Anger Management Cognitive Behavioural Therapy

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

The way we interpret our experience.
The way we recognise, express and control anger.
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.