Anger Management For Substance Abuse and Mental Health Clients

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Anger Management for

Substance Abuse and


Mental Health Clients
Andrew Berger, PhD
Mental Health Specialist, San Francisco and Dallas Regions

Janet Negley, PhD


Center Mental Health Consultant, San Jose Job Corps Center
http://www.youtube.com/watch?v=EE43duUeywY&fe
ature=related
What Is Anger?
Anger vs. Aggression

Anger vs. Hostility

When anger becomes a problem?


SAMHSA Model
For use by qualified mental health and substance abuse
clinicians
12-week cognitive behavioral model

90-minute weekly group therapy meetings


Anger Management Participant
Workbook
SAMHSA website

Core concepts

Worksheets

Homework assignments

Notes for each session


Anger Management Manual
Effectiveness

Diversity of populations
Group Rules
Group safety

Confidentiality

Homework assignments

Absences and cancellations

Timeouts
Myths About Anger
Anger is inherited

Anger automatically leads to aggression

You must be aggressive to get what you want

Venting anger is always desirable


Anger Meter
A simple way to monitor your anger is to use a 1 to 10
scale called the anger meter. A score of 1 on the anger
meter represents a complete lack of anger or a total state
of calm, whereas 10 represents an angry and explosive
loss of control that leads to negative consequences.
Events That Trigger Anger
When you get angry, it is because you have encountered
an event in your life that has provoked your anger
Many times, specific events touch on sensitive areas

These sensitive areas or “red flags” usually refer to


long-standing issues that can easily lead to anger
Cues To Anger
A second important way to monitor anger is to identify
the cues that occur in response to the anger-provoking
event
These cues serve as warning signs that you have become
angry and that your anger is escalating
Cues can be broken down into four cue categories:
physical, behavioral, emotional, and cognitive (or
thought) cues
Weekly Check In Procedure To
Monitor Anger
1. What was the highest number you reached on the
anger meter during the past week?

2. What was the event that triggered your anger?

3. What cues were associated with the anger-provoking


event?

4. What strategies did you use to avoid reaching a 10 on


the anger meter?
Anger Control Plans
Immediate strategies

Preventative strategies
The Aggression Cycle
Escalation

Explosion

Post-explosion
Cognitive Restructuring (ABCD)
Model
Activating event

Beliefs about the event

Emotional consequences

Dispute
Responding To Anger
Assertiveness

Aggressiveness

Passivity
Conflict Resolution Model
Identifying the problem

Identifying the feelings

Identifying the specific impact

Deciding whether to resolve the conflict

Addressing and resolving the conflict


Anger and The Family and Culture
For many of us, the interactions we had with our
parents have strongly influenced our behaviors,
thoughts, feelings, and attitudes as adults. With regard
to anger and its expression, these feelings and behaviors
were usually modeled for us by our parents or parental
figures or the culture in which we grew up.
SAHMSA Materials
SAHMSA Website http://www.samhsa.gov/

Anger Management Manual


http://store.samhsa.gov/product/SMA08-4213

Anger Management Workbook


http://store.samhsa.gov/product/SMA08-4210
Anger Management Online Manual with Bibliography
http://kap.samhsa.gov/products/manuals/pdfs/anger1.
pdf

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