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When she arrived at the inpatient psychiatric unit, Amanda once again became quite angry. She protested loudly, using obscene and abusive language when the nurse searched her luggage for illegal drugs and sharp objects, even though Amanda was very familiar with this routine procedure. These impulsive outbursts of anger were quite characteristic of Amanda. She would often express anger at an intensity level that was out of proportion to the situation. When she became this angry, she would typically do or say something that she later regretted, such as verbally abusing a close friend or breaking a prized possession. In spite of the negative consequences of these actions and Amanda’s ensuing guilt and regret, she was unable to stop losing control of her anger.