Anger is part of being human. But when it becomes overwhelming, frequent, or destructive, it can harm relationships, health, and self confidence. At Cura Mind and Wellness, patients across the Houston metro receive structured, evidence based anger management care. We provide in person services in Richmond, TX and secure telehealth across Houston and Fort Bend County.
Treatment is guided by Vivian Emuobe, MSN, BSN, APRN, PMHNP-BC, a board certified psychiatric mental health nurse practitioner experienced in both inpatient and outpatient settings. Vivian combines clinical skill with compassionate care, giving patients tools to regulate emotions, reduce impulsivity, and respond more effectively in challenging situations.
How anger becomes a clinical concern
Not all anger is unhealthy. Anger becomes a problem when it:
- Escalates too quickly,
- Lasts longer than the trigger,
- Disrupts work or school performance,
- Strains relationships or parenting,
- Leads to risky behavior such as road rage or substance use,
- Leaves guilt, shame, or regret afterward.
These patterns often signal deeper concerns. Anger can be fueled by stress, trauma, ADHD, mood disorders, anxiety, or sleep problems. Addressing both the surface reaction and its roots creates lasting change.
Houston specific triggers
Patients often share that daily life in Houston amplifies irritability:
- Long commutes and heavy traffic on I-69 or the Beltway,
- High pressure workplaces in energy, tech, and health care,
- Heat and humidity that add physical stress,
- Financial and family responsibilities,
- Rapid news cycles and social media that heighten tension.
Treatment plans are built with these realities in mind, not abstract theory.
What we evaluate before treatment
Every patient begins with a detailed assessment:
- Pattern mapping, when episodes begin, peak, and subside,
- Triggers, caffeine, alcohol, sleep deprivation, or perceived disrespect,
- Body cues, clenched jaw, racing heart, restlessness,
- Cognitive patterns, “they always do this,” “no one respects me,”
- Coexisting conditions, ADHD, PTSD, anxiety, depression, or substance use,
- Safety review, any risk of harm to self or others.
This clarity shapes treatment and ensures tools match real life needs.
Treatment options at Cura Mind and Wellness
1. Skills training for everyday life
We start with practical techniques patients can use immediately.
- Breathing regulation, slower exhalations to calm the nervous system,
- Cognitive reframing, shifting hot thoughts into constructive language,
- The pause plan, short time outs with agreed return,
- Repair strategies, quick scripts to restore connection after conflict,
- Baseline support, sleep hygiene, regular meals, hydration, and exercise.
2. Therapy to change long term patterns
Therapy teaches lasting emotional regulation. We use:
- Cognitive Behavioral Therapy, CBT, to challenge distorted beliefs and reframe triggers,
- Dialectical Behavior Therapy, DBT, skills for distress tolerance and emotion regulation,
- Trauma informed care, when anger is linked to past adversity,
- Communication coaching, assertive but respectful dialogue that prevents escalation.
3. Medication when appropriate
Medication does not treat anger directly, but it can address conditions that drive irritability. We evaluate for ADHD, bipolar disorder, PTSD, anxiety, or depression. If medication is used, pharmacogenomic gene testing at the Richmond office helps guide safer and more effective choices.
Practical skills patients learn
We provide a portable toolkit:
- 3, 6, 9 breathing, three inhales, six exhales, repeat three cycles,
- HALT check, ask if you are hungry, angry, lonely, or tired,
- Two sentence rule, keep responses short and calm until emotions settle,
- Opposite action, lower your voice, soften tone, uncross arms,
- Repair script, “I got overwhelmed, I raised my voice, I’m sorry, next time I will pause before speaking.”
These small tools, practiced consistently, create large improvements.
Real world applications
- At work: Pause before sending heated emails, request short breaks in tense meetings, use scripts that de escalate.
- With family: Set “pause words” during conflict, agree to return after 10 minutes, and use repair conversations.
- During commutes: Choose calming playlists, practice breathing at stoplights, build five minute buffers before re entering the home.
These applications make anger management practical in Houston’s fast moving environment.
A focused 12 week roadmap
- Weeks 1 to 2: Initial evaluation, safety planning, introduction of skills, sleep and stress review.
- Weeks 3 to 6: CBT and DBT strategies, mapping triggers, communication practice, skill rehearsal at home and work.
- Weeks 7 to 10: Address high risk situations, refine scripts, adjust medication if needed.
- Weeks 11 to 12: Relapse prevention, written playbook for holidays, deadlines, and stressful events.
Measuring progress
We track:
- Number and intensity of episodes,
- Time to return to calm,
- Repairs completed within 24 hours,
- Sleep patterns, caffeine and alcohol use,
- Improvements at work, school, or home.
Patients often report fewer conflicts, shorter arguments, and more confidence in handling stress.
FAQs – Anger Management in Houston and Richmond
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No. Anger is a symptom. We assess whether it is connected to ADHD, mood disorders, PTSD, or anxiety.
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Yes. Many patients improve with therapy and skills training. Medication is used when other conditions contribute.
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Only if it is relevant and you are ready. Many patients begin with present focused skills.
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Many patients report shorter episodes within weeks. Long term stability builds over months with consistent practice.
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Yes. Secure video visits allow real time skill practice and accountability.
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Relapse is expected in learning. We teach repair scripts and prevention plans. Progress is measured by improvement, not perfection.
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Yes. Anger signals needs or boundaries. Treatment teaches how to use it constructively instead of destructively.
Why patients in Houston choose Cura Mind and Wellness
- Board certified leadership, advanced psychiatric expertise and therapy integration,
- Whole person focus, medication, therapy, and lifestyle strategies in one program,
- Patient centered plans, clear goals, flexible pacing, written strategies after visits,
- Practical care, tools that fit Houston commutes, shift work, and family life,
- Accessible services, in person care in Richmond, telehealth across Houston.
Begin structured anger care
Anger does not have to dominate your relationships or work. At Cura Mind and Wellness, we provide structured, compassionate care for patients across Houston, with in person services in Richmond. Through therapy, skills, and personalized strategies, you can build calmer responses and stronger connections.