In such cases, it’s easy to blame yourself or think of yourself as just a “bad person,” but in many cases, there could be underlying factors you haven’t considered–such as mental illness. If so, you wouldn’t be alone: at least one in five people suffer from mental health issues–and those are just the ones we know about. Experts believe millions of people live with undiagnosed mental illnesses that can affect behavior and emotional regulation. When left unaddressed, these conditions can sometimes contribute to situations of domestic violence, not as an excuse but as an explanation that can lead to a better understanding and management of one’s actions.
In California, as in many other places, the conversation around mental health is growing, yet stigma and lack of awareness still prevent many from seeking the help they need. Understanding that you are not alone and millions share similar struggles can be the first step toward healing and change.
Mental Health Disorders and Aggression
Many mental health disorders are known to trigger uncharacteristic aggression in individuals. Recognizing the signs and symptoms of these disorders is a critical step in addressing and managing their effects. We should note that none of these conditions automatically triggers violent behavior and that many who live with them are not aggressive–but in some cases, they can be precursors to violence. Let’s explore a few of the more commonly known conditions.
Post-Traumatic Stress Disorder (PTSD)
Post-Traumatic Stress Disorder (PTSD) occurs following exposure to trauma, such as physical abuse, warfare, or accidents. PTSD is characterized by flashbacks, hypervigilance, and emotional distress, which can result in aggressive outbursts when individuals are triggered by situations that remind them of their trauma. Hyperarousal, a common feature of PTSD, often places individuals in a constant state of alert, making them more prone to violent reactions in high-stress situations, including domestic settings. Untreated PTSD significantly increases the risk of aggressive behavior, especially in those with a history of trauma.
Bipolar Disorder
Bipolar disorder is a mental illness that causes extreme shifts in mood, energy, and behavior. This disorder involves extreme mood swings, ranging from manic episodes to depressive lows. During manic episodes, individuals may experience heightened irritability, impulsivity, and a reduced ability to regulate their emotions, all of which can lead to aggressive outbursts. In some cases, this aggression can manifest as violent behavior, including domestic violence. These episodes of aggression are typically more pronounced during mania than during depressive phases. Treatment for bipolar disorder, including mood stabilizers and therapy, is crucial in managing these emotional highs and preventing associated aggressive behavior.
Intermittent Explosive Disorder (IED)
Intermittent Explosive Disorder (IED) is marked by sudden, uncontrollable outbursts of anger or aggression that are disproportionate to the situation. Individuals with IED may physically assault others, destroy property, or engage in verbal tirades over minor provocations. Feelings of remorse or shame typically follow these aggressive episodes. IED often presents in sporadic or clustered episodes and can lead to harm toward others or self. Treatment for IED usually involves a combination of therapy and medication to help manage anger and impulse control.
Borderline Personality Disorder (BPD)
Borderline Personality Disorder (BPD) is a complex mental health condition characterized by emotional instability, intense mood swings, and impulsivity. People with BPD often have difficulty regulating their emotions, leading to extreme reactions, including anger and frustration. These feelings may escalate into aggressive behaviors, especially in relationships, where fears of abandonment or perceived rejection are common triggers. Aggressive outbursts in individuals with BPD are typically impulsive and intense, often contributing to conflicts or even violence, including domestic violence. Therapy is essential in helping individuals with BPD manage their emotional responses and develop healthier relationship patterns.
Schizophrenia
Schizophrenia is a severe mental illness that affects a person’s thoughts, emotions, and behavior. Individuals with schizophrenia may experience delusions, hallucinations, and disorganized thinking. While not all people with schizophrenia exhibit violent behavior, those undergoing psychotic episodes may act aggressively due to perceived threats, delusions, or command hallucinations. These violent reactions typically occur in response to paranoid delusions or hallucinations that lead the individual to believe they are in danger. Proper treatment, including antipsychotic medications, is essential in reducing the risk of aggression in individuals with schizophrenia.
Narcissistic Personality Disorder (NPD)
Narcissistic Personality Disorder (NPD) is characterized by an inflated sense of self-importance, a lack of empathy, and a deep need for admiration. When their self-image is threatened, or they feel criticized, individuals with NPD can respond with intense anger, also known as “narcissistic rage.” This verbal or physical aggression is often directed at people close to them, including family members or romantic partners. This behavior stems from their inability to accept criticism and the overwhelming need for control or dominance in relationships. Therapy can help individuals with NPD manage their emotions and reduce their aggressive responses.
If You Suspect an Undiagnosed Mental Health Issue
If you relate to any of the above behaviors in yourself–or if you otherwise suspect that an undiagnosed mental health issue may be contributing to your aggressive behavior–the first thing to understand is that you cannot diagnose yourself. The best way to get help is to see a qualified mental health professional and get a diagnosis. The therapist will then prescribe a treatment plan, which may include talk therapy, medications, or a combination of these.
While a diagnosis of mental illness won’t necessarily excuse you from your actions in the eyes of the law, it could serve as a legitimate reason to mitigate any penalties you might face, especially if you are willingly submitting to the treatment prescribed. If you’re facing domestic violence charges in Los Angeles and need compassionate legal representation, we’re here to help. Call our offices to schedule a consultation.