Passive Aggressive Disorder

Passive Aggressive Disorder

Passive aggressive disorder is a personality disorder. The patient suffering from this disorder becomes angry at some people or at certain atmosphereduring certain situations. They do not express their aggression, but passively avoid them. The person avoids communication, real issues, and is always insecure. In this condition, an individual, though passively resistant, actually actively try tries to comply with desires and demands of others which ultimately makes him annoyed and angry. 

Causes and risk factors

The exact cause of passive aggressive disorder is not known. Some genetic and environmental factors may be responsible in development of the disease.

Clinical presentation

Symptoms of passive aggressive disorder may vary from person to person. Symptoms include – the person is being angry about a specific situation or a person. , but he/she does not express anger or animosity. He/she may prefers to get rid of the situation or the individual by avoiding, walking away from the scene, etc. He/she may acts unsocial. He/she has the tendency to blame others. He/she has a habit of ignoring his/her responsibilities by making excuses. Person claims forgetfulness to avoid responsibilities. Inefficiency on purpose, a feeling of resentment is seen. They do not express anger or hostility, but in fact are hostile and angry. The person is always complaining. Opposing other people’s suggestions is commonly seen. There is habitual criticism of solutions. There is an exaggeration of issues. Victimhood is seen. Self-pity is observed. 

Investigations

Medical history by the patient and clinical evaluation by the psychiatrist or psychologist helps in diagnosis. 

Treatment

Treatment involves psychotherapy. It involves behavioral technique, cognitive behavioral techniques, and psychoanalytical techniques. Anger management techniques,  and relaxation methods – controlled breathing, visualization, etc., are helpful. Psychological counseling is helpful. REBT [rational emotive behavioral therapy] will help in treating the condition effectively. Medications such as anti-depressants or antipsychotic drugs will also help in managing passive aggressive disorder.

Other Modes of treatment

The other modes of treatment can also be effective in treating passive aggressive disorder.            Homoeopathy is a science which deals with individualization and considers a person in a holistic way. This science can be helpful in combating the symptoms. Bach flower therapy is also effective in treating such emotional disorders.

Complications 

Complications such as the person becoming alcoholic,  and suffering from drug abuse, having a poor career development may occur.

When to Contact a Doctor   

One must consult a doctor if one is frequently getting short tempered for minor causes issues and is suppressing anger in some way. 

Systems involved

CNS

Organs involved

Brain

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