1.

Intense and frequent episodes

of significant anger that have

persisted for at least six months,

as indicated by:

Physical activation

(such as increased heart rate, rapid breathing, muscle tension, stomach-related symptoms, headaches).

Rumination

(Unable to get the angry event out of your mind) that interferes with concentration, task performance, problem-solving or decision-making.

Suspiciousness

, inflexible demands on others, low tolerance for inconvenient events, condemning others for behaving badly.

Your anger

leads to ineffective communication.

Y ou spend too much time brooding.

Episodes of anger

are followed by negative consequences such as guilt, shame or regret.

2.

Weekly displays of at least

one aggressive or angry behavior

that is out of proportion to the

triggering event:

Aversive verbalizations

(such as yelling, screaming, arguing noisily, criticizing, using sarcasm or insults).

Physical aggression

toward people (such as pushing, shoving, hitting, kicking, throwing objects at them).

Physical aggression

toward objects (such as banging doors, walls, tables, throwing things.)

Provocative bodily expression

(negative gesticulation, menacing or threatening movements, physical obstruction of others).

Intentionally failing

to meet obligations or responsibilities.

Covert sabotage

(such as secretly destroying property, interfering with task completion, creating problems for others).

Malediction

(such as spreading rumors, gossiping, defamation of others, excluding others from important activities.)

Your anger

and its expression has damaged family, social or work relationships.

Your anger symptoms

are not better accounted for by another mental disorder.