Home / Mental health / Anger
Mental health
Anger
Why anger is a normal feeling, when it turns into a problem, how common problem anger is, what drives it, what helps and when to get help.
Anger is a normal human feeling. It can range from mild annoyance to strong rage. It can be set off by other people, by events, by worries or by painful memories.1,2 Anger can even be useful. It tells you something is wrong and gives you energy to deal with it.
Anger becomes a problem when it comes too often, gets too strong or lasts too long. It is also a problem when it leads to words or actions that cause harm.2 The good news is that anger skills can be learned, and anger treatment works for many people.6 This page gives you the big picture and points you to our detailed pages.
Key points
- Anger is a normal emotion. It becomes a problem when it is too frequent, too intense or too long-lasting, or when it harms your relationships, work, health or safety.2
- Problem anger is common. In a large U.S. survey, about 1 in 13 adults had anger that was out of place, very strong or hard to control.4
- Poor sleep, stress, alcohol, painful memories and feeling disrespected can all make anger flare.1,7,9
- Anger management based on cognitive behavioral therapy (CBT) works moderately well in studies. Calming the body helps too. Venting, such as hitting a punching bag, does not.6,8
- If anyone is in danger, call 911. If anger comes with thoughts of hurting yourself, call or text 988.
When does anger become a problem?
Everyone gets angry. Experts look at a few things to judge whether anger has become a problem:2,3
- How often you get angry
- How strong the anger feels
- How long it lasts once it starts
- Whether it turns into aggression, such as yelling, threats, breaking things or wanting to hurt someone
- How much it gets in the way of your relationships, work and daily life
These are the same things our MindCheck self-check looks at. MindCheck measures anger with a short, well-tested scale called the DAR-5 (Dimensions of Anger Reactions-5). The scale looks back over the past four weeks. It asks how often you got angry, how intense the anger was and how long it lasted. It also asks whether you wanted to hurt someone, and whether anger kept you from getting along with people. Higher scores point to anger that causes more problems.3 A self-check cannot diagnose you, but it can help you see a pattern and decide whether to talk with someone.
Problem anger does not always look like shouting. Some people stay quiet but stew for hours or days. Others hold it in until it bursts out. Anger that is held in can turn inward, where it may feed into high blood pressure or depression.1 Read more in Signs and causes of anger problems.
How common is problem anger?
- In a national survey of more than 34,000 U.S. adults, about 7.8% (about 1 in 13) reported anger that was out of place, very intense or poorly controlled. It was more common in men and in younger adults. People with this kind of anger also had more trouble with day-to-day life, such as work and relationships.4
- A smaller group has repeated, explosive outbursts. In another national survey, about 4% of adults (1 in 25) had intermittent explosive disorder in the past year. On average it started at about age 14. Only about 3 in 10 people with it had ever had treatment for their anger.5 See When anger is a disorder.
What drives anger?
Anger usually has a trigger. But what you bring to the moment matters just as much.
- Events and people. Rude treatment, being wrongly accused, long waits, money worries or conflict at home can all set anger off.1,7
- Your body. Poor sleep, hunger, tiredness, pain and stress lower your fuse. In one experiment, people who slept less for just two nights felt angrier than people who slept normally.9
- Alcohol. Heavy drinking on one occasion raises the risk of violence, including violence against a partner.10
- Your past. Painful memories, including memories of trauma, can bring anger back.1 Much of how we handle anger is learned, often from what we saw growing up. That also means it can be relearned.7
- Your thoughts. Thinking "they did that on purpose" or "this must never happen" adds fuel. Anger often sits on top of other feelings, such as hurt or humiliation.7
- Other health conditions. Problem anger is linked with several mental health conditions, including bipolar disorder and drug use problems.4 Anger and irritability can also be part of depression, PTSD, ADHD and dementia.
Learn more in Signs and causes of anger problems.
Anger and your health
When you get angry, your heart beats faster, your blood pressure goes up, and your body releases stress hormones such as adrenaline.1 That is fine once in a while. When anger and hostility (a habit of cynical, distrustful thinking) are frequent, research links them with a higher risk of heart disease. But the link is hard to untangle from habits like smoking and lack of exercise.11 See Anger and your health.
What helps
Several approaches help. The badges show how strong the research is (see how we rate evidence).
Anger management with CBT
Strong evidenceCognitive behavioral therapy (CBT) teaches you to notice anger early, calm your body, rethink hot thoughts and handle conflict. A review of 96 studies found that talk therapy for anger works moderately well. Programs with at least eight sessions tended to do better.6 See Treatment for anger problems.
Calming the body
Strong evidenceSlow breathing, muscle relaxation, yoga and mindfulness lowered anger and aggression in a review of 154 studies with about 10,000 people. They worked for people of many ages and backgrounds.8 Try cyclic sighing or muscle relaxation.
An anger plan with time-outs
Limited researchKnowing your triggers and warning signs, and stepping away before you explode, is a core part of anger programs used by the VA and SAMHSA.2,7 It has rarely been tested on its own. See Self-help for anger and build a calm plan.
Better sleep and less alcohol
PromisingShort sleep makes anger stronger.9 Drinking less lowers the risk of violence.10 See Healthy sleep habits and Alcohol.
What does not help: venting. Many people think it helps to "let it out" by yelling or hitting a pillow or punching bag. Research does not back this up. In the same review of 154 studies, activities that rev up the body did not reduce anger overall. These included hitting a bag and going for a hard run to burn off anger.8 Calming down works better than blowing off steam.
When anger is part of depression, PTSD or another condition, treating that condition is part of good care. See When anger is a disorder.
Helping someone, and anger in later life
Living with someone who has frequent outbursts is hard, and your safety comes first. Abuse of a partner grows out of a wish to control that person, not just out of anger, so it needs a different kind of help than anger management.12 See Helping someone with an anger problem.
In later life, irritability can come from pain, hearing loss, medicines, depression or dementia. Family caregivers can feel anger and guilt too. See Anger and irritability in later life.
All anger pages
- Signs and causes of anger problems
- Anger and your health
- Self-help for anger
- Treatment for anger problems
- When anger is a disorder
- Helping someone with an anger problem
- Anger and irritability in later life
Related: Emotion regulation, Stress, DBT emotion regulation skills, PTSD, Depression and Agitation and aggression in dementia.
Explore anger
Signs and causes
What anger does to your body and mind, signs that it has become a problem, common triggers, and health conditions that can show up as anger.
Read →Anger and health
What research shows about anger, hostility and the heart, blood pressure, sleep, pain, relationships and work, and what it does not show yet.
Read →Self-help
Skills that cool anger: spotting early warning signs, time-outs done right, slow breathing, rethinking hot thoughts, calm talk, sleep and less alcohol.
Read →Treatment
How anger management therapy works, how well CBT and group programs help, DBT skills, couples and family therapy, VA programs, medicines and finding care.
Read →Anger disorders
Intermittent explosive disorder, DMDD in children, irritability in depression, bipolar, PTSD and ADHD, how anger is evaluated and when it is dangerous.
Read →Helping someone
How to stay safe with someone who has an anger problem, signs of abuse, how to talk when things are calm, encouraging help and caring for yourself.
Read →Older adults
Why anger and irritability can grow in later life, from pain, hearing loss and medicines to dementia, plus caregivers' own anger and guilt, and what helps.
Read →When to get help
Talk with a doctor or a mental health professional if anger feels out of control or is hurting your relationships or other parts of your life.1 Also reach out if:
- Your anger frightens you or the people around you
- You have broken things, hurt someone, or gotten into legal trouble because of anger
- You drink or use drugs to calm down
- You feel low, on edge or irritable most days
- Your temper has changed a lot, especially in later life. A medical checkup is a good first step.
Get help right away if someone is in danger.
- If someone has been hurt, or is threatening to hurt someone, call 911.
- If you are afraid of a partner or family member, call the National Domestic Violence Hotline at 1-800-799-7233. You can also call if you are taking your anger out on a partner. You will talk confidentially with an advocate.12
- If anger comes with thoughts of suicide or of harming yourself, call or text 988 at any hour. See Get help now.
Sources
- American Psychological Association. Control anger before it controls you. APA, 2023. APA
- U.S. Department of Veterans Affairs. Anger & Irritability Management Skills (AIMS): facilitator's guidebook. VA Office of Mental Health and Suicide Prevention, 2021. VA
- Kim HJ, et al. Validation of the Dimensions of Anger Reactions Scale (the DAR-5) in non-clinical South Korean adults. BMC Psychol, 2023. Springer
- Okuda M, et al. Prevalence and correlates of anger in the community: results from a national survey. CNS Spectr, 2015. Cambridge
- Kessler RC, et al. The prevalence and correlates of DSM-IV intermittent explosive disorder in the National Comorbidity Survey Replication. Arch Gen Psychiatry, 2006. Harvard Medical School
- Saini M. A meta-analysis of the psychological treatment of anger: developing guidelines for evidence-based practice. J Am Acad Psychiatry Law, 2009. JAAPL
- Reilly PM, Shopshire MS. Anger management for substance use disorder and mental health clients: a cognitive-behavioral therapy manual (updated 2019). SAMHSA, 2019. SAMHSA
- Kjærvik SL, Bushman BJ. A meta-analytic review of anger management activities that increase or decrease arousal: what fuels or douses rage? Clin Psychol Rev, 2024. DOI
- Krizan Z, Hisler G. Sleepy anger: restricted sleep amplifies angry feelings. J Exp Psychol Gen, 2019. PubMed
- Centers for Disease Control and Prevention. Alcohol use and your health. CDC, 2025. CDC
- Chida Y, Steptoe A. The association of anger and hostility with future coronary heart disease: a meta-analytic review of prospective evidence. J Am Coll Cardiol, 2009. Summary by the American College of Cardiology. ACC
- National Domestic Violence Hotline. How to cool off when angry. The Hotline, 2026. The Hotline
Education only. This page is general information written from the sources listed. It is not medical, legal or financial advice and does not replace a doctor, therapist or lawyer who knows your situation. How we write and check pages.