Why are Physicians Angry?

Anger is a normal human emotion experienced by people from all walks of life and all professions. It is primitive and all-pervasive. Nobody can prevent the onslaught of anger. Being in the medical profession is not a ticket to an anger-free life. Physicians experience anger as much as their patients.

It is a long hard road from high school to medical college. This road is paved with pebbles, stones and big fat boulders. Medical school students go through a whole lot of stuff before they become full-fledged practicing physicians. Arduous examinations and demanding internships are just the beginning. Even seasoned physicians experience rage when faced with situations beyond their control.

The medical workplace is charged with injury, disappointment, hope, relief and death. In a place that’s so highly strung with emotions, anger is bound to make an appearance. Normally, physicians work grueling hours at a stretch sometimes without a break. Most of them are on call 24/7. Personal life often takes a backseat. Stress builds up over time and ultimately gives way to anger and hostility.

Physician anger is a product of situations that are beyond their control. At an early stage in their career, physicians are trained to be detached, cool and clinical when it comes to dealing with patients. However, this makes it tough for patients to open up and express feelings. Numerous patients refuse treatment that could save their lives or make things better for them. This refusal stems out of ignorance and fear of the unknown. Physicians experience a sense of frustration when dealing with such patients. To make matters worse, physicians are always under pressure to save lives and mend life-threatening wounds. If things go wrong, irate patients and their families are ever willing to file malpractice suits. Some physicians face life and death situations everyday. In the worst of circumstances emotions are bottled up and kept carefully under wraps. This is bound to have some effect on the psyche of a physician.

Disruptive and disorderly behavior among physicians is becoming a frequent occurrence in medical workplaces. Physicians retaliate in several ways. Inattention to superiors and intimidation of those under their authority may be the early symptoms of anger in physicians. Unprofessional behavior, moodiness and failure to answer to calls may be a few other signals that something is amiss. As soon as these signals are evident, medical directors, partners and other personnel in authority must intervene before things get out-of -hand.       

Dealing with Physician Anger: Physicians are generally resistant to any kind of proposed help and most often will not even be aware that something is wrong. Convincing a physician that all is not well with him requires patience, tact and sensitivity. However, when higher authorities intervene and give honest feedback, most physicians will accept that their behavior is not entirely normal. Once, this is accomplished they should be convinced to seek help through appropriate anger management programs. Medical supervisors and partners should assure the professional full support and co-operation in dealing with anger related issues. If the physician is overly hesitant about seeking help, emphasis should be made on the outcomes of his disruptive actions like loss of medical license and removal from duties. Monitoring the physician’s on-duty behavior by his colleagues is also an option.

Emotional Intelligence for Physician Anger: Physicians are taught to shield themselves against emotions at an early stage in their career. Experts say that this is the root cause for disruptive and abusive behavior among physicians. Pent-up emotions take a toll and result in chronic depression and frustration, in some cases violent outbursts of fury. Emotional Intelligence implies being aware, understanding and controlling your own emotions and those of others. If physicians are encouraged to express feelings and emotions, they’ll be more sensitive while dealing with patients and less prone to fits of anger. Developing emotional intelligence is the need of the hour to minimize physician anger.

Anger Management Institute of Texas’ Executive Coaching Program is utilized by management of accredited hospital/organizations for physicians displaying disruptive behaviors in the workplace.

Anger Management Institute of Texas is a certified Anderson & Anderson ® provider.

Gregory A. Kyles, M.A., LPC, CEAP, CAMF
Director, Anger Management Institute of Texas
Diplomate, President of Texas Chapter
American Association of Anger Management Providers
http://www.ami-tx.com
http://www.dvi-tx.com
https://gregorykyles.wordpress.com
http://www.linkedin.com/in/gregorykyles
http://www.myspace.com/anger_management_expert

Anger Management Skills for the Angry Boss

Have you ever come face-to-face with an angry boss? If you have, you’re not alone. Bosses are human-beings. Human-beings get angry. Therefore, bosses are bound to get angry at sometime or the other.

The boss-employee relationship is one of its kind. One day he praises you to the skies. The next day he can’t stand the sight of you.

Some bosses are chronically angry. Even when everything is under control, they find something to make your life miserable. These people are beset with anger management issues or just want to exert power and authority over you. This kind of a boss can make life very unpleasant for you at the workplace.

Even the most reasonable bosses sometimes flare up when deadlines are not met or things don’t work as scheduled. What do you do then? Do you fume and fret, act meek and humble or do you just quit your job?

Facing an angry boss is not the easiest thing in the world. But it’s something that has to be done if you want to keep your job and survive at the workplace. When your boss yells at you, no matter how agitated you are, yelling back at him is simply not an option. Listen to what he has to say. Active listening is necessary for you to understand what got him worked up in the first place. No matter how sharp the urge is, don’t interrupt when he’s speaking. When he’s on a roll, interrupting him will only infuriate him further. Speak in a calm clear voice and justify your case if at all justifications are necessary. If the fault lies with you, immediately apologize and promise to get things back in control. Sorry is a simple word. But saying it at the right time makes all the difference in the world. If you’ve been held responsible for something that has nothing to do with you, state your case calmly and firmly. Being overly humble only indicates fear and a manipulative boss can use that knowledge to put you down on another occasion. It’s not necessary to agree with everything a boss says when angry. If you do that you lose his respect. Instead, concentrate on finding a resolution for the cause of his anger.

Assertive Communication for Angry Bosses and Employees who face them: Both bosses and employees need to make use of assertive communication when angry. Many people confuse assertiveness with aggression. There is a vast difference between the two. Assertive communication entails expressing feelings and thoughts in a manner that is respectful yet resolute. Aggressive communication on the other hand involves hostility in trying to get your point across. Passive communicators try to placate the situation by acting meek and humble and not stating needs clearly.  Assertive communication involves acknowledging and respecting your feelings as well as the feelings of the opposite person. Passivity and aggression are undesirable means of communication as one party wins and the other loses. When each party expresses their views with clarity and respect, resolutions are found and conclusions are drawn. Assertiveness creates a win-win situation all around.

For additional information about effective stress management, anger management, and assertive communication skills, along with tools to increase your emotional intelligence call the Anger Management Institute of Texas 281-477-9105 or visit http://www.ami-tx.com.
Anger Management Institute of Texas is a certified Anderson & Anderson ® provider.

Anger Management Classes and Anger Management – Executive Coaching available in Houston, Texas.

Gregory A. Kyles, M.A., LPC, CEAP, CAMF
Director, Anger Management Institute of Texas
Diplomate, President of Texas Chapter
American Association of Anger Management Providers
http://www.ami-tx.com
http://www.dvi-tx.com
https://gregorykyles.wordpress.com
http://www.linkedin.com/in/gregorykyles
http://www.myspace.com/anger_management_expert

Anger Management for Angry Spouses

Marriages are meant to last a lifetime. Unfortunately, they come to a premature end thanks to spouses who have no control over their tempers. What do you do when you are stuck with an angry spouse? Do you retaliate with anger, do you back down or do you get out of the marriage? It’s not easy to come to a conclusion. Even in an abusive relationship numerous things have to be considered before the victim decides to bow out like children, finances, support, shelter and the like. Moreover, it is difficult to forget years of birthdays, festivals and anniversaries celebrated in good times.

Abusive behavior begins when a couple fails to find a solution to a problem. One could be trying to impose his will on the other. When the other resists it leads to quarrels followed by abuse and domestic violence. Some of the reasons why spouses get angry are health issues, financial worries, infidelity, trust issues, work pressure, jealousy, unemployment and fear.

An angry spouse may react in several ways. In every situation he/she may not get violent. Violence is only one nuance of angry spouse behavior. Verbal abuse is often resorted to by spouses who deem it to be the lesser of the two evils. Verbal abuse may not physically damage a partner but it leaves deep emotional scars that dent the marriage. An angry spouse will not always express his anger. In many cases, he/she will refuse to communicate with the other partner and give him the silent treatment for days. The breakdown in communication coupled with pent-up rage can fling a marriage on the rocks. 

Dealing with an Angry Spouse: Dealing with an angry spouse can be terribly nerve-racking and exhausting. Ultimately, you may end up feeling angry yourself. The first step is to determine if the anger is justified, moderate or excessive. Both the partners should examine their anger and encourage expressing feelings and frustrations in a positive and relaxed manner. Past blunders and gaffes should not be resurrected.

Everybody wants to be heard. Many marriages fail because partners do not listen. Communication includes listening, thinking and reacting. If we fail to listen, how can we act? Active listening is a must to figure out what’s troubling your spouse.

If things get too heated up, it is better to take a break and do something other than think about the situation at hand. Once the spouses are in a better frame of mind they can sit and discuss things rationally.

There are times when both spouses are fuming with anger. This is accompanied by heaping insults and abuses on the other. If both spouses are angry, the best thing to do in such a situation would be for one of the spouses to walk away and come back at a better time.

Value of Emotional Intelligence for the Angry Spouse: Emotional intelligence implies recognizing, understanding and regulating one’s own feelings and those of others. It involves not only coming to terms with your own feelings but also empathizing with the emotions of others. In successful marriages, one or both partners exhibit a high level of emotional intelligence. If we are in control of our emotions we can express our frustrations, fears, anxieties and anger in a way that does not cause the other to freak out. In the same vein, when faced with an angry spouse we are able to better understand what their going through and use this knowledge to seek a compromise.

For additional information about effective stress management, anger management, and assertive communication skills, along with tools to increase your emotional intelligence call the Anger Management Institute of Texas 281-477-9105 or visit http://www.ami-tx.com.

Anger Management Institute of Texas is a certified Anderson & Anderson ® provider.

Anger Management Classes and Anger Management – Executive Coaching available in Houston, Texas.

Gregory A. Kyles, M.A., LPC, CEAP, CAMF
Director, Anger Management Institute of Texas
Diplomate, President of Texas Chapter
American Association of Anger Management Providers
http://www.ami-tx.com
http://www.ami-tx.org
http://www.dvi-tx.com
https://gregorykyles.wordpress.com
http://www.linkedin.com/in/gregorykyles
http://www.myspace.com/anger_management_expert
Houston, Texas

Disruptive Anger in the Workplace

The workplace is a melting point of people from different backgrounds, cultures and communities. Conflicts and differences of opinion are bound to occur. Add to that deadlines, work pressures and responsibilities and you get an entire workplace drama.

Newspapers frequently enumerate stories of employees going over the edge and shooting their colleagues or destroying company property. Ex-employees turn out to be spiteful and reveal confidential information to competitors. Some retaliate by wiping out years of company data and wrecking back-up files.

Manpower is a resource that has to be handled with care. Rough handling can be highly detrimental to the morale and productivity of the organization as a whole.

Workplace anger is experienced at all levels beginning from line staff and ending with executives and managers. However, it has been observed that lower levels of the hierarchy react more violently as compared to higher level executives. Perhaps, this is due to lack of proper training and orientation. Top executives on the other hand get more exposure to soft skills and communication programs. Prompting strikes and damaging property is more frequent among factory workers and daily wage earners. Executives retaliate differently. They may resort to back-biting, manipulation, intimidation and spite to release their resentment. It’s difficult to say which is the lesser of the two evils: getting violent or acting malicious.

Both are detrimental to the overall work environment. While violence is dangerous to lives and property, silent sufferance creates a negative atmosphere and dampens morale.

Reasons for Workplace Anger: Listed below are of the common reasons for anger at the workplace:

 Leaves not granted
 Regular overtime at the workplace
 No appreciation for good performance
 Promotions awarded to “yes men” as opposed to good performers
 Salary hikes not approved
 Overly critical supervisors or managers
 Partiality towards certain employees
 Termination of employment
 
Steps to curb Workplace Anger: Managers should be cognizant of the first signs of aggression. Absenteeism, late-coming, tardiness and deterioration in performance are some warning signals.
• Organizations should invest in Anger Management Programs at regular intervals to enable employees to express feelings and release pent-up emotions.
• One-to-one sessions with employees should take place regularly even when no problems are apparent. This helps prevent any lurking anger issues that may blow up later.
• Active listening and conversations in informal settings should be encouraged to make people feel at ease and open up.
• Proper systems for complaints and grievances must be established. Every complaint must be dealt with within a specified time frame.
• If an employee has to be terminated, it has to be done as civilly as possible. They should not be made to feel small and humiliated.

Stress Management to control Workplace Anger: Most of our stress is associated with work. Work pressure is on the rise. We are expected to be faster, brighter and more efficient than we already are. A disappointment with our job leads to depression and anger. Hence, controlling stress helps in controlling workplace anger. Being on cordial terms with our colleagues and superiors helps minimize stress at work. It’s not possible to be on good terms with everybody at the workplace. However, even a couple of supportive co-workers can prevent work from becoming a living hell.

Anger Management Institute of Texas is a certified Anderson & Anderson ® provider.

Anger Management Classes and Anger Management – Executive Coaching available in Houston, Texas.

Gregory A. Kyles, M.A., LPC, CEAP, CAMF
Director, Anger Management Institute of Texas
Diplomate, President of Texas Chapter
American Association of Anger Management Providers
http://www.ami-tx.com
http://www.dvi-tx.com
https://gregorykyles.wordpress.com
http://www.linkedin.com/in/gregorykyles
http://www.myspace.com/anger_management_expert

How Do I Know if I Need Anger Management Classes?

anger2There are many ways to know if you need an anger management class, but only a few examples are listed here.  If you are not sure if you need an anger management class, consult a professional and get an anger management evaluation.

Some indications that you have an anger management problem are that you are controlling, use intimidation or manipulation, feel chronic hostility, have frequent interpersonal conflicts, or are known by others to be an angry employee, an angry boss or angry spouse.  If you are questioning whether your anger is problematic, the following questions may help you better decide:

  • Do I use anger in the workplace?
  • Do I have trouble expressing feelings other than anger?
  • Do I engage in angry behaviors to the point of harassment or abuse?
  • Do I confuse assertiveness with anger?
  • Have I ever thought that I need help to manage my anger?
  • Have I been told that I use intimidation or manipulation in relationships?
  • Have I been told that I am controlling?
  • Do I find myself blowing up in times of stress?
  • Do I have chronic stress?
  • Do I do property damage, make threats, get into physical fights, and yell?
  • Do I find myself focusing on things, situations and people and becoming angry?
  • Do I find myself interrupting others, becoming impatient, not able to listen?
  • Do I resist seeking compromise, or coming to an honest compromise, when there is conflict?
  • Do I have trouble stating my needs and become resentful when others do not meet them?
  • Do I have effective techniques for stress management?

These are some of the questions that can help you decide if you may need anger management classes.  The professional who will conduct an anger management assessment will ask similar questions to help you determine if anger management classes can decrease your stress, lower anger levels, improve your coping skills in everyday life, improve your relationships, and better equip you to meet your own personal goals. If you have problematic anger, anger management classes will help you in all these areas by increasing your emotional intelligence—your awareness of emotional states, and your knowledge of how to manage them appropriately.  As your emotional intelligence increases through anger management classes, you will find that many, many areas of your life improve.  Anger is a natural emotion, but what we do with anger can make our lives unmanageable and problematic or can create a life in which we are more successful and less stressed.

An anger management assessment will identify your current emotional intelligence—what you know about emotions in yourself and others, how to express emotions appropriately and how to manage them successfully.  Anger management classes will increase emotional intelligence giving you the tools you need to be less stressed, in more satisfying relationships, manage your workplace experience more effectively and, overall, improve your daily coping and performance.

It would most helpful if the anger management class curriculum focuses on anger management, stress management, assertive communication skills, and emotional intelligence.

Anger Management Institute of Texas is a certified Anderson & Anderson ® provider.

Gregory A. Kyles, M.A., LPC, CEAP, CAMF
Director, Anger Management Institute of Texas
Diplomate, President of Texas Chapter
American Association of Anger Management Providers
http://www.ami-tx.com
http://www.ami-tx.org
http://www.dvi-tx.com
https://gregorykyles.wordpress.com
http://www.linkedin.com/in/gregorykyles
http://www.myspace.com/anger_management_expert

Anger Management and Assertive Communication

A relationship is not always a walk in the park. More often than not it is fraught with stress,anxiety and apprehension. This happens because two individuals in a relationship are constantly changing and growing with time.

 
The beginning of a relationship is superficial. Partners are at their best and all flaws are concealed. As they become comfortable with one another, all character flaws come to the surface and they start behaving like the people they really are.
 
Anger has become a cause for concern in many relationships. Wife beating, verbal abuse and temper tantrums are prevalent in many broken homes and marriages. Anger kills marriages and destroys lives.
 
Communication is the foundation stone of any relationship. No relationship can survive without communication. Relationships fail when there is a breakdown of communication between the partners. When we are angry, our thinking process becomes hazy and we sometimes raise our voices and even our fists.
 
The worst part about anger is that we tend to vent it on people we love the most. This is because we think the person isn’t going anywhere and therefore we make him/her an unwilling recipient for the worst of our tempers and frustrations. When this happens, we often find ourselves wondering when love flew out of the window. Well, perhaps the love is still there, but then, so is the anger.
 
When an argument erupts between couples, it is generally characterized by raving and ranting. Each attempts to prove that he/she is right. This one up-manship over the other only creates more problems. Ultimately, they end up fighting for fightings sake. After a few hours even the main reason for the quarrel may be long forgotten as each one takes the other head-on. Past blunders and petty issues are brought up as each viciously tears the other apart. Slamming doors and flinging objects becomes a habit. Hostility becomes a way of life. This is a typical case of collapse of communication when anger takes over.
 
Assertive Communication to Control Anger in Relationships: It is critical to use assertiveness when dealing with anger related issues in a relationship. Aggression only gives birth to violence and misery. On the other hand, avoidance to deal with anger displays weakness and timidity. A balance must be struck to keep the channels of communication flowing. In a crisis situation, rather than behaving like spoilt brats, partners should sit down and discuss the issue civilly. Active listening is important to understand the emotions of the other. Each one should be allowed to speak without interruptions. Anger often is a cover for deep-seated emotions like low self-worth, guilt, insecurity and depression. An attempt must be made to get to the root cause of the problem. Speaking politely and maintaining an unruffled exterior helps a great deal in soothing frayed nerves. Playing the blame game is definitely not an option. If the situation is overly tense, it is better to agree to take a break and do something you enjoy. Things like gardening, reading and television can be used to take the mind off worries. Once both partners calm down, they should try to come to a conclusion without biting the others head off. The tone of your voice should not be accusing and high-pitched. On the other hand whining and nagging is also a put-off. Being polite and courteous pays off. Assertive Communication is a good strategy to control and minimize the negative effects of anger on a relationship.
 
Anger and Fear control skills can be learned in an anger management program, it would be most helpful if the curriculum focused on anger management, stress management, assertive communication, and emotional intelligence.
 
Anger Management Institute of Texas is a certified Anderson & Anderson ® provider.
 
Anger Management Classes and Anger Management – Executive Coaching available in Houston, Texas.
 
Gregory A. Kyles, M.A., LPC, CEAP, CAMF
Director, Anger Management Institute of Texas
Diplomate, President of Texas Chapter
American Association of Anger Management Providers
http://www.ami-tx.com

 

What is Anger: Identifying the Need for Help with Anger

anger 5Anger is an emotional state.  It can be triggered by both internal and external cues.  As an emotion, anger is a natural response and serves many purposes. It is based in human biology (as are other emotions) and serves us through the survival drive in its most fundamental form.  Anger is a strong protective force.  It creates physiological responses that signal us and prepare us to take action if needed by the drive to survive. 

 Apart from its basic and instinctual purpose, however, anger is also useful in protecting one’s self psychologically and emotionally.  Feelings of anger can signal, for example, that one feels taken advantage of, dismissed or violated in some way.  It helps us to set boundaries when such conditions have arisen. 

Anger is typically driven by perception and interpretation of events and situations.  Do I perceive danger?  Do I perceive threat?  These are the unspoken, often consciously unthought questions that our anger will answer.  Additionally, anger is a subjective, very personal response.  What angers one may not even be noteworthy to another.  In many important ways, personal history and how we have learned to cope with others and the world will determine whether or not anger is experienced.  Similarly, personal history and coping patterns will determine how angry one will be.

Anger becomes problematic when behaviors follow that are harmful to yourself or others.  Anger is also problematic when behaviors create the risk of harm to self or others.  For many individuals who do not behave in anger to the point of aggression or physical self-harm, anger can be sabotaging enough to create significant problems.  For example, anger is problematic if one’s goals and/or emotional and psychological wellbeing are compromised by anger.  Similarly, the individual who is chronically angry may sabotage his own goals and/or emotional and psychological wellbeing.

Certainly, anger is problematic when aggression and violence are used to express anger.  Harm to others through physical expressions, or threats of such, can have serious social and legal consequences.  Ultimately, the feeling of anger and the use of angry behavior can control one’s life. Consequently, negative consequences occur and accumulate.  While anger itself is a normal, very human emotion, aggressive behaviors are typically not.  Aggressions, and threats of aggression, are emergency responses. 

Disruptive patterns of angry behavior that are ‘out of proportion’ for the seriousness of the triggering event need intervention. 

Managing anger can be learned by attending an Anger Management Program; it would be in your best interest if the program curriculum focuses on anger management, stress management, assertive communication, and emotional intelligence.   

Anger Management Institute of Texas is a certified Anderson & Anderson ® provider

Anger Management Classes and Anger Management – Executive Coaching available in Houston, Texas

Gregory A. Kyles, M.A., LPC, CEAP, CAMF
Director, Anger Management Institute of Texas
Diplomate, President of Texas Chapter
American Association of Anger Management Providers
http://www.ami-tx.com
http://www.dvi-tx.com
https://gregorykyles.wordpress.com
http://www.linkedin.com/in/gregorykyles
http://www.myspace.com/anger_management_expert