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PORPHYRIA FACTS PSYCHIATRIC ANGER



One out of five Americans has an anger management problem.



SOURCE:

Leonard Ingram

Anger Management

+++++++++++



Anger is a natural human emotion and is nature's way of empowering us to

"ward off" our perception of an attack or threat to our well being.



The problem is not anger, the problem is the mismanagement of anger.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

++++++++++++



Anger is "an emotional state that varies in intensity from mild irritation to intense

fury and rage.



SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

++++++++++++



Anger can be defined as the combination of bodily tension and the view of the

world as insulting, assaulting, frustrating, unfair and/or irritating.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

++++++++++++++



Like other emotions, anger is accompanied by physiological and biological

changes.



When you get angry, your heart rate and blood pressure go up, as do the levels

of your energy hormones, adrenaline, and noradrenaline.



SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

++++++++++++



Normal anger is the emotion that each one of us has.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

+++++++++++++



Normal anger is when we have bodily tension and we are viewing the world as

either assaulting, insulting, frustrating, irritating and/or unfair.



Pathological anger is when that anger lasts too long, is too intense, is too

frequent, and/or distrubs relationships and work.



Pathological anger thus is chronic anger that causes damage to the person and

others.



The challenge will be determining what are the triggers for your anger.



You then can work on dis-engaging the triggers and learning better coping skills

to deal with the anger.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

+++++++++++++



The instinctive, natural way to express anger is to respond aggressively.



SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

++++++++++++





A person needs to evaluate the type of anger they express and then work to

alleviate patterns of anger in their day to day lives.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

++++++++++++



There are psychological tests that measure the intensity of angry feelings, how

prone to anger you are, and how well you handle it.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

+++++++++++++



Cances are good that if you do have a problem with anger, you already know it.



If you find yourself acting in ways that seem out of control and frightening, you

might need help finding better ways to deal with this emotion.



SOURCE:

Jerry Deffenbacher, PhD

Psychology / Anger Management

+++++++++++++++++



Unexpressed anger can create other problems.



Unexpressed anger can lead to pathological expressions of anger, such as

passive-aggressive behavior.



Passive-aggressive behavior is the getting back at people indirectly, without

telling them why, rather than confronting them head-on.



It can also mean a personality that seems perpetually cynical and hostile.







SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

++++++++++++

People who are constantly putting others down, criticizing everything, and

making cynical comments haven't learned how to constructively express their

anger.



Not surprisingly, they aren't likely to have many successful relationships.



SOURCE:



Dr. Kenneth Carlson



Neuropsychiatric



++++++++++++



When you have a lot of anger you must calm down inside.



This means not just controlling your outward behavior, but also controlling your

internal responses.



A person with a lot of anger need to take steps to lower their heart rate, calm

down, and let the feelings subside.







SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

++++++++++++



Anger can be suppressed, and then converted or redirected.



This happens when you hold in your anger, stop thinking about it, and focus on

something positive.



The aim is to inhibit or suppress your anger and convert it into more constructive

behavior.



The danger in this type of response is that if it isn't allowed outward expression,

your anger can turn inward—on yourself.



Anger turned inward may cause hypertension, high blood pressure, or

depression.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

++++++++++++++

People use a variety of both conscious and unconscious processes to deal with

their angry feelings.



The three main approaches are expressing, suppressing, and calming.



Expressing your angry feelings in an assertive—not aggressive—manner is the

healthiest way to express anger.



To do this, you have to learn how to make clear what your needs are, and how to

get them met, without hurting others.







SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

++++++++++++

Being assertive doesn't mean being pushy or demanding.



Being assertive means being respectful of yourself and others.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

+++++++++++++++



Anger is a natural, adaptive response to threats.



Anger inspires powerful, often aggressive, feelings and behaviors, which allow

us to fight and to defend ourselves when we are attacked.



A certain amount of anger, therefore, is necessary to our survival.







SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

++++++++++++



First it is important to understand what leads to your anger and look at ways to

deal or cope with the anger.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

++++++++++++++

We can not physically lash out at every person or object that irritates or annoys

us.



The laws, social norms, and common sense place limits on how far our anger

can take us.







SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

++++++++++++





The goal of anger management is to reduce both your emotional feelings and

the physiological arousal that anger causes.



You can't get rid of, or avoid, the things or the people that enrage you, nor can

you change them, but you can learn to control your reactions.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

+++++++++++++



Anger is a natural, adaptive response to threats.



Anger inspires powerful, often aggressive, feelings and behaviors, which allow

us to fight and to defend ourselves when we are attacked.



A certain amount of anger, therefore, is necessary to our survival.







SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

++++++++++++



First it is important to understand what leads to your anger and look at ways to

deal or cope with the anger.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

++++++++++++++

We can not physically lash out at every person or object that irritates or annoys

us.



The laws, social norms, and common sense place limits on how far our anger

can take us.



SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

+++++++++++



Some people really are more "hotheaded" than others are.



Some people get angry more easily and more intensely than the average

person does.



There are also those who don't show their anger in loud spectacular ways but

are chronically irritable and grumpy.



Easily angered people don't always curse and throw things; sometimes they

withdraw socially, sulk, or get physically ill.



SOURCE:

Jerry Deffenbacher, PhD

Psychology / Anger Management

++++++++++++++



The goal of anger management is to reduce both your emotional feelings and

the physiological arousal that anger causes.



You can't get rid of, or avoid, the things or the people that enrage you, nor can

you change them, but you can learn to control your reactions.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

+++++++++++++

Medications are helpful when your life is too out of control to benefit from a more

cognitive type of therapy.



An example would be intense depression and anxiety and the proper use of

medications like Prozac and Xanax.



The medications in and of themselves are not anger management.



They only help to gain enough control in your life to then be able to address the

issues in anger management groups or psychotherapy.



SOURCE:



Renae Spiegel LCSW



Psychology & Behavorial Management



++++++++++++++++



People who are easily angered generally have what some psychologists call a

low tolerance for frustration, meaning simply that they feel that they should not

have to be subjected to frustration, inconvenience, or annoyance.



They can't take things in stride, and they're particularly infuriated if the situation

seems somehow unjust: for example, being corrected for a minor mistake.



SOURCE:

Jerry Deffenbacher, PhD

Psychology / Anger Management

++++++++++++++





Understanding your anger, having empathy, learning to use positive self-talk,

relaxation skills, use of humor, time-out proceedures, assertiveness training,

communication of feelings, problemsolving and the closing of doors on the past

or forgiveness.



The challenge is finding which techniques work best for you and applying them.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

++++++++++++++



One cause of having anger may be genetic or physiological.



There is evidence that some children are born irritable, touchy, and easily

angered, and that these signs are present from a very early age.



Another may be sociocultural.



Anger is often regarded as negative; we're taught that it's all right to express

anxiety, depression, or other emotions but not to express anger.



As a result, we don't learn how to handle it or channel it constructively.



Research has also found that family background plays a role.



Typically, people who are easily angered come from families that are disruptive,

chaotic, and not skilled at emotional communications.



SOURCE:

Jerry Deffenbacher, PhD

Psychology / Anger Management

+++++++++++++++++



Anger is a natural, adaptive response to threats.



Anger inspires powerful, often aggressive, feelings and behaviors, which allow

us to fight and to defend ourselves when we are attacked.



A certain amount of anger, therefore, is necessary to our survival.







SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

++++++++++++



First it is important to understand what leads to your anger and look at ways to

deal or cope with the anger.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

++++++++++++++



We can not physically lash out at every person or object that irritates or annoys

us.



The laws, social norms, and common sense place limits on how far our anger

can take us.



SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

+++++++++++



While aggressive anger is not genetic, often people who expressanger

aggressively, often come from families disruptive families where anger was often

expressed aggressively.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

++++++++++++



I magery can help calm down angry feelings.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

+++++++++++





There are books and courses that can teach you relaxation techniques, and

once you learn the techniques, you can call upon them in any situation.



SOURCE:

Jerry Deffenbacher, PhD

Psychology / Anger Management

+++++++++++++++++



Simple relaxation tools, such as deep breathing and relaxing



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

+++++++++++



There are books and courses that can teach you relaxation techniques, and

once you learn the techniques, you can call upon them in any situation.



SOURCE:

Jerry Deffenbacher, PhD

Psychology / Anger Management

+++++++++++++++++



Some simple steps you can try:



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.



Nonstrenuous, slow yoga-like exercises can relax your muscles and make you

feel much calmer.

Practice these techniques daily. Learn to use them automatically when you're in

a tense situation.



SOURCE:



Jerry Deffenbacher, PhD

Psychology / Anger Management

+++++++++++++++++



In anger management ones needs to learn the means of changing the way they

think.



Angry people tend to curse, swear, or speak in highly colorful terms that reflect

their inner thoughts.



When you're angry, your thinking can get very exaggerated and overly dramatic.



Such thought patterns and reactions need to be replaced.



Try replacing these thoughts with more rational ones.



SOURCE:

Renae Spiegel LCSW

Psychology & Behavorial Management

++++++++++++++++







Remind yourself that getting angry is not going to fix anything, that it won't make

you feel better (and may actually make you feel worse).



SOURCE:

Renae Spiegel LCSW

Psychology & Behavorial Management

++++++++++++++++



Anger can make you feel as though you're at the mercy of an unpredictable and

powerful emotion.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

+++++++++++++



Anger and/or stress managing are very popular treatment techniques. But

managing/controlling such feelings of stress and rage usually/often fails to

RESOLVE such stress and rage problems permanently.



Frequently, the underlying unresolved stress and rage continue and so therefore

the next difficulty with hate or stress will erupt





Anger is a completely normal, usually healthy, human emotion. But when it gets

out of control and turns destructive, it can lead to problems—problems at work,

in your personal relationships, and in the overall quality of your life.



SOURCE:

Mayo Medical Education’

Mayo Clinic

+++++++++++++



Anger can be caused by both external and internal events.



You could be angry at a specific person or your anger could be caused by

worrying or brooding about your personal problems.



Memories of traumatic or enraging events can also trigger angry feelings.



SOURCE:

Charles Spielberger, PhD

Psycholgist

Anger Specialist

++++++++++++



Angry people tend to demand things: fairness, appreciation, agreement,

willingness to do things their way.



Everyone wants these things, and we are all hurt and disappointed when we

don't get them, but angry people demand them, and when their demands aren't

met, their disappointment becomes anger.



As part of their cognitive restructuring, angry people need to become aware of

their demanding nature and translate their expectations into desires.



SOURCE:

Renae Spiegel LCSW

Psychology & Behavorial Management

++++++++++++++++



Mismanaged anger and rage is the major cause of conflict in our personal and

professional relationships.



Domestic abuse, road rage, workplace violence, divorce, and addiction are just a

few examples of what happens when anger is mismanaged.





Sometimes, our anger and frustration are caused by very real and inescapable

problems in our lives.



Not all anger is misplaced, and often it's a healthy, natural response to these

difficulties.



There is also a cultural belief that every problem has a solution, and it adds to

our frustration to find out that this isn't always the case.



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.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

++++++++++++



Logic defeats anger, because anger, even when it's justified, can quickly

become irrational.



So use cold hard logic on yourself.



Remind yourself that the world is "not out to get you," you're just experiencing

some of the rough spots of daily life.



Do this each time you feel anger getting the best of you, and it'll help you get a

more balanced perspective.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

+++++++++++++



Angry people tend to jump to—and act on—conclusions, and some of those

conclusions can be very inaccurate.



The first thing to do if you're in a heated discussion is slow down and think

through your responses.



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.



SOURCE:

Renae Spiegel LCSW

Psychology & Behavorial Management

++++++++++++++++







It's natural to get defensive when you're criticized, but don't fight back.



Instead, listen to what's underlying the words: the message that this person

might feel neglected and unloved.



It may take a lot of patient questioning on your part, and it may require some

breathing space, but don't let your anger—or a partner's—let a discussion spin

out of control.



Keeping your cool can keep the situation from becoming a disastrous one.



SOURCE:

Jerry Deffenbacher, PhD

Psychology / Anger Management

+++++++++++++++++



Sometimes it's our immediate surroundings that give us cause for irritation and

fury.



Problems and responsibilities can weigh on you and make you feel angry at the

"trap" you seem to have fallen into and all the people and things that form that

trap.



Give yourself a break.



Make sure you have some "personal time" scheduled for times of the day that

you know are particularly stressful.



SOURCE:

Jerry Deffenbacher, PhD

+++++++++++++++



If you feel that your anger is really out of control, if it is having an impact on your

relationships and on important parts of your life, you might consider counseling

to learn how to handle it better.



A psychologist or other licensed mental health professional can work with you in

developing a range of techniques for changing your thinking and your behavior.



SOURCE:

Jerry Deffenbacher, PhD

Psychology / Anger Management

+++++++++++++++++



Porphyria is a very hard disease and can easily lead to anxiety, anger, and

depression as well as bizarre behavior.



Porphyria patients are not “mental cases” as myth would lead one to believe,

however because of the CNS aspects of the disease, porphyria patients have

good reason to fall prey to anger.



Working with a counselor on management of anger will also help the porphyria

patient deal with understanding the negative responses they are facing daily

with their disease as well.



Couseling for personal growth and empowerment isnot a negative, but is

essential for all people, and especially so for acute porphyria patients.



SOURCE:

Dr. Kenneth Carlson

Neuropsychiatric

++++++++++++++++









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