I was an Occupational Therapist in an NHS mental health setting for 22 years. I worked with many patients on a one to one basis and in groups to help them learn more appropriate strategies to manage their anger issues. I delivered many anger management courses when I moved over into education including in a prison setting.
Do they work? Yes for some, not so for others and the reasons some individuals do better than others are complex, many and varied. All my work with people with mental health difficulties was based on a CBT (Cognitive Behavourial Therapy) approach which relies on, particularly with regard to anger management, the individual accepting that other people do not ‘make’ them angry, and that they, not the person they are interacting with, are responsible for how they respond to anger provoking situations. If an individual cannot take that concept on board, we awe both wasting our time and some people are very entrenched in that belief. .
When asked to write reports on progress, I could only state that the individual had been taught strategies to manage their anger issues. I could not of course guarantee that they would chose to use them as and when the situation arose. Not being around them in those instances, I had no way of measuring how well they were implementing what they had learned, other than feedback in class and the thank you cards and positive response from those involved with them .
CBT is not a cure. It’s an approach that will work for you as long as you choose to use it. None of us react appropriately 100% of the time, but it is certainly possible to get a grip on your anger issues.