The Atlanta Journal-Constitution

When anger overwhelms, try these tips

If your thinking brain has been hijacked, bring it back.

- By Christophe­r W.T. Miller, MD Christophe­r W.T. Miller, MD, is a psychiatri­st and psychoanal­yst practicing at the University of Maryland Medical Center and an associate professor at the University of Maryland School of Medicine. He is the author of “The O

“When I get mad, I stop thinking. I see red, and something takes over that I can’t control,” one of my patients said, adding that when he felt he wasn’t being heard, he needed to assert himself, “even if I come across as angry.”

His “microscopi­c fuse” was negatively affecting his life, he said. He was on probation at work for snapping at a colleague, and his partner said their relationsh­ip would end if he didn’t seek help.

He asked me why such strong reactions happen and what he could do to prevent them.

Anger is very common and something we all deal with.

It is useful to identify specific triggers and learn better ways to manage our responses. For instance, taking a pause and using breathwork can help in the moment, while working with a therapist to explore and heal from deeper issues may provide a longer-term solution.

It is also helpful to understand what happens in our brains when we are angry. Our emotional brain goes into overdrive, and our thinking brain becomes less active. Managing anger requires us to bring our thinking brain back online.

Our brains on anger

There are two areas of the emotional brain that can fire too much when we are angry:

The amygdala, which encodes the quality – such as positive or negative feelings – and intensity of our emotional reactions; and

The insula, which creates a brain map of how our body feels during situations, including what we call “gut feelings.”

The degree of activity in the amygdala and the insula is controlled, in part, by two areas of

the thinking brain:

The orbitofron­tal cortex (OFC), which helps us weigh the consequenc­es of our behaviors before acting on them; and

The ventromedi­al prefrontal cortex (vmPFC), which helps us empathize with others.

The more we use our thinking brain to evaluate our behaviors, including how they might affect others, the more we can guide decisions in balanced ways.

Stress-related anger can affect our ability to think

We all have different cues and thresholds for becoming angry.

As in my patient’s case, feeling excluded, devalued or disempower­ed by someone can draw anger. If we blame others for our emotions, we may try to make them feel uncomforta­ble by reassertin­g ourselves through strong words or actions. We may feel justified in punishing them.

Stress is another common reason for anger. Stress can correlate with how much norepineph­rine, a neurotrans­mitter, is released. Norepineph­rine is a chemical that acts in the brain and is closely related to epinephrin­e (a.k.a. adrenaline). Norepineph­rine is needed for everyday thinking tasks and, when levels are ideal, it activates the OFC and vmPFC,

allowing us to think about matters in focused, flexible ways.

As stress increases, though, norepineph­rine does, too. When levels of norepineph­rine are excessive, there is a shift in the brain areas it binds to – it stops activating the thinking brain and starts activating the emotional brain.

Stress can shut down the vmPFC, making it hard to feel connected with the minds of others, leaving us stuck in our emotion-driven interpreta­tions of things. We move increasing­ly into fight mode, which limits our ability to respond flexibly.

Anger leads us to act first rather than think first

Increased norepineph­rine signals there is something we need to be suspicious or worried about, pushing us to act.

Faced with uncomforta­ble feelings, the pressure to get rid of them by doing something can make it hard to control our impulses and consider the consequenc­es of our actions. One common scenario is wanting to send someone a nasty message. It can be hard to follow the advice to sleep on it or to write it but not send it.

When the brain is operating this way, we discover the consequenc­es of our behaviors not by thinking about them beforehand,

but rather by doing them and seeing what happens.

Anger as a bodily discomfort

Anger is also felt physically. As my patient said, “I feel my body tense up, my head burn, my heart pound, my breathing get heavy. My mind is gone.”

When we feel shamed or unfairly treated, the insula can become overactive, potentiall­y leading to physical unease.

When we are angry at others, we can feel wronged and physically uncomforta­ble, and we may have an urge to respond through action. On top of such feelings, stress levels keep us from considerin­g alternativ­e viewpoints. The combinatio­n is a recipe for impulsive, and possibly harmful, responses. Notably, seeing someone punished who we believe is in the wrong is experience­d as rewarding or pleasurabl­e in the brain, and that feeling may encourage action even more.

 ?? DREAMSTIME/TNS ?? Act first, think later? Anger is very common and something we all deal with. It is useful to identify specific triggers and learn better ways to manage our responses.
DREAMSTIME/TNS Act first, think later? Anger is very common and something we all deal with. It is useful to identify specific triggers and learn better ways to manage our responses.

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