USMLE High-Yield Questions on Instagram: "Bro caught a stray AND a psych diagnosis 😭📄🔥 ⸻ Explanation 🧠✨ This presentation is classic Intermittent Explosive Disorder (IED). Key features in the stem (all match IED): • Sudden, impulsive outburst • Not premeditated • Violent + destructive behavior (throwing papers, flipping desk) • Out of proportion to the trigger • Short duration (implied) • Followed by guilt/remorse • Recurrent episodes over time • Onset after age 6 IED is about loss of impuls