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    How NADAC, WAC, and ASP Shape Drug Costs

    How NADAC, WAC, and ASP Shape Drug Costs

    April 20, 2026
    The Hidden Costs Employers Don’t See in Traditional Health Plans

    The Hidden Costs Employers Don’t See in Traditional Health Plans

    March 22, 2026
    The Impact of COVID-19 on Patient Trust

    The Impact of COVID-19 on Patient Trust

    March 3, 2026
    Debunking Myths About GLP-1 Medications

    Debunking Myths About GLP-1 Medications

    February 16, 2026
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    January 26, 2026
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    January 22, 2026
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    Public Perception of Peptide Regulation and Compounding Practices

    April 19, 2026
    Understanding of Clinical Evidence in Peptide and Hormone Use

    Understanding of Clinical Evidence in Peptide and Hormone Use

    March 30, 2026

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    Can you tell when your provider does not trust you?

    Can you tell when your provider does not trust you?

    January 18, 2026
    Do you believe national polls on health issues are accurate

    National health polls: trust in healthcare system accuracy?

    May 8, 2024
    Which health policy issues matter the most to Republican voters in the primaries?

    Which health policy issues matter the most to Republican voters in the primaries?

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Home Trends

Aggressive and Impulsive Behavior on Black Friday

Exploring the link with Intermittent Explosive Disorder

Daily Remedy by Daily Remedy
May 16, 2024
in Trends
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Aggressive and Impulsive Behavior on Black Friday

Joshua Wordel

Black Friday, the day after Thanksgiving, is notorious for its chaotic shopping frenzy, with shoppers displaying aggressive and impulsive behavior in pursuit of the best deals and discounts. While this behavior may seem puzzling to some, it can be better understood through the lens of a psychological disorder known as Intermittent Explosive Disorder (IED). Recognizing IED can help explain the behavior of shoppers on Black Friday, shedding light on the underlying factors that contribute to this annual shopping phenomenon.

Black Friday and the Shopping Craze:

Black Friday has become synonymous with aggressive and impulsive behavior, as shoppers flock to stores in search of the best sales and discounts. The allure of limited-time offers and the pressure to secure the best deals can trigger intense emotions and impulsive actions. However, it is essential to recognize that not all shoppers exhibit such behavior, and those who do may have underlying psychological factors at play.

 Addressing these issues is crucial from a healthcare policy perspective to ensure a safe shopping environment.

 Intermittent Explosive Disorder (IED):

Intermittent Explosive Disorder is a psychiatric condition characterized by recurrent episodes of impulsive aggression, often disproportionate to the provocation. Individuals with IED may experience intense anger, leading to verbal or physical outbursts that can be harmful to themselves or others. While the exact cause of IED is unknown, it is believed to be influenced by a combination of genetic, environmental, and neurobiological factors. Recognizing and managing this disorder is a significant challenge for mental health policy and public health.

DSM-5 and IED Diagnosis:

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), is a widely used diagnostic tool in the field of psychiatry. According to the DSM-5, IED is classified as a disruptive, impulse-control, and conduct disorder. To receive an IED diagnosis, an individual must exhibit recurrent aggressive outbursts, with a failure to control aggressive impulses, resulting in physical assault or property damage.

Anxiety, Holidays, and Stress:

The holiday season, including Black Friday, can be a significant source of stress and anxiety for many individuals. The pressure to find the perfect gifts, manage finances, and navigate crowded stores can contribute to heightened emotional states. For individuals with IED, these stressors can further exacerbate their impulsive and aggressive tendencies, making them more susceptible to outbursts during high-stress situations like Black Friday. Addressing these triggers is vital for public health strategies and healthcare advocacy.

Triggers and Impulsive Behavior:

IED episodes are often triggered by perceived provocation or frustration. On Black Friday, the combination of long lines, limited stock, and competitive shopping experiences can act as triggers for individuals with IED. The heightened emotions and impulsive behavior displayed by some shoppers can be a manifestation of their underlying psychological condition, rather than a reflection of their true character.

Coping Strategies and Support:

Understanding the link between IED and aggressive behavior on Black Friday can help promote empathy and compassion towards individuals who may be struggling with this disorder. It is crucial to remember that IED is a treatable condition, and individuals with IED can benefit from various therapeutic interventions, including cognitive-behavioral therapy, anger management techniques, and medication, if necessary. Creating a supportive and inclusive shopping experience can also contribute to reducing the likelihood of aggressive incidents on Black Friday, which is a key goal of healthcare advocacy.

While the aggressive and impulsive behavior displayed by some shoppers on Black Friday may seem perplexing, it can be better understood through the lens of Intermittent Explosive Disorder. Recognizing the underlying psychological factors at play can help foster empathy and promote a more inclusive shopping experience for all. By raising awareness about IED and providing support to individuals with this disorder, we can work towards creating a safer shopping experience during the holiday shopping season, a crucial aspect of effective healthcare policy and public health efforts.

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Daily Remedy

Dr. Jay K Joshi serves as the editor-in-chief of Daily Remedy. He is a serial entrepreneur and sought after thought-leader for matters related to healthcare innovation and medical jurisprudence. He has published articles on a variety of healthcare topics in both peer-reviewed journals and trade publications. His legal writings include amicus curiae briefs prepared for prominent federal healthcare cases.

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Videos

summary

An in-depth exploration of drug pricing, including key databases like NADAC, WAC, and ASP, and how they influence the pharmaceutical supply chain, policy, and patient advocacy. The episode also introduces MedPricer's innovative pricing intelligence platform, offering valuable insights for healthcare professionals, policymakers, and patients.

Chapters

00:00 Understanding Drug Pricing Dynamics
03:52 Exploring the Drug Pricing Database
10:07 Patient Advocacy and Drug Pricing
13:56 Market Intelligence in Drug Pricing
How NADAC, WAC, and ASP Shape Drug CostsDaily Remedy
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Policy Shift in Peptide Regulation

Clinical Reads

FDA Evaluation of Certain Bulk Drug Substances in Compounding: Clinical Interpretation

FDA Evaluation of Certain Bulk Drug Substances in Compounding: Clinical Interpretation

by Daily Remedy
April 19, 2026
0

Clinicians increasingly encounter patients using or requesting peptide-based therapies sourced through compounding pharmacies. The U.S. Food and Drug Administration has identified a subset of bulk drug substances, including certain peptides, that may present significant safety risks when used in compounded formulations. The clinical question is whether these regulatory signals reflect meaningful patient-level risk and how they should influence prescribing behavior. This matters because compounded peptides often sit outside traditional approval pathways, creating uncertainty around quality, dosing consistency, and safety. Understanding...

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