1. 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

2. http://www.youtube.com/watch?v=EE43duUeywY&fe ature=related

3. What Is Anger? Anger vs. Aggression Anger vs. Hostility
When anger becomes a problem?

4. SAMHSA Model
For use by qualified mental health and substance abuse clinicians
12-week cognitive behavioral model
90-minute weekly group therapy meetings

5. Anger Management Participant Workbook
SAMHSA website
Core concepts
Worksheets
Homework assignments
Notes for each session

6. Anger Management Manual
Effectiveness
Diversity of populations

7. Group Rules Group safety Confidentiality Homework assignments
Absences and cancellations
Timeouts

8. 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

9. 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.

10. 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

11. 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

12. Weekly Check In Procedure To Monitor Anger
What was the highest number you reached on the anger meter during the past week?
What was the event that triggered your anger?
What cues were associated with the anger-provoking event?
What strategies did you use to avoid reaching a 10 on the anger meter?

13. Anger Control Plans
Immediate strategies
Preventative strategies

14. The Aggression Cycle
Escalation
Explosion
Post-explosion

15. Cognitive Restructuring (ABCD) Model
Activating event
Beliefs about the event
Emotional consequences
Dispute

16. Responding To Anger
Assertiveness
Aggressiveness
Passivity

17. Conflict Resolution Model
Identifying the problem
Identifying the feelings
Identifying the specific impact
Deciding whether to resolve the conflict
Addressing and resolving the conflict

18. 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.

19. SAHMSA Materials SAHMSA Website http://www.samhsa.gov/
Anger Management Manualhttp://store.samhsa.gov/product/SMA
Anger Management Workbookhttp://store.samhsa.gov/product/SMA
Anger Management Online Manual with Bibliographyhttp://kap.samhsa.gov/products/manuals/ pdfs/anger1.pdf