Sometimes I find myself being very confrontational with anyone around me, feeling like hitting them with a baseball bat or something. This moment setups an alarm to me like that dark moment I have at times ....I have to talk with my wife or sister about what I'm feeling. I will not talk to anyone else until this feeling passes. My doctor (GP) knows about these episodes and wants me to report the times and increases of these. I'm on Lexapro 20 mg so I can't take more but I can supplement with propranolol 40-60-80 mg if needed. I believe my childhood experiences have not been fully talked through with a male psychiatrist and I know that I need to challenge myself by seeing one. I tried several years ago to see one.... I had nightmares about killing him after one visit. I guess it's time to try again.