoms of intermittent explosive disorder later in life.

Risk Factors:

  • Personal history of trauma
  • Exposure to violence
  • Family history of mental illness
  • Family history of substance abuse
  • Brain trauma
  • Being male (prevalence among men is higher than women)
  • Certain medical conditions

Signs and Symptoms

Signs and symptoms of IED

While the combination of signs and symptoms present can vary from person to person, a diagnosis of intermittent explosive disorder is accurate when verbal or physical outbursts occur twice weekly for three months, cause damage to property or another person, are not premeditated, and impair a person’s functioning. The key indicators of the disorder can manifest in a person in the following ways:

Behavioral symptoms:

  • Unprovoked outbursts of anger
  • Destruction of property
  • Assaultive behavior towards others
  • Verbal aggression
  • Road rage
  • Self-injury

Physical symptoms:

  • Headaches
  • Hearing echoes
  • Muscle tension
  • Tightness in the chest
  • Heart palpitations
  • Tingling sensations
  • Tremors

Cognitive symptoms:

  • Feeling out of control
  • Racing thoughts
  • Lacking the ability to focus

Psychosocial symptoms:

  • Extreme irritability
  • Rage
  • Low tolerance for frustration
  • Emotional detachment
  • Guilt
  • Shame


Effects of IED

The effects of intermittent explosive disorder can adversely affect an individual’s life should the disorder go untreated. Having both short-term and long-term consequences, the following have been known to occur in those diagnosed with IED:

  • Impaired occupational or educational functioning
  • Loss of employment
  • Academic failure
  • Disciplinary problems in school
  • Financial strife
  • Decline in quality and quantity of interpersonal relationships
  • Isolation from friends and family
  • Marital discord
  • Thoughts and/or attempts at suicide
  • Self-injury
  • Interaction with the legal system

Co-Occurring Disorders

IED and co-occurring disorders

People with intermittent explosive disorder often meet criteria for other disorders. The most common co-occurring mental illnesses diagnosed in those with IED may include:

  • Depressive disorders
  • Anxiety disorders
  • Substance use disorders
  • Antisocial personality disorder
  • Borderline personality disorder
  • Attention deficit/hyperactivity disorder
  • Conduct disorder
  • Oppositional defiant disorder

What sets us apart?

We understand the many pressures, concerns, and frustrations that can accompany the effort to find the best treatment option, and we are dedicated to doing all that we can to make this a more efficient and effective process.

Understanding, Expert Staff
Individualized Treatment Plan
Optional Family Involvement

I had an awesome experience, it was great to know how many people care.

– Former Resident
Marks of Quality Care
  • The Joint Commission (JCAHO) Gold Seal of Approval
  • The Jason Foundation