Therapy for Anger Management

We all get angry from time to time. Some of us more than the others. But few of us cannot control the anger. This article gives an insight into uncontrolled anger and the best therapy for anger management.

Whenever things do not go the way we want them to, it is but natural to get angry. That is what most of us believe. It is a basic emotion. The question is what do we do when we are angry. There are two categories of people –

·        Those for whom the anger is directed outwards. They get openly destructive, abusive or aggressive. Their relationships quite naturally suffer a lot.

·        Those for whom the anger is self-directed. They end up hurting themselves, physically and emotionally.

Let us consider the first category. Why do they act the way they do? If you were to ask them retrospectively, most of them regret having acted the way they did when they were angry. However, they will tell you at that moment the emotion was so overpowering that they could not help themselves. It is as if they are not in control of their actions at that time. It so happens that they might end up meeting with fatal accidents if they happen to be driving or riding when they are angry.



So, what do we do about them? First, the psychiatrist takes a detailed history of his/her life, starting from the childhood to present times. This is to determine what factors gave rise to such behavior patterns. It might be genetic (running in the family) or as a result of environmental interactions, including traumatic ones. The next step will be to work on each contributing factor, individually, till it is resolved. We remember from the discussion above that they lose control over their actions and are actually quite helpless in those situations. The final step is establishing control of the individual over thoughts, emotions and behavior patterns.

Considering the second category, these individuals usually have a problem with regulating their emotions. They usually have intense mood swings, are considered overtly sensitive and emotional by their close ones, and often feel empty within.

The best therapy for anger management in them would be to address the emotional instability first. The rest are just by products. If we can stabilize their emotions, half the battle is won. They usually need intense therapy sessions, usually multiple and closely spaced.

Along with psychotherapy, persons from both categories often need medications to keep them from harming themselves lethally. As doctors, our first aim is to save the patient’s life and then improve the quality of life. So, if your psychiatrist recommends medications, it is in the patient’s best interest.

There are also a number of problems that go hand in hand with intense anger. These people are very likely to abuse recreational substances like cannabis, alcohol and so on. Repeated lying, stealing or truancy may be associated with anger issues in young adults.

The best therapy for anger management therefore is the one where the psychiatrist addresses all these problems together, treating the patient as a whole rather than addressing anger as an isolated issue. Remember, with proper treatment, there is nothing that cannot be fixed.

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