Okay, I know that anecdotes are pretty much useless in situations like this one, but you sound like you're feeling exactly, eerily like I did when I was taking Paxil: it almost totally removed my ability to deal with trivial annoyances without completely losing my shit. I regularly punched walls, cried, scared my girlfriend, broke stuff, etc. I tore the screen clear off of an obstinate (and largely blameless) laptop. Luckily, it was fairly easy to correlate the change in my temper to a change in my medication, and once I was off Paxil I was back to having something like a short-normal fuse within a month.
Notably, it wasn't a failure of anger management, low blood sugar, a "trigger event," poor coping strategies, hormones, lack of meditation, etc., which seem to be the foci of most of your answers, though I suppose I could have handled it in those ways if switching my medications up wasn't an option. It was, I'm convinced, something that was different about how my mind worked on Paxil (Too much serotonin? Your guess is probably as good as mine), and maybe a little of the underlying depression.
Of course, be skeptical of medical advice from strangers on the internet, anecdata, etc., and talk to whoever's helping to manage your medication if you decide to change anything—I stopped taking Paxil the way that you aren't supposed to stop taking SSRIs (cold turkey) and was horribly worse for about a week, doing stuff like kicking down my own door because I'd misplaced the key.
Anyway, I hope you work this out; good luck.
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Everybody gets this to more or less degree. What I have done for years, since I was a teenager, is to create a plausible explanation for someone's behavior that would alleviate my anger and focus on that. For example, if some is moving too slowly up the steps from the subway, I would suggest to myself they were an injured vet or recovering from a surgery. Someone's driving like a fool: their mom died and they're out of their mind. The point is to enlarge your frame of reference to include things other than what you want and what is getting in your way. This change in possible circumstance and focus (away from me, me, me, me) was usually enough to take the edge off. After a while, I really just stopped getting upset by things like that. There are still times when I get frustrated, of course, but I am able to clearly see how terribly stupid it is, which makes it easier to let go.
Unfortunately, I don't have much advise for what to do at times when you're so mad you pound the walls; but integrating this sort of thinking has made me calmer in general.
posted by milarepa at 7:33 PM on December 14, 2008 [13 favorites has favorites]