dr.s.p.kandapola arachchige consultant psychiatrist

Dr.S.P.Kandapola Arachchige

Consultant Psychiatrist

Anger leads to……

Violence Murders Suicides

Accidents Substance

Anger (Temper, Rage, Hatrance)

Anger is an emotion characterized by antagonism toward someone or something you feel has deliberately done you wrong.

Anger• Anger is a normal healthy emotion we all

experience.

• It is unpleasant to self and others.

• Most of the times anger control you instead of you control it.

• When anger gets out of control it causes problems.

Anger

Anger is a repetitive process and it worsen with time.

If it does not control it will be a habit, affects other cognitions and become

a bad personality.

Anger can be caused by some stimuli.

External stimuli

* Others* Objects* Events

Internal stimuli

* Thoughts* Memories* Images

Determinants of anger

Age Gender

Personality Illness

Frustration Environment

Response to Anger

1. Physical health

Hormones-Adrenalin Nor adrenalin Cortisol Diseases- Heart, DM, Cholesterol, BP, Immunity, Insomnia , Headache

Response to Anger

2. Mental Health

Poor attention and concentration. Clouding of thinking. Poor memory. Unhappiness worrying thoughts. Restlessness and agitation. Irritability. Anxiety and depression.

Response to Anger

3. Social Health

Family, work place, extended society.Relationship Problems.Criticism.Bad reputation.Poor trust.Poor respect.Poor success.Poor quality of life.

Anger ↓↓

Reduce life span and prone for

early deaths.

Psychology

When a living being having an any kind of repetitive experience that leads to a

relatively permanent changes in behaviour or knowledge as a result of that

particular experience. Called

LEARNING

Main determinants of Learning

Environment. Conditioning.

Reinforcement.

Anger and impulsivity is a learning process determined by,

Environment, Conditioning, Reinforcement.

LearningClassical conditioning Operant conditioning

Classical conditioning

Operant conditioning

Neurobiology of Learning

Neuroplasticity

NeuroplasticityRefers to changes in neural

pathways and synapses due to changes in behaviours, thinking,

emotions, environment etc.

Can occur in various levels from cellular to large scale like cortical

mapping.

Neuroplasticity

Modification of existing neuronal circuits and formation of new

circuits.

Neuronal changes related to maturation and physical changes

are not Learning.

Neuroplasticity

Brain- Mapping

Strategies to control Anger

1. Relaxation.2. Distraction.3. Cognitive re structuring.4. Problem solving.5. Better communication.6. Changing environment. Avoidence, finding alternatives.

Management of Anger

Reverse the maladaptive learning.↓

Repetitive experience of reverse (good) thoughts and behaviours.

↓Rdeuce anger due to conditioning with

good thoughts.

Anger management

Reverse conditioning can be combine with

Mindful Therapy

Mindful TherapyMost popular and effective psychotherapy

today.

Keep awareness of mind and thoughts and this will help to keep mind still.

↓Reduce stress, sorrow, anger etc.

Practical point of view….

Meditation of Loving kindness.

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සියළු සත්ත්වබේය� සුවපත්බේවත්ව�

කරණීය බේ�ත්තාසූතා�ය

lrKSh fu;a; iQ;%h’’’’’^fu;a jeãu&

ffu;%S jvkafkl= ;=, ;sìh hq;= .=KO¹u’’’’’01’ hula lsrSfï Yla;sfhka hqla; nj ^ ilafl`&

02’ iDcq nj” wjxl nj ^ WcQp’’’’&

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05’ uD¦ .;s we;s nj^ uq¦&

lrKSh fu;a; iQ;%h’’’’’^fu;a jeãu&

06’ ksy;udkS nj ^ wk;sudkS’’’&

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10’ ir, nj ^ i,a, jql jq;a;S’’’&

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lrKSh fu;a; iQ;%h’’’’’^fu;a jeãu&

11’ ikaiqka b¬rka we;s nj ^ ika;skaøska;sfh`p&12’ kqjKe;s nj ^ ksmfl`p&

13’ f.dfr`iq yeisrSï ke;s nj ^ wmam.ífn`’’’&

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ffu;%S jvkafka flfia o @

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ffu;%S jvkafka flfia o @

03’ wmrsudk úYajfha Wv”hg”;sria”jgrjqï hk iuia:h ;=, lsis¦ foaY iSud ndOl j,ska f;drj ;rylrejka i;=rka hk fío j,ska f;drj ish÷ i;=ka fj; wmrsudkj fu;a jeäh hq;=h’^ fu;a;xp iín f,`liañx’’’’&

04’ fï i|yd iQodkïj jdäù muKla fkdj isàu” ys|Su weúoSu yd os.dù isàu hk ish÷ brshõ j,oS l, hq;=h’^ ;sÜGx prx ksiskafk`jd ihdfk`jd hdj;iai ú.; ñoafO`’’’&

wjika m%;sM,h

fufia iuia; úYajh ;=, i;=re ñ;=re ish÷ i;a;ajhka fj; ffokslj iEu fudfyd;lu iEu

brshõjlu isg ffu;%S jeãu ;=,ska n%yau úydr

fyj;a fY%IaG ^n%yaufhl=g iudk & cSú;hla njg m;afõ^ ta;x i;sx wosÜfGhsh n

%yau fï;x úydrx boudyq’’’’&

“ osÜGsxp wkqm.ïuYS,jd oiaifkak iïmkafk` ldfïiQ úffkhsh f.aox

kys cd;= .ín fihshx mqkf¹;S:s’”

ffu;%S Ndjkdfõ wkqyia’’’’’01’ iqjfia kskaog hhs’

02’ iqjfia msìfohs’

03’ kmqre isysk fkdolshs’

04’ ñksiqkag m%sh fõ

05’ wukqIHhkag m%sh fõ’

06’ foúhka wdrlaId lrhs’

07’ ji úi”wdhqO” .sks wdos wk;=re j,ska je,fla’

08’ uqyqK meyem;a fõ’

09’ u;l Yla;sh jeäfõ’

10’ isysuq,d fkdù urKhg m;afõ

11’ urKska miq nU f,dj WmoS’

“ osÜGsxp wkqm.ïuYS,jd oiaifkak iïmkafk` ldfïiQ úffkhsh f.aox

kys cd;s .ín fihshx mqkf¹;S:s’”

- f;rejka irKhs’’’

Thank You