Mental Health

Harness the Power of Anger

by Howard Cohen

Learning how to harness the power of anger in healthy ways is similar to fighting fires. Fire and anger are useful when safely and carefully managed, but extremely dangerous if they get out of control. In firefighting, the goal is to control the fire and manage the environment. In many ways, these are the same goals when dealing with anger. However, anger is about managing ourselves in situations or relationships where we are not getting what we want or need. We can express our anger in unhealthy and destructive ways or healthy and constructive ways that help us get what we want or need. Firefighters learn effective ways to control and manage the fireground. Unfortunately, anger management is not a standard part of firefighting training. This article presents a behavioral model for harnessing anger for healthy, constructive purposes.

Let me emphatically state that anger by itself is not a problem. Anger is a great motivating force for change when used constructively. For example, years ago, my neighbors and I were angry about drivers speeding on our street.  So we channeled our anger into a petition for town officials to put in a stop sign on the street to slow down the traffic. The US civil rights movement in the '60s is another example of constructively using anger. Unhealthy anger is often very destructive. A car crash as a result of road rage is an example of destructive anger. It is important to remember that anger is okay when expressed in healthy ways.

A fire occurs when an event causes an ignition. If the conditions are right, ignition leads to the fire spreading, which is called the incipient stage of the fire. The incipient stage is when a situation goes from "there is no problem to something is starting to happen." It is the same with anger. We transition from what I metaphorically describe as shifting from the "Green Light: Everything is Cool" stage to the "Yellow Light: Getting Angry" stage. The psychosocial characteristics of the "Green Light: Everything is Cool" stage include feeling in control of our lives, having fun, feeling confident, good, happy, and relaxed. The psychosocial characteristics of the "Yellow Light: Getting Angry" stage include a growing sense of losing control, power, authority, or freedom, a mix of unpleasant feelings, e.g., sadness, fear, rejection, and so forth, and an absence of fun. Just as there are many different causes of fire ignition, many elements cause a person to become angry.

An important difference between the incipient stages of a fire and anger is that we generally can't know the ignition source until after a thorough fire investigation; with anger, we can and need to know the ignition source before the anger becomes "fully developed."  There are many cues when a person has entered the "Yellow Light: Getting Angry" stage, metaphorically similar to the early phase of the growth stage in a fire.  Everyone has their cues that they are becoming angry.  In addition to experiencing unpleasant feelings, some people develop a quickened pulse, shallower breathing, stomach or headaches, reddening of the face, and nervous twitches.  Other signs of becoming angry include being sarcastic, sullen, quiet, restless, loud, tearful, and so on.  Sometimes, we aren't self-aware of any of these, but the people around us are. It can be beneficial to ask a trusted friend what signs they see that indicate we are in the "Yellow Light: Getting Angry" stage.

In the life cycle of a fire, the growth stage comes once the fire has established itself and burns self-sufficiently. As firefighters, we strive to catch fire early in this stage; unfortunately, due to the increase in plastics, glues, and hydrocarbon-based products, acceleration from the incipient stage to a fully developed fire happens nearly 8x faster than it used to. When managing anger, we also want to identify and address what propels us into the "Yellow Light: Getting Angry" stage as early as possible. How effectively and quickly we respond to the warning signs in this stage is critical to keeping our anger from turning into "fully developed" anger. 

A fire is "fully developed" when it reaches its hottest point and engulfs all the available fuel sources. This stage is the most dangerous moment in a fire's life. The same is true with anger. If we allow our anger to go unabated in the "Yellow Light: Getting Angry" stage, it will rapidly become "fully developed" unhealthy anger. Fully developed anger in this model is called "Red Light: Blow Up/In Angry." Fully developed anger, like a fully developed fire, is dangerous. The big difference is that many safe ways to fight a fully developed fire exist. When it comes to managing our anger, many of us lack the skills needed to keep ourselves in control so that we effectively resolve our conflict. Instead, what we do is often emotionally, psychologically, or physically destructive to those around us.  All too often, our actions have negative consequences, which come back and hurt us, too. Some of the psychosocial characteristics of fully developed anger are yelling, fighting, excessive drinking, abusing drugs, self-harm, and reckless driving. I call this stage "Red Light: Blow Up/In" because if we didn't slow down and heed the caution warnings in the "Yellow Light" stage, we would race headlong into the danger zone. While many people use force to express their anger toward others during the "Blow Up/In" stage, it is important to note that others use self-destructive means to channel their anger inward. 

Eventually, the fire will enter the decay stage when it runs out of oxygen or fuel to sustain itself.  This is true too of anger.  When our anger subsides, we enter the "Repair Shop/Cool Down" stage in the anger cycle. Eventually, anger subsides, though there is still a potential for flare-ups in the "Repair Shop/Cool Down" stage, just like in the decay stage of a fire. Generally, the psychosocial characteristics experienced here are remorse, guilt, embarrassment, and sadness at the pain and suffering our anger caused. Often, there are promises that such behavior will never happen again.

Unfortunately, without increasing self-awareness while in the "Yellow Light" stage and using anger management skills, the promises made in the "Repair Shop/Cool Down" stage do not last. In fire service terms, self-awareness is personal situational awareness. Thus, the first skill to develop is to pay attention to how you are feeling, acting/behaving, and what's missing that you need or want.  Personal situational awareness means you recognize that you are feeling stressed, annoyed, judged, disappointed, frustrated, hungry, tired, thirsty, and so forth. The earlier we recognize the signs of anger growth, the sooner we can address them. Often, we don't recognize our anger signs, so it can be helpful to ask someone who knows us what they have noticed about us when you are getting angry. 

Once we notice the warning signs, we should pause and ask ourselves questions like, "What's wrong? What's the problem? What am I not getting that I need or want?" These questions help diffuse the negative feelings characteristic of the "Yellow Light: Getting Angry" stage. In addition, there are several proven tactical ways to slow down the anger growth process to avoid big blow-ups. These include talking with a friend, paying attention to self-care (adequate sleep, hydrating, food, and fun), exercising, meditating, yoga, journaling, mini vacations/time outs, and deep breathing exercises.  These are not problem-solving skills. They are helpful self-control tactics.  By utilizing self-situational awareness and one or more tactical skills for managing anger, it is possible to turn the unhealthy anger cycle into a healthy one. Once the anger growth is under control, we can enter the transformed "Red Light: Healthy Problem Solving" stage. 

It is important to remember that anger is often a secondary emotion, masking vulnerable feelings like fear or frustration. It is often helpful to identify the deeper feelings manifesting as anger.  One way to do this is by asking, "How does it feel to feel angry?" Sometimes, this is doable when we are in the Yellow Light stage or when we are in the healthy Red Light stage. This line of questioning often helps to reveal the unmet needs, wants, or concerns.

Fire and anger share a similar life cycle. Both require skills, tactics, strategies, and an understanding of the underlying dynamics. Firefighters train using their skills, tactics, and strategies in controlled environments, not during actual fires. Unfortunately, most of us wait until we are angry before we practice anger management skills. An excellent exercise is reflecting on past anger experiences in your life. What was physically happening to us as we were becoming angry? How did we react? Were our responses helpful? Reimagine how we responded; only this time, imagine using one or more of the anger management skills described above. Ask a trusted friend what they notice about us when we become angry. 

The more self-aware we are (personal situational awareness), the earlier we can identify that "ignition" occurred and that we are entering the "growth" stage of anger. With our increased self-awareness and anger management skills, we can continue onto the "Red Light: Healthy Problem Solving" stage of the anger cycle. Instead of responding in an unhealthy way, we are now harnessing the power of our anger to find a peaceful and meaningful resolution to whatever was the "ignition" or cause of the conflict.


Howard Cohen is a retired deputy chief with 20 years of experience in the fire service. He entered the fire service as a chaplain and still acts as a rabbi and leadership coach for first responders. Howard has been volunteering with Africa Fire Mission since 2020.

Firefighter Mental Health

By Howard Cohen

Fire fighting is one of the best jobs around.  It is also one of the most dangerous.  As firefighters we train and prepare to run into burning buildings, mitigate hazardous materials, work car accidents on busy roads, and deal with angry, hostile citizens.  But we tend to not train or prepare for one of the greatest risks to our physical, emotional, and spiritual health:  Frequent exposure to traumatic events. Studies in North America show how over time the stressors associated with exposure to traumatic events pose a serious challenge to our emotional, mental, and spiritual health.  For example, a study of firefighters in the United States revealed that 46% experienced suicide ideation; 19% participated in suicide planning; and 15% attempted suicide.  In addition, studies conducted in other countries[1], including Kenya[2], also show that post-traumatic stress symptoms and illness rates among emergency services workers are significantly higher than in the general population. Firefighters every where face the same physical dangers and traumatic events.  Therefore, as studies show, firefighters worldwide also suffer higher post-traumatic stress symptoms and illness rates than the general population.  Fortunately, we have the tools to help us, and our brothers and sisters in the fire service, address the stressors that arise from encountering traumatic events.

 

What is a traumatic event?  A good working definition is that it is an incident that evokes a strong emotional reaction with the potential of interfering in our lives.  Unfortunately, as first responders we often hide our emotional responses to bad calls behind a mask of toughness. This means that sometimes the impact of a tough call unfolds over time.  This can make it harder for us to recognize a connection between what we experience on a call and its emotional, physical and spiritual effects on us.  It is also important to realize that not everyone’s emotional response to a call will be the same.

 

Stressful events produce a complex interplay of nervous, endocrine, and immune mechanisms responses.  In other words, our normal way of being is disrupted.  The fight or flight or freeze response is an example of this.  How quickly we regain our homeostasis and return to normal or typical functioning depends on how resilient we are.  Resiliency is our key to coping with stressful events.   The good news is that resiliency is a skill we can develop.  It doesn’t require any special equipment or hours of exercises.  In fact, it is the natural outcome of some very enjoyable and healthy activities.  Here are some ways to build your resilience for when you’ll need it. 

 

          • Eat healthy food

          • Develop hobbies and interests outside of work

          • Cultivate friendships with those whom you can speak openly and honestly

          • Nurture your spiritual life

          • Practice mindfulness such as yoga or meditation

          • Exercise

          • Relax, go on vacations

          • Be kind to yourself

          • Embrace change

          • Remind yourself that you have the most meaningful job in the world

          • Embrace healthy thoughts

          • Be open to getting help if you think you might need it.

         

There are many signs that we, or someone we know,  may be adversely affected by a traumatic event or an accumulation of unprocessed events.  These signs may include some or all of the following:

        •Fatigue                                            • Grief

    • Chest pains                                                   • Denial    

         • Loss of emotional control                              • Depression

        • Difficulty paying attention                            • Anger

          • Difficult making decisions                     • Change in appetite

          • Nightmares                                                   • Misuse of alcohol or drugs

          • Intrusive images                                            • Anger at God/Crisis of faith

          • Anxiety                                                         • Withdrawing from others

          • Guilt                                                            

 

When someone you care about is exhibiting some of the above signs gently bring your observations to their attention.  Be sure to let them know that you are coming from a place of love and concern. Though it isn’t always easy to approach a friend and colleague who is hurting, the price to pay for not to doing so could be very high.  As you know, a firefighter not performing at peak levels because of stressors is a potential risk to herself or other firefighters.  Hopefully, if we are ever exhibiting signs of not coping with the stressors in our life well or with a particularly bad call one of our friends and colleagues will let us know.  Awareness of these outward signs, whether as the result of self reflection or because it was brought to our attention, is critical.

 

Developing situational awareness on the fire ground is a critical skill taught to every firefighter.  Emotional and mental health situational awareness is a critical skill for building resilience; this skill should be taught to every firefighter because traumatic events and bad calls go hand in hand with the job  Whether it is a fatal car crash, burn victim, suicide or the death of a child, these encounters take a toll. It is no surprise that many firefighters are haunted by the tragedies they witness as a part of their job every day.  Fortunately, with increased awareness and resilience building skills firefighters today are better able to cope with the stresses that go with having the best job in the world.





[1] First Responders and PTSD: A Literature Review By Ashley Fitzpatrick, BSN, RN, EMT -

7.28.2020

[2] Rationale for Early Psychological Intervention Among Disaster Actors in Nairobi County, Kenya by Eunice K. Ndulu & Dr. Maragret Iyaya, Journal of Education and Practice; Vol. 10, No 32, 2019.