Case Study: Anxiety Transforms into Anger When anger has no outlet, it can have lasting and damaging effects on the person experiencing it. 'emotion. In this case study, we will examine a young woman who is beginning to explore the role of anger in her life and how it might be addressed in couples therapy through the use of assessment tools and of therapy focused on emotions.Case studyEmily R., 28 years old, started therapy in November 2013 with anxiety problems. At the time of our first session, she had been married for four years and had a two-year-old daughter. Her anxiety was focused on her pregnancy with her second child, who was early in her second trimester. Specifically, she experienced great anxiety about the possibility of miscarriage. She had one miscarriage before her first pregnancy, and two between her first and second pregnancies. As we explored the presenting problem, Emily described her history of anxiety. She suffered from severe separation anxiety throughout her childhood, particularly from her mother, and suffered from generalized anxiety throughout her school years. Emily's anxiety had been treated with cognitive behavioral therapy, medication, and enrollment in a private high school that had a therapy component as part of its curriculum. When she entered college, she found her anxiety more manageable, but it came back with a vengeance with this second pregnancy. She is currently employed as a contract manager in the company which is partly owned by her husband. She notes that her job is the only place where she feels completely confident and does not feel anxiety. In her description of her family of origin, Emily noted several elements that may have contributed...... middle of paper .... ...and that her anxiety masked anger, this assessment was helpful in uncovering the role of anger in his life. The assessment showed significant scores in almost all anger style categories. Overall, Emily scored 3/9 for the covert anger category, which includes anger avoidance (⅓), “sneaky” anger (⅔), and 0/3 for paranoia. She scored 4/12 in the explosive anger category, with subcategory scores of ⅓ for sudden anger, 3/3 for shame-based anger, and 0/3 for anger deliberate and exciting. The area of ​​greatest concern is the chronic anger category, in which Emily scored 9/12, with 3/3 for habitual anger and resentment/hate, ⅔ for moral anger, and ⅓ for paranoia. (2014, March). Retrieved from http://www.coloradoeft.com/wp-content/uploads/2014/03/Revised-Dyadic-Adjustment-Scale-RDAS-1.pdf