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Anger, What s Up and What to Do About It

Disclosures. I am in in private practice at Heartland ClinicI am a board member at Mental Health America. Healthy Anger. Anger is healthy when controlledGood that has come from angerWork harder to reach your goalsStand up for yourselfWomen's right to voteCivil rightsSelf defense. Causes of an

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Anger, What s Up and What to Do About It

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    1. Anger, Whats Up and What to Do About It Buck Black MSW, LCSW, LCAC BuckBlack.com TruckerTherapy.com 765-807-6778

    2. Disclosures I am in in private practice at Heartland Clinic I am a board member at Mental Health America

    3. Healthy Anger Anger is healthy when controlled Good that has come from anger Work harder to reach your goals Stand up for yourself Womens right to vote Civil rights Self defense

    4. Causes of anger Anger is a secondary emotion What feeling is behind anger Sadness Fear Mr. Macho Protecting self from being emotionally hurt Is there anger in the home life when growing up? Anger is largely learned Are there secondary gains for anger?

    5. Is anger simply the symptom? Is there a head injury? Damage to prefrontal cortex Substance abuse? Mental illness? Depression, Bipolar, Anxiety Look for domestic violence

    6. Medication or Therapy? My bias Therapy first! Therapy helps to Change thinking patterns (CBT) Teach parenting skills Find reasons for angry behavior

    7. Consider Medication When Clients condition worsens during therapy Client shows little change after several sessions It is obvious that client has another diagnosis that needs to be treated with medication

    8. Often the Best Combination Medication and therapy are often a great combination. Relying too heavily on one or the other may not yield the best results.

    9. Anger Management is NOT Domestic violence program Substance abuse program Simply education Clients often tell me that anger management classes (without a therapy component) are often ineffective.

    10. Anger and Logic The angrier you get, the dumber you get! Frontal lobes practically shut down

    11. Motivational Interviewing Motivational Interviewing is a necessity for approaching anger. I am not angry!!! My parents forced me to see you!!! My kid is the one with the problem, not me! Avoid power struggles with client

    12. MI Techniques Let client decide if the anger is worth it What are the pros and the cons of anger Let the client be angry Avoid direct confrontation Avoid lecturing Let the client figure it out

    13. MI Techniques People will have anger relapses Did anyone get hurt? Did you do anything you regretted? How did you stop yourself? Was this time better than the usual anger outburst? What would it take What will be different next time?

    14. Choice Theory Focus on persons choice External control does not work Action=Consequence

    15. How many volcanoes? Have client measure anger in volcanoes. Keep a daily log of the volcanoes and triggers. Make it a maximum of 100 volcanoes.

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