Anger and Stress Management Tips for Satisfying Relationships by Dr. Jeanette Raymond, Ph.D.

Unable to sleep for the third night in a row, thirty-six-year-old Orrin, an investment analyst, got up and took his prescribed pain killers for his lower back pain and sciatica. The relief was temporary and he awoke from a drowsy state with intense throbbing pain down his right buttock, thigh and leg. His lower back pain made it difficult for him to get out of bed, so he used the cane he kept near him to push himself up. He was angry that the pain medications weren’t working, and even angrier that all the physical therapy and meditative exercises he performed regularly had little to no effect.

At work, using his ergonomic chair and work station, the pain persisted, and the stress gave him a nagging headache. When he missed the perfect moment to make a trade for one of his customers, he wasn’t aware of being angry and he just kept going, trying to compensate by working harder. As the journal Anesthesia & Analgesia, 2007 indicated, chronic pain not only makes you uncomfortable, but impairs memory and concentration

He hated the carefree attitude of many of his colleagues, believing that they were shortchanging their customers, and ultimately tarring him with the same brush. He nipped his rising anger in the bud and tried to outdo the performance he had achieved yesterday. But the stress of being mocked by the team elevated the pain in his lower back, and gave him stomach cramps. He was in agony, and took more pain medication that gave him little or no relief. He tried walking around to relieve the pressure on his sciatic nerve but he was so tense that it was a washout.

His thirty-eight-year-old wife Amy offered to massage his back. It felt both relieving and anxiety provoking. He recalled the times when he’d longed for his mother to soothe his headaches and stomach aches, his cuts and bruises and his fears and doubts – but she usually palmed him off with candy and/or video games. He remembered how angry he used to get, but he never showed it, terrified that if he did, she would retaliate with her rage. His mother’s rage was unpredictable and fierce. She would throw food around, hurt he dog and yell at Orrin just for being around! He had prided himself for not losing his cool as he grew up. But was it worth it?

Orrin grew to be afraid of his back pain and stomach cramps returning when the medications wore off, or when he went back to his stressful work environment. It was the same fear he had as a kid when he anticipated the pain that would come with his mother’s smacks and verbal abuse. Negative emotions interfere with the brain processing of actual pain, increasing the anticipating of pain, which in many cases makes it worse, as reported by Gastroenterology, 2011.

Later in the week as Orrin’s throbbing lower back pain prevented him from sitting in his office chair, he found himself welling up in tears.  Sadness enveloped him, making his pain feel even worse, as outlined in an article published in Biological Psychiatry, 2010 – which found that sadness disrupts some neurocircuit pathways in the brain that process pain.  Sadness and depression drive the pain, making it feel much more intolerable.

Despite the sadness, Orrin was very aware of his anger and didn’t ignore or re-label it as ‘just frustration.’  He was furious that the one thing that usually distracted him from the pain – his high pressured and fast paced work – was not possible. He swore and cussed under his breath, threw down his briefcase and went outside. Walking along a nearby nature trail he let out his anger. Sometimes it was by kicking a twig and other times by repetitively banging one rock on another, while swearing and cussing to the squawking crows around.

A couple of minutes later his pain had substantially subsided. He couldn’t understand it, but the relief was palpable. The Annals of Behavioral  Medicine 2013  published an article demonstrating that only Anger Awareness and Expression Training (AAET) was effective in promoting emotional processing and expression leading to less pain, particularly in headaches. The authors indicated that the paid reduction comes when swearing triggers the fight-or-flight response of stress, obliterating the link between fear of pain and the pain itself.

Having put his emotional pain into words by expressing his hurt and anger that he harbored over so many years, released his physical pain. The journal Emotion reported in 2007, that attempts to suppress anger amplifies all the irritating and uncomfortable aspects of pain perception. So by taking the muzzle off his anger reduced the sensitivity of the pain receptors and brought some respite.

Copyright, Jeanette Raymond, Ph.D.

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Disclaimer: this article is for informational and educative purposes only. Dr. Raymond is not responsible for any reactions you may have when reading the content or using the suggestions therein. Interacting with this material does not constitute a therapeutic relationship with Dr. Jeanette Raymond

Anger and Stress Management Tips for Satisfying Relationships by Dr. Jeanette Raymond, Ph.D.

Have you ever been annoyed and frustrated that everything you learned and practiced about managing your emotions failed you at the crucial moment?

It’s so disappointing when you have been to an anger management class, or spent time and money on CD’s, DVD’s and or coaches to help you master those intense feelings, only to find that you can’t access that learning when you need it the most.

That’s what happened to thirty-six-year-old Hugh a film distributor over and over again when he was out in public with his thirty-four-year old second wife June, a publicist. He was very much in love with June who was beautiful, smart and caring – so different to his first wife who only seemed interested in material things and never made him feel good as a person. Yet, at one of the many parties they attending, when June didn’t go to his side the minute he called her, he felt the blood rush to his head and an irritated voice coming out of him – getting angrier and angrier with each demand he made.

He ‘knew’ she was just mingling and playing the crowds, but something inside him overrode that information, and he became belligerent.

His stress levels were through the roof and he couldn’t just stand there and wait. He pulled her away from the people she was with, castigating her for not obeying him as she should. June was mortified and made him sleep on the sofa. She didn’t speak to him the next day, and Hugh was left ashamed and scared that he might lose this wonderful woman.

Aware of his quick temper when he didn’t get an immediate response from her, June encouraged her husband to attend anger management classes.

She also bought him the latest expert DVD’s on handling anger productively. Hugh wasn’t keen, but he knew he had to do something drastic to make sure his life and his relationship didn’t go south. He learned some useful strategies in his 12 week class, and thought he had it licked. He’d practiced the skills in class and rehearsed them when he was out on the road, but somehow the emotional aroused in him when he didn’t get June’s attention immediately, just overcame all his learning and hickjacked him. The anger burst out, even though a couple of minutes later, he apologized and said he ‘knew’ he should have given her a signal that he was feeling insecure.

Topping up the classes with the CD’s made Hugh feel like he got a second chance, and this time he was going to conquer his angry outbursts. But despite his perfectly learned signals, breathing exercises and words to say how he felt instead of exploding, the anger erupted, as if against his will.

Unbelievably anxious and frustrated that his genuine efforts at anger management were fruitless, he started to beat himself up

 He got very concerned that June’s patience would run out, leaving him alone and unhappy. Hugh tried to beat himself up into being a calmer guy around June, until he realized he needed professional help. He first tried a life coach and the personal touch made things a lot better. He got to call the coach when he thought he would explode and get taken to a safer emotional place. After nine months, he ended the contract, believing he was cured. One month later, he was devastated when that same old explosive anger reared its ugly head while he was shopping with June, and she didn’t respond to his pleas to hurry up. He flew off the handle and embarrassed them both.

 Disgusted with himself and angry as hell that all his learning and coaching hadn’t done the trick, Hugh went to therapy – Cognitive Behavioral Therapy.

Now, finally he discovered the core beliefs that were being engaged when he blew up. He learned about the triggers that made him explode. And most of all he learned how punishing himself made things worse. He had a whole list of other ways to think that would prevent the anger from bursting out even though he knew it was inappropriate.

For the next six months Hugh was in seventh heaven. He was using his new found skills, and feeling successful. But one day he was upset when June said she was going on a two week business trip to promote a client’s book. Hugh got anxious. He knew there was no need to worry, but the stress got to him and all his skills flew out the window. He screamed at June for leaving him and accused her or not caring. He had gone ballistic.

Accessing his skills was like getting blood out of stone!

So why did the CD’s, the coaching and the Cognitive Behavioral therapy not have a lasting effect?

Because as reported in  Proceedings of the National Academy of Science, August 26, 2013, even the mildest amount of stress impairs the prefrontal cortex that tempers emotion with reason and judgment. All the techniques that Hugh learned in anger management class, the CD course and his Cognitive therapy were not able to withstand the effect that small amounts of stress can have on previously learned skills. Emotions win out, as the stress alters and or blocks the communication from the prefrontal cortex to the amygdala (the emotional center of the brain). So Hugh didn’t stand a chance.

Things finally shifted for Hugh when he started attending therapy that focused on the emotional experiences that made him insecure and stressed. He found that he had to return to the source of the upset that stressed that as a child he could only express through anger. In his therapy Hugh made the connection between his mother always leaving him to talk to others, forgetting him in stores, at the county fair and so on, and his intense anger. The connection he made wasn’t just insightful. He felt it in his sessions when he was secure that the therapist wouldn’t do likewise. That’s when the stress diminished, and he was able to truly feel June’s commitment to him. Before he ‘knew it.’ Now he ‘felt it.’ It made all the difference. He and June are now much more stable. When those old buttons get pushed, he can use all the skills he learned but apply them at a feeling level – so that his rational and emotional brains synchronize and make him behave as he wants.

Copyright, Jeanette Raymond, Ph.D.

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Disclaimer: this article is for informational and educative purposes only. Dr. Raymond is not responsible for any reactions you may have when reading the content or using the suggestions therein. Interacting with this material does not constitute a therapeutic relationship with Dr. Jeanette Raymond

Anger Management Tips for Satisfying Relationships by Dr. Jeanette Raymond, Ph.D.

Photograph copyright, Jeanette Raymond, Ph.D.

Achieving her goals was a bit too easy for Nadine

Thirty-five year old writer and director Nadine got three clients as soon as she put the word out about her new venture as an acting coach. Her script for a TV show was accepted and she was hired to direct the production. She was amazed at how quickly and effortlessly everything was falling into place.

Nadine’s dreams were about to come true. Her talents were prized and she felt giddy with excitement. Expressing her creativity felt authentic but scary. She dared to imagine being famous. She dared to imagine herself happily married with a family. She dared to imagine having it all.

Acid Reflux and puffy eyes ruin Nadine’s new found success

The only fly in the ointment was the continuous acid reflux, swollen ankles and puffy eyes. She was eating a healthy diet, had good energy and felt accomplished. Why would her body be reacting in this manner?

As soon as Nadine pictured success and happiness she felt the acid reflux in her mouth. The images weren’t all good. She saw her father leaving the family when she was three years old. She saw her mother leaving her alone for hours at a time to fend for herself. She heard her parents voices fighting about whose turn it was to take her, and never once considering her feelings. She recalled having to be the grown up and comfort her mother who was always in a state of panic. She smelled and tasted the fear of being banished from the love of family if she dared speak up about her feelings and wishes.

When things went well in her external world, Nadine’s body went into action big time. Her ankles became heavy with fluid making her feel lethargic. The puffy eyes made her feel ugly. How could she coach, direct and be in the public eye feeling so lousy and looking so freaky? Her excitement and energy turned into a sense of futility and failure. Feeling ugly and sick was a good reason for not hiring a cast and finishing the script changes. Putting off her coaching was necessary because she couldn’t stand for long with the swollen ankles.

Should Nadine go with her success or fail and get sweet revenge?

Success would mean letting her parents get away with treating her badly. It would mean taking them off the hook. Worst of all it would suggest that what they did wasn’t that bad because her life turned out good. Climbing the achievement ladder would mean her parents wouldn’t have to pay for the damage they did to her as a kid. Making a name for herself would mean she would have to give up her vengeful thoughts and her wish to punish them. She wanted them to suffer and own their part in her childhood suffering. Success would rob her of her entitlement to demand an acknowledgment of their wrong doings, punish them and expect restitution.

Swollen ankles put a stop to continued success

Thank goodness her body put the brakes on her fast track to success! If fame and fortune could be this quick and easy, she would have to take her parents off the ‘blame hook’ for good. Nadine wasn’t ready to do that. She needed more time as a failure to rub their faces in it. She wanted to prove them bad people even if it meant her demise. Her body came to the rescue and gave her ample reason to halt her progress. Her physical symptoms acted as a protector of her strong and powerful desire to make her parents pay for what they did. It was worth the price.

How should Nadine deal with her conflicting wishes?

While Nadine’s body may protect her vengefulness and boost her sense of power, it acts as a saboteur for her future fulfillment. The war being fought between Nadine’s healthy wish to grow and her need to fail is being won by the saboteur. The saboteur comes disguised in the form of puffy eyes, swollen ankles and acid reflux, to make her roll back her development.

Nadine has a good chance of making a truce with her two battling factions. She can ask herself some important questions that can help her choose and stay on the path to success.

• How long am I prepared to wait for a sign of atonement from my parents?
• What sign will I accept?
• Will any sign be enough?
• Am I prepared to destroy my talents for the remote possibility that my parents may own up to their failures?
• How will I feel in 10 0r 15 years when I am still alone and envying my friends watching their children grow up?
• What if it’s too late to make a life for myself if and when my parents admit their mistakes?

Calling a truce and choosing fulfillment will make Natalie’s body behave itself

Let’s assume that Nadine doesn’t want to sacrifice her future in the faint hope that her parents will atone. Once she opts for success and fulfillment her body will be released from acting as the proxy for that vengeful part of her psyche. Giving herself permission to flourish and thrive will create an emotional calm and that in turn will create a physical balance. At that time Nadine can begin working on telling her parents about the hurt and anger she has stored up for so long and begin the process of living a full life without having to pardon or forget.

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