anger and aggression

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Last updated 8:26 PM on 2/2/26
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36 Terms

1
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๐Ÿ˜  What Is Anger?

Anger is a normal feeling everyone has ๐Ÿง โค

Itโ€™s what you feel when something seems unfair, scary, or hurtful.

๐Ÿ‘‰ Anger can feel strong and uncomfortable, like when:

  • Someone hurts your feelings ๐Ÿ’”

  • You feel frustrated ๐Ÿ˜ค

  • You feel scared ๐Ÿ˜จ

โœจ Anger isnโ€™t always bad โ€” it can help you stand up for yourself ๐Ÿ‘

But it can also cause problems if itโ€™s not handled well ๐Ÿ‘Ž

ย 

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๐Ÿ—ฃ What Is Hostility?

Hostility is when someone shows anger using words or actions that are mean ๐Ÿ˜ ๐Ÿ—ฏ

It can look like:

  • Yelling or saying rude things ๐Ÿ—ฃ

  • Not cooperating ๐Ÿ™…

  • Breaking rules ๐Ÿšซ

  • Making threats ๐Ÿ˜ค

๐Ÿ‘‰ This is also called verbal aggression.

ย 

๐Ÿค” Why Does Hostility Happen?

People act hostile when they feel:

  • Threatened ๐Ÿ˜ฌ

  • Powerless ๐Ÿ˜ž

They may act this way to:

  • Scare others ๐Ÿ˜จ

  • Hurt someoneโ€™s feelings ๐Ÿ’”

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๐Ÿ—ฃ Verbal Aggression

This means using words to hurt people ๐Ÿ—ฏ

Examples:

  • Insults

  • Yelling

  • Mean comments

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๐Ÿ’ฅ Physical Aggression

Physical aggression is when anger turns into hurting people or things ๐Ÿ˜ก๐Ÿ’ฅ

Examples:

  • Hitting or pushing someone ๐Ÿค•

  • Breaking objects ๐Ÿช‘๐Ÿ’ฃ

This is done to:

  • Harm someone ๐Ÿ˜–

  • Punish someone ๐Ÿšซ

  • Force someone to do what they want ๐Ÿคโžก๐Ÿ˜ฃ

ย 

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โœ… Anger Is Normal!

Anger is a normal and healthy feeling ๐Ÿง โค

Everyone feels angry sometimesโ€”and thatโ€™s okay!

You might feel angry when:

  • Things feel unfair ๐Ÿ˜ค

  • Someone doesnโ€™t respect you ๐Ÿ™…โ€โ™€

  • Your rights arenโ€™t respected โš–

  • Things donโ€™t go the way you expected ๐Ÿ˜ž

ย 

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๐Ÿ’ฌ Expressing Anger the Right Way (Assertive Anger)

Being assertive means:

๐Ÿ‘‰ Saying how you feel calmly and clearly ๐Ÿ˜Œ๐Ÿ—ฃ

This helps:

  • Solve problems ๐Ÿงฉ

  • Fix conflicts ๐Ÿค

  • Help others understand you ๐Ÿ’ก

Example:

โ€œI feel upset because that wasnโ€™t fair. Can we talk about it?โ€ ๐Ÿ˜Š

ย 

๐Ÿค” How People See Anger

Many people think:

  • Anger is a bad feeling โŒ๐Ÿ˜ 

  • Itโ€™s uncomfortable to talk about anger ๐Ÿ˜ฌ

So instead of speaking up, people might:

  • Hold it inside ๐Ÿค

  • Show it in unhealthy ways ๐Ÿ˜ก

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๐Ÿ—ฃ Assertive Communication

๐Ÿ’ฌ What Is Assertive Communication?

Assertive communication means:

๐Ÿ‘‰ Saying how you feel in a calm, respectful way ๐Ÿ˜Œ๐Ÿ—ฃ

Not yelling โŒ๐Ÿ˜ก

Not staying silent โŒ๐Ÿค

ย 

๐Ÿ‘ค Use โ€œIโ€ Statements

Instead of blaming someone, talk about your own feelings ๐Ÿ’ญ

โœ… Good:

โ€œI feel angry when you interrupt me.โ€

โŒ Not so good:

โ€œYou always interrupt me!โ€ ๐Ÿ˜ 

Why?

  • โ€œYouโ€ statements make people feel attacked ๐Ÿ›‘

  • That can make the argument worse ๐Ÿ”ฅ

ย 

๐ŸŒŸ Why Assertive Communication Is Helpful

Being assertive helps:

  • Solve problems ๐Ÿงฉ

  • Lower anger ๐Ÿ˜Œ

  • Help you feel more in control ๐Ÿ’ช

ย 

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๐Ÿ’ฅ About Letting Anger Out (Catharsis)

Some people think:

โ€œIf I hit something, Iโ€™ll feel better!โ€ ๐ŸฅŠ

๐Ÿšซ But hitting things (like a punching bag) can:

  • Actually make anger worse ๐Ÿ˜ก๐Ÿ”ฅ

โœ… Better choices:

  • Going for a walk ๐Ÿšถ

  • Talking to someone ๐Ÿ—ฃ

  • Taking deep breaths ๐ŸŒฌ

ย 

๐Ÿง  CBT Skills (Brain Training!)

Cognitive-Behavioral Therapy (CBT) helps your brain slow down ๐Ÿง ๐Ÿ’ก

It teaches you to:

  • Distract yourself ๐ŸŽง

  • Communicate better ๐Ÿ—ฃ

  • Solve problems ๐Ÿงฉ

  • Change negative thoughts into helpful ones ๐Ÿ”„

๐Ÿ‘‰ Your thoughts โžก affect your actions!

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๐Ÿ˜ก Hostility & Aggression: What Happens Step-by-Step

๐Ÿšจ 1. Triggering Phase

This is when something starts the anger ๐Ÿ”ฅ

Examples:

  • Someone says something mean ๐Ÿ—ฃ๐Ÿ˜ 

  • Rules feel unfair ๐Ÿšซ

  • Person feels ignored or disrespected ๐Ÿ˜ค

๐Ÿ‘‰ This is the best time to step in ๐Ÿ›‘

ย 

๐Ÿ”ฅ 2. Escalation Phase

Anger is getting bigger ๐Ÿ˜กโฌ†

The person is losing control.

You might see:

  • Louder voice ๐Ÿ“ข

  • Angry body language ๐Ÿ˜ 

  • Pacing or clenched fists โœŠ

ย 

๐Ÿ’ฅ 3. Crisis Phase

This is the most dangerous part โš 

The person:

  • Loses emotional control ๐Ÿ˜ค

  • Loses physical control ๐Ÿ’ฅ

  • May hurt people or break things ๐Ÿค•๐Ÿช‘

ย 

๐Ÿ˜ฎโ€๐Ÿ’จ 4. Recovery Phase

The anger starts to cool down โ„

The person begins to calm down.

They may:

  • Stop yelling ๐Ÿ˜Œ

  • Look tired ๐Ÿ˜ด

  • Be quieter ๐Ÿค

ย 

๐Ÿค 5. Post-Crisis Phase

This is when things return to normal ๐ŸŒˆ

The person:

  • Regains control ๐Ÿง 

  • May feel sorry or embarrassed ๐Ÿ˜”

  • Can talk about what happened ๐Ÿ—ฃ

ย 

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๐Ÿ˜ก Hostility & Aggression ๐Ÿ›‘ Why Intervening Early Is Important

๐Ÿ‘‰ Intervene as soon as possible! โฐ

Why?

  • Helps stop things from getting worse ๐Ÿšซ๐Ÿ”ฅ

  • Can prevent physical aggression ๐Ÿค•โŒ

  • Keeps everyone safe ๐Ÿ›ก

Early help works best in:

  • Triggering phase ๐Ÿšจ

  • Escalation phase ๐Ÿ”ฅ

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๐Ÿ‘ฉโ€โš•๐Ÿง‘โ€โš• What Nurses Do to Help When Someone Is Angry

๐Ÿค 1. Build Trust

Nurses try to make clients feel safe and heard ๐Ÿซถ

When people trust the nurse:

  • They feel less scared ๐Ÿ˜Œ

  • They can talk more easily ๐Ÿ—ฃ

ย 

๐Ÿ‘€ 2. Watch for Warning Signs

Nurses look for signs that anger is getting worse ๐Ÿšจ

These signs include:

  • Pacing back and forth ๐Ÿšถโ€โ™‚

  • Restlessness ๐Ÿ˜–

  • Talking louder ๐Ÿ“ข

  • Making threats ๐Ÿ˜ 

๐Ÿ‘‰ Catching these signs early helps keep everyone safe!

ย 

๐Ÿ’ฌ 3. Help Clients Share Feelings Safely

Instead of yelling or hurting others, clients are encouraged to:

  • Talk about their feelings ๐Ÿ—ฃ

  • Use calm communication ๐Ÿ’ฌ

  • Exercise or move their body ๐Ÿƒ

ย 

๐Ÿ˜Œ 4. Stay Calm and In Control

The nurse stays calm no matter what ๐Ÿ˜Œ

This:

  • Shows clients how to stay calm too ๐Ÿง 

  • Helps them feel safe and reassured ๐Ÿ›ก

ย 

๐Ÿ›‘ 5. Set Limits Without Threats

Nurses:

  • Set clear rules ๐Ÿงพ

  • Do NOT threaten โŒ๐Ÿ˜ 

  • Help clients feel in control without feeling embarrassed ๐Ÿ’™

ย 

โญ Super Important Notes

๐Ÿšจ Safety comes first!

  • The #1 priority is keeping everyone safe ๐Ÿ›ก

๐Ÿ—ฃ During the triggering phase:

  • Help the client talk about what theyโ€™re feeling ๐Ÿ’ฌ

  • This can stop anger from getting worse ๐Ÿ”ฅโžกโ„

๐Ÿง  Help maintain control:

  • Support calm choices ๐Ÿ‘

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Anhedonia

๐Ÿ‘‰ Not being able to feel happy or enjoy things ๐Ÿ˜•

(Important to know, but not the same as anger!)

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๐Ÿšจ When to Get Help from Others (Outside Assistance)

Sometimes, one person canโ€™t handle the situation alone ๐Ÿ›‘

Thatโ€™s when itโ€™s okayโ€”and smartโ€”to ask for help ๐Ÿ†˜

๐Ÿ‘‰ Nurses should:

  • Know their limits โš 

  • Avoid getting hurt โŒ๐Ÿค•

  • Call for help when needed ๐Ÿ“ž

This keeps everyone safe ๐Ÿ›ก

ย 

๐Ÿง  Things to Think About When Intervening

โœ‹ Know Your Limits

Ask yourself:

  • โ€œCan I handle this safely?โ€ ๐Ÿค”

  • โ€œDo I need backup?โ€ ๐Ÿ‘ฅ

๐Ÿ‘‰ If not, delegate or call for help.

ย 

๐Ÿง Respect Personal Space

  • Donโ€™t stand too close ๐Ÿ˜ฌ

  • Donโ€™t trap the person ๐Ÿšซ

  • Always keep a clear path to the exit ๐Ÿšช

โš  Never let the client stand between you and the door!

ย 

๐Ÿ”‡ Lower the Stimulation

Too much noise and light can make anger worse ๐Ÿ˜–

So:

  • Dim the lights ๐Ÿ’กโฌ‡

  • Reduce noise ๐Ÿ”•

  • Move to a quieter space ๐Ÿคซ

ย 

๐Ÿ—ฃ Speak Calmly and Clearly

  • Use simple words ๐Ÿง 

  • Speak slowly ๐Ÿ˜Œ

  • Repeat if needed ๐Ÿ”

ย 

๐Ÿšฆ Set Clear Rules (Firm but Kind)

  • Say what is okay and not okay ๐Ÿ›‘

  • Be calm, not threatening โŒ๐Ÿ˜ 

  • Donโ€™t bargain or argue

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๐Ÿ›‘ What Are Restraints & Seclusion?

These are last-resort safety tools โš 

They are used only if someone might hurt themselves or others ๐Ÿ›ก

๐Ÿ‘‰ Always remember:

Least restrictive option is best ๐ŸŒฑ

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๐Ÿ—ฃ How to Talk to Someone During Restraints or Seclusion

๐Ÿ’ฌ Explain Whatโ€™s Happening

  • Tell the person what youโ€™re doing and why ๐Ÿง 

  • Use short, simple words ๐Ÿ—ฃ

Example:

โ€œWeโ€™re doing this to keep you safe.โ€

ย 

๐Ÿ˜Œ Reassure Them Theyโ€™re Safe

  • Help calm their fears ๐Ÿ˜จโžก๐Ÿ˜Œ

  • Remind them where they are ๐Ÿงญ

  • Stay kind and calm ๐Ÿซถ

ย 

๐Ÿ”„ Check Often: Do We Still Need This?

  • Keep reassessing ๐Ÿ”

  • Remove or loosen restraints ASAP once itโ€™s safe โœ…

ย 

๐Ÿ’™ Respect Dignity & Rights

Even during restraints:

  • Treat the person with respect ๐Ÿ™

  • Protect their dignity ๐Ÿ’–

  • Acknowledge their feelings ๐Ÿ˜”โžก๐Ÿ—ฃ

ย 

๐Ÿ’Š Watch Meds & Feelings

  • Monitor how medications affect them ๐Ÿ’Š

  • Respect emotions like fear, anger, or embarrassment ๐Ÿ’ญ

ย 

๐Ÿ‘ฅ Think About Others Too

  • Other clients may be scared ๐Ÿ˜Ÿ

  • Let them talk about their feelings ๐Ÿ—ฃ

ย 

๐Ÿ›ก Staff Safety Is Important Too

  • Staff practice safety drills ๐Ÿง‘โ€โš•๐Ÿ‘ฉโ€โš•

  • Two staff members work together ๐Ÿค

  • Everyone should know de-escalation skills ๐Ÿง โœจ

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๐Ÿ˜ก When Aggression Can Happen in Mental Illness

Sometimes aggression happens because of specific symptoms, not because someone is โ€œbad.โ€

๐Ÿง  Delusions

  • Delusions = fixed false beliefs โŒ๐Ÿง 

  • The person believes something that isnโ€™t true, even when shown proof.

Example:

โ€œEveryone is trying to hurt meโ€ ๐Ÿ˜จ

This can make someone feel scared and act defensively ๐Ÿ˜Ÿโžก๐Ÿ˜ก

ย 

๐Ÿ‘‚ Auditory Hallucinations

  • Hearing voices that arenโ€™t really there ๐Ÿ‘‚๐Ÿ—ฃ

  • Sometimes voices tell the person to hurt others โš 

๐Ÿ‘‰ This can be very frightening for the person.

ย 

๐Ÿฉบ Other Conditions That May Increase Risk

  • Dementia or delirium ๐Ÿง“

  • Head injuries ๐Ÿง ๐Ÿ’ฅ

  • Being intoxicated (alcohol or drugs) ๐Ÿบ๐Ÿ’Š

  • Antisocial or borderline personality disorders

ย 

โš  Factors Linked to Violent Behavior

Some things that increase risk include:

  • Being sick for a long time โณ

  • Many hospital stays ๐Ÿฅ

  • History of alcohol use ๐Ÿบ

  • Past suicide attempts ๐Ÿ’”

๐Ÿ‘‰ These are risk factors, not guarantees.

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๐Ÿ˜ ๐Ÿ’™ Anger Attacks in Depression

โ“ What Is an Anger Attack?

An anger attack is when someone suddenly feels very, very angry ๐Ÿ˜ก๐Ÿ’ฅ

It comes on fast and feels intense.

Key things to know:

  • It happens suddenly โšก

  • Mostly words, not hitting or hurting others ๐Ÿ—ฃโŒ๐Ÿค•

  • Afterward, the person often feels bad or sorry ๐Ÿ˜”

ย 

๐ŸŽฏ What Triggers Anger Attacks?

Anger attacks often happen when someone feels:

  • Emotionally trapped ๐Ÿ˜ž๐Ÿšช

  • Like they canโ€™t escape a situation ๐Ÿ˜ฃ

ย 

๐Ÿ˜ž How Is This Linked to Depression?

In depression, anger can show up instead of sadness.

You might see:

  • Being easily annoyed ๐Ÿ˜ค

  • Overreacting to small things ๐Ÿ˜ 

  • Trouble calming down ๐Ÿง 

  • Less ability to cope with stress ๐Ÿชซ

๐Ÿ‘‰ This is common in kids and teens with depression ๐Ÿ‘ฆ๐Ÿ‘ง

ย 

๐Ÿ“ Common Symptoms

  • Irritability ๐Ÿ˜ค

  • Overreacting ๐Ÿ˜ก

  • Poor coping skills ๐Ÿชซ

ย 

๐Ÿฉบ Important Nursing Tip

๐Ÿšจ Always assess:

  • Was this an anger attack (verbal, sudden, remorse after)?

  • Or aggression (intent to harm others or objects)?

This helps decide:

  • Safety needs ๐Ÿ›ก

  • Best treatment plan ๐Ÿง 

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๐Ÿ’ฅ Intermittent Explosive Disorder (IED)

IED is a real mental health disorder ๐Ÿง 

It causes sudden, extreme anger outbursts ๐Ÿ˜ก๐Ÿ’ฅ that are way bigger than the situation.

Key points:

  • Itโ€™s rare ๐Ÿง

  • The anger comes in short episodes โšก

  • Outbursts can include:

    • Yelling or raging ๐Ÿ—ฃ

    • Hurting people ๐Ÿค•

    • Breaking things ๐Ÿช‘๐Ÿ’ฅ

โš– Disproportionate Aggression

This means:

๐Ÿ‘‰ The reaction is much bigger than the problem ๐Ÿ˜ฑ

Example:

  • Small problem โŒ๐Ÿช

  • Huge reaction ๐Ÿ˜ก๐Ÿ’ฅ๐Ÿ’ฅ

ย 

๐Ÿ”„ The Emotional Cycle of IED

People with IED often go through a pattern:

  1. Tension builds up ๐Ÿ˜ฌ

  2. Explosion happens ๐Ÿ’ฅ

  3. Remorse after ๐Ÿ˜” (feels embarrassed or sorry)

ย 

๐Ÿ‘ค Who Gets IED?

  • Usually starts in late teens or 20s ๐Ÿง‘

  • Diagnosed at age 6 or older ๐Ÿ“…

  • More common in adult males ๐Ÿ‘จ

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๐Ÿ‘ถ Are Temper Tantrums Normal?

Yesโ€”for little kids! ๐Ÿ‘ถ๐Ÿ˜ค

  • Ages 3โ€“6 โ†’ tantrums are normal development

  • Kids are still learning how to handle feelings ๐Ÿง 

๐Ÿšจ Tantrums โ‰  IED

IED is not diagnosed in toddlers.

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๐ŸŽญ Acting Out as a Defense Mechanism

โ“ What Does โ€œActing Outโ€ Mean?

Acting out means:

๐Ÿ‘‰ Showing big feelings through actions instead of words ๐Ÿ˜กโžก๐Ÿ’ฅ

Itโ€™s an immature defense mechanism (a not-so-great coping skill) ๐Ÿง 

ย 

๐Ÿง  Why Do People Act Out?

People act out when they:

  • Feel stressed ๐Ÿ˜–

  • Feel overwhelmed ๐Ÿ˜ซ

  • Donโ€™t know how to explain their feelings ๐Ÿ—ฃโŒ

So their feelings come out as:

  • Yelling ๐Ÿ—ฃ

  • Hitting or throwing things ๐Ÿ’ฅ

  • Breaking rules ๐Ÿšซ

ย 

๐Ÿ˜ฎโ€๐Ÿ’จ Does Acting Out Help?

Sometimes it gives:

  • Short-term relief ๐Ÿ˜Œ

  • Makes them feel less powerless ๐Ÿ’ช

Butโ€ฆ

โŒ It doesnโ€™t fix the real problem

โŒ It can cause trouble or hurt others

ย 

๐Ÿ‘ถ Who Acts Out More Often?

  • Children and teens ๐Ÿ‘ฆ๐Ÿ‘ง

  • People who:

    • Canโ€™t handle strong emotions ๐Ÿ˜ญ

    • Have trouble putting feelings into words ๐Ÿง โŒ๐Ÿ—ฃ

ย 

๐Ÿ” Why Context Matters

Before judging the behavior, nurses must ask:

  • Whatโ€™s going on right now? ๐Ÿค”

  • Can this person cope with stress? ๐Ÿง 

  • Do they have the skills to express emotions? ๐Ÿ—ฃ

๐Ÿ‘‰ Always assess the situation and their coping ability ๐Ÿ“

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๐Ÿง  Why the Brain Can Affect Aggression

๐Ÿ˜Š Serotonin = the โ€œcalmโ€ helper

  • Serotonin helps control anger ๐Ÿง˜โ€โ™€

  • Low serotonin = harder to control impulses ๐Ÿ˜ก

๐Ÿ‘‰ Low serotonin can mean more aggression

ย 

โšก Dopamine & Norepinephrine = โ€œenergy boostersโ€

  • These chemicals give energy and alertness โšก

  • Too much can lead to:

    • Acting without thinking ๐Ÿคฏ

    • Impulsive or violent behavior ๐Ÿ’ฅ

ย 

๐Ÿ’Š Can Medications Help?

YES โœ…

  • Meds can change brain chemicals ๐Ÿง 

  • They can:

    • Lower aggression โฌ‡๐Ÿ˜ก

    • Help with impulse control ๐Ÿ‘

(Nurses always think: Will this med increase or decrease aggression?)

ย 

๐Ÿค• Traumatic Brain Injury (TBI)

If someone hurts their brain:

  • From a fall ๐Ÿค•

  • A car accident ๐Ÿš—

  • A head injury ๐Ÿง ๐Ÿ’ฅ

It can damage parts of the brain that control:

  • Emotions ๐Ÿ˜ข

  • Judgment ๐Ÿง 

  • Anger ๐Ÿ˜ 

This damage can make it harder to control aggressive behavior.

ย 

๐Ÿง  Important Brain Areas Affected

  • Limbic system = emotions โค

  • Frontal lobe = decision-making ๐Ÿง 

  • Temporal lobe = behavior & memory ๐Ÿ“š

Damage here = less control ๐Ÿ˜ฌ

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๐Ÿ‘ถ Growing Up Matters (Developmental Stages)

๐Ÿ‘ถ Infants & Toddlers

  • Little kids show feelings LOUDLY ๐Ÿ˜ญ๐Ÿ˜ค

  • Temper tantrums are normal for toddlers

  • They donโ€™t have good self-control yet ๐Ÿง โŒ

๐Ÿง’ As We Grow

  • As kids get older, their brains mature ๐Ÿง โœจ

  • They learn:

    • Self-control โœ‹

    • How to act appropriately ๐Ÿ‘

๐Ÿ‘‰ Growing up = better impulse control

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๐Ÿ‘จโ€๐Ÿ‘ฉโ€๐Ÿ‘ง Relationships Matter A LOT

๐Ÿ’– Positive Relationships = Protection

Good relationships with:

  • Parents ๐Ÿ‘จโ€๐Ÿ‘ฉโ€๐Ÿ‘ง

  • Teachers ๐ŸŽ

  • Friends ๐Ÿง‘โ€๐Ÿคโ€๐Ÿง‘

Help kids:

  • Control impulses ๐Ÿง 

  • Handle anger better ๐Ÿ˜Œ

๐Ÿ‘‰ These are protective factors ๐Ÿ›ก

ย 

โš  Unhealthy Environments = Risk

  • Dysfunctional families ๐Ÿ˜ž

  • Inconsistent rules ๐Ÿšซ๐Ÿ“

Can:

  • Increase frustration ๐Ÿ˜ค

  • Increase aggressive behavior ๐Ÿ˜ก

๐Ÿ‘‰ These are risk factors โš 

๐Ÿ’” Interpersonal Rejection (Feeling Rejected)

When someone feels:

  • Rejected by parents ๐Ÿ˜”

  • Left out by friends ๐Ÿšซ๐Ÿ‘ซ

They may feel:

  • Emotional pain ๐Ÿ’”

  • Frustration ๐Ÿ˜ค

  • Low self-esteem ๐Ÿ˜ž

Some people use aggression to:

  • Feel in control again ๐Ÿ’ช

  • Feel better emotionally ๐Ÿ˜Œ

  • Get revenge ๐Ÿ˜ 

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๐ŸŒ Cultural Considerations in Anger Expression

๐Ÿ˜  Anger Looks Different in Different Cultures

Every culture has rules about how itโ€™s okay to show anger ๐Ÿ“๐ŸŒŽ

  • Some cultures think showing anger is not okay ๐Ÿšซ๐Ÿ˜ก

  • Other cultures think itโ€™s okay to show anger more openly ๐Ÿ—ฃ

๐Ÿ‘‰ So anger can look very different depending on where someone comes from.

ย 

๐Ÿ‡บ๐Ÿ‡ธ Anger & Gender in the U.S.

In the United States:

  • Traditional rules said girls/women shouldnโ€™t show anger ๐Ÿ˜ถ

  • Boys/men were often allowed to show anger more ๐Ÿ˜ 

This can cause:

  • Feelings being held inside ๐Ÿค

  • Stress or sadness later ๐Ÿ˜”

ย 

๐Ÿง  Mental Health Disparities (Unequal Care)

In the past:

  • Differences in mental health were blamed on race or ethnicity โŒ

Now we know:

  • These differences are mostly caused by social factors, like:

    • Money ๐Ÿ’ฐ

    • Housing ๐Ÿ 

    • Education ๐Ÿ“š

    • Access to healthcare ๐Ÿฅ

These are called social determinants of health ๐ŸŒฑ

ย 

๐Ÿค How Do We Make Things Fair?

To improve mental health for everyone:

  • Get communities involved ๐Ÿ˜

  • Fix unfair social conditions โš–

  • Make sure everyone has access to care ๐Ÿ’™

This helps create mental health equity (fairness) ๐ŸŒˆ

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๐Ÿ›กtreatment of people Who Are At Risk of Being Aggressive

๐Ÿ‘€ 1. Check Early!

Nurses try to notice problems early ๐Ÿ‘€โฐ

Catching anger early can stop big blow-ups ๐Ÿ’ฅโŒ

They use:

  • Careful watching ๐Ÿง 

  • Talking with the person ๐Ÿ—ฃ

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๐Ÿ’ฌ 2. Talk First

Talking calmly can:

  • Help the person feel heard ๐Ÿ’™

  • Lower anger ๐Ÿ˜Œ

Simple, kind words work best ๐Ÿ—ฃโœจ

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๐Ÿ’Š 3. Use Medicine the Right Way

Sometimes medicine helps calm the brain ๐Ÿง ๐Ÿ’Š

  • Used carefully and only when needed โš–

  • Often given early in the anger cycle โฐ

  • Can be used if someone might hurt:

    • Themselves ๐Ÿ˜”

    • Others ๐Ÿ˜Ÿ

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๐Ÿง  4. Treat the Real Problem

Anger can be linked to other illnesses, like:

  • Schizophrenia ๐Ÿง 

  • Bipolar disorder ๐Ÿ”„

๐Ÿ‘‰ Treating these helps reduce aggression ๐Ÿ‘

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๐Ÿšจ 5. Last Resort: Restraints or Seclusion

If someone is out of control and unsafe โš :

  • Short-term restraint or seclusion may be used ๐Ÿ›‘

  • ONLY during a crisis ๐Ÿ’ฅ

  • Must follow strict legal and ethical rules โš–

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โฐ BIG RULE TO REMEMBER

๐Ÿ‘‰ Intervene as soon as possible!

Early help = safer outcomes ๐Ÿ›ก

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๐Ÿ‘€ Assessment Data: Recognizing Clues

(What nurses LOOK for)

Nurses are like detectives ๐Ÿ•ตโ€โ™€๏ธ

They watch for clues that someone might become aggressive ๐Ÿ˜ 

๐Ÿฅ Things That Help Lower Aggression

In psychiatric units, aggression is LESS likely when there is:

  • Strong leadership ๐Ÿ‘ฉโ€โš•๐Ÿ‘จโ€โš•

  • Clear staff roles (everyone knows their job) ๐Ÿ“‹

  • Planned activities ๐Ÿงฉ๐Ÿ‘ฅ

Structure = calmer environment ๐Ÿ˜Œ

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๐Ÿง  Personal Space Matters

โš  Feeling crowded in the mind (psychological space)

is more upsetting than just being crowded physically ๐Ÿšถโ€โ™‚๐Ÿšถโ€โ™€

Feeling:

  • Controlled ๐Ÿ˜ฃ

  • Not listened to ๐Ÿ˜”

โžก Can trigger aggression ๐Ÿ˜ก

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๐Ÿ“œ Look at the Personโ€™s History

Nurses carefully assess:

  • Past violent or aggressive behavior ๐Ÿงจ

  • History of being hurt or abused ๐Ÿ’”

  • Alcohol or drug use ๐Ÿบ๐Ÿ’Š

These can increase risk โš 

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๐Ÿšจ Watch for Warning Signs

Each person has their own clues that anger is about to explode ๐Ÿ’ฅ

Nurses must recognize these early ๐Ÿ‘€

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๐Ÿง  Data Analysis & Priorities

(What the clues mean)

After gathering clues, nurses ask:

โ— What Problems Might Be Happening?

Common issues include:

  • Risk for violence ๐Ÿšจ

  • Trouble coping with stress ๐Ÿชซ

  • Extra risk if the person is:

    • Intoxicated ๐Ÿบ

    • Depressed ๐Ÿ˜”

    • Psychotic ๐Ÿง 

๐Ÿ‘‰ Safety is the TOP priority ๐Ÿ›ก

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๐ŸŽฏ Outcome Identification: Goals

(What we WANT to happen)

Nurses set goals to keep everyone safe ๐Ÿ’™

โœ… Expected Outcomes

The client will:

  • ๐Ÿšซ Not hurt or threaten others

  • ๐Ÿ˜Œ Not scare or intimidate people

  • ๐Ÿ—ฃ Talk about feelings without aggression

  • ๐Ÿ’Š Follow the treatment plan

These goals mean:

๐Ÿ‘‰ Better control

๐Ÿ‘‰ Safer behavior

๐Ÿ‘‰ Healthier coping ๐Ÿง โœจ

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๐Ÿฅ Managing the Environment (Stopping Anger BEFORE It Gets Big)

๐ŸŒฑ The Big Idea

๐Ÿ‘‰ If the environment feels calm and organized, people are less likely to act aggressively ๐Ÿ˜Œ

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๐Ÿ‘ฅ What Nurses Do to Help

๐Ÿ“… Plan Activities

  • Group activities ๐Ÿงฉ

  • Fun or calming things to do ๐ŸŽจ๐Ÿง˜โ€โ™‚
    ๐Ÿ‘‰ Keeps people busy and calm

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๐Ÿ‘ฉโ€โš• One-on-One Time

  • Talking with someone privately ๐Ÿ—ฃ
    ๐Ÿ‘‰ Helps them feel heard and important

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๐Ÿค Help Solve Problems

  • Teach people how to handle disagreements without yelling ๐Ÿ˜คโžก๐Ÿ™‚
    ๐Ÿ‘‰ This is called conflict resolution

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๐Ÿ›ก Protect Everyone

Some people might:

  • Be confused ๐ŸŒ€

  • Be too energetic โšก

  • Be under the influence ๐Ÿบ

๐Ÿ‘‰ Nurses make sure other clients stay safe โค

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๐Ÿ‘€ Close Supervision

  • Nurses watch closely if someone might get aggressive ๐Ÿ‘
    ๐Ÿ‘‰ This helps stop problems before they start

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๐Ÿšฆ Managing Anger When Itโ€™s Triggering or Escalating

๐Ÿ”” Triggering Phase (Anger is JUST Starting)

This is when someone is annoyed or upset, but not out of control yet ๐Ÿ˜ 

๐Ÿ‘ฉโ€โš• What Nurses Do:

  • Approach calmly ๐Ÿ˜Œ
    (No yelling, no scary body language)

  • Show empathy โค
    โ€œI can see youโ€™re frustrated.โ€

  • Encourage talking ๐Ÿ—ฃ
    Let them say their feelings instead of acting them out

  • Suggest calming activities ๐Ÿง˜โ€โ™€๐Ÿšถ
    Deep breathing, walking, stretching

๐Ÿ’ก Goal: Stop anger early

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๐Ÿ”ฅ Escalation Phase (Anger Is Getting Bigger)

Now the person is losing control ๐Ÿ˜ค๐Ÿšจ

๐Ÿ‘ฉโ€โš• What Nurses Do:

  • Take control of the situation ๐Ÿ›‘

  • Give clear directions ๐Ÿ—ฃ
    Calm voice, firm tone

  • Offer medication again ๐Ÿ’Š
    (If it was refused earlier)

  • Bring in extra staff if needed ๐Ÿ‘ฅ
    This is called a show of force (for safety, not punishment)

๐Ÿ’ก Goal: Keep everyone safe

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๐Ÿšจ CRISIS PHASE (Anger is OUT OF CONTROL)

๐Ÿ‘ฉโ€โš• What Nurses Do:

  • Take charge for safety ๐Ÿ›‘
    Nurses are in control now

  • Use restraints or seclusion โ›“๐Ÿšช
    ๐Ÿ‘‰ Only if needed and following strict rules

  • Get a doctorโ€™s order ๐Ÿง‘โ€โš•๐Ÿ“„
    Nurses canโ€™t do this without permission

  • Work as a team ๐Ÿ‘ฅ
    Usually 4โ€“6 trained staff help keep everyone safe

๐Ÿ’ก Goal: Stop harm and keep everyone safe

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๐ŸŒค RECOVERY PHASE (Calming Down)

๐Ÿ‘ฉโ€โš• What Nurses Do:

  • Talk about what triggered the anger ๐Ÿ—ฃ๐Ÿ’ญ
    โ€œWhat made you feel that way?โ€

  • Teach better choices ๐Ÿง โžก๐Ÿ™‚
    Safer ways to handle anger next time

  • Check for injuries ๐Ÿฉน
    For both the client and staff

  • Write everything down ๐Ÿ“
    (Documentation is important!)

  • Debrief staff ๐Ÿ‘ฉโ€โš•๐Ÿ‘จโ€โš•
    Talk about what went well and what to improve

๐Ÿ’ก Goal: Learn from what happened and prevent it next time

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๐ŸŒˆ POST-CRISIS PHASE

๐Ÿ‘ฉโ€โš• What Nurses Do Now:

  • Take off restraints or end seclusion ASAP โ›“โžก๐Ÿ™Œ
    ๐Ÿ‘‰ As soon as the person is safe and calm

  • Talk calmly about what happened ๐Ÿ—ฃ๐Ÿ™‚
    No yelling, no blamingโ€”just explaining

  • Give positive feedback ๐Ÿ‘
    โ€œYou did a good job calming yourself down.โ€

  • Help them rejoin others ๐Ÿ‘ฅ๐ŸŽจ
    Back to group activities and the unit (milieu)

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๐ŸŽฏ Big Goal:

Help the person:

  • Feel respected ๐Ÿ’™

  • Understand their behavior ๐Ÿง 

  • Get back to normal routines safely ๐Ÿซ

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๐Ÿชž EVALUATION / REFLECTING

This means: โ€œLetโ€™s look back and see how it wentโ€ ๐Ÿ‘€)

After everything is calm, nurses think about what happened and what they can do better next time ๐Ÿง โœจ

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๐ŸŽฏ BIG GOAL:

Help people use words instead of actions ๐Ÿ—ฃโค

So they can say how they feel safely, not by hurting anyone.

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๐Ÿšจ About Restraints or Seclusion:

  • Sometimes they are needed to stop someone from getting hurt โ›‘

  • BUT they should be:

    • Used only when necessary

    • The least restrictive option ๐Ÿชขโžก๐Ÿ™‚ (not more than needed)

๐Ÿ’ก Best care happens when anger is stopped early โฐ

(before it turns into a big explosion ๐Ÿ’ฅ)

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๐Ÿค” NURSES ASK THEMSELVES:

  • โœ… Did this turn out good or not so good?

  • ๐Ÿคทโ€โ™€ What did I do well?

  • ๐Ÿ“‰ What could I do better next time?

  • ๐Ÿง  How can I improve my skills, knowledge, and attitude?

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๐Ÿฅ Workplace Hostility

(This means people at work being mean, rude, or scary ๐Ÿ˜ฌ)

In hospitals and clinics, how staff treat each other REALLY matters ๐Ÿง‘โ€โš•๐Ÿค๐Ÿง‘โ€โš•

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๐Ÿšจ Why is workplace hostility bad?

When people act mean or intimidating:

  • โš  Safety goes down

  • โŒ More mistakes happen

  • ๐Ÿ˜Ÿ Patients are less happy

  • ๐Ÿ’ธ Costs go up

  • ๐Ÿšช Staff quit their jobs

So being rude at work doesnโ€™t just hurt feelings โ€” it can hurt patients ๐Ÿ˜”

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๐Ÿ˜ก Types of Bad Behavior

๐Ÿ”Š OVERT (easy to see ๐Ÿ‘€):

  • Yelling ๐Ÿ—ฃ๐Ÿ’ข

  • Threats ๐Ÿงโ€โ™‚โš 

๐Ÿข PASSIVE (quiet but still bad):

  • Refusing to help ๐Ÿ™…โ€โ™€

  • Not cooperating ๐Ÿ˜’

  • Bad attitude ๐Ÿ˜‘

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๐Ÿฉบ How Healthcare Workers Might Show This

Some signs include:

  • ๐Ÿ“ž Not answering calls or pages

  • ๐Ÿ˜ค Talking in a rude or scary tone

  • ๐Ÿ‘Ž Acting impatient

  • ๐Ÿ™„ Talking down to others

Even if no one is yelling, this behavior is still harmful.

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๐Ÿ˜ Community-Based Care

๐Ÿง  Why is this important?

If people take care of their mental health, they are less likely to become aggressive ๐Ÿ˜Œโžก๐Ÿ™‚

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โœ… What helps people stay calm in the community?

  • ๐Ÿฉบ Seeing their doctor regularly

  • ๐Ÿ’Š Taking their meds the right way

  • ๐Ÿค Joining community support programs

  • ๐Ÿ—ฃ Anger management groups

    • Learn how to talk about feelings

    • Learn problem-solving

    • Learn how to handle conflicts without fighting โœ‹

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โš  Why might aggression happen in the community?

Sometimes people may act aggressively because of:

  • ๐Ÿ  Stressful living situations

  • ๐Ÿบ๐Ÿ’Š Alcohol or drug use

  • ๐Ÿ”ซ Easy access to weapons

  • โŒ Not taking medications as prescribed

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๐Ÿšจ What can suddenly trigger aggression?

Aggression may happen quickly when someone experiences:

  • ๐Ÿšซ Being told โ€œnoโ€ or denied services

  • ๐Ÿง ๐Ÿ’ญ Acute psychosis (losing touch with reality)

  • ๐Ÿ”Š Too much noise or stimulation