Don Baker MS LMHC

Don Baker is a psychotherapist and workshop leader in the Seattle area.

Writings

  1. Labeling: You put a fixed, negative label on others without considering that the evidence might more reasonably lead to a different conclusion.

    Example: "He's an idiot." "She's two-faced."

  2. Magnification: When you evaluate another person, you unreasonably magnify the negative and minimize the positive.

    Example: "I saw him rolling his eyes when he talked to her. He must be heartless.”

  3. Personalization: You believe others are behaving negatively as a reaction to you, without considering other explanations for their behavior.

    Example: "That guy is being cold to me because he thinks he's better than I am." (You are unaware that he just received some upsetting news from home.)

  4. "Should" or "must" statements: You have a precise, fixed idea of how others should behave and you overestimate how bad it is that these expectations are not met.

    Example: "She should have called me by now. She must not care about our friendship."

  5. Tunnel vision: You only see the negative aspects of a situation.

    Example: "My professor can't do anything right. He's critical, insensitive, and a lousy lecturer."

  6. All or nothing thinking: You view a situation in only two categories instead of on a continuum. Things are either good or bad; you are either perfect or a failure.

    Example: "My friend doesn't agree with me on this issue, so he's completely non-supportive." "I just know I'm going to get an "F" on that exam!" (When a "B" is most likely).

  7. Fallacy of fairness: You feel resentful because you think you know what's fair, but other people won't agree with you.

    Example: "Why can't my professor see that I deserve an "A"?"

  8. Blaming: You hold other people responsible for your feelings.

    Example: "It's my roommate's fault I'm so angry."

  9. Fallacy of Change: You expect others will change to suit you if you pressure them enough.

    Example: “If you just hear me out one more time, I'm sure you'll agree with me."

  10. Being Right: You are continually trying to prove that your opinions and actions are correct. Being wrong is unthinkable and you will go to any length to demonstrate your rightness.
    Example: "I was totally justified in yelling at my friend for what he did!

 

Try using the chart below to confront your trigger thoughts and distortions in a journal. It's essential that you make a commitment to keep at this. It is tough work to keep examining your thoughts and to keep questioning what seemed so natural, so reasonable. But getting control of your anger requires that you become more and more aware of how trigger thoughts create upsetting feelings.

As this becomes easier, you can better identify your thoughts when you are in a situation and begin to feel angry. By identifying distorted thoughts and replacing them with more adaptive ways of thinking, you can keep yourself from becoming overwhelmed by anger in difficult situations.

 

  Situation Trigger Thought Distortion Outcome
Date: 3/12/10 Disagreed w/ friend He's non-supportive All or nothing thought about ending friendship
Date:        

 

 

Find more adaptive ways of expressing and managing anger

The last idea we'll look at is developing more accurate ways of expressing yourself. For each distorted thought you have written down in your anger journal, try a different way of thinking about the situation-- one that is more accurate and does not make you feel as angry. This may involve exploring the positive aspects of a person or a situation, identifying other possible reasons for the person's behavior, or looking at "the big picture" rather than focusing on one relatively small incident.

Take at look at the example in the chart above. How could this person respond differently? The disagreement with her friend left her feeling unsupported and due to her all-or-nothing thinking, she had serious thoughts about ending the friendship. Perhaps she could consider a couple of other responses to the situation keeping the following in mind:

  • Be specific, not global
  • Be non-judging
  • Punishment and revenge won't get you what you want
  • Check out all assumptions
  • You and only you are responsible for your needs
  • Recognize that people do the best they can given their awareness at the moment of choice
  • Recognize that people do what is reinforcing for them to do. You can only get them to change by negotiating for and reinforcing new behavior. (McKay, M. When Anger Hurts. P.102.)

Remember, you have a choice in the way you respond to situations. It may take at least three months of consistent effort monitoring and confronting your angry thoughts before you begin to feel the tide turn. Commit to creating an anger journal. Begin by creating an awareness of when you begin to get angry. Note your experience(s) in your journal. Use your anger as a cue. Become an expert at identifying your triggers and your pattern of filtering/ distorted thinking. Remember that distorted thoughts are inaccurate or less adaptive ways of thinking about a situation.

Anger can be productive when it is expressed appropriately. When you're angry, have a plan. If you typically express your anger inappropriately, take a TIME OUT. That may mean leaving the situation and appropriately expressing your anger away from the people you might hurt or frighten.

Gradually, it will be less discomforting when the old trigger thoughts pop up. They will no longer sound so right, so convincing. In fact, you will begin to recognize them for what they really are-excuses to discharge pain, deceptions that trigger destructive aggression. You will find your new attitudes and beliefs beginning to take hold, and as you begin to accept more responsibility for your needs, you will move beyond anger to problem solving, negotiating and exploring the needs of others.

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About ADHD

It is estimated that 4% to 6% of the U.S. population lives with ADHD. Of this 4%-6%, it is estimated that the ratios of men to women with ADHD range from 3:1 all the way to 6:1. Men are more likely to be diagnosed than females. Males will typically have ADHD with Hyperactivity (not always). Women will typically have ADHD without Hyperactivity.

Why is this? Girls/women of all ages have fewer attention problems and less hyperactivity than same-age boys/men. This seems consistent across cultures. Girls/ women exhibit fewer disruptive behavior disorders than boys/ men. Studies show that this holds true even among girls whose ADHD includes hyperactivity. It is believed that ADHD in females is probably under diagnosed.
Some believe that we tend to expect and have a greater tolerance for misbehavior in boys. The culture accepts and rewards assertive men but may tend to punish more assertive women (look out Hillary!). Because of this, girls with ADHD seem to have more problems with teachers and peers than do boys with ADHD. Women have more difficulty on the job. Issues of shame and guilt seem to affect women more strongly than they do men. Women are generally misdiagnosed as depressed or with some form of auto-immune disorder like fibromyalgia.

Patricia Quinn and Kathleen Nadeau, in their book Understanding Women with ADHD, are investigating the correlation between hormone levels and neurotransmitter levels. Interestingly, women are generally diagnosed in puberty or close to menopause. This has been my experience with many women I've worked with in my practice.

Undiagnosed ADHD women tend to feel overwhelmed. Because they continue to repeat the same behaviors and experience the same sense of failure, they tend to have low self esteem (note that this is a theme for most with ADHD). Women with ADHD seem to experience high rates of depression. According to ADDvance magazine, girls/women with ADHD experience more severe cases of PMS than do their non-ADHD peers.

Note: For further, current information on "Women with ADHD" pick up the book edited by Patricia Quinn, M.D. and Kathleen Nadeau, Ph.D. called Understanding Women with ADD. In addition, please pick up a copy of any of Sari Solden's books.

  1. Labeling: You put a fixed, negative label on others without considering that the evidence might more reasonably lead to a different conclusion.

    Example: "He's an idiot." "She's two-faced."

  2. Magnification: When you evaluate another person, you unreasonably magnify the negative and minimize the positive.

    Example: "I saw him rolling his eyes when he talked to her. He must be heartless.”

  3. Personalization: You believe others are behaving negatively as a reaction to you, without considering other explanations for their behavior.

    Example: "That guy is being cold to me because he thinks he's better than I am." (You are unaware that he just received some upsetting news from home.)

  4. "Should" or "must" statements: You have a precise, fixed idea of how others should behave and you overestimate how bad it is that these expectations are not met.

    Example: "She should have called me by now. She must not care about our friendship."

  5. Tunnel vision: You only see the negative aspects of a situation.

    Example: "My professor can't do anything right. He's critical, insensitive, and a lousy lecturer."

  6. All or nothing thinking: You view a situation in only two categories instead of on a continuum. Things are either good or bad; you are either perfect or a failure.

    Example: "My friend doesn't agree with me on this issue, so he's completely non-supportive." "I just know I'm going to get an "F" on that exam!" (When a "B" is most likely).

  7. Fallacy of fairness: You feel resentful because you think you know what's fair, but other people won't agree with you.

    Example: "Why can't my professor see that I deserve an "A"?"

  8. Blaming: You hold other people responsible for your feelings.

    Example: "It's my roommate's fault I'm so angry."

  9. Fallacy of Change: You expect others will change to suit you if you pressure them enough.

    Example: “If you just hear me out one more time, I'm sure you'll agree with me."

  10. Being Right: You are continually trying to prove that your opinions and actions are correct. Being wrong is unthinkable and you will go to any length to demonstrate your rightness.

  11. Example: "I was totally justified in yelling at my friend for what he did!

 

Your assignment for week two is to create an awareness of anger triggers and identifying distorted thinking. Try using the chart below to confront your trigger thoughts and distortions in your anger journal. It's essential that you make a commitment to keep at this. It is tough work to keep examining your thoughts and to keep questioning what seemed so natural, so reasonable. But getting control of your anger requires that you become more and more aware of how trigger thoughts create upsetting feelings.

As this becomes easier, you can better identify your thoughts when you are in a situation and begin to feel angry. By identifying distorted thoughts and replacing them with more adaptive ways of thinking, you can keep yourself from becoming overwhelmed by anger in difficult situations.