Anger, Hostility, and Violent Behavior

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Overview

If you are angry or hostile or if you have violent behavior, it's important to find help. Your area may have help lines that can provide resources and support. Or you may be able to get help through counseling or support groups. Check online, or ask your doctor. You can learn ways to manage your feelings and actions.

Anger

Anger signals your body to prepare for a fight. This reaction is often called "fight or flight." When you get angry, adrenaline and other hormones are released into the bloodstream. Then your blood pressure goes up, your heart beats faster, and you breathe faster.

Hostility

Hostility is being ready for a fight all the time. Hostile people are often angry, stubborn, impatient, or hotheaded. They may often get in fights. Or they may say that they feel like hitting something or someone. Hostility isolates you from other people.

Anger and constant hostility keep your blood pressure high. And they increase your chances of having another health problem, such as depression, a heart attack, or a stroke.

Violent behavior

Violent behavior often starts with verbal threats or fairly minor incidents. But over time, it can involve physical harm. This behavior is very damaging, both physically and emotionally. It can include physical, verbal, or sexual abuse of a partner (intimate partner violence), a child (child abuse), or an older adult (elder abuse).

Check Your Symptoms

Are you concerned about anger, hostility, or violent behavior in yourself or someone else?
Yes
Concerned about anger, hostility, or violent behavior
No
Concerned about anger, hostility, or violent behavior
How old are you?
Less than 12 years
Less than 12 years
12 years or older
12 years or older
Are you male or female?
Male
Male
Female
Female

The medical assessment of symptoms is based on the body parts you have.

  • If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
  • If your symptoms aren’t related to those organs, you can choose the gender you identify with.
  • If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
Are you thinking seriously of attempting suicide or harming someone else right now?
Yes
Thinking seriously of attempting suicide or harming someone else
No
Thinking seriously of committing suicide or harming someone else
Have you been thinking about death or suicide a lot?
Yes
Frequent thoughts of death or suicide
No
Frequent thoughts of death or suicide
Does your or another person's anger or hostility cause problems with others?
These could include problems at work or school, problems with strangers, and problems with friends or family.
Yes
Anger or hostility causing problems with other people
No
Anger or hostility causing problems with other people
Are you concerned about self-harm?
It can include acts like cutting, burning, or choking yourself on purpose, or pushing objects under your skin (like pieces of metal, glass, or wood). People doing these acts usually are not trying to kill themselves, but the results can still be dangerous.
Yes
Concerns about self-harm
No
Concerns about self-harm

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

  • Your age. Babies and older adults tend to get sicker quicker.
  • Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
  • Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
  • Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
  • Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.

  • Try home treatment to relieve the symptoms.
  • Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.

The risk of a suicide attempt is highest if:

  • You have the means to kill yourself, such as a weapon or medicines.
  • You have set a time and place to do it.
  • You think there is no other way to solve the problem or end the pain.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.

Where to get help 24 hours a day, 7 days a week

If you or someone you know talks about suicide, self-harm, a mental health crisis, a substance use crisis, or any other kind of emotional distress, get help right away. You can:

  • Call the Suicide and Crisis Lifeline at 988.
  • Call 1-800-273-TALK (1-800-273-8255).
  • Text HOME to 741741 to access the Crisis Text Line.

Consider saving these numbers in your phone.

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

  • Call your doctor now to discuss the symptoms and arrange for care.
  • If you cannot reach your doctor or you don't have one, seek care in the next hour.
  • You do not need to call an ambulance unless:
    • You cannot travel safely either by driving yourself or by having someone else drive you.
    • You are in an area where heavy traffic or other problems may slow you down.

Where to get help 24 hours a day, 7 days a week

If you or someone you know talks about suicide, self-harm, a mental health crisis, a substance use crisis, or any other kind of emotional distress, get help right away. You can:

  • Call the Suicide and Crisis Lifeline at 988.
  • Call 1-800-273-TALK (1-800-273-8255).
  • Text HOME to 741741 to access the Crisis Text Line.

Consider saving these numbers in your phone.

Seek Care Today

Based on your answers, you may need care soon. The problem probably will not get better without medical care.

  • Call your doctor today to discuss the symptoms and arrange for care.
  • If you cannot reach your doctor or you don't have one, seek care today.
  • If it is evening, watch the symptoms and seek care in the morning.
  • If the symptoms get worse, seek care sooner.

Self-Care

Managing anger

The first step to managing anger is to be more aware of it. Note the thoughts, feelings, and emotions that you have when you get angry. Practice noticing these signs of anger when you are calm. If you are more aware of the signs of anger, you can take steps to manage it. Here are a few tips:

  • Think before you act. Take time to stop and cool down when you feel yourself getting angry. Count to 10 while you take slow, steady breaths. Practice some other form of mental relaxation.
  • Learn the feelings that lead to angry outbursts. Anger and hostility may be a symptom of unhappy feelings or depression about your job, your relationship, or other aspects of your personal life.
  • Try to avoid situations that lead to angry outbursts. If standing in line bothers you, do errands at less busy times.
  • Express anger in a healthy way. You might:
    • Go for a short walk or jog.
    • Draw, paint, or listen to music to help release the anger.
    • Write in a journal.
    • Use "I" statements, not "you" statements, to discuss your anger. Say "I don't feel valued when my needs are not being met" instead of "You make me mad when you are so inconsiderate."
  • Take care of yourself.
    • Exercise regularly.
    • Eat a variety of healthy foods. Don't skip meals.
    • Try to get 8 hours of sleep each night.
    • Limit your use of alcohol, and avoid using drugs.
    • Practice yoga, meditation, or tai chi to relax.
  • Explore other resources that may be available through your job or your community.
    • Contact your human resources department at work. You might be able to get services through an employee assistance program.
    • Contact your local hospital, mental health facility, or health department. Ask what types of programs or support groups are available in your area.
  • Do not keep guns in your home. If you must have guns in your home, unload them and lock them up. Lock ammunition in a separate place. Keep guns away from children.

Getting help for anger problems

If you are angry or hostile or you have violent behavior, it is important to find help. Actions done in moments of anger can be harmful. You can learn ways to manage your feelings and actions.

If you are having trouble managing angry feelings, the following resources can help.

  • Behavioral Health Treatment Services Locator. This service from the national Substance Abuse and Mental Health Services Administration can help you find local counselors. Search online at findtreatment.samhsa.gov or call 1-800-662-HELP (4357), or TDD 1-800-487-4889.
  • National Alliance on Mental Illness (NAMI). You can call the NAMI HelpLine (1-800-950-6264) or go online (www.nami.org/help) to chat with a trained volunteer.
  • Social service departments. Many social service agencies offer services to those under stress. Search for agencies online, usually under the state's department of social services, protective services, social and rehabilitative services, or children and family services.

When to call for help during self-care

Call 911 if the following occurs during self-care at home:

  • You feel you cannot stop from hurting yourself or someone else.

Where to get help 24 hours a day, 7 days a week

If you or someone you know talks about suicide, self-harm, a mental health crisis, a substance use crisis, or any other kind of emotional distress, get help right away. You can:

  • Call the Suicide and Crisis Lifeline at 988.
  • Call 1-800-273-TALK (1-800-273-8255).
  • Text HOME to 741741 to access the Crisis Text Line.

Consider saving these numbers in your phone.

Go to 988lifeline.org for more information or to chat online.

Call your doctor if feelings of anger, hostility, or violent behavior occur more often or are more severe.

Preparing For Your Appointment

Credits

Current as of: June 24, 2023

Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. For recommended treatments, please consult with your health care provider.