Bipolar and Anger in Depression
http://www.mcmanweb .com/anger. html
Anger in Depression and Bipolar Disorder (or just anger )
Knowing how to keep cool can help you stay calm.
by John McManamy
Clayton Tucker-Ladd PhD in Psychological Self-Help cites a 1983 Psychology Today poll that asked: "If you could secretly push a button and thereby eliminate any person with no repercussions to yourself, would you press that button?" Yes, said 69 percent of the males and 56 percent of the women, representing tens of millions of would-be dead bosses, co-workers, spouses and lovers and exís, family members, neighbors, politicians, telemarketers, movie stars, news reporters with bad wigs, reality game show contestants, and lawyers who appear on Geraldo.
Another 1980s survey asked college students if the US could wipe out the Soviet Union with no threat of retaliation should the government do it? Fifteen percent thought this would be a good idea.
What We Know About Anger This is pure anger talking, as potentially as deadly as cyanide on a personal level, more powerful than a nuclear weapon on a collective level. Sooner or later everyone must learn to deal with their anger or face the consequences. For people with mood disorders the stakes are even higher, as anger is to an episode what a match is to a keg of gunpowder. The process also works in reverse, as our population, including our loved ones, generally have a lot to be angry about.
Anger is "an emotional state that varies in intensity from mild irritation to intense fury and rage," says Charles Spielberger PhD in a brochure published by the American Psychological Association.
People prone to anger tend to experience events as more stressful than others. In response to stress, adrenaline and cortisol are pumped into the system, priming the body for flight or fight, appropriate for caveman daily living and the occasional modern contingency, but not for most situations we find ourselves in. Anger is an adaptive response to threat, arousing powerful aggressive feelings and behaviors. Escalating stress and anger effectively stoke one another. When the process rages out of control, the excess adrenaline and cortisol set off a cascade of destructive cellular reactions that result in the brain being unable to cope.
Depression, goes the old saying, is anger turned inward. Various studies have found anger attacks to be common in 40 to 60 percent of those with unipolar and bipolar depression. The rate is about the same for bipolar mixed states. Surprisingly, no studies appear in the MedLine database documenting anger in mania. The DSM-IV lists as a separate illness "intermittent explosive disorder," which Susan McElroy MD of the University of Cincinnati thinks may be related to bipolar disorder.
Equally surprising, the DSM fails to list anger as a symptom for either depression or mania, perhaps because the trait is endemic in the general population, as well, and so is regarded as normal (which is a very scary thought). Make no mistake - any state of mind that can disrupt your work and social relationships and potentially freeze you out of any life worth living should not be regarded as normal. And because our illness amplifies feelings and makes us lose rational control, we need to regard ourselves as skating on very thin ice.
Anger Management The American Psychological Association, in its brochure, recommends:
* Relaxing techniques such as breathing or visual imagery.
* Cognitive restructuring (such as changing exaggerated, overly dramatic thoughts into more rational ones).
* Problem solving (not every problem has a solution, but one can work on a plan to cope).
* Better communication (think before you speak and listen before you respond defensively) .
* Using humor.
* Changing your environment (such as quiet time breaks).
Buddhist mindfulness techniques advocate non-attachment to angry thoughts that arise. Basically, one is asked to simply observe oneís anger with disinterest and focus on breathing. In a best case scenario, the anger will dissipate. Thoughts only acquire force, say Buddhist teachers, when we attach ourselves to these thoughts. Since our inflated egos are our own worst enemies, it pays to think of ourselves as ego-less Buddhas full of infinite compassion, even for the people we attribute our anger to.
Modern psychology is heavily derivative of Buddhist mindfulness. Though we may lack an adept's capacity to mindfully dissolve our worst thoughts, we can buy ourselves a few precious seconds before we do something irretrievably stupid. In essence, we can recognize our destructive thoughts as they occur, and then work with them.
Buddhism also teaches loving kindness meditation, part of which involves working to replace angry thoughts toward an individual with Christ-like thoughts of infinite compassion. Steven Stosny's Dr Phil-endorsed HEALS program borrows from this ancient approach. Practice may hardly make perfect, but functional imperfection is something to shoot for. Dr Tucker-Ladd recommends:
* Reduce your frustrations (by avoiding what makes you mad).
* Choose your friends and associates wisely.
* Explain yourself (eg by telling others youíre having a bad day).
* Develop better ways of behaving (calmly expressed anger is better than yelling and screaming).
* Stop hostile fantasies. (PEACE?????)
* Guard against escalating the violence.
* Become aware of your anger triggers and consequences (by keeping a journal).
* Find a distraction (based on mindfulness) . (PEACE?????)
* Stop using your temper to get your way.
Dr Tucker-Ladd points out that there are distinctions between "exploders" and "swallowers, " between those who let Ďer rip and those who hold it in. Healthy venting can provide a constructive release for anger, but may also add fuel to the fire. Therapists sometimes encourage clients to act out their anger as a form of catharsis, but other experts feel this may only whet the appetite. On the other side of the coin, there is a danger in bottling your anger, as it can turn inward on yourself, resulting in hypertension, high blood pressure, and depression. Suppressed anger can also wind up surfacing in unexpected situations - often directed at innocent bystanders - a phenomenon known as displacement. Finally, unexpressed anger can result in passive-aggressive behavior, which involves getting back at people indirectly instead of confronting them head-on
. In the movie, "Anger Management," Jack Nicholson plays an unconventional therapist who constantly baits and humiliates the nebbish Adam Sandler to his breaking point. This results in Adam Sandler finally standing up for himself, confronting his boss by smashing a golf club on the office furniture and crashing a game at Yankee Stadium to win back Marisa Tomei (where Rudolph Giuliani, in a cameo, from his box seat shouts, "Slip her a five-second Frenchie!"). Because of his new sense of self-esteem, Sandler has less reason to feel resentful, is far less likely to explode at inappropriate times, and is not afraid to use his anger as a constructive force (though please donít go on a tear with a golf club in your bossí office).
And to show you that TV can be just as educational: In an episode of "Car 54, Where Are You?" (which happened to be William Faulkner's favorite show, I kid you not), Rocky Graziano plays Antoinne, a sweet-natured hair-dresser who loves going to the park to feed the birds. In the amateur boxing ring, however, he is like Mike Tyson on steroids. His wife recruits Toody and Muldoon to get him to quit his dangerous hobby, and they convince Sugar Ray Robinson to disguise himself as an old man and go a few rounds with Antoinne. Thoroughly humiliated from his whipping at the hands of a senior citizen, Antoinne quits boxing, but now has no release for his aggressions. He begins insulting his customers, starts making life miserable for his wife, and storms out the door with a rifle, announcing he is going to the park to shoot the birds. All ends well when he returns to the ring.
Anger is that pet tiger you take out for a walk. The beast needs occasional air and exercise, but how successful you are at releasing it from its cage depends on your well-honed skill and judgment. If you have any doubt about whether you should sound off or bite your lip, ask yourself if your would-be response is proportionate to your hurt. If youíre thinking of mowing down your boss with an Uzi, for instance, it might be better to take a couple of deep breaths and resolve to take up your grievance at a later time.
People who choose the Uzi option may want to consider courses in anger management or seek a therapist. Those who find themselves always putting a lid on it may also find it useful to seek a therapist.
Finally, it pays not to dwell upon THEM vs US. It is way too easy to get angry at people we perceive as different from ourselves. The news media play on our worst fears, and unscrupulous politicians, religious figures, and talk show hosts are quick to find convenient scapegoats to channel public resentment. Because of our illness, we are the ones who find ourselves on the THEM receiving end, subject to opprobrium and ridicule and humiliation. We know from personal experience how destructive THEM vs US thinking truly is. Other populations have felt its terrible force in full measure. We need not contribute to this form of madness.
July 26, 2004, reviewed Feb 10, 2008
Learn More About Mindfulness
Mindfulness - The Ultimate Mood Stabilizer
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Anger turned inward is depression
By Marla Cilley
For the Deseret Morning News
Published: Wednesday, Oct. 4, 2006 12:30 p.m. MDT
When you finally have reached the absolute bottom and you think there is no place to go, there are always two more places.
You can give up entirely and be planted six feet under or you can scream out for help and start pulling yourself up. You have a choice. The difference is you have to get mad and scream and not give up. Anger is not a bad emotion. As women, we have been taught to just take it and not explode. Exploding with anger is rage, and rage is not OK, but giving yourself permission to be upset and angry is a good thing as is telling the person you are angry at about it. When you keep it in it is like poison. So what do we do to ourselves? We turn anger into sad, and we feel sorry for ourselves for being mistreated. Then what? The anger goes to sad and then to depression. We eat to make the hurt go away or sleep to avoid. It is all our perfectionism again sandwiched with that procrastination that paralyzes us into depression. I can see you all shaking your heads at me. "How can perfectionism be the foundation to my feeling bad?" Well, here is how it all fits together.
When something goes wrong in our lives and we can't fix it; what do we do. We can't fix it to make it right again or we can't change the other person; we want everything back the way it was. Do you see the perfectionism rearing its ugly head? We do everything in our power to control the issues. And make it all better. Only to be shot down time and time again. So if we can't do it right, what do we do? We were taught to do nothing. I wish that was all we would do, but we turn it inward to abuse ourselves. When we are unable to fix things we begin to feel guilty because of our inability to make things right or perfect. We then start to beat ourselves up. It is bad enough when we have been abused by others but now we are abusing ourselves.
This is why anger is good. It is focused toward someone else and not yourself. Now, it is not good to be angry all the time, because you are in fight-or-flight mode, and when you really need to scream out for help you will not be able to. Adrenaline is an amazing body chemical. It is a power surge that supplies the energy right when you need it. This is how a mother can lift a car off of a child. I have said it many times: "Too much of a good thing can be bad for you." Try eating a whole chocolate cake. I have a good supply of adrenaline now. At one time I was totally depleted of my resources. I used them all up by always being upset and walking on eggshells. The adrenaline kept me from feeling what was happening inside my own body. It was a drug. Anger can free you if used sparingly. Focus justified anger toward what is making you angry, not at yourself. Do what you need to do to take care of the situation. Don't turn it inward to punish yourself when you can't fix it. You are not responsible for anyone but you. Let go of the guilt, pain and stress. Be good to yourself by getting angry at the right person. Then let it go and get on with your life. You have a job to do. And if you stick around, the breeze will come your way and you will set out on your journey. So what anger have you been turning inward?
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For more help getting rid of your CHAOS; check out: www.flylady. net. Also see Cilley's book, "Sink Reflections" and her new book, "Body Clutter." Copyright 2006 Marla Cilley. Used by permission in this publication.