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Anger Management

Anger is one of the basic human emotions, as elemental as happiness, sadness, anxiety, or disgust. These emotions are tied to basic survival and were honed over the course of human history.

Anger is related to the “fight, flight, or freeze” response of the sympathetic nervous system; it prepares humans to fight. But fighting doesn't necessarily mean throwing punches. It might motivate communities to combat injustice by changing laws or enforcing new norms.

Of course, anger too easily or frequently mobilized can undermine relationships or damage physical health in the long term. Prolonged release of the stress hormones that accompany anger can destroy neurons in areas of the brain associated with judgment and short-term memory, and weaken the immune system.

For those who struggle with chronic anger, or for those who only experience occasional outbursts, learning skills to identify and navigate this powerful emotion can lead to growth and change.

The Experience of Anger

Everyone knows the feeling. It's that rage that rises when a driver is cut off on the highway or an employee is demeaned by his boss. People have trouble managing anger and other negative emotions. However, unleashing anger doesn’t produce the sense of catharsis people crave—it tends to feed on itself instead. The best path forward may be to understand anger—its roots, its triggers, its consequences—and cultivate the ability to manage it.

What causes anger?

The question of why some shrug off annoyances while others explode in rage is a fascinating one. One model of anger, put forth by psychologist Jerry Deffenbacher, posits that anger results from a combination of the trigger event, the qualities of the individual, and the individual's appraisal of the situation.

The trigger is the event that provokes anger, such as being cut off in traffic or yelled at by a parent. The qualities of the individual include personality traits, such as narcissism, competitiveness, and low tolerance for frustration, and the pre-anger state, like levels of anxiety or exhaustion. Perhaps most importantly is cognitive appraisal—appraising a situation as blameworthy, unjustified, punishable, etc. The combination of these components determines if, and why, people get mad.

Which personality traits are linked to anger?

Research suggests that the tendency to become angry is associated with high neuroticism and low agreeableness. Outside of the Big Five personality traits, a few habits and attitudes may be linked to anger. These include:

• Entitlement (believing that one’s rights and privileges are superior to those of other people)

• Focusing on things out of personal control (such as a partner’s behavior) 

• External regulation of emotions (trying to regulate emotions by controlling one’s environment)

• External locus of control (believing well-being is controlled by sources outside of oneself)

• Refusal to see other perspectives (viewing different perspectives as threats)

• Low tolerance for discomfort

• Low tolerance for ambiguity 

• Hyperfocus on blame

• A fragile ego

How to Manage Anger

Anger, like all emotions, should be monitored with self-awareness. This can prevent it from spiraling into hostile, aggressive, or violent behavior toward others or oneself.

Support groups for anger management can help people understand anger, identify its triggers, and develop skills to manage their emotions. In groups or individual settings, cognitive restructuring can coach patients to reframe unhealthy, inflammatory thoughts.

Outside of therapy, techniques from deep breathing and emotion labelling to adopting a problem-solving mindset can help people learn to navigate anger on their own.

Mental Health Conditions And Anger

Everyone experiences anger at some point. It becomes problematic, however, when the frequency or severity of anger interferes with relationships, work performance, legal standing, or mental health.

While there is no official “anger disorder,” dysfunctional anger and aggression can be a symptom of Intermittent Explosive Disorder, Oppositional Defiant Disorder, Conduct Disorder, and Borderline Personality Disorder. It may also play a role in manic episodes, ADHD, and narcissism.

Anger doesn't require a formal diagnosis to be disruptive, or to benefit from help with its management.

Intermittent Explosive Disorder

Intermittent Explosive Disorder (IED) is an impulse control disorder characterized by repeated angry outbursts, representing a failure to control aggressive impulses. These outbursts can involve verbal or physical aggression and result in property damage or physical injury. These reactions are also severely out of proportion to the event that sparked the episode.

Of the various disorders related to anger, perhaps IED most accurately describes the escalating explosions of violence we are witnessing today such as mass shootings. It may emerge from a failure to recognize and consciously address anger as it arises, before it becomes pathological and dangerous, perhaps starting in childhood.

Oppositional Defiant Disorder

Oppositional Defiant Disorder (ODD) is a disruptive behavior disorder that involves a pattern of angry and irritable moods and defiant or vindictive behaviors. People with oppositional defiant disorder may lose their temper, lash out impulsively, become resentful, argue with authority figures, refuse to comply with requests, and deliberately annoy and blame others.

Two parts of the brain implicated in this reactive aggression include an overactive amygdala and an underactive prefrontal cortex—the region that helps regulate impulses and inhibit aggression. Medication and therapy—particularly a newer approach called Collaborative and Proactive Solutions—can reduce defiance and anger and teach healthy coping skills.





Borderline Personality Disorder

Borderline personality disorder (BPD) is a condition characterized by instability and impulsivity, including bursts of anger or violence. Terrified of abandonment, people with BPD cling to those close to them, crave reassurance and validation, and are deeply upset by seemingly small changes. This turbulence can involve angry outbursts, severe mood swings, hopelessness, paranoia, self-harm, and suicidality.

The overblown rage so common in borderline may stem from problems of trust, such as learning not to trust parents or caregivers due to unreliability, neglect, and criticism. Anger may function as a defense against fears of possible abandonment and rejection.

Depression is characterized by consistently low mood and feelings of sadness, emptiness, or hopelessness. Enjoyment and pleasure are diminished while irregularities in sleep and appetite emerge, among other challenges.

Both research and clinical observation have identified a connection between depression and anger. Anger is often a reaction to and distraction from inner suffering—feelings such as sadness, powerlessness, shame, anxiety, inadequacy, and isolation. Anger can be both an outgrowth of, and meaningful distraction, from the intense pain of underlying depression. Similarly, many people who seek help for depression come to recognize how anger directed inward, such as intense self-criticism, blame, and dissatisfaction, contributes to their depression.

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