anger management and traumatic brain injury
TRANSCRIPT
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Anger Management and Traumatic Brain Injury
The Partnership Counseling Center
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What is Anger?
Natural and common emotion
Secondary emotion which must be triggered by a primary emotion
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Anger and Brain Injury
Difficulty handling anger is one of the most common problems for survivors of brain injury. Several reasons for this are:
Increased frustration and irritability Grief Increased pain Distractibility Depression Lack of work, leisure activity, sex and/or sleep
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Medical Research
Tolerance of frustration and controlling emotion is often affected after brain injury. The injury itself might affect the parts of the brain that are to do with tolerance and control (limbic system in the brain stem and the frontal areas). The frontal lobes are particularly involved in controlling emotions.
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Common Stimulation Factors of Anger for Survivors of TBI
High noise or activity level Unexpected events Lack of structure
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Common Personal Factors of Anger for Survivors of TBI
Frustration Fear or anxiety Embarrassment, shame or guilt Discovery or confrontation of problems Cognitive impairments Communication impairments Rigid thinking
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Common Medical Factors of Anger for Survivors of TBI
Pain Fatigue Low blood sugar Medications Alcohol and/or drugs
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Anger Warning Signs Loud, high voice Cursing Name Calling Threats Making fists Breaking things Threatening people Bulging eyes
Tense muscles Sweating Flushed face Fast breathing Confusion Feelings of fear Feelings of shame Feelings of frustration
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Steps to Managing Anger
Become motivated Self-awareness Awareness of situations Levels of anger and coping strategies Develop an anger management record
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Other Helpful Tools to Manage Anger
Practice stress reduction/relaxation techniques Take care of yourself Develop social outlets
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Techniques for Expressing Anger Constructively
Identify the source of anger Did you perceive the problem accurately? If possible, rehearse your strategy beforehand Choose the right time and place Avoid exaggeration Stick to the issue Focus on the incident itself, rather than a
personal attack Be ready to make concessions
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Coping with Severe Anger Plan for ways to become distracted from a
stressful situation Explain to another person how they can be of
help to solve the problem Leave the situation, if possible Phone a friend, lifeline or crisis center Avoid situations where there is high risk of
becoming angry Explore the benefits of medication with a
practitioner or psychiatrist
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References http://braininjury.org.au/portal/fact-
sheets/anger-and-brain-injury---fact-sheet.html http://www.biawa.org/pax/behavior/Anger%20M
anagement.doc http://www.headinjury.com/anger.htm http://www.mentalhelp.net/poc/view_doc.php?ty
pe=doc&id=5814&cn=116