So worehyia ɔhaw sɛ wubedi abufuw a ɛpae mpofirim no so? Momma yɛnka Intermittent Explosive Disorder (IED) ho asɛm!

So ɛtɔ mmere bi a wo bo fuw wɔ biribi ketewaa bi a wuntumi nsusuw ho mpo ho? So woteɛteɛm, tow biribi gu fam, anaasɛ wobɔ obi mpo? Eyi betumi ayɛ biribi a emu dɔ sen "su bɔne" anaa "onipa a ne bo fuw ntɛmntɛm" kɛkɛ. Ɛnnɛ yɛbɛka abufuo a ɛpae mpofirim yi ho asɛm, adwenemyareɛ a wɔfrɛ no `(Intermittent Explosive Disorder - IED)`.

Dɛn ne ``Nyare a Ɛpae Bere ne Bere Mu - IED''?

Sɛ yɛbɛka no tiawa a, Intermittent Explosive Disorder (IED) yɛ adwenemyare a ɛma obi yɛ ade mpofirim, wontumi nni so, ɔyɛ basabasa anaa abufuw a ɛpae. Nea ɛho hia sen biara ne sɛ saa nkurɔfo yi yɛ wɔn ade wɔ abufuw no ho wɔ ɔkwan a ɛne tebea no nhyia koraa so. Biribi ketewaa bi mpo yɛ den yiye ma wɔn sɛ wobedi ho dwuma. Fa no sɛ, sɛ obi huruw ba w’anim wɔ ntonto mu, na wo bo fuw araa ma wusi wo kar mu na wode kum wo ho a, ɛno nyɛ abufuw a ɛfata.

Nanso adeɛ a ɛyɛ nwonwa ne sɛ, sɛ wɔn bo afu a, nnipa a wɔwɔ ``IED`` no yɛ wɔn ade wɔ ɔkwan a ɛfata so na wɔyɛ yie. Eyi yɛ tebea a ɛka ``Impulse control disorders``, kyerɛ sɛ, nyarewa a ɛyɛ den sɛ wobedi nkate a ɛsɔre wɔ adwene mu no so.

Nhwehwɛmu ada no adi sɛ nnipa a wɔwɔ IED no mu bɛyɛ 80% betumi anya adwenemyare foforo. Eyinom mu nea abu so kɛse ne dadwen, adwenemhaw, autism, ne adwene mu dɛmdi.

Hena na saa `(IED)` tebea yi ka no kɛse?

Saa tebea yi betumi aka mmofra a wɔadi mfe 6 anaa mpanyimfo. Nanso, wɔtaa hu sɛ ɛwɔ mmerante ne mmabaa a wɔadu mpanyin afe so a wonnii mfe 40. Wɔkyerɛ nso sɛ ɛtaa ba mmarima so kɛse .

Nhwehwɛmufo bu akontaa sɛ ebia wiase nnipa dodow 1.4% kosi 7% na wɔwɔ Intermittent Explosive Disorder. Eyi kyerɛ sɛ ɛwom sɛ ɛnyɛ nea ɛtaa ba de, nanso nnipa dodow bi a ɛda nsow wɔ tebea yi mu.

Dɛn ne `(Intermittent Explosive Disorder - IED)` ho sɛnkyerɛnne?

Tebea yi su titiriw ne sɛ abufuw pae mpofirim wɔ ɔkwan a ɛmfata koraa, ɛnyɛ nea wɔhyɛ da, na ɛne tebea no nhyia koraa so. Saa nkurɔfo yi nim sɛ wɔn nneyɛe nye na ɛmfata, nanso saa bere no, ɛyɛ den ma wɔn sɛ wobedi wɔn ho so.

Sɛnea abufuw a wɔpae mu ka yi te ni:

• Ɛnyɛ biribi a wɔahyɛ da ayɛ, ɛyɛ biribi a ɛba mpofirim na wɔyɛ no ntɛmntɛm. Ɛnyɛ biribi a wɔadi kan ayɛ ho nhyehyɛe.
• Saa abufuw yi fi ase wɔ simma kakraa bi akyi bere a biribi asi (ahyɛnsode).
• Mpɛn pii no, saa abufuw yi ntra hɔ ntra simma 30.
• Saa asɛm yi ma onipa a yɛreka ne ho asɛm no nya adwene mu nhyɛso ne awerɛhow kɛse.
• Saa suban yi de ɔhaw ba sukuu, adwuma, ne fie.

Ɔkwan bɛn so na saa abufuw yi fi adi?

Saa abufuw yi betumi ada ne ho adi wɔ akwan pii so. Nhwɛso kakraa bi ni:

• Abufuw mu abufuw: Suban ahorow te sɛ nea wohuruhuruw wɔ fam, su, ne nteɛteɛm te sɛ abofra ketewaa.
• Ahunahuna a wɔde ano ka: nteɛteɛm, ahunahuna afoforo, ntam.
• Nnipa anaa mmoa a wɔtow hyɛ wɔn so wɔ honam fam: piapia, bɔ, akuturuku, na ɛtɔ mmere bi mpo a wɔde akode di dwuma de pira wɔn.
• Agyapade a wɔsɛe no: nneɛma a wɔtow sɛnea wɔpɛ, wɔbɔ wɔn nan, nneɛma a wɔde siesie fie a wobubu, apon a wɔbɔ.
• Ofie basabasayɛ: Abusua mufo a wɔyɛ wɔn ayayade.
• Ɔkwan so abufuw: Fa no sɛ wo bo afuw araa ma wopɛ sɛ wukum obi esiane sɛ watwam wɔ kar mu ara kwa nti.

Ɛtɔ mmere bi a, nsɛm a esisi abufuw yi betumi ayɛ nketenkete, na ɛtɔ mmere bi nso a ebetumi ayɛ nea emu yɛ den araa ma obi betumi apira kɛse, anaasɛ obekum no mpo.

Nneɛma bɛn na wubetumi ate nka ansa na wo bo afuw?

Ansa na basabasayɛ a ɛte sɛɛ bɛba no, ebia wubehu sɛnkyerɛnne ahorow yi bi:

• Abufuw, abufuw nkate a wontumi nhyɛ adwene no mu.
• Abufuw a ɛma obi bo fuw.
• Mete nhyɛso ne nhyɛso pii nka wɔ me koma mu.
• Ɛte sɛ nea nsusuwii a ɛwɔ wo tirim no retu mmirika denneennen bere nyinaa.
• Mintumi ne nnipa afoforo nkasa yiye.
• Ɛte sɛ nea me nipadua nya ahoɔden pii mpofirim.
• Wosow a ɛwosow.
• Koma no bɔ kɔ soro mpofirim (a ne koma bɔ).
• Koko a ɛyɛ den.

Bere a wɔayi saa abufuw yi afi hɔ akyi no, ahotɔ nka bere tiaa bi, nanso afei awerɛhow, ahonu, ne aniwu nkate sɔre. Wo dwene sɛ, "Dɛn na mayɛ?"

Dɛn nti na Intermittent Explosive Disorder (IED) ba?

Nhwehwɛmufo da so ara rebɔ mmɔden sɛ wobehu nea ɛde eyi ba ankasa, nanso wosusuw sɛ efi nneɛma atitiriw abiɛsa:

1. Awosu mu nneɛma: Eyi betumi akɔ so wɔ mmusua mu. Eyi kyerɛ sɛ, sɛ obi a ɔwɔ w’abusua mu wɔ saa tebea yi a, ɛda adi sɛ wo nso wubenya bi. Nhwehwɛmu ahorow ada no adi sɛ awosu mu nkɛntɛnso 44% kosi 72% wɔ nneyɛe a ɛte saa a ɛyɛ ntɛm na ɛyɛ basabasa no nkɔso so.

2. Abɔde mu nneɛma: Nsakrae a ɛba yɛn amemene no nhyehyɛe ne ne dwumadi mu no betumi aboa ma eyi aba. Sɛ nhwɛso no, MRI (Magnetic Resonance Imaging) scan ahorow ahu sɛ amemene no fã a wɔfrɛ no amygdala a ɛhwɛ yɛn nkate so no nya nkɛntɛnso. Wohui nso sɛ neurotransmitter serotonin (nnuru bi a ɛde nkrasɛm kɔ ntini ahorow ntam na ɛsan yɛ adwuma sɛ hormone) dodow sua sen sɛnea ɛte wɔ nnipa a wɔwɔ IED mu.

3. 3. .Nneɛma a atwa yɛn ho ahyia: Ayayade a wɔde kasa anaa honam fam ayayade di no bere a na ɔyɛ abofra, anaasɛ ayayade a wohu wɔ fie no betumi adi dwuma wɔ tebea yi a ɛbɛba no mu. Afei nso, asɛm biako anaa nea ɛboro saa a ɛyɛ awerɛhow a wohyia wɔ mmofraase betumi ayɛ nea ɛde ba.

Ɔkwan bɛn so na wohu sɛ obi anya Intermittent Explosive Disorder (IED)?

Sɛ wususuw sɛ ebia wo anaa obi a wunim no, titiriw wo ba, benya saa sɛnkyerɛnne ahorow yi a, ɛho hia sɛ wudi kan kɔ oduruyɛfo a ɔfata nkyɛn . Ɛda adi sɛ wɔde wo bɛkɔ adwenemyare ho ɔbenfo bi a ne ho akokwaw wɔ tebea horow yi a wobehu na wɔasa mu nkyɛn. Eyi betumi ayɛ adwenemyare ho oduruyɛfo, adwene ne nneyɛe ho ɔbenfo, anaa ayaresabea asetra mu nsɛm ho ɔbenfo.

Wɔde gyinapɛn pɔtee bi a efi Amerika Adwene ne Nkate Ho Nnuruyɛfo Fekuw no Diagnostic and Statistical Manual of Mental Disorders (DSM) mu na ɛkyerɛ sɛ obi anya IED. Wɔbɛkasa akyerɛ wo yiye na wɔabisa wo nsɛm a emu dɔ afa wo sɛnkyerɛnne ne wo nneyɛe ho. Wɔbɛbisa nsɛm afa nneɛma te sɛ:

• Wo ne w’abusua aduruyɛ ho abakɔsɛm, titiriw nea ɛfa adwenemyare ho.
• Ɛfa w’ankasa abusuabɔ ho (Abusuabɔ ho abakɔsɛm).
• Sukuu ne adwumayɛbea ho nsɛm.
• Ɛfa sɛnea wubetumi adi wo nkate horow so ho.

Ebia mpo wubetumi anya wo suban ne wo abakɔsɛm ho nsɛm afi w’abusua ne wo nnamfo a wɔbɛn wo nkyɛn.

Sɛ wobehu sɛ wowɔ ``(IED)'' koraa a, ɛsɛ sɛ woda no adi sɛ wuntumi nni nkate a ɛyɛ basabasa so, te sɛ:

• Anaasɛ, nsɛm a ɛtaa ba, nanso ɛnyɛ nea ɛsɛe ade kɛse: kyerɛ sɛ, basabasayɛ a wɔde ano ka (nteɛm, ahunahuna, akyinnyegye) anaa honam fam basabasayɛ a wɔde ba agyapade, mmoa, anaa nnipa so (nanso enpira kɛse anaasɛ wɔansɛe agyapade) a anyɛ yiye koraa no ɛkɔ so mprenu dapɛn biara asram abiɛsa .
• Anaasɛ, nsɛm a ɛntaa nsi nanso anibere wom: Nsɛm abiɛsa a ɛfa agyapade a wɔsɛee no ne/anaasɛ ntua a wɔtow hyɛ mmoa anaa nnipa so a ɛde opira ba, wɔ asram 12 (afe biako) mu .

Ade a ɛho hia sen biara ne sɛ abufuw dodow no ne tebea no nhyia na emu yɛ den wɔ ɔkwan soronko so. Na eyinom nyɛ nneyɛe a wɔadi kan ayɛ. Wɔba mpofirim, esiane abufuw anaa ahopere nti. Afei nso, oduruyɛfo no bɛhwɛ sɛ ɛnyɛ adwenemyare foforo, nipadua mu yare foforo, anaa nnubɔne a wɔde di dwuma na ɛde saa sɛnkyerɛnne ahorow yi ba.

Anyɛ yiye koraa no, ɛsɛ sɛ onipa no di mfe 6 ansa na wɔahu sɛ ɔwɔ saa tebea yi, nanso ɛtaa di kan ba wɔ ne mmofraase anaa ne mmerantebere ne mmabaabere awiei.

Dɛn ne ayaresa ahorow a wɔde sa ``Intermittent Explosive Disorder - IED''?

Saa tebea yi ayaresa titiriw ne adwene mu ayaresa (kasa ayaresa) ne ɛtɔ mmere bi a nnuru. Wo duruyɛfo begyina mfe a woadi, sɛnea wo sɛnkyerɛnne ahorow no te ne sɛnea emu yɛ den so besi gyinae.

Botae titiriw a ɛwɔ ayaresa mu ne sɛ ɛbɛma sɛnkyerɛnne ahorow no afi hɔ koraa, anaasɛ anyɛ yiye koraa no, ɛbɛtew sɛnkyerɛnne biako anaa abien a emu yɛ den so. Bere a ebia nnipa binom rentumi nnya ahoɔden koraa no, botae no ne sɛ anyɛ yiye koraa no, wɔbɛma onipa no ne afoforo anya ahobammɔ na wɔatew mpɛn dodow a ɛhyew, sɛnea ɛyɛ den, ne mpɛn dodow a ɛba no so.

`(Adwene mu ayaresa)` ma `(IED)`

Adwene ne nneyɛe mu ayaresa ne aduru titiriw a ɛho hia sen biara a wɔde sa eyi. Titiriw , wɔde Cognitive Behavioral Therapy (CBT) di dwuma yiye kɛse ma saa atirimpɔw yi.

>`(CBT)` yɛ ayaresa kwan a wɔahyehyɛ, a ɛfa botaeɛ ho. Wɔ eyi mu no, ɔyaresafo no boa wo ma wohwɛ wo nsusuwii ne wo nkate mu kɔ akyiri. Wubetumi ate sɛnea wo nsusuwii ka wo nneyɛe no ase. `(CBT)`, wobɛtumi ayi nsusuiɛ a ɛntene, a epira ne suban bɔne a ɛwɔ wo tirim no afiri hɔ na woasua sɛ wobɛdwene na woayɛ w'ade wɔ ɔkwan a ɛyɛ papa so mmom. `(IED)` betumi aboa nnipa a wɔwɔ `(CBT)` ma wɔadi tebea horow a emu yɛ den ho dwuma wɔ da biara da asetra mu na wɔadi nkate a ɛkanyan abufuw no so.

Akwan pɔtee a wɔfa so yɛ IED wɔ CBT mu no bi ne:

• Adwene mu nhyehyɛe foforo: Eyi hwehwɛ sɛ wuhu na wosakra adwene a ɛnteɛ ne nsusuwii bɔne a wowɔ wɔ nsɛm a esisi a ɛkanyan abufuw anaa nneɛma a wuhu sɛ ɛyɛ ahunahuna ho.
• Ahomegye ntetee: Ɔhome a emu dɔ ne ntini mu ahomegye a ɛkɔ so nkakrankakra (ɔkwan a wofa so ma ntini a ɛwɔ wo nipadua mu no mu yɛ den na woma ɛyɛ mmerɛw nkakrankakra bere a woreyɛ tebea horow a ɛkanyan abufuw ho mfonini wɔ w’adwenem) betumi aboa wo ma woatew sɛnea woyɛ w’ade wɔ abufuw ho no so.
• Ahokokwaw a wɔde gyina ano ho ntetee: Ɔyaresafo no a wo ne no bedi agoru, tebea horow a abufuw betumi asɔre, ne mmuae a ɛfata a wɔde sua, te sɛ baabi a wobefi hɔ.
• Nneɛma a ɛsan siw ano: Wɔkyerɛkyerɛ nnipa a wɔwɔ IED sɛ ɛyɛ ade a ɛfata sɛ wɔbɛsan akɔ nneyɛe a ɛyɛ basabasa mu, na ɛnsɛ sɛ wobu no sɛ ɛnyɛ huammɔdi, na mmom sɛ ‘mfomso’ ketewaa bi anaa ‘akyi’.

Nnuru a wɔde yɛ `(IED)`

Nnuru binom betumi ama wo ``threshold'' akɔ soro, a ɛkyerɛ sɛ wubetumi abufuw kɛse wɔ nneɛma nketenkete mpo ho.

Fluoxetine (a Selective Serotonin Reuptake Inhibitor - SSRI) ne aduru a wɔayɛ ho nhwehwɛmu kɛse a wɔde sa IED. Nnuru afoforo a wɔayɛ ho nhwehwɛmu ama IED no bi ne Phenytoin, Lithium, Oxcarbazepine, ne Carbamazepine.

Mpɛn pii no, nnuruyɛfo betumi akyerɛw nnuru ahorow yi ama IED:

• `(Nnuru a wɔde ko tia adwenemhaw)`
• `(Antipsychotics)` (nnuru a wɔde sa adwenemyare) .
• `(Anticonvulsants)` (nnuru a wɔde ma tebea horow te sɛ akisikuru) .
• `(Nnuru a wɔde ko tia dadwen)` (Nnuru a wɔde ko tia dadwen)
• `(Mood regulators)` (nnuru a ɛma adwene mu yɛ den) .

Nea ɛho hia: Ɛsɛ sɛ wɔnom nnuru yi wɔ oduruyɛfo hwɛ ase nkutoo, wɔ dodow a wɔakyerɛw ama wɔn, ne bere a wɔakyerɛw ama wɔn no mu. Nnuru a wɔnom anaa wogyae sɛnea wopɛ no betumi de ɔhaw ahorow a emu yɛ den aba.

Dɛn ne asiane ahorow a ɛma obi nya Intermittent Explosive Disorder (IED)?

Nhwehwɛmufo ahu nneɛma pii a ɛde asiane ba a ɛde tebea yi ba:

• Sɛ́ obi yɛ aberante.
• Adwuma a wonnya nyɛ.
• Sigyadi (a ɔnyɛ ɔwarefo).
• Nhomasua a ɛba fam koraa.
• Honam fam anaa nna mu ɔbrasɛe, titiriw wɔ mmofraase.
• Abusua muni bi a ɔbɛn no a ɔwɔ Intermittent Explosive Disorder a ɔwɔ.

Sɛ wowɔ ehu anaa adwenem naayɛ bi sɛ ebia wo ba no anya saa tebea yi a, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa afa ho.

Dɛn ne nkɔmhyɛ ma obi a ɔwɔ Intermittent Explosive Disorder (IED)?

Nhwehwɛmu ahorow kyerɛ sɛ nnipa a wɔwɔ IED no nni asetra mu abotɔyam pii na wɔn asetra nso sua koraa. Eyi betumi anya w’akwahosan nyinaa so nkɛntɛnso bɔne, na ɛde ɔhaw akɛse aba w’ankasa asetra, abusua asetra, adwumam, ne ayɔnkofa mu.

Asɛmpa no ne sɛ wobetumi de Cognitive Behavioral Therapy (CBT) ne sɛ ɛho hia a, wɔde nnuru adi IED ho dwuma yiye. Nanso, ɛho hia sɛ yɛkae sɛ nhwehwɛmu ahorow kyerɛ sɛ IED taa yɛ tebea a ɛtra hɔ kyɛ, ɛtra hɔ mfe 12-20, anaa mpo ne nkwa nna nyinaa.

Bio nso, nnipa a wɔwɔ IED no taa nya tebea horow a edidi so yi:

• `(Adwenemhaw)` (Adwenemhaw) .
• `(Adwennwene)` (Adwennwene) .
• `(Asanom a wɔde di dwuma ho haw)` (Asanom a wɔde di dwuma) .
• `(Nnuru a wɔde di dwuma ho haw)` (Nnuru afoforo a wɔde di dwuma) .

Ɛho hia yiye: Nnipa a wɔwɔ IED no wɔ asiane kɛse mu sɛ wobepira wɔn ho (e.g., wobetwitwa, wɔbɛhyew) na wɔakum wɔn ho. Enti, sɛ wususuw sɛ ebia wo anaa w’abusua mu bi wɔ Intermittent Explosive Disorder a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara sɛnea wubetumi.

Sɛ mewɔ Intermittent Explosive Disorder (IED) a, mɛyɛ dɛn ahwɛ me ho?

Sɛ wɔahu sɛ wowɔ Intermittent Explosive Disorder a, nneɛma bi wɔ hɔ a ɛho hia a wubetumi ayɛ de ahwɛ wo ho. Eyinom mu nea ɛho hia sen biara ne sɛ wobɛhwehwɛ animdefo ne aduruyɛ mu ayaresa na woabata ho. Wɔ ayaresa mu no, wubetumi asua nneɛma pii a ebetumi aboa wo ma abufuw amma, na sɛ ɛba a, wudi so:

• Akwan a wɔfa so gye wɔn ahome: Nneɛma te sɛ apɔw-mu-teɛteɛ a wɔde home a emu dɔ ne nsusuwii.
• Ɔkwan a wofa so susuw nneɛma ho a wobɛsakra (Cognitive restructuring): Nsusuwii a ɛkanyan abufuw a wubehu na woasesa.
• Nkitahodi ho nimdeɛ: Sua a wubesua sɛ wobɛda wo nkate ne w’ahiade adi pefee akyerɛ afoforo a abufuw nnim.
• Sesa nneɛma a atwa wo ho ahyia, na sua sɛ wobɛtwe wo ho afi mmeae a adwennwen wom sɛ ɛbɛyɛ yiye a: Ɛtɔ mmere bi a, sɛ wobɛtwe wo ho afi baabi anaa obi ho kakra a, ebetumi ama nsakrae kɛse aba.

Ade foforo a ɛho hia paa ne sɛ wobɛkwati nsa ne nnubɔne afoforo a wɔde di dwuma koraa. Eyinom betumi atew tumi a wutumi di wo nkate horow so no so bio na ama asiane a ɛwɔ hɔ sɛ wobɛyɛ basabasa no ayɛ kɛse.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn fa `(Intermittent Explosive Disorder - IED)` ho?

Sɛ wo anaa wo ba no anya Intermittent Explosive Disorder a, ɛsɛ sɛ wo ne w’aduruyɛ kuw (oduruyɛfo, ɔyaresafo) hyia daa hwɛ sɛ w’ayaresa (adwene mu ayaresa ne/anaasɛ nnuru) reyɛ adwuma anaa na sɛ ɛho hia sɛ wɔyɛ nsakrae bi anaa.

Sɛ wo anaa wo ba suban repira anaa asiane reba afoforo (nnipa afoforo, mmoa) so a, hwehwɛ aduruyɛfo mmoa ntɛm ara. Afei nso, sɛ obi a ɔwɔ `(IED)` redwene sɛ ɔbɛpira ne ho anaasɛ ɔbɛbɔ mmɔden sɛ ɔbɛkum ne ho a, mmoa ho hia ntɛm ara. Yɛsrɛ sɛ bɔ oduruyɛfo anaa obi a wogye no di amanneɛ ntɛm ara, anaa kɔ adwenemyare ho adwumayɛbea a ɛbɛn wo (e.g., ɔman ayaresabea adwenemyare ho adwumayɛbea).

Kae sɛ, Intermittent Explosive Disorder (IED) yɛ adwenemyare. Ɛnyɛ subammɔne anaa subammɔne. Sɛnea ɛte wɔ adwenemyare biara ho no, mmoa a wobɛhwehwɛ bere a wuhu sɛnkyerɛnne ahorow no ara pɛ no betumi aboa ma w’asetra mu basabasayɛ ne ɔhaw ahorow no so atew. Adwene mu akwahosan ho adwumayɛfo betumi ama wo ayaresa nhyehyɛe a wɔayɛ ama wo na aboa wo ma woadi wo nsusuwii ne wo nneyɛe ho dwuma.

Nnipa a wɔwɔ IED abusuafo ne wɔn adɔfo taa te adwennwen kɛse, adwenemhaw, ne ankonamyɛ nka. Ɛho hia sɛ wohwɛ w’ankasa w’adwene mu akwahosan so na sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, wohwehwɛ mmoa. Sɛ wo ne obi a ɔwɔ IED wɔ abusuabɔ a, susuw ho sɛ wobɛyɛ nneɛma bi de abɔ wo ho ne wo mma ho ban.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Okay, enti momma yɛmmɔ nneɛma a ɛho hia paa a ɛsɛ sɛ wokae no bi mua mfi nea yɛaka ho asɛm no mu.

• Intermittent Explosive Disorder (IED) yɛ adwenemyare ankasa. Ɛnyɛ "abufuw bɔne" anaa "abufuw bɔne" kɛkɛ.
• Wobetumi de adwene mu ayaresa ne sɛ ɛho hia a, wɔde nnuru adi tebea yi ho dwuma yiye.
• Ɛyɛ papa sɛ wubenya mmoa ne ayaresa ntɛm ara sɛnea ɛbɛyɛ a wobetumi asiesie ɔhaw ahorow ansa na ayɛ aniberesɛm.
• Mma w’ani nnwu sɛ wobɛsrɛ mmoa wɔ tebea a ɛte sɛɛ mu. Ɛnyɛ wo nko ara.
• Te sɛ onipa a ɔwɔ IED no, wɔn abusua mufo hia mmoa ne mmoa. Wɔn nso betumi ahu amane wɔ eyi ho.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, yɛsrɛ wo ne oduruyɛfo anaa adwenemyare ho ɔfotufo a ɔfata nkasa .

` Intermittent Explosive Disorder, IED, abufuw ano aduru, nneyɛe a ɛyɛ ntɛm, adwenemyare, CBT, ayaresa