PRESENTATION ON ANGER MANAGEMENT
• Submitted to - Dr.(Mrs.) Anu Sharma
• Professor,Mental Health Nursing
• Mrs. Gurjot Kaur
• Assistant Professor, MHN (S.P.H.E) College of Nsg)
• Submitted on - 15-2-2022
• Submitted by- Hardeep kaur
• Mental health nursing
• Msc.IInd yr
DEFINITION
• Anger -Anger is an emotional response to a threat, injustice, hurt or
frustration where the desire is to confront or damage the supposed source.
• Hostility- Hostility is a belief that other people are threatening and the
world is unjust.
• Bitterness - Bitterness is dwelling over hostile thoughts about a specific
person or event Aggression is behaviour that causes physical or emotional
damage to protect from future harm
DEFINITION
• Aggression-. Aggression is action, i.e. attacking someone or a group. It is
intended to harm someone. It can be a verbal attack--insults, threats,
sarcasm, or attributing nasty motives to them- -or a physical punishment or
restriction.
• Aggression is behaviour that causes physical or emotional damage to protect
from future harm.
ANGER VS AGGRESSION VS VIOLENCE
Anger is a strong feeling of displeasure and
Anger
usually of antagonism. Anger can happen as a result of
Anger
frustration, injustice, and fear.
Aggression is a forceful action or procedure Aggression results with escalated
Aggression (such as an unprovoked attack) especially when Aggression
anger and other mental health issues.
intended to dominate or master.
Violence can result from anger and
Violence is the use of physical force so as to Violence
Violence other malicious intentions
injure, abuse, damage, or destroy.
CUES TO ANGER
• Physical Cues − These are the hints our body gives us to tell that anger has started building inside us. They could be
increased heart rate, rapid breathing, tensing of muscles, etc.
• Behavioral Cues − The way we behave with others when we are angry, or what others observe about us when we are
angry such as jaw-clinching, furrowing our brow, and staring.
• Emotional Cues − These are some other emotions that accompany anger such as insecurity, helplessness, shame, and
guilt.
• Thought-related Cues − These are our thoughts when we are angry such as disturbing mental images, imagining
punching someone, connecting this incident with some other similar incident.
• .
SYMPTOMS OF ANGER
Physical signs Mental Signs Other signs
• Physical signs • Yelling
• Problems concentrating
• Stomach aches • Swearing
• Confusion
• Upset feeling in the stomach • Memory problems • Withdrawing from
• Tight chest • Thoughts of doing harm others
• Tense muscles • Angry thoughts • Throwing things
• Frowning • Irritability • Pacing
• scowling Red face • Short tempered
• Fast heart beat
• Headaches
WHAT TRIGGERS OUR ANGER
• Anger is an emotional reaction to events or things which happen. Below are some of the main triggers
which can make us angry.
• Stress, Frustrations & Disappointment -A frustration is when you try to do something and
are blocked or disappointed. For example, when trying to mend a bicycle puncture and the bike pump
breaks.
• Annoyances, Irritations & Resentments -These are things that “get on your nerves”.
Examples include-
• accidentally breaking something that you like
• tearing an item of clothing
• loud noises or interruptions when you are busy
• Abuse- This can be verbal or physical abuse. Verbal abuse can include namecalling, cursing, and other
unkind remarks. The abuse can be obvious and direct. Physical abuse includes pushing, grabbing,
punching and kicking. This occurs much less often than verbal abuse.
• Injustice or unfairness -These are situations where you have not been treated fairly. An example
is when someone fails to carry out his or her promise.
• Trauma- When some thing horrible happens to a person they can experience anger. Anger can relate
to a sense of injustice or act as a defence to keep others away.
WHAT MAKES ANGER WORSE ?
• Relationships - The relationships which we are in can be a big source of
stress or a trigger for anger.
• Drugs, alcohol, caffeine, nicotine & steroids -Drugs, alcohol, caffeine,
nicotine & steroids lead to physical changes similar to when we feel
frightened or angry. The brain can misinterpret these physical sensations
and go into defence mode because it believes there is a threat. These
substances also decrease our level of control over behaviour.
WHAT MAKES ANGER WORSE?
• Depression, anxiety, trauma, bereavement-Psychological difficulties can
complicate anger. These areas often need attention in their own right.
• Living conditions- Living conditions, for example, overcrowding, heat,
debt, living in a difficult area, job insecurity etc. can all increase stress,
increasing our likelihood of getting angry.
• Poor sleep- A lack of sleep leads to poorer coping and less ability to find
solutions. Also we are more likely to be irritable when tired.
COSTS OF GETTING ANGRY
• Relationship problems: loss of friends or break-up of marriage, possibly
as a result of aggression or violence
• Health problems: prolonged stress or arousal can lead to high blood
pressure, heart disease etc.
• Problems with authorities: aggression and violence can lead to problems
with police, probation, social services, health visitors, health services etc.
• Doesn’t get us what we want: often aggression and violence do not even
get us what we originally set out to get or take away the hurt.
ANGER MANAGEMENT IN ADULTS
• Be aware of your anger warning signs and triggers –
• Anger is a normal physical response. It fuels the “fight or flight” system of
the body, and the angrier you get, the more your body goes into overdrive.
Becoming aware of your own personal signs that your temper is starting to
boil allows you to take steps to manage your anger before it gets out of
control.
ANGER MANAGEMENT IN ADULTS
• Avoid people, places, and situations that bring out your worst-
• Stressful events don’t excuse anger, but understanding how these events affect you can
help you take control of your environment and avoid unnecessary aggravation.
• Look at your regular routine and try to identify activities, times of day, people, places, or
situations that trigger irritable or angry feelings.
• May be you get into a fight every time you go out with a certain group of friends or
maybe the traffic on your daily commute drives you crazy.
• Then think about ways to avoid these triggers or view the situation differently so it
doesn’t make your blood boil.
ANGER MANAGEMENT IN ADULTS
Relaxation
• Breathe deeply, from your diaphragm; breathing from your chest won't relax you. Picture
your breath coming up from your "gut."
• Slowly repeat a calm word or phrase such as "relax," "take it easy." Repeat it to yourself
while breathing deeply.
• Use imagery; visualize a relaxing experience, from either your memory or your
imagination.
• Non strenuous, slow yoga-like exercises can relax your muscles and make you feel much
calmer.
ANGER MANAGEMENT IN ADULTS
Cognitive Restructuring –
• Simply change the way you think. Angry people tend to curse, swear, or speak in highly
colourful terms that reflect their inner thoughts.
• Remind yourself that getting angry is not going to fix anything; it won't make you feel
better
• As part of their cognitive restructuring, angry people need to become aware of their
demanding nature and translate their expectations into desires.
ANGER MANAGEMENT IN ADULTS
• Problem Solving –
• The best attitude to bring to such a situation, then, is not to focus on finding the solution, but rather
on how you handle and face the problem. Make a plan, and check your progress along the way.
Resolve to give it your best, but also not to punish yourself if an answer doesn't come right away.
• Better Communication-
• Don't say the first thing that comes into your head, but slow down and think carefully about what
you want to say. At the same time, listen carefully to what the other person is saying and take your
time before answering.
ANGER MANAGEMENT IN ADULTS
• Changing Your Environment-Give yourself a break. Make sure you have some "personal time"
scheduled for times of the day that you know are particularly stressful. Appreciating nature is a great
reliever and distracts from situations and people that make you angry.
• Keeping a diary (journal) and writing about negative emotions to get them out of your system.
• You may also want to keep a pet, since studies show that petting a dog or cat, for example, helps to
reduce blood pressure levels and harmful substances your system that can damage blood vessels if
left unchecked.
• Talking over situations with a trusted friend and venting to a therapist.
•
SOME OTHER TIPS FOR EASING UP ON YOURSELF
• Timing: If you and your spouse tend to fight when you discuss things at night - perhaps you're tired,
or distracted, or maybe it's just habit - try changing the times when you talk about important matters so
these talks don't turn into arguments.
• Avoidance: If your child's chaotic room makes you furious every time you walk by it, shut the door.
Don't make yourself look at what infuriates you. Don't say, "Well, my child should clean up the room so
I won't have to be angry!" That's not the point. The point is to keep yourself calm.
• Finding alternatives: If your daily commute through traffic leaves you in a state of rage and
frustration, give yourself a project - learn or map out a different route, one that's less congested or more
scenic. Or find another alternative, such as a bus or commuter train.
QUICK TIPS FOR COOLING DOWN
• Take some deep breaths- Deep, slow breathing from the abdomen, getting as much fresh air as possible into your
lungs helps counteract rising tension.
• Exercise -A brisk walk is a great idea. It releases pent-up energy so you can approach the situation with a cooler head.
• Use your senses.-Take advantage of the relaxing power of your sense of sight, smell, hearing, touch, and taste. Try
listening to music or picturing in a favourite place.
• Stretch or massage areas of tension. Roll your shoulders if you are tensing them, for example, or gently massage
your neck and scalp.
• Slowly count to ten- Focus on the counting to let your rational mind catch up with your feelings. If you still feel out
of control by the time you reach ten, start counting again.
CONSIDER PROFESSIONAL HELP IF:
• You feel constantly frustrated and angry no matter what you try.
• Your temper causes problems at work or in your relationships.
• You avoid new events and people because you feel like you can’t control your temper.
• You have got in trouble with the law due to your anger.
• Your anger has ever led to physical violence
ANGER MANAGEMENT IN KIDS
• Let the emotion flow-Be it any emotion, especially anger, allow your child to express it
than stagnate. A child who cannot get angry is in as much danger as a child who cannot
control his anger.
• An important lesson that has to be taught to kids is that ‘It is OK to be angry as long as it
doesn’t hurt people or property’.
• Communication-Talk to kids as much as possible. Make them aware of the rights and
wrongs, dos and don’ts, all of it with proper reasoning.
ANGER MANAGEMENT IN KIDS
• Be a good role model-Be what you want your kids to be. If kids live in a household
where shouting and throwing things are acceptable they are sure to do the same. Show
them what we want them to do – such as doing what we love, like gardening or listening
to music, writing your emotions out to release the stress, or getting engaged in any sport
or hobbies.
• Do acknowledge your child’s feelings
• Ensure you listen to your child when they feel low or angry. When you validate them,
chances are less that kids would defend themselves and rage out. Be empathetic.
ANGER MANAGEMENT IN KIDS
• Get kids engaged in what they love
• This is the best method to relieve out anger. Have your little one get engaged in whatever
they love. Anger management activities for kids can be anything like drawing, writing,
reading, playing, or music. Some might even like to express their anger via drawing.
• Practice being warm and generous with hugs and praises
• A kind loving touch can help defuse a tense situation. A timely hug can ward off feelings
of frustration or anger. Do praise your child for their attempts not just their achievements.
Words can soothe all challenging times if used well.
ANGER MANAGEMENT IN KIDS
• Encourage sports and exercise-These are effective ways to wave off negative vibes or “burn off
steam.” Getting into physical activities will help little minds to engage productively. This would
help in building up physical as well as mental health. Yoga, karate, and also sports involving lots of
physical movements are good anger management activities for kids.
• Avoid over pampering-A common mistake we parents do is pamper our little ones too much. We
try giving them everything they ask for not realizing eventually they would lose the value of things
as it is easily available. Kids would not be able to take a NO from parents on a later stage which
might provoke them to get angry.
ANGER MANAGEMENT IN KIDS
• Curb excess usage of electronics
• Staring at a screen all day would numb the little minds. This would also make them lazy and inactive in other
sports. Over a period of time, they would get addicted to electronics. Thus they would lose on more useful
exercises and face-to-face social interactions. Parents should have control over it and ensure they are not
permitted for more than two hours a day.
• Practice compromise and negotiation
• This works wonders. Try to talk with your child and get onto a compromise when there is a tough situation. It is
advisable to negotiate than giving commands. This not only reduces the chances of getting angry but also helps
in building up skills like problem-solving, negotiation, and decision making.
MEDICAL MANAGEMENT
• Anti Depressant Medication-Different anti depressants are more effective for some people than others. There are also a
number of side effects associated with anti depressants such as nausea, insomnia, weight gain and sexual dysfunction.e.g-
fluoxetine,paxil,lexapro
Anti Anxiety Medication-Anti-anxiety drugs such as benzodiazepines can be prescribed to help reduce the occurrence of
anger and frustration, but these should only be taken under strict medical supervision as they are highly addictive. Common
benzodiazepines include Valium, Ativan and Xanax.
• Anti Psychotics-Anti-psychotics and mood stabilizing drugs, including lithium, might be prescribed for anger management
issues if the underlying cause of the problem is bipolar disorder.
BIBLIOGRAPHY
• "Anger Management" (PDF). www.union.edu
• "About - Mayo Clinic". www.mayoclinic.org. Retrieved 2020-04-30
• Taylor, J. (2002). "A review of the assessment and treatment of anger and aggression in
offenders with intellectual disability". Journal of Intellectual Disability Research. 46: 57–
73. doi:10.1046/j.1365-2788.2002.00005.x. PMID 12031019.
• "Anger management by medication". WorldOfChemicals. Oct 17, 2017.
Retrieved October 20, 2017.
