Anger Management

What is Anger?
People with problems controlling their anger have difficulty coping with pressures from the outside
world, other people, and the way these external stressors impact on them. Day to day problems,
negative thoughts and beliefs, and interpersonal relationship problems are interrelated because an
increase in stress-related tension also increases the likelihood of anger and aggression.
There is a broad spectrum on the anger continuum between irritability and anger caused by the belief
that life is unfair, and that someone has violated our strong internal standards of behaviour at one end
of the continuum, and hostility and uncontrollable rage at the other.
Rage is caused by childhood situations where a person has been repeatedly criticised and humiliated
and made to feel that they are neither worthy nor lovable. These wounds to the self over a long period
of time become the trigger where people defend themselves against these negative feelings by
mobilising extreme aggression to protect their repeated feelings of low self-worth.
There is a big difference between losing your temper because someone has violated your standards of
housekeeping, order, driving competence or childrearing, and the potentially explosive and violent
outbursts which are activated by jealousy, rejection, and in circumstances where one is fighting for
ones life against punishing or destructive relationships.
But all these anger problems have the same ingredients
1. The way we interpret our experience.
2. The way we recognise, express and control anger.
3. The errors in communication with others.

Anger Management and CBT
When a client comes in with anger control problems they are given a complete psychological
assessment using diagnostic tests to measure anxiety, depression, self esteem levels and their
personality type. An anger test is used to understand the specific areas that trigger anger responses
and an individual diagnosis and blueprint for treatment is collaboratively discussed with the client.
A problem list is drawn up with 5-6 problems that the client wants to change through CBT. CBT has
three stages:
1. Clients often tape sessions which are initially designed to change their anger behaviours through
specific techniques that are used immediately to bring anger symptoms under control. This also
includes an extensive stress reduction and relaxation programme to reduce the sense of threat,
violation, frustration, fear and guilt that these outbursts and loss of control can produce.
2. The second part of the treatment is designed to use standard CBT to challenge negative thoughts
and beliefs about the self, other people, and their future by:-
first identifying these negative automatic thoughts
testing them as hypothesis rather than facts
discovering what errors of logic are being made
substituting them for a more balanced way of thinking.
3. The third part of CBT Counselling looks at deeper core belief and schemas from early life (up to
sixteen) which are then modified to aid in relapse prevention. Areas of:-
subjugation (being controlled or invalidated as a child)
mistrust (feeling abused or exploited by others)
punitive parent (criticising, shaming, verbally abusive)
emotional deprivation (in the areas of nurture, empathy, protection, mentoring)
vulnerability to harm from others
not being good enough/worthy
These are often present as some of the underlying non-conscious beliefs which are at the source of
anger problems.
The Physiology of Anger
When we are experiencing the symptoms of anger in a stimulus/response situation the hypothalmus
area of the brain is electrically stimulated. The hormone adrenaline is produced causing the following
symptoms: -
increased heartbeat and palpitations
deeper respiration
increased cortisol to depress the immune system
pupil dilation
released glucose
suspension of digestion
increased blood pressure
increase of testosterone (men)
increased energy
It is statistically proven that the inability to successfully manage anger can damage the body, and that
hard driving/achievement striving Type A personalities who multi-task without recuperating through
relaxation are 7-8 times more at risk of the cardiovascular threat of heart attack and stroke than their
more lay back 'take it as it comes' Type B counterparts.