Increased Precautions We're Taking in Response to COVID-19

LAST UPDATED ON 03/15/2021

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 Piney Ridge Treatment Center 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, there are certain restrictions in place regarding on-site visitation at Piney Ridge Treatment Center.

  • These restrictions have been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • Options for telehealth visitation are continuously evaluated so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services 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 receives ongoing infection prevention and control training.
  • Thorough disinfection and hygiene guidance is provided.
  • Patient care supplies such as masks and hand sanitizer are 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.

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

Intermittent Explosive Causes & Effects

No one experiences IED the same way as someone else. Understanding the signs, symptoms and side effects of IED is a key component toward starting the recovery journey.

Understanding IED

Learn about IED

Intermittent explosive disorder (IED) is a mental health disorder that is characterized by repeated episodes of failure to resist aggressive, impulsive, violent behaviors or angry verbal outbursts that are entirely out of proportion to the situation and often involve serious assaults or destruction of property. The onset for IED often occurs in late childhood or early adolescence and is usually first seen as an inability to control his or her anger alongside impulsive, uncontrollable rage without (or with very little) provocation. Onset may be noted when a child has frequent, less severe outbursts such as tirades, temper tantrums, and fights that do not do any physical damage. These less severe episodes are interspersed by less frequent and more severe outbursts that do cause physical damage to other people, property, or animals. Intermittent explosive disorder causes major disruption in the lives of a child, his or her family, relationships with peers, and poor academic achievement.

Adolescents who have intermittent explosive disorder often have a very low tolerance for frustration and become unreasonably furious by small irritations. This frustration is often expressed by becoming verbally or physically aggressive – sometimes causing physical injury or property damage. Teens with IED have expressed that they experience a sensation of building tension in the head or chest that is finally released after the aggressive behavior. The explosions of rage generally last less than thirty minutes, are not premeditated, or aimed at a tangible objective, such as retribution or financial gains.

Intermittent explosive disorder cannot be cured, however there are a number of treatment options available to help the child or teen control his or her outbursts and reduce the amount of attacks. As IED can impact virtually every aspect of a child or teen’s life, it’s absolutely imperative that proper diagnosis and treatment are sought as soon as the disorder is suspected. Generally, treatment involves a combination of medication and therapeutic interventions.


IED statistics

According to the National Institute of Mental Health (NIMH), intermittent explosive disorder affects 11.5-16 million Americans throughout their lifetime. Of those diagnosed with IED, 67.8% engaged in direct interpersonal aggression, 20.9% had threatened interpersonal aggression, and 11.4% engaged in aggression against property and objects.

Causes and Risk Factors

Causes and risk factors for IED

Researchers believe that IED is not the result of a single risk factor, rather it is thought to be the result of a number of environmental, genetic, and physical risk factors working together. The most commonly cited causes and risk factors for IED include:

Genetic: Children and teens who have a family history of intermittent explosive disorder appear to be at greater risk for developing the disorder themselves than those without a similar family history.

Physical: There appear to be abnormalities in the limbic system  (which controls emotions) and the frontal lobes of the brain which are responsible for impulse control – of those with IED. It appears that there are differences in the way serotonin – a chemical messenger in the brain – works in the brain of those who have IED. Additionally, PET scans of some people who have IED show lower levels of brain glucose metabolism than those without the disorder.

Environmental: Many of the children and teens who have intermittent explosive disorder have been raised in families and living situations in which explosive behaviors, physical, and verbal abuse are common.

Risk factors:

  • Being male
  • History of head and brain trauma
  • Seizures
  • Being between the teen years and the 20s
  • History of childhood physical abuse
  • History of childhood trauma
  • History of alcohol or drug abuse
Signs and Symptoms

Signs and symptoms of IED

Episodes of anger tend to last less than 30 minutes and often lead to verbal abuse, physical injuries, and willful property damage. These episodes may occur in clusters or can be separated by weeks or months of non-aggressive behaviors. Between episodes, the person may be moody, irritable, impulsive, angry, or aggressive.

The signs and symptoms of IED will vary from child to child based upon individual makeup, severity of IED, presence of co-occurring mental health disorders, and use of alcohol or drugs. The most common signs and symptoms of IED may include the following:

Behavioral symptoms:

  • Breaking things and causing property damage
  • Verbal and physical aggression
  • Road rage
  • Frequent fighting
  • Increased energy during an aggressive outburst
  • Acts of self-harm
  • Suicide attempts

Physical symptoms:

  • Tension or pressure in head or chest that builds before an episode
  • Fatigue after episode
  • Tingling
  • Tremors
  • Hearing an echo
  • Palpitations

Cognitive symptoms:

  • Racing thoughts
  • Inability to concentrate
  • Poor scholastic or occupational functioning

Psychosocial symptoms:

  • Low tolerance for frustration
  • Mood changes before an outburst
  • Intense anger
  • Irritability during and between outbursts
  • Blinding rage
  • Feeling “out of control” before and during an episode
  • Depressed mood
  • Guilt following episode
  • Shame following an episode

Effects of IED

Left untreated, intermittent explosive disorder can affect virtually every area of a child or teen’s life. The effects and consequences of untreated IED will vary based upon substance use, genetic makeup, severity of symptoms, and presence of co-occurring disorders. Long-term effects of untreated intermittent explosive disorder include:

  • Academic impairment
  • School suspension
  • Dropping out of school
  • Poor social skills
  • Injuries
  • Incarceration
  • Substance abuse and addiction
  • Alcohol abuse
  • Domestic violence
  • Child abuse
  • Self-harm
  • Suicidal ideations
Co-Occurring Disorders

IED and co-occurring disorders

Children and teens who have intermittent explosive disorder often struggle with additional mental health disorders. These comorbid, co-occurring disorders include:

  • Anxiety disorders
  • Oppositional defiant disorder (ODD)
  • Attention-deficit/hyperactivity disorder (ADHD)
  • Tourette’s
  • Obsessive-compulsive disorders (OCD)
  • Depression disorders
  • Substance abuse and addiction
  • Alcoholism
  • Bipolar disorder
  • Personality disorders