Many aggressive patients have a personality disorder. Such patients are easily irritated and often fly into a rage when dealing with the normal stresses of daily life. They are domineering and try to control the interview. However, if allowed to have their way, they may be quite pleasant. Frequently, aggressive patients have intense dependency needs that they cannot consciously handle. These patients mask the primary problem by becoming aggressive and hostile to disguise their anxiety and feelings of inadequacy and inferiority. Aggressive patients are difficult to interview. The interviewer must try carefully to avoid areas provoking anxiety early in the interview. Once a rapport is established, the interviewer may attempt to delve into the deeper areas. In general, aggressive patients refuse any type of psychotherapy.
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