Okay, so give us the bottom line...you usually handle your rage by beating the crap out of a punching bag. The tire iron story sounds like what you are asking help with when you say you are losing it. Short of exhausting yourself with physical activity all the time which is impossible, I would check with your therapist and let him know whats going on. Ask him for suggestions. Hope he's got the right training to deal with your issues. Wish your pre-frontal cortex worked better. Oh, the only suggestion I have is to take a vacation from the family and that will give everyone a break. You sound sane compared to the APD I had in my life. Mine was addicted to crack and had 8 felonies and 3 girlfriends who were totally clueless.