A 17-Year-Old Boy Is Brought to the Physician by His

A 17-year-old boy is brought to the physician by his parents because of a 4-month history of unpredictable behavior. Last week, when his teacher asked him to present his homework in class, he started shouting and cursing and threw a book on the floor. The teacher has reported that similar outbursts occur at least twice weekly for no apparent reason; otherwise, he is usually calm and sits quietly during class. His mother reports that during driving lessons he regularly becomes angry "if other people drive too slowly", and that has led to him almost losing control of the car. After these episodes, he feels embarrassed and apologizes for his actions. When asked about his behavior in these situations, he says, "I feel a sudden rage inside of me, my mind is racing, and I can feel my heart pounding." His mother is concerned that he may not be able to get his driver's license if he cannot control himself. He is otherwise healthy, takes no medications, and does not use illicit drugs. Which of the following is the most likely diagnosis?

A) Antisocial personality disorder
B) Bipolar disorder, manic episode
C) Borderline personality disorder
D) Conduct disorder
E) Disruptive mood dysregulation disorder
F) Intermittent explosive disorder
G) Phencyclidine intoxication