This person can go from mild aggitation during conversation to rapid rage and intense violent screaming and anger in a heartbeat. This person swears they are not on any drugs but I wonder. Everyone I mention this behavior to immediately suggests drugs. Wouldn't be use of pot would it? Would it more likely be use of pills? Could Hydrocodone use cause this? What would?
Wow! There are a number of things that could be going on. Drugs can be a possibilty but it could also be a bipolar disorder or even depression and anxiety. If the person is willing, they might try going to a psychiatrist for evaluation. This could include testing for drugs. If they are not on drugs then it is an organic cause and they may need mood stabilizing medications. Stimulants can cause violent and volatile behaviors and so can withdrawal from other drugs like opiates. It is really hard to say. I doubt that pot would cause this kind of behavior unless there is an underlying mood disorder.
It might not be drugs at all. It sounds more to me like a psych issue. A number of things could cause rage like that. It could be a "low" of a bipolar disorder, it could be depression-related, it could be anxiety, it could be the result of a psychotic break, or it could even be the onset of schizophrenia (but that would depend more on the person's age). If drugs can be ruled out as a cause, then I would suggest getting this person to talk to a psychiatrist and discover where this explosive anger is coming from. Good luck with this and I hope this helps somewhat.
Besides medication, is this person in chronic pain? You are suggesting a pain medication as a cause, which makes me think that you think that they take pain meds. Actually alcohol causes more rages than pain meds, but under treated pain causes depression, short temper, anger, and basic hate against the world. So if this person is in chronic pain, that could be your answer.
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