Explosive eruptions, usually lasting 10 to 20 minutes, often result in injuries and the deliberate destruction of property. These episodes may occur in clusters or be separated by weeks or months of nonaggression.
Aggressive episodes may be preceded or accompanied by:
- Irritability
- Increased energy
- Rage
- Tingling
- Tremors
- Palpitations
- Chest tightness
- Headache or a feeling of pressure in the head