These anger management worksheets are written for your client and built for you, the therapist who assigns them. There are six, in the order a cognitive behavioral anger program teaches them: an anger thermometer, a triggers and early warning signs sheet, an anger log, an anger control plan with a timeout agreement, a thought challenge for anger, and a plan for a repair or conflict conversation. Each one is a short list with lines to fill in. Print this page or save it as a PDF from your browser, and fill in the first sheet together in session.
After the worksheets comes the part for you: what the research says about CBT for anger, how the sheets line up with SAMHSA's anger management manual, an order for individual sessions, how to assign and review the sheets, where anger management stops (it is not a program for people who abuse a partner), how to adapt the sheets for teens and court-referred clients, and how to note the work.
About this page. The worksheets are our own wording and layout. They follow the cognitive behavioral approach of SAMHSA's anger management manual, a public domain federal publication cited throughout. For the feelings underneath anger, use our anger iceberg worksheet alongside these; this page doesn't repeat it.
Every client in this article is invented. Any resemblance to a real person is a coincidence.
How to print this page or save it as a PDF
- On a computer: press Ctrl+P on Windows or Cmd+P on a Mac.
- On a phone: open your browser's share menu and choose Print.
- To keep a PDF: in the print window, choose "Save as PDF" as the printer. Keep the file with your handouts, or send it to a client.
- To print only the client pages: in the print preview, find the pages from "Six anger management worksheets for adults" to "End of the worksheets," and enter just those pages as the page range.
- To print one sheet: use the same method with that worksheet's pages. Most clients take home the thermometer and the anger log first.
- If the cookie notice is still open, choose an option first, so it doesn't print across every page.
The lines are for a pen. A client who would rather type can copy the bold headings into a note on their phone. The log asks about real episodes, so keep it somewhere private: a locked phone, or a folder that comes to sessions.
Six anger management worksheets for adults
Before you start
Anger is a normal feeling. It tells you something matters: you've been treated unfairly, something is in your way, or you're carrying more stress than you can hold. The feeling isn't the problem. Problems start when anger comes too often, gets too strong, or comes out in ways that hurt people, including you.
These six sheets help you notice anger earlier, see what sets it off, plan what to do before it peaks, look again at the thoughts that pump it up, and sort out problems without a blowup. Use them in order. Fill in the first one with your therapist. There are no right answers, and nobody is grading you.
Worksheet 1: My anger thermometer
Anger doesn't jump from calm to explosion, even when it feels that way. It climbs. This thermometer helps you learn what each level feels like for you, so you can catch it on the way up. Everyone's numbers are different. A 6 for you might be a 4 for someone else, and that's fine.
0 to 2: Calm
- In my body: ________________________
- In my thoughts: ________________________
- What I do or say: ________________________
3 to 4: Irritated
- In my body: ________________________
- In my thoughts: ________________________
- What I do or say: ________________________
5 to 6: Angry
- In my body: ________________________
- In my thoughts: ________________________
- What I do or say: ________________________
7 to 8: Very angry, hard to think straight
- In my body: ________________________
- In my thoughts: ________________________
- What I do or say: ________________________
9 to 10: Losing control
- In my body: ________________________
- In my thoughts: ________________________
- What I do or say: ________________________
- What has happened when I got this high: ________________________
My numbers
- The number where it gets hard to stop myself: ________
- My timeout number (one or two below that): ________
- How fast I usually climb (seconds, minutes, or hours and days): ________________________
- The highest I got this past week: ________
- What usually brings me back down: ________________________
What I'll do at each level
- At 3 to 4: ________________________
- At 5 to 6: ________________________
- At my timeout number: take a break (Worksheet 4)
Worksheet 2: My anger triggers and early warning signs
A trigger is something that sets your anger off. Calling it a trigger doesn't mean anger is automatic, or that you can't control what you do next. It means you can learn to see it coming. Early warning signs are what happens inside you as anger starts to build. The sooner you notice them, the more choices you have.
Part A: What sets my anger off
Circle any that fit, then add your own.
- Being kept waiting: in traffic, in line, on hold
- Being interrupted, ignored or not listened to
- Being criticized, corrected or told what to do
- Being told no
- Feeling disrespected or made fun of
- Plans changing at the last minute
- Mess, noise, or chores left for me
- Money worries or bills
- Things that break or don't work
- Arguments online or in group chats
- Someone breaking a promise or lying to me
- Remembering something that happened before
My own triggers:
- The people who set me off most: ________________________
- Places: ________________________
- Times of day or days of the week: ________________________
- Topics that hit a sore spot because of my history: ________________________
What makes me more likely to snap
These don't cause anger, but they lower the bar. Circle any that fit.
- Tired, hungry, in pain or sick
- After drinking or using, or while coming down
- Stressed about work, school, money or family
- Already in a bad mood from earlier in the day
- My own: ________________________
Part B: My early warning signs
There are four kinds. Circle any you notice.
- In my body: heart pounding, face hot, jaw tight, fists clenched, shaking, stomach in a knot, breathing fast, shoulders up
- In what I do: voice getting louder, talking fast, pacing, staring, pointing, swearing, slamming things, going silent, typing fast
- In other feelings that come with the anger: hurt, embarrassed, disrespected, afraid, jealous, guilty, rejected, let down
- In my thoughts and pictures: "They did that on purpose," "I'm not taking this," "Who do they think they are," replaying it over and over, picturing getting even
Now pick the ones that matter most.
- The sign I usually notice first: ________________________
- The sign other people notice before I do (ask someone you trust): ________________________
- Warning sign 1: ________________________
- Warning sign 2: ________________________
- Warning sign 3: ________________________
Part C: What I can do about my triggers
- A trigger I can avoid or change: ________________________
- How: ________________________
- A trigger I can't avoid, but can plan for: ________________________
- My plan: ________________________
Worksheet 3: My anger log
Fill in one entry each time your anger reaches ______ or higher on your thermometer (agree on the number with your therapist). Write it the same day if you can, once you've calmed down. Short answers are fine.
Entry 1
- Date and time: ________________________
- Where I was, and who was there: ________________________
- What happened, as a camera would have recorded it: ________________________
- What I told myself about it: ________________________
- The first warning sign I noticed: ________________________
- My highest number, 0 to 10: ________
- What I did and said: ________________________
- What happened afterward, for me and for others: ________________________
- What I tried, to calm down: ________________________
- Did it help? Yes, partly or no: ________
- Next time I'd like to: ________________________
Entry 2
- Date and time: ________________________
- Where I was, and who was there: ________________________
- What happened, as a camera would have recorded it: ________________________
- What I told myself about it: ________________________
- The first warning sign I noticed: ________________________
- My highest number, 0 to 10: ________
- What I did and said: ________________________
- What happened afterward, for me and for others: ________________________
- What I tried, to calm down: ________________________
- Did it help? Yes, partly or no: ________
- Next time I'd like to: ________________________
Entry 3
- Date and time: ________________________
- Where I was, and who was there: ________________________
- What happened, as a camera would have recorded it: ________________________
- What I told myself about it: ________________________
- The first warning sign I noticed: ________________________
- My highest number, 0 to 10: ________
- What I did and said: ________________________
- What happened afterward, for me and for others: ________________________
- What I tried, to calm down: ________________________
- Did it help? Yes, partly or no: ________
- Next time I'd like to: ________________________
My week
- Times I reached my log number or higher: ________
- My highest number: ________
- Times I took a timeout: ________
- Times I came back and finished the talk calmly: ________
- One thing that worked: ________________________
- One pattern I noticed (the same person, time, place or trigger): ________________________
Worksheet 4: My anger control plan and timeout agreement
An anger control plan is your toolbox: a short list of what works for you, written down while you're calm, so you don't have to think of it when you're not. Most people need a few different tools. Start with what has already helped you.
Part A: My anger control plan
When I notice my first warning sign:
- I'll say to myself: ________________________
- I'll do: ________________________
When I reach my timeout number, I take a timeout (Part B).
To cool down during a break, circle any you'll use:
- Breathe out slowly, a little longer than I breathe in, ten times
- Go for a walk
- Tense and relax my muscles, one group at a time
- Splash cool water on my face, or hold something cold
- Listen to music
- Write down what I'm thinking, then close the notebook
- Call or text someone who will help me calm down, not stir me up
- My own: ________________________
To keep my anger from building in the first place:
- Sleep: ________________________
- Exercise or movement: ________________________
- Alcohol or drugs: ________________________
- A calming skill I'll practice when I'm not angry, and when: ________________________
- A trigger I know is coming, and my plan for it: ________________________
- A problem I'll bring up early, before it piles up: ________________________
People who help:
- Someone I can call in the moment: ________________________
- Someone I can talk to after a hard day: ________________________
Part B: My timeout plan
A timeout means stopping a conversation that's heating up, stepping away for a while, and then coming back. It works best when the people you live or work with know about it ahead of time and agree to it.
- My timeout number: ________
- What I'll say: "I'm getting too angry to talk well. I'm taking a break. I'll be back at ______."
- My own words, if I'd rather: ________________________
- Where I'll go: ________________________
- How long I'll take (agree on this ahead of time): ________________________
- What I'll do during the break: ________________________
- During a timeout I won't: drive while I'm very angry, drink or use, text or post about the argument, or keep replaying it
- How I'll know I'm ready to come back: my number is at ______ or lower
- When I come back, I'll say: "I'm back. Do you want to talk about it now, or later?"
- If I'm still too angry: I'll say so and set a new time
- Who I'll tell about this plan, and when (while we're both calm): ________________________
Our timeout agreement
For people who live or work together. Talk it through while everyone is calm.
- Either of us can call a timeout.
- The person who calls it says when they'll be back.
- The other person lets them go, and doesn't follow, block the door or keep talking.
- We come back to the topic, or agree on a time to.
- A timeout isn't a way to win, to punish, or to avoid a talk forever.
- Agreed by: ________________________
- Date: ________________________
Important. If anyone in your home is afraid of you, or you're afraid of someone at home, talk to your therapist before you use this agreement with them.
Worksheet 5: Thought challenge for anger
What we tell ourselves about a moment can turn a 3 into an 8. Someone cutting in line feels very different if you think "they didn't see me" than if you think "they think I'm nobody." This sheet helps you slow down and look at the thought again. It isn't about pretending everything is fine. Sometimes someone really was unfair. Then the question is what to do that actually helps.
What happened
- What happened (just the facts): ________________________
- What I told myself: ________________________
- How much I believed it, 0 to 100%: ________
- How angry I got, 0 to 10: ________
- What I did: ________________________
- The "should" or "must" inside it: "They should ______" or "I must ______"
Thinking traps that fuel anger
Circle any that fit the thought.
- Mind reading: "They did it on purpose." "They don't respect me."
- Labeling: calling someone an idiot, a liar or useless
- Shoulds: "People should always ______."
- Always and never: "You always do this." "You never listen."
- Taking it personally: deciding it was about me when it might not have been
- Blowing it up: "This ruins everything."
- Fortune telling: "It's going to go wrong anyway."
- Blaming: "It's all their fault," or "It's all mine."
Questions to ask
- What do I know for sure, and what am I guessing? ________________________
- What else could explain what they did? ________________________
- What would I say to a friend who told me this? ________________________
- What does holding on to this thought cost me? ________________________
- Which part of this can I control? ________________________
- Even if my thought is true, what's the best way to handle it? ________________________
A more useful thought
- What I'll tell myself instead: ________________________
- How much I believe it now, 0 to 100%: ________
- How angry I am now, 0 to 10: ________
- A short phrase to use next time, such as "Get the facts first," "I don't have to win this one," or "Slow down": ________________________
Worksheet 6: My repair and conflict conversation plan
Part A is for after your anger has hurt someone. Part B is for raising a problem calmly, before it turns into a fight. Fill in the part you need before you talk, and practice it with your therapist.
Part A: Making a repair
- Who I want to make things right with: ________________________
- What I did or said, in plain words, with no excuses: ________________________
- How it probably affected them: ________________________
- What I'm sorry for: "I'm sorry I ______."
- What I'll do differently next time: ________________________
- What I'll ask: "Is there anything you need from me now?"
- Words I'll leave out: "but," "if you hadn't," "I was only," "you know how I get"
- When I'll ask to talk (my number at ______ or lower, at a time that suits them): ________________________
- If they're not ready, I'll say: "That's okay. I'm here when you're ready." Then I won't push, keep texting, or show up uninvited.
Part B: Raising a problem calmly
- The problem, in one sentence, about what happened and not about what kind of person they are: ________________________
- How I feel about it: ________________________
- How it affects me: ________________________
- Is it worth raising? Will it keep bothering me if I don't? ________________________
- What I'd like to happen: ________________________
- A compromise I could live with: ________________________
- When I'll ask to talk: ________________________
- My opening line: "When ______ happens, I feel ______, because ______. Could we ______?"
- If I start heating up, my timeout words: ________________________
Before you use this sheet. Don't use it to contact anyone who has asked you not to contact them, or anyone who has a protective order against you. Talk to your therapist instead. A repair is something you offer. The other person doesn't owe you forgiveness.
If anger turns into hurting someone, or someone is hurting you
Tell your therapist. If anyone is in danger right now, call 911. If you're thinking about hurting yourself, call or text 988 (the Suicide & Crisis Lifeline in the US). If someone at home is hurting, threatening or controlling you, you can call the National Domestic Violence Hotline at 1-800-799-7233 or text START to 88788.
End of the worksheets. The rest of this page is for therapists.
What the research says about CBT for anger
Treatment for anger has a steady evidence base, and most of it is for cognitive and behavioral approaches.
- The first meta-analysis.Beck and Fernandez (1998) pooled data "based on 50 studies incorporating 1,640 subjects" and found a "grand mean weighted effect size of .70." In other words, the average person who received CBT was "better off than 76% of untreated subjects in terms of anger reduction."
- A wider look.Saini (2009) analyzed 96 studies and 139 treatment effects across nine kinds of psychological treatment, and found an overall standardized mean difference of 0.76. Effects varied a lot. Some of the variation went with the number of sessions, whether a manual guided the treatment, and whether fidelity was checked.
- Anger is not the same as aggression.A review of meta-analyses by Lee and DiGiuseppe (2018) found that anger treatments "have consistently demonstrated at least moderate effectiveness," while "aggression treatment results have been less consistent." A client can report feeling less angry and still act aggressively, so track behavior, not only ratings.
- A caution about self-report.Fernandez and colleagues (2018) reviewed 42 studies published since the turn of the century. All but one reported statistically significant results. The one study with neither statistical nor clinical significance "was the only one that had assessed and corrected for" social desirability bias, the pull to answer in a way that looks good. The authors suggest the favorable picture "may need closer scrutiny." That matters most with clients who have a reason to look better than they feel, such as clients sent by a court.
- By video.In a randomized study of 125 male combat veterans with PTSD and anger problems, group anger management by videoconference reduced anger about as much as the same group in person (Morland and colleagues, 2010). The in-person groups reported a stronger group alliance.
What that means for using these sheets:
- Work through them in a set order, as a manual-guided treatment, rather than handing out sheets one at a time as problems come up.
- Combine skills: monitoring, calming the body, working with thoughts, and communication.
- Measure behavior (how many episodes, what the client did, what happened next), not only how angry the client says they felt.
- When looking good matters a lot to a client, ask for detailed recent examples and, with consent, hear from someone who knows them.
How these worksheets follow SAMHSA's anger management manual
SAMHSA's Anger Management for Substance Use Disorder and Mental Health Clients: A Cognitive-Behavioral Therapy Manual, by Patrick Reilly and Michael Shopshire, was first printed in 2002 and updated in 2019. It describes 12 weekly, 90-minute group sessions for adults 18 and older, and it's meant to be used with a companion participant workbook. That workbook is what most people mean when they search for the "SAMHSA anger management workbook." The ideal group is 8 members, with a range of 5 to 10, and the authors note that qualified clinicians can use the same format and sequence in individual sessions.
The manual is in the public domain. It says its materials "may be reproduced or copied without permission from SAMHSA or the authors," though not distributed for a fee without SAMHSA's written authorization. You can download the manual and the workbook from SAMHSA's library.
The manual's approach combines relaxation, cognitive and communication skills, and asks each person to build their own anger control plan. Here is how our sheets line up with its tools:
- The anger thermometer (Worksheet 1) follows the manual's anger meter. Its scale runs from 1, "a complete lack of anger or a total state of calm," to 10, when a person begins to lose control and suffers, or could suffer, negative consequences. Ours runs from 0 to 10 and adds a timeout number.
- Triggers and warning signs (Worksheet 2) follows its session on events and cues, which sorts warning signs into four kinds: physical, behavioral, emotional and cognitive. The manual uses the word "trigger" because clients in substance use treatment know it, and says the term "is not meant to convey that anger is an automatic response that cannot be controlled."
- The anger log (Worksheet 3) follows its anger awareness record: the event, the cues, the rating, the behavior, the consequences, and the strategies used.
- The control plan and timeout (Worksheet 4) follows its anger control plans session. The manual calls the timeout "the basic anger management strategy recommended for inclusion in everyone's anger control plan." It also describes a formal timeout agreed in advance with family, friends or coworkers, in which the person who calls it returns to finish or postpone the discussion.
- The thought challenge (Worksheet 5) follows its cognitive restructuring session, built on Albert Ellis's A-B-C-D model: an activating event, the beliefs about it, the emotional consequence, and disputing the belief. The manual also teaches thought stopping, telling yourself to stop the angry thoughts. We left that out. In Wegner and colleagues' (1987) experiments, people who tried not to think about something thought about it more afterward, and people given a specific thought to use instead did better. So the sheet ends with a phrase to use in place of the hot thought.
- The repair and conflict conversation (Worksheet 6) builds on its assertiveness sessions and five-step Conflict Resolution Model: identify the problem, the feelings, and the impact, decide whether to resolve it, then work for a resolution. Part A, the repair after an episode, is our addition.
Parts of the manual these sheets don't cover: the aggression cycle (buildup, explosion and aftermath), the breathing and progressive muscle relaxation scripts, and two sessions on how anger was expressed in the client's family. For the feelings under anger, use the anger iceberg worksheet. For calming skills, the distress tolerance skills guide, the window of tolerance worksheet and the coping skills worksheets fit well beside Worksheet 4.
An order for individual sessions
The manual's sequence is written for 12 group sessions. In individual work, you'll often move faster through the early sheets and spend longer on the later ones. A starting order:
- Sessions 1 and 2:what anger has cost the client and what they want instead, then the thermometer, filled in from a recent episode. Ask about violence, safety at home, and alcohol and drugs before you assign anything (see the safety section below).
- Sessions 2 and 3:triggers and warning signs. Start the anger log.
- Sessions 3 and 4:the control plan and the timeout plan. Practice slow breathing or muscle relaxation in session, so the client has done it once before they need it.
- Sessions 5 and 6:the thought challenge, using real entries from the log. The cognitive distortions worksheet and the CBT thought record go deeper if the client takes to it.
- Sessions 7 and 8:the repair and conflict conversation plan, with role-play.
- Sessions 9 and 10:what sits under the anger and where the patterns came from: the anger iceberg, and questions about how anger was handled in the family the client grew up in.
- Sessions 11 and 12:review the numbers from the log, update the control plan, and plan for the high-risk weeks ahead, such as holidays, a court date or a hard anniversary.
The log runs through all of it, from session 2 to the end.
How to assign anger management worksheets
- Fill in the first one together. Use a recent, specific episode. A thermometer built from a real Tuesday night is more useful than one built from "how I get."
- Agree on the log number. Most clients log episodes at 5 or higher. If a client has many episodes a day, ask for the two highest each day, so the log stays doable.
- Add one new sheet a week. The log keeps going. Two new sheets in one week is usually one too many.
- Rehearse the words out loud. Have the client say their timeout words and their repair opening line to you, twice. Words practiced in the room come out more easily at home.
- Ask where the sheets will live. Paper or phone, somewhere private. Ask who at home might read them.
- Ask what might get in the way, then solve that before the client leaves.
- Why it's worth the effort. In a meta-analysis of 17 studies of CBT with 2,312 clients, both how much homework clients did and how well they did it were linked to better outcomes (Kazantzis and colleagues, 2016).
How to review the worksheets next session
Start every session with a short check-in, before anything new. The manual's check-in uses four questions, which in our words are:
- What happened that made you angry?
- What warning signs did you notice, in your body, your actions, your feelings and your thoughts?
- What happened as a result?
- What did you try, and did it help?
Then:
- Praise any attempt, including a timeout that came too late. A late timeout is still a timeout.
- Treat a blank log as information. Fill in one entry together from memory, and ask what got in the way.
- Track a few numbers each week: episodes at the log number or higher, the highest rating, timeouts taken, and timeouts that ended with a calm return. Put them in your note, so you can see the trend across weeks.
- Look for patterns: the same person, the same time of day, alcohol, poor sleep, money.
- Update the control plan. Keep what worked and drop what didn't.
- Stop and assess risk if an entry mentions pushing, hitting, threats, a weapon, or someone being afraid. Don't finish the skills practice first.
An anger log example
Invented client: a 44-year-old restaurant manager we'll call Rafael, in his third session. One entry from his week:
In review, Rafael and his therapist noticed the same thought, "she thinks I can't handle anything," in two other entries, both about money. That thought became the first one on his thought challenge sheet. The slammed door also led to the safety questions in the next section. His answers are in the progress note further down.
When anger involves violence or intimate partner abuse
Anger management is for anger. It is not a treatment for abuse, and it is not a substitute for a batterer intervention program. Before you assign any of these sheets, find out which situation you're in.
Anger, aggression and abuse are different things.
- Anger is a feeling.SAMHSA's manual puts it simply: anger "is an emotion and does not necessarily lead to aggression."
- Aggression is behavior.The manual defines it as "behavior that is intended to cause harm to another person or damage property," including verbal abuse, threats and violent acts.
- Abuse of a partner is a pattern.The National Domestic Violence Hotline describes domestic violence as "a pattern of behaviors used to gain or maintain power and control." Seen that way, the core problem is control, not a feeling, which is why treating the anger alone can miss it.
Anger management is not a batterer intervention program.
- Some states that certify batterer intervention programs (BIPs) say so directly in their rules. Oklahoma's standards, for example, state that "Anger control or management, substance abuse treatment or mental health treatment alone or in combination with each other shall not constitute batterers intervention." They also list anger management techniques "that blame anger as the root cause of domestic violence" among inappropriate methods.
- Rules differ by state. Find your state's standards and the certified programs near you before you take a referral that follows violence toward a partner.
- If a court, a probation officer, a lawyer or a family member asks you for anger management after partner abuse, say clearly, in writing, that your service isn't a batterer intervention program, and refer to a certified one where your state has them. You can still treat other problems, such as depression or substance use, alongside a BIP if that fits.
- Don't use Worksheet 4's timeout agreement or Worksheet 6's repair plan with a partner who is afraid of your client. In a relationship run on control, a timeout or a "repair" can become one more way to control.
Screen every client, alone, in both directions.
- The US Preventive Services Task Force recommends that clinicians "screen for intimate partner violence (IPV) in women of reproductive age, including those who are pregnant and postpartum" (final recommendation, June 24, 2025). It names tools including HARK, HITS and the WAST, and notes that people "may not disclose abuse unless directly questioned."
- A client who comes in for anger may be causing harm, experiencing it, or both. Ask about what they do and what is done to them.
- Ask about specific behaviors, not labels. Few people say yes to "Are you abusive?"
Questions to ask in private, in your own words:
- In the past year, have you pushed, grabbed, slapped, hit, kicked or choked anyone? Has anyone done that to you?
- Have you thrown or broken things, or punched a wall, during an argument?
- Have you threatened to hurt someone, or yourself?
- Is anyone at home afraid of you? Are you afraid of anyone?
- Do you check a partner's phone, control the money, or keep a partner from friends or family? Does anyone do that to you?
- Are there guns or other weapons in the home?
- Have the police ever been called, or is there a protective order?
- How much do you drink or use when you get this angry?
If the answers point to danger
- Assess risk in full and document it separately from the worksheet work. Our anger iceberg article covers the Danger Assessment, couples screening and the couples therapy cautions in more detail.
- Know your state's duty-to-warn or duty-to-protect rules before a client discloses a threat. The National Conference of State Legislatures notes that "Most states have laws that either require or permit mental health professionals to disclose information about patients who may become violent."
- If your client is the one being harmed, focus on their safety and offer the National Domestic Violence Hotline.
- If the anger turns toward the client's own life, ask about suicide directly and build a suicide safety plan with them.
- Consult a supervisor or a colleague, and note that you did.
Alcohol and drugs. The manual's foreword notes that anger and substance use disorders "often co-occur." For its groups, it recommends members be abstinent from drugs and alcohol (other than prescription medicines taken properly) for at least 2 weeks before joining. Screen with the AUDIT-C, and treat substance use alongside the anger work.
Adapting the worksheets for teens
SAMHSA's manual is written for adults 18 and older, so treat the sheets as a starting point for teens, not a ready-made program.
- The evidence. A Yale review notes that "anger, irritability, and aggression are among the most common reasons for child mental health referrals." It found that parent management training and CBT "have received extensive support in randomized controlled trials" (Sukhodolsky and colleagues, 2016). In practice, parent work often leads with younger children, while teens can do more of the CBT work themselves, with a parent brought in for parts of it.
- Keep the order, cut the length. Three thermometer zones in the teen's own words ("chill," "heated," "about to lose it") work better than ten numbers. Two log entries a week is plenty.
- Use their triggers: school, coaches, siblings, group chats, gaming, being told to get off a device, being compared with someone.
- Agree on privacy first. Tell the teen what you will and won't share with parents, and the safety exceptions, before they write anything. Our list of therapy questions for teens includes ways to open those conversations.
- Make the timeout agreement with the parent in the room, so the parent knows to let the teen go to their room and not follow them down the hall to keep arguing.
- Screen for depression. Irritability can be part of it. The National Institute of Mental Health's guide for teens asks, "Do you get easily frustrated, irritable, or angry?"
- Ask about the rest of their life: sleep, bullying, online conflict, alcohol and drugs, and stress or harm at home. If you suspect abuse or neglect, you're very likely a mandated reporter.
Adapting the worksheets for court-referred clients
Clients sent by a court, a probation officer or an employer can do well in anger management, but the referral brings in a third party with its own rules.
- Get the requirement in writing.Who referred the client, what the order or letter requires (a number of sessions or hours, a certified program, a certificate of completion), what they want reported, and the deadline. If your service doesn't meet the requirement, say so at intake, not in week 10.
- Check the offense.If the case involves violence toward an intimate partner, the right referral is usually a batterer intervention program (see the section above).
- Get a valid written authorization before you report anything.Under HIPAA, an authorization must describe the information "in a specific and meaningful fashion," name who may disclose it and who receives it, state the purpose, carry an expiration date or event, and be signed and dated. It must also tell the client they can revoke it in writing (45 CFR 164.508). Limit it to what the referral source needs, usually attendance, participation and completion. Our release of information form has a template.
- Explain the limits of confidentiality at the start:what goes to the court, mandated reporting, and duty to warn. Put them in your informed consent.
- Start with their goal."Getting this case closed" is a real goal, and a fair place to begin. Motivational interviewing questions about what anger has cost them help, and the stages of change worksheet fits a client who doesn't yet see a problem.
- Expect tidy logs.Remember the social desirability finding above. Ask for recent episodes in detail, and, with written consent, talk to someone who knows the client.
- Set the attendance rule in writing.The manual's groups, for example, give a certificate of completion only to members who miss no more than 3 of the 12 sessions. Whatever your rule is, the client should know it on day one.
- Report facts, not predictions.A letter can say how many sessions the client attended and what they worked on. It shouldn't promise that the client won't be violent.
A letter you can copy and adapt (only with a signed authorization on file):
How to note anger management work in a progress note
"Discussed anger" tells a reader almost nothing. A useful note names the worksheet, gives the numbers from the log, records what you asked about safety and what the client said, and puts the next step in the plan. Here is Rafael's note in DAP format:
A treatment plan objective that matches this work: "Reduce anger episodes rated 7/10 or higher from 4 a week to 1 or fewer, measured by the weekly anger log, within 12 weeks." Our treatment plan template shows how to word goals and objectives like this one.
The same content fits other formats. In a BIRP note, the worksheet goes under Intervention and the ratings under Response. The DAP notes examples include a risk note written out in full, and the progress notes cheat sheet lists clinical words for interventions and client responses.
How to describe anger work on your practice website
People rarely search for "anger management worksheets" when they need help themselves. They search for "I yell at my kids" or "how to stop snapping at my partner." Plain words on your practice website help the right clients recognize themselves. A starting point for the page where you describe how you work:
Name CBT only if you're trained in it. Don't describe your service as meeting a court's requirements unless the court or a state agency has told you it does. And don't offer anger management for domestic violence cases unless you run a certified batterer intervention program.
How this works in TranqBay
TranqBay is practice software for therapists in private practice: a practice website, online booking, video sessions and session notes in one place. Here's where anger management work fits.
- Your practice website is where someone who keeps losing their temper reads how you work. The wording above would go in the section that describes your approach or your services.
- Online booking shows your services, individual and couples, each with its own length and fee, and you can offer packages of sessions for a structured program. You can confirm each booking yourself or let clients book straight away, and returning clients book their next session themselves, which helps keep weekly anger work weekly.
- Video sessions are end-to-end encrypted and HIPAA-ready. TranqBay provides a Business Associate Agreement that applies when you accept the Terms, with no separate document to sign. You can check your camera, mic and speakers before joining, invite others to a session (a parent joining part of a teen's session to agree on the timeout plan, for example), or meet by audio or in person. Invite a partner only after you've screened each person alone.
- Session notes come in BIRP, DAP, SOAP or GIRP format, or as a blank note in your own words. The structured formats are part of the advanced note templates, which some plans include.
- Forms for a session. The form library has ready-made templates you can send a client for a session, including intake, consent to treat, telehealth consent, release of information, the PHQ-9, the GAD-7, the AUDIT-C and more. The client fills them in online and the answers wait with the session. TranqBay doesn't score them; the AUDIT-C calculator and PHQ-9 calculator do the math.
- The worksheets live on this page, not in the form library. Send your client the link, or print them.
At practice.tranqbay.health you can browse the practice website designs and sample sites, see where you'd describe anger work, and look at the booking page a new client would use to book a set of weekly sessions.
Frequently asked questions about anger management worksheets
Is there an anger management worksheets PDF I can print?
This page works as one. Print it, or choose "Save as PDF" in your browser's print window, and set the page range to the worksheet pages if you only want the client handouts. You can give the printed sheets to your clients.
What is the SAMHSA anger management workbook?
It's the participant workbook that goes with SAMHSA's Anger Management for Substance Use Disorder and Mental Health Clients manual by Reilly and Shopshire, updated in 2019. The manual guides the clinician through 12 weekly 90-minute group sessions, and the workbook gives clients a summary of each session and worksheets for the between-session tasks. The manual is in the public domain, and both can be downloaded from SAMHSA's library. Our six worksheets follow the same order in our own words.
What is an anger log?
A record of anger episodes, filled in after each one: what happened, what the client told themselves, the first warning sign, the peak rating, what they did, what happened next and what helped. Over a few weeks it shows patterns (the same person, time or thought) and whether episodes are getting less frequent or less intense. SAMHSA's version is called an anger awareness record.
What are the four types of anger cues?
SAMHSA's manual sorts warning signs into four kinds: physical (a pounding heart, feeling hot), behavioral (pacing, clenched fists, a raised voice), emotional (other feelings that come with the anger, such as hurt, fear or jealousy) and cognitive (hostile self-talk, images of revenge). Worksheet 2 uses the same four in plain words.
What is an anger control plan?
A short written list of strategies a client will use when anger starts to build: what to do at the first warning sign, a timeout plan, ways to cool down, ways to prevent anger from building, and people to call. SAMHSA's manual has every member build one, and recommends a timeout in every plan.
How long should an anger timeout last?
Long enough for the client's number to come down to an agreed level, and agreed in advance with the people involved. We found no research-based standard length. What matters most is that the client says when they'll be back and then returns to finish or postpone the talk, so the timeout doesn't turn into storming out.
How many sessions does anger management take?
SAMHSA's group program runs 12 weekly sessions of 90 minutes. Individual work often takes a similar number of weekly sessions, adjusted to the client. In Saini's 2009 meta-analysis, the number of sessions was one of the factors linked to how well treatment worked.
Does anger management work?
For anger, yes, on average. Beck and Fernandez's 1998 meta-analysis found the average CBT client better off than 76% of untreated people, and later reviews found at least moderate effects. Results for aggression are less consistent, and self-report may flatter the results, so track behavior as well as ratings.
Can anger management be done by video?
Yes. In a randomized study of 125 veterans with PTSD and anger problems, group anger management by videoconference reduced anger about as much as in-person groups. Confirm the client is alone and in a private space, and keep a plan for what happens if a session gets heated.
Is anger management appropriate for domestic violence?
Not as the treatment for it. Abuse of a partner is a pattern of power and control, and some states that certify batterer intervention programs say in their rules that anger management doesn't count as one. Refer to a certified program, and don't use joint timeout or repair work when a partner is afraid.
Can teens use these worksheets?
Older teens can, with shorter versions: three thermometer zones in their own words, two log entries a week, and a timeout agreement made with a parent in the room. Agree on privacy and the safety exceptions first, and screen for depression, since irritability can be part of it.
Before your next session
Pick one client whose anger keeps costing them. Fill in the thermometer together from last week's worst moment, agree on a log number, and send them home with Worksheet 3. Next session, start with the log, before anything else.
If you're building a practice around this kind of structured, week-by-week work, see how TranqBay works for private practice: you can browse the practice website designs and sample sites, and see the booking page your clients would use to book their weekly sessions. If you're deciding whether to join, this page explains how joining TranqBay works.
Sources
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