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Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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Page 1: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Dr.S.P.Kandapola Arachchige

Consultant Psychiatrist

Page 2: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist
Page 3: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Anger leads to……

Violence Murders Suicides

Accidents Substance

Page 4: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist
Page 5: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist
Page 6: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist
Page 7: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist
Page 8: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist
Page 9: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Anger (Temper, Rage, Hatrance)

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

Page 10: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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.

Page 11: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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.

Page 12: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Anger can be caused by some stimuli.

External stimuli

* Others* Objects* Events

Internal stimuli

* Thoughts* Memories* Images

Page 13: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Determinants of anger

Age Gender

Personality Illness

Frustration Environment

Page 14: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Response to Anger

1. Physical health

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

Page 15: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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.

Page 16: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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.

Page 17: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Anger ↓↓

Reduce life span and prone for

early deaths.

Page 18: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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

Page 19: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Main determinants of Learning

Environment. Conditioning.

Reinforcement.

Page 20: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Anger and impulsivity is a learning process determined by,

Environment, Conditioning, Reinforcement.

Page 21: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

LearningClassical conditioning Operant conditioning

Page 22: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Classical conditioning

Page 23: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Operant conditioning

Page 24: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Neurobiology of Learning

Neuroplasticity

Page 25: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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.

Page 26: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Neuroplasticity

Modification of existing neuronal circuits and formation of new

circuits.

Neuronal changes related to maturation and physical changes

are not Learning.

Page 27: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Neuroplasticity

Page 28: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Brain- Mapping

Page 29: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Strategies to control Anger

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

Page 30: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Management of Anger

Reverse the maladaptive learning.↓

Repetitive experience of reverse (good) thoughts and behaviours.

↓Rdeuce anger due to conditioning with

good thoughts.

Page 31: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Anger management

Reverse conditioning can be combine with

Mindful Therapy

Page 32: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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.

Page 33: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Practical point of view….

Meditation of Loving kindness.

Page 34: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

සබ්බේබ් සත්තා� භවන්තුසුඛිතාත්ථා�

සියළු සත්ත්වබේය� සුවපත්බේවත්ව�

Page 35: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

කරණීය බේ�ත්තාසූතා�ය

Page 36: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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’’’’&

03’ ukdj iDcq nj” w;sYhska wjxl nj ^ iQcQp’’’&

04’ lSlre nj” myiqfjka hula ta;a;+ .ekaúh yels nj ^ iqjp’’’’&

05’ uD¦ .;s we;s nj^ uq¦&

Page 37: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

lrKSh fu;a; iQ;%h’’’’’^fu;a jeãu&

06’ ksy;udkS nj ^ wk;sudkS’’’&

07’ ,o fohska i;=gqùu ^ ika;=Épfl`p&

08’ myiqfjka fm`Ikh l, yels ^ iqNfr`p’’’&

09’ lghq;= nyq, fkdùu^ wmamlsÉfp`P&

10’ ir, nj ^ i,a, jql jq;a;S’’’&

ffu;%S jvkafkl= ;=, ;sìh hq;= .=KO¹u’’’’’

Page 38: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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`’’’&

14’ mjq flfrys fkdwe,Su ^ l=f,aiq wkkq.soafo`&

15’ kqjKe;shkaf.ka fodia weiSug is¦jk lsis¦ fohla fkdlsrSu ^ kp Lqoaox iudpf¹ lsxÑfhak ú{af{`mf¹ Wmjfohshx’’’&

ffu;%S jvkafkl= ;=, ;sìh hq;= .=KO¹u’’’’’

Page 39: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

ffu;%S jvkafka ldgo @“iífí i;a;d Njka;= iqLs;;a;d” ^ ishÆ i;a;ajfh`&

01’ flf,ia ksid ;efjk”ief,k” ìfhka isák yd flf,iqka kid oeuQ i;a;ajfh` ^fha flaÑ mdKN+;;a:s :id jd idjrd jd wkjfiaid’’’’&

02’ os.= YrSr”flá YrSr”uOHu m%udK YrSr”l=vd YrSr we;s i;a;ajfh`’’ ’^ oS.djdfha uyka;djd ucAcsudriai ldkqll;+,d &

03’ weig fmfkk” fkdfmfkk YrSr we;s i;a;ajfh`’’ ’^ osÜGd jd fhaj woaosÜGd’’’&

04’ ¦r iy ,. fjfik ^ fhap ¦f¹ jika;s wú¦f¹ &

05’bm¦kq bmoSug n,d isák ^N+;d jd iïnfõiSjd’’’&

Page 40: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

ffu;%S jvkafka flfia o @

01’ lsisfjl= ;j;a flfkla fkd/jáh hq;=h’ my;a fldg fkdie,lsh hq;=h”oafõYfhka fy` .eàï j,ska ;j wfhl=f.a ¦l fkdme;sh hq;=h’ ^kmfr` mrx ksl=ífí; {d;s ‘’’’’’Ñkx lxÖLHdfr`ikd má. i{a{d {d{a{u{a{xiai ¦laL ñÉfphsh’’&

02’ ujla ;u tlu mq;= osú mqrd rlskakdfia ish÷ i;=ka fj; wmrsudkj fu;a jeäh hq;=h’^ ud;d h:d kshx mq;a;x’’’ &

Page 41: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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`’’’&

Page 42: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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’’’’&

Page 43: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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

kys cd;= .ín fihshx mqkf¹;S:s’”

Page 44: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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’

Page 45: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

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

kys cd;s .ín fihshx mqkf¹;S:s’”

- f;rejka irKhs’’’

Page 46: Dr.S.P.Kandapola Arachchige Consultant Psychiatrist

Thank You