Anger and anger management dr deirdre mac carville 27 april 2009


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Presentation by Dr Deirdre McCarville Anger and Anger Management at HADD Information Evening 27 April 2009

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Anger and anger management dr deirdre mac carville 27 april 2009

  1. 1. HADD Family Support Group Dr Deirdre Mac Carvill Kate Carr-FanningCarmichael Centre for Voluntary Groups Carmichael House North Brunswick Street Dublin 7 Phone: (01) 874 8349 E-mail:
  2. 2. Understanding Anger and Anger Management
  3. 3. Overview What is Anger? Triggers for Anger Appropriate Anger Inappropriate Anger Body’s Response to Anger Anger and ADHD Managing anger from a parent’s perspective
  4. 4. What is Anger?A normal adaptive emotion which is the response tocertain situations we encounter
  5. 5. Anger It’s not having the angry feelings that causes problems but what you do about it and how you express it
  6. 6. Triggers for Anger Confusion Perceived disrespectful treatment Perceived threat Perceived Unfairness Perceived Provocation
  7. 7. Anger It is the behavioural response to anger that determines whether it is appropriate or inappropriate
  8. 8. When is Anger Appropriate?People get angry, sort it out relatively quickly and thenresume their normal state of equilibrium
  9. 9. When is Anger Inappropriate? When dealing with angry feelings is more of a problem than what caused the anger in the first place
  10. 10. Stupid Angry Stuff ! Stupid stuff that makes you angry
  11. 11. Body’s Internal Response to Anger Extra adrenaline is secreted Heart beats more rapidly and blood pressure rises Breathing becomes faster Blood is diverted from liver, intestines and stomach to the heart, central nervous system and the muscles Cortisol production is increased depressing the immune system Men have an increasing supply of testosterone
  12. 12. Internal Feelings of Anger Energy and warmth An urge to shout and move quickly and forcefully
  13. 13. External Manifestations of Anger Rapid breathing, eyes open widely with dilated pupils Facial colour reddening or going pale Louder voice and quicker speech Movements quicker and our muscles tense
  14. 14. Anger This state of heightened arousal puts a great strain on the body and while it is useful as a short term emergency response it is not ideal as a long term emotional and physical state
  15. 15. Supressed Anger This can result in feelings of anger being suppressed. This in turn creates high levels of internal stress that can be manifested in unhealthy coping behaviours such as self- harm, alcohol or substance misuse
  16. 16. Anger Heightened levels of tension in someone can have someone in a primed state for anger nearly all the time. It is reinforced by their negative interpretation of the things that happen to them Always just beneath the surface ready to explode Very easily get themselves into conflict situations which then reinforces their negative interpretations They are highly stressed over time and increase the risk of physical and mental health problems
  17. 17. Stupid Anger Responses! Stupid stuff you did when you were angry
  18. 18. Anger and Children with ADHD Moods change very quickly and emotional reactions can easily be provoked Heightened state of arousal gets attributed to feelings of anger even if it isn’t Low tolerance for frustration and low feelings of self esteem expressed outwardly Sometimes children experience difficulties when their medication wears off resulting in tantrums ADHD children’s impulsivity may lead to their responding to feeling of anger with aggression
  19. 19. Managing Anger from Parent’sPerspective Find positive outlets for anger – strenuous outdoor play and exercise Limit television and video games - children with impulse control problems may be more easily influenced by the aggressive reactions they see Set up clear rules and enforce rules consistently Control yourself – make a conscious decision to stay calm. Take responsibility for your own anger. Its never ok to excuse your own behaviour because of your anger. Assume a calm posture – “Do I want a conversation or a confrontation?” Have self respect – don’t give in to or join the pity party Take care of yourself Be the calm in the storm –
  20. 20. Managing Anger from Parent’sPerspective Talk to child about what they are feeling and give them different labels for what these feelings are Get down to their eye level as you are talking to them Be sympathetic about the fact the child is having such difficulty controlling their anger. Its awful you have this problem its not ok you behave this way so what do we need to do to deal with this. Create an awareness in the child of the impact of their behaviour