Learn / Managing Anger With CBT
Key Points
Anger is a normal human emotion, but when it becomes overwhelming or uncontrollable, it can interfere with your life. Cognitive behavioral therapy (CBT) offers an effective approach to managing anger by identifying negative thought patterns and teaching healthier coping skills.
Learning more about how your anger works and what you can do to change your responses can help you regain control of your emotions, your relationships, and your life. This guide explores core CBT techniques for anger management, practical steps for changing behaviors around anger, and the benefits of getting professional support.
Anger is a complex emotion that can manifest both physically and psychologically. The American Psychological Association (APA) defines anger1 as “an emotion characterized by antagonism toward someone or something you feel has deliberately done you wrong.”
Physiologically, anger can trigger a fight-or-flight response, raising your heart rate, blood pressure, and muscle tension. Psychologically, it can make you feel frustrated, irritable, or hostile. While anger itself is a normal human emotion, it’s how we manage and express it that determines its impact on our lives.
Unmanaged anger can significantly impact your personal and professional life. Frequent outbursts or an inability to control your anger can strain relationships with your friends, family, and colleagues as conflicts damage trust and create more social isolation. In the workplace, anger issues might hinder your job satisfaction or career goals. Prolonged anger can also lead to physical health problems.
Effectively managing anger can have a hugely positive impact on your day-to-day life. Reduced stress and anxiety and improved relationships, both personal and professional, are common outcomes. Anger management skills can also boost your self-esteem as you gain confidence in your ability to handle life as it comes.
Anger can be a good thing. It can give you a way to express negative feelings, for example, or motivate you to find solutions to problems. And it’s a normal and healthy response to someone violating your boundaries. “Healthy anger is in the moment,”2 says physician and trauma expert Gabor Mate. “It protects your boundaries, and then it’s gone.”
The problems come in when anger is chronic, disproportionate, or out of control. Then it can interfere with your life. In this case, learning to manage your anger can improve your mood, your self-image, and your ability to build and maintain healthy relationships that support you throughout life.
Uncontrolled anger can have far-reaching consequences. “Excessive anger can cause problems,”3 says the APA. “Increased blood pressure and other physical changes associated with anger make it difficult to think straight and harm your physical and mental health.” Over time, the chronic stress of unchecked anger can lead to heart disease4 and weakened immune function. Emotionally, it increases your risk of anxiety and depression. Frequent conflict stresses your social and romantic relationships. And in severe cases, unmanaged anger can lead to violence and related legal issues.
Anger issues are often a result of unresolved childhood trauma. That’s because people who aren’t taught to express this emotion as a child often have trouble doing so appropriately as an adult. “If your boundaries were infringed as a child and you weren’t able to express [anger], it doesn’t disappear,” says Mate. “It gets suppressed. It becomes almost like a volcano that’s gurgling and bubbling inside you, but it’s had no expression.”
If you’re in an abusive situation as a child, suppressing your rage is a survival mechanism. But that doesn’t mean the rage goes away. “What happens is then later on as an adult something triggers you and also it just explodes out of you and you have no control over it. Now it’s no longer a response a healthy response to the present moment, but a response to the past,” says Mate. That’s why a person’s rage can be triggered by something seemingly minor, but express itself as an explosive response.
So how can CBT help?
To understand how CBT can help manage anger, let’s look at the core principles of this therapeutic approach.
Cognitive behavioral therapy, or CBT, is a type of psychotherapy that addresses the connection between thoughts, feelings, and behaviors. Treatment usually takes place over a set number of sessions. You don’t need a mental health diagnosis to benefit from CBT5—the techniques it teaches can help anyone manage stressful situations.
This structured therapy is designed to help you identify and challenge negative thought patterns and replace them with healthier ones. CBT is a practical approach that teaches problem-solving strategies to manage stress.
CBT is based on these core principles:6
CBT is often used to manage anger7 because it “targets deficits in emotion regulation and social problem-solving that are associated with aggressive behavior.”
CBT can help you identify the thoughts and beliefs that trigger your anger. By understanding these patterns, you can then challenge and replace anger-inducing thinking with more balanced perspectives.
CBT is the most commonly studied treatment for anger,8 and a wide body of evidence proves that it’s effective. One meta-study on 20 years of research into the benefits of CBT for anger management9 finds that “the average CBT recipient was better off than 76%of untreated subjects in terms of anger reduction.” Another study shows that CBT-based interventions reduced relapses into anger issues10 by 23% generally, and 28% for anger issues involving violence.
The type of cognitive behavioral therapy used may also determine its effectiveness. According to research on CBT for anger in children and adolescents,
Skills training and multimodal treatments were more effective in reducing aggressive behavior and improving social skills. However, problem-solving treatments were more effective in reducing subjective anger experiences.
CBT also teaches practical techniques to cope with frustrating situations in the moment. Through regular practice, your can develop healthier coping mechanisms and reduce the frequency and intensity of anger outbursts.
A range of practical tools and techniques can help you effectively manage anger with CBT:
Cognitive restructuring11 involves challenging the negative beliefs that trigger anger. By examining these thoughts, you can replace them with more helpful, realistic ones. For example, if you tend to assume someone is intentionally trying to upset you, cognitive restructuring helps you consider alternative explanations. This helps you reframe situations in a less triggering, more positive light.
Anger often triggers physical tension. CBT uses relaxation techniques12 to counteract this. Deep breathing, progressive muscle relaxation, and mindfulness meditation help calm the mind and body. By focusing on the present moment and releasing physical tension, you can reduce the intensity of anger and reduce the chance that you’ll react impulsively.
Effective problem-solving is a key part of successfully managing anger. CBT teaches you to break down challenging situations into smaller, manageable steps:
These can help you respond to triggers in a proactive, solution-oriented way.
Simply suppressing anger doesn’t always work. “There are ways of working with it through the body that doesn’t involve either suppressing it or acting it out, but experiencing it,” explains Mate.
One of these is the RAIN meditation13 created by meditation teacher Tara Brach. This technique takes you through sequential steps of recognizing, allowing, investigating, and nurturing your emotions to process them in a healthy way.
There are also steps you can take on your own to put CBT into practice in your daily life.
Setting achievable goals makes addressing anger issues feel a lot more manageable. Start small by identifying specific situations that trigger your anger, focusing on one challenging situation at a time. Break down larger goals into smaller, manageable steps. For instance, instead of aiming to eliminate all anger, focus on reducing the intensity or duration of outbursts.
An anger diary14 can be a great tool to grow your self-awareness and understand your relationship with anger. By tracking your triggers, warning signs, reactions, and outcomes, you can identify recurring patterns and develop effective coping strategies. Regular journaling helps you recognize situations that commonly provoke anger and develop healthier responses.
Anger management is a journey, and success requires you to overcome challenges and stay focused on your treatment goals.
Managing anger can be a challenge. At times you might feel like you’re losing motivation, having trouble identifying your triggers, or just feeling overwhelmed by the process. Thankfully, there are actions you can take to stay on track when the going gets tough:
You don’t have to be perfect. What’s important is that you maintain a general direction toward growth and stay committed to your anger management process.
When it comes to making life changes, commitment is key. How long people attend therapy for anger management and whether or not they complete their treatment course matters. One study on group CBT for anger found that “patients referred with anger problems often do not attend for treatment,” and that their attendance had a major impact on their treatment outcomes:
Another study on the effectiveness of CBT for anger management in adult mental health services found that completing CBT for anger management improved patients’ self-esteem:15
Those who drop out of the group have higher initial depression and poorer self-esteem compared to those who remain in the group. In addition, those who complete the anger management group show improvements in anger control and have improved self-esteem.
A long-term commitment to anger management is clearly beneficial—but motivation can wane at times. To keep your head in the game,
Progress takes time and setbacks are normal. Stay persistent and keep taking one step forward at a time.
While there’s plenty you can do to implement CBT techniques on your own, it’s ideal to start off with a set number of sessions with a therapist.
Self-help strategies can help, but professional guidance is often necessary to address underlying issues and learn how to effectively manage anger. A therapist experienced in anger management can provide personalized support, tailored strategies, and accountability. They can help you uncover the deep-rooted causes that contribute to your anger and develop long-term coping strategies. You can even attend a residential anger management program for a more comprehensive treatment experience.
Don’t hesitate to reach out for professional help if you’re struggling to manage anger on your own.
To find a qualified therapist who specializes in anger management, you can start by asking for referrals from your friends, family, or healthcare provider. You can also use an online platform or reputable directory to search for therapists in your area. Consider the therapist’s experience, credentials, and whether their treatment approach aligns with your personal values. It’s important that you feel comfortable and connected with your therapist.
Building a strong support network can support your anger management recovery process as you invest in your personal growth.
A strong support system can help you through many life challenges, including learning to manage anger. Surround yourself with understanding and supportive friends and family, or look for support groups16 in your area or online. These sources of strength can offer encouragement, empathy, and even practical help. Opening up to people you trust about what you’re going through can help you feel more grounded, connected, and optimistic about your healing journey.
Sharing your experiences with anger can be incredibly empowering. By talking openly about your struggles, you not only validate your own feelings, but learn from and inspire others. Connecting with others who face similar challenges can help you feel less isolated and more seen and understood.
Discussing your deeply held feelings is vulnerable work, so be sure to do this in a safe space.
Trusting process can help you see this important journey to completion.
Learning to manage anger is a journey with its share of ups and downs. Progress takes time, and setbacks are normal. As you gradually gain coping skills and create new habits, be patient with yourself and give yourself credit for the work you’ve done. Lasting change requires consistent effort—and plenty of self-compassion along the way.
Big changes often start with small steps. Try making incremental adjustments to your daily routine. For example, try incorporating short relaxation techniques17 or mindful breathing exercises into your daily routine. Over time, these small changes will build momentum and grow your confidence in your ability to manage anger effectively.
Each step forward, no matter how small, brings you closer to your anger management goals. Reward yourself for learning new ways of navigating challenging situations. Positive reinforcement goes a long way in helping you maintain your motivation! If you need help to manage your anger, reaching out is the first step. Look for anger management programs and speak to a professional about making a treatment plan today.
“Anger.” Https://Www.Apa.Org, https://www.apa.org/topics/anger. Accessed 12 Aug. 2024.
Dr. Gabor Maté on How to Process Anger and Rage | The Tim Ferriss Show. YouTube. https://www.youtube.com/watch?v=Yh1-y3TzSO4. Accessed 12 Aug. 2024.
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“What Is Cognitive Behavioral Therapy?” Https://Www.Apa.Org, https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral. Accessed 12 Aug. 2024.
Sukhodolsky DG, Smith SD, McCauley SA, Ibrahim K, Piasecka JB. Behavioral Interventions for Anger, Irritability, and Aggression in Children and Adolescents. J Child Adolesc Psychopharmacol. 2016 Feb;26(1):58-64. doi: 10.1089/cap.2015.0120. Epub 2016 Jan 8. PMID: 26745682; PMCID: PMC4808268.
Lee, Amy Hyoeun, and Raymond DiGiuseppe. “Anger and Aggression Treatments: A Review of Meta-Analyses.” Current Opinion in Psychology, vol. 19, Feb. 2018, pp. 65–74. ScienceDirect, https://doi.org/10.1016/j.copsyc.2017.04.004.
Beck, Richard, and Ephrem Fernandez. “Cognitive-Behavioral Therapy in the Treatment of Anger: A Meta-Analysis.” Cognitive Therapy and Research, vol. 22, no. 1, Feb. 1998, pp. 63–74. Springer Link, https://doi.org/10.1023/A:1018763902991.
Henwood, Kevin Sammut, et al. “A Systematic Review and Meta-Analysis on the Effectiveness of CBT Informed Anger Management.” Aggression and Violent Behavior, vol. 25, Nov. 2015, pp. 280–92. ScienceDirect, https://doi.org/10.1016/j.avb.2015.09.011.
Examples of Cognitive Restructuring - Concordia University. https://www.concordia.ca/content/shared/en/news/offices/provost/health/topics/stress-management/cognitive-restructuring-examples.html. Accessed 12 Aug. 2024.
"A Practical Skill for Defusing Anger with Marsha Linehan." https://www.youtube.com/watch?v=oNb_jXLC7wY. Accessed 12 Aug. 2024.
Meditation: A Practice of RAIN. 14 Oct. 2021. open.spotify.com, https://open.spotify.com/episode/0FxE6qrgvsRXOosHDB6wcp.
"Anger Diary." TherapistAid. https://www.therapistaid.com/worksheets/anger-diary
Bradbury KE, Clarke I. Cognitive Behavioural Therapy for Anger Management: Effectiveness in Adult Mental Health Services. Behavioural and Cognitive Psychotherapy. 2007;35(2):201-208. doi:10.1017/S135246580600333X
“Meetings | Rageaholics Anonymous.” RA, https://www.rageaholicsanonymous.org/meetings. Accessed 12 Aug. 2024.
“Meditation For Anger.” Headspace, https://www.headspace.com/meditation/anger. Accessed 12 Aug. 2024.
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