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Out of the Abyss of Anger

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Out of the Abyss of Anger MENTAL HEALTH NEWSTM YOUR SOURCE OF INFORMATION, EDUCATION, ADVOCACY AND RESOURCES SPRING 2002 FROM THE LOCAL, STATE, AND NATIONAL NEWS SCENE VOL. 4 NO. 2 Out of the Abyss of Anger mor, regulating one’s environ- end up being turned against ment, psychotherapy, medica- themselves in depression, or can tion, etc.). So, you have to be lead to problems with impulse wondering why I am writing control and end up contributing about anger. to legal problems. It seems to me that since Sep- Legal and illegal substances tember 11th, anger, as Emerald are often used to control anger. Lagasse might say, “has been Some people choose opioids as a kicked up a notch.” For the first drug because it helps push away time in all of our lives we have angry feelings, which has re- witnessed terrorism of a monu- sulted in an increase in opioid mental proportion in our own addiction in recent years which backyard. While it is true that may have been further effected we have experienced terrorism in by events of September 11th. Al- our country before, even at the cohol may also suppress and fa- World Trade Center, we have cilitate outbursts of anger, and never seen anything like we have many alcoholics are opioid ad- Anger: The Choice is Yours this past fall. Think of the words Anger: A Candid Discussion dicts as well. Those who are By that have been used since that By addicted to sedative hypnotics date to describe our reactions: are using these drugs as a Richard J. Frances, M.D. Harris B. Stratyner, Ph.D., CASAC shock, disbelief, fear, anxiety, means of anger management uncertainty, insecurity, outrage, which may very well be ineffec- th sychologists have been and of course, anger. ince September 11 tive. The other substances of researching and writing Now, I have no intention of many of us have been abuse, including use of cocaine about the emotion of an- writing about September 11th -- struggling with a variety and crack, can also contribute to ger for many years. so if you were anticipating that of emotional reactions poor impulse control, increased PThere is probably very little that I S was the direction I was heading, including numbness, pain, be- rage attacks, anger and crime. could add to the discussion. We I can assure you it is not. I men- reavement, sadness and anger. Fifty percent or more of homi- have all read articles, seen seg- tion it because I believe it Those of us in the mental cides are drug related. For the ments on television, heard inter- brought all of our emotions to health profession sometimes are most part, psychiatric patients views and discussions on the ra- the edge -- anger being one of concerned about analyzing every- are not at much higher risk for dio, etc., which explain anger in them. It was fascinating to me one’s anger too easily because it crime than the general popula- psychological and physiological as an observer of human nature, may need to be channeled pro- tion. However, psychiatric pa- terms. These same articles dis- to see how many New Yorkers, in ductively into a war effort, a tients who abuse substances and cuss “healthy” versus somewhat of an exaggerated homeland defense and an appro- have a history of violent behavior “unhealthy” forms of anger, view manner, went from a period of priate response to terrorism. can have impulsive outbursts, the triggers of anger (i.e., reac- tremendous love and caring, to a However, in times of stress and especially when intoxicated. tions to external events versus return to rushing around and war, anger can also be destruc- Sixty percent of patients with internal ruminations), and review having that angry edge to them tive. Anger can lead to a height- schizophrenia have substance the multitude of ways one can once again. Granted, I am ening of crime and substance problems and 60-80% of patients deal with anger (e.g., cognitive speaking in extreme terms, and abuse. Psychiatric patients may with bipolar disorder have sub- restructuring, relaxation tech- am myself a New Yorker through especially have difficulty dealing stance problems. niques, developing a sense of hu- with angry feelings which may see The Choice on page 8 see A Candid on page 10 • Evidenced-Based Practices -- The New Frontier ? Inside This Issue Of • Budget Bomb -- Parity Puzzle -- Sopranos Soliloquy MENTAL HEALTH NEWS • Autism - the Challenge and the Hope: A Special Report • Four Winds Hospital Education Series Supplement PRESORTED MENTAL HEALTH NEWS STANDARD 65 Waller Avenue U.S. POSTAGE PAID White Plains, NY 10605 WHITE PLAINS, NY PERMIT NO. 153 PAGE 2 MENTAL HEALTH NEWS ~ SPRING 2001 MENTAL HEALTH NEWS ADVISORY COUNCIL Hon. Tom Abinanti Toni Downs, Executive Director Carolyn S. Hedlund, Ph.D., Executive Director Westchester County Legislature - 12th District Westchester Residential Opportunities Mental Health Association of Westchester Neil Aisonson, Ph.D., President Douglas Drew, Consumer Link Advocate Richard S. Hobish, Esq., Executive Director Westchester County Psychological Association Mental Health Association of Nassau County Pro Bono Partnership Nadia Allen, Executive Director Mary Grace Ferone, Esq. Marsha Hurst, Ph.D., Director, Health Advocacy Program Mental Health Association in Orange County Westchester - Putnam Legal Services Sarah Lawrence College Richard Altesman, M.D., Representative Marcia Z. Feuer, Esq., Director of Public Policy Doug Hovey, Executive Director American Psychiatric Association National Assembly Mental Health Association of Nassau County Independent Living Center of Orange County Peter C. Ashenden, Executive Director Barbara Finkelstein, Esq., Executive Director Keith M. Johnson, M.A., Clubhouse Director Mental Health Empowerment Project Westchester - Putnam Legal Services Hope House Hon. Chris Ashman, M.S., Commissioner Rena Finkelstein, President D.A. Johnson, RAS, Director of Recipient Affairs NYC Orange County Department of Community Mental Health NAMI-FAMILYA of Rockland County New York State Office of Mental Health Jeannine Baart, M.S. Donald M. Fitch, MS., Executive Director Sabrina L. Johnson, B.A., Recipient Affairs Liaison Mental Health Education Consultant The Center For Career Freedom Westchester County Department of Community Mental Health Alfred Bergman, Chief Executive Officer Pam Forde, Director David Kamchi Supervised Lifestyles Putnam Family Support and Advocacy, Inc. Disabilities Rights Advocate Sheldon Blitstein, C.S.W. Richard J. Frances, M.D., Medical Director Rami P. Kaminski, M.D., Medical Director of Operations NY United Hospital - Behavioral Health Services Silver Hill Hospital New York State Office of Mental Health Hon. Symra D. Brandon, C.S.W., Minority Leader Maurice J. Friedman, Director John M. Kane, M.D., Chief of Psychiatry Yonkers City Council Westchester Library System Hillside Hospital Joe Bravo, Executive Director Michael B. Friedman, C.S.W. Sylvia Kaufman, C.S.W., Executive Director Westchester Independent Living Center Public Policy Consultant Jewish Family Service of Rockland County Linda Breton, C.S.W., Assistant Executive Director Steven J. Friedman, Commissioner James J. Killoran, Executive Director Westchester Jewish Community Services Westchester County Department of Community Mental Health Habitat For Humanity - Westchester Jacqueline Brownstein, Executive Director Kenneth M. Glatt, Ph.D., Commissioner Samuel C. Klagsbrun, M.D., Executive Medical Director Mental Health Association in Dutchess County Dutchess County Department of Mental Hygiene Four Winds Hospitals John F. Butler, Manager of Community Affairs Joseph A. Glazer, President & CEO Marge Klein, Executive Director Verizon - New York Mental Health Association In New York State The Guidance Center Ann Camerone-Moccio, R.N., Mental Health Program Manager Juliet Goldsmith, Director Public Information Lee-Ann Klein, M.S., R.D., Nutritionist Visiting Nurse Services in Westchester New York-Presbyterian Hospital Westchester Division Albert Einstein College of Medicine Alison Carroll, C.S.W., Director of Day Treatment J.B. Goss, R.Ph., Ph.D. Easy Klein, Media Coordinator Putnam Family & Community Services Janssen Pharmaceutica NAMI - New York Metro Division George M. Colabella, President Cora Greenberg, Executive Director Andrea Kocsis, C.S.W., Executive Director Colabella & Associates Westchester Children’s Association Human Development Services of Westchester Robert S. and Susan W. Cole Steven Greenfield, Executive Director Joshua Koerner, Executive Director Cole Communications Mental Health Association of Nassau County Choice Marianne Coughlin, Administrator Ralph A. Gregory, President & CPO Alan Kraus, CSW, CAC, Division Chief, Mental Health Services New York-Presbyterian Hospital Westchester Division United Way Of Westchester & Putnam Dutchess County Department of Mental Hygiene Anthony A. Cupaiuolo, Director Mary Hanrahan, Director, Treatment Services Lois Kroplick, M.D., Founder & Chairwoman Michaelian Institute - PACE University New York-Presbyterian Hospital Mental Health Coalition of Rockland County Anna Danoy, Deputy Director Dean B. Harlam, M.D., Associate Medical Director Mental Health Association of Westchester Saint Vincent’s Behavioral Health Center - Westchester Mental Health News Advisory Council continued on page 39 Mental Health News Send All Inquiries To: MENTAL HEALTH NEWS TM does not endorse the views, For Advertisement And products, or services contained herein. Mental Health News No part of this publication may be Ira H. Minot, C.S.W. 65 Waller Avenue Subscription Information reproduced in any form Publisher & Editor White Plains, NY 10605
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