I've been hospitalized twice myself. You might not want to try this just yet, but my suggestion (and it's only a suggestion) is to try to find a way to look that rage straight in the face and figure out where it's coming from. I've found that, to do that, I need some kind of "container" to put the rage in, so it doesn't go all over the place, and I can step back and look at it from a safe distance.

I think I've pretty much identified all the sources of my rage, which has taken me years to do. Sometimes it still feels like it's going to take over again, but these days I seem to be able to let it pass over me relatively harmlessly. I would also say (again, only a suggestion) be kind to yourself and take all the time you need to get through this.

One of the sources of my anger is the feeling that I'm being ignored, and the thing about dysthymia is that no one notices me because they're too busy dealing with the people who are totally out of control, so I look relatively normal, and my problem festers. They only notice me when I boil over and throw a nutty. Hopefully, that sounds somewhat familiar to you.

Best, HS