The Joint Commission’s “Disruptive Physician” Standards Spawn a Cottage Industry of Questionable Providers

Effective January 1, 2009, JCAHO issued new guidelines to respond to the negative behavior of physicians that often places patient care at risk while increasing medical errors. These new standards make it mandatory for Hospitals to establish written policies designed to address what is defined as “disruptive physician behavior”.

Essentially, a “disruptive physician” is one whose behavior is described as demeaning, aggressive, uncivil, or hostile to colleagues, patients or ancillary staff. The American Medical Association (AMA) has defined disruptive behavior as a style of interaction with physicians, hospital personnel, patients, family members, or others that interferes with patient care.

The recommended intervention is unclear in the Sentinel Alert from the Joint Commission on this matter. However, since there were already standards for psychiatric impairment, sexual harassment/boundary issues and substance abuse, the lack of specific intervention models for “disruptive physician behavior” have made it possible for psychiatrists, psychologists, and mental health providers to claim that psychotherapy is the intervention of choice.

Recently, in-patient Substance Abuse Rehab Centers have joined the chorus of instant experts by declaring that “disruptive physicians” are really “rage-aholics” who are addicted to anger and, therefore, can best be treated in in-patient Substance Abuse Facilities using a 12 Step program. Their argument is that all forms of addiction are responsive to the same intervention.

Even though there is no evidence that anger is an addiction, unsuspecting Hospital and Healthcare organizations are being duped by substance abuse marketers and providers into supporting this radical intervention for “disruptive physicians”.

Psychologists, psychiatrists and other mental health clinicians are ignoring the fact that anger is not listed in the Diagnostic & Statistical Manual of Nervous and Mental Disorders (DSM IV), and, in fact, anger is a normal human emotion, which is a problem when it is too intense, occurs too frequently, lasts too long, has health implications, impacts interpersonal relationships or leads to person-directed aggression or violence. They are offering traditional insight-oriented psychotherapy or cognitive behavior therapy to address what amounts to problems in recognizing and managing anger and stress.

Self proclaimed anger management providers are offering on-line anger management with overnight Certificates of Completion for a fee of $40 with no questions asked. Many of these providers are located in Orange County, California and Charlotte, North Carolina.

The three most reputable programs for “disruptive physicians” are:

  • The PACE Program at the University of California School of Medicine at San Diego
  • The Distressed Physician Program at Vanderbilt University School of Medicine in Nashville, Tenessee
  • The Anderson & Anderson Emotional Intelligence/Anger Management Coaching Program for “disruptive physicians” in Los Angeles, CA.

These three programs were designed specifically for physicians in need of skills in recognizing and managing stress, recognizing and managing anger, increasing emotional intelligence/empathy and mastering assertive communication.

George Anderson, BCD, LCSW
Anderson & Anderson, APC
Trusted Name in Anger Management

Anger Management Guru Exposes Fraudulent “Rageaholics” Treatment Program

Substance Abuse Programs have deemed themselves “instant experts” on delivering intervention services for disruptive physicians. Their strategy for capitalizing on the niche market created by the Joint Commission on The Accreditation of Health Care Organizations’ (JCAHO) newly enacted policy requiring intervention for “disruptive physicians” is to label these physicians as “rageaholics” in need of Inpatient substance abuse treatment. Not only is this fictitious condition completely absent from the Diagnostic and Statistical Manual of Mental and Nervous Disorders (DSM IV), the American Psychiatric Association has firmly categorized anger as a lifestyle issue, completely unresponsive to psychiatric treatment.

Aside from being unethical, this purely profit-driven move on the part of the rehabilitation facilities stands to compromise the integrity of the legitimate anger management/emotional intelligence programs designed especially for disruptive physicians, which have a track record of delivering tangible results, without creating phony conditions or claiming that their clients have “psychiatric or addiction disorders.” 

While all service-oriented for-profit organizations have to balance bottom line awareness with their mission to meet their clients’ needs and continually increase demand for their services, it is absolutely unacceptable for any organization to do so at the expense of the very people they serve, and the system within which they operate. All physician well-being staff, mental health and substance abuse professionals, the JCAHO and APA should protest this fraudulent behavior by such national rehabilitation programs, in order to protect the interests of physicians in need of genuine intervention based strategies to increase skill enhancement in self-awareness and self- control.

Lekdan Takspa,
General Manager
Anderson & Anderson, A.P.C
Trusted name in Anger Management 
Phone: 310-207-3591
Fax: 310-207-6234




Drug Rehab Programs Becoming Instant Experts on “disruptive physician behavior”

On January 1, 2009, the Joint Commission on The Accreditation of Health Care Organizations implemented its new policy on “disruptive physicians”. This policy mandates intervention for physicians whose behavior at work is demeaning, condescending, aggressive, arrogant or indicative of a need for anger management/emotional intelligence.

In the absence of intervention standards for this new category (disruptive physicians), a cottage industry including inpatient drug rehab programs have suddenly sprung up to provide treatment/intervention for unsuspecting physicians who are mandated to seek assistance in addressing this important issue.

Drug and Alcohol Rehab Programs have defined ”disruptive physicians” as rageaholics and have determined that they suffer from addition to anger, and therefore need the same type of inpatient substance abuse treatment as any other addiction. There is no precedence for a thirty day inpatient program to treat a nonexistent disorder, rageaholism.

The DSM IV (diagnostic and Statistical Manual of Mental and Nervous Disorders) does not list either anger or rage as pathological conditions. Rather, anger is considered by the American Psychiatric Association as a life style issue and not reponsive to psychiatric treatment. This fraudulent action by national rehab programs should be protested by all Physician Well-Being staff as well as mental health and substance abuse professionals.

George Anderson
Anderson & Anderson




Organizational Anger Management Training

                  Organizational Anger Management Training to be offered in:
                                           Oakland               Los Angeles
                                     11/13/2009              12/07/2009

Anger Management Guru, George Anderson is scheduled to offer a live, one day training for Facilitators of Anger Management on Organizational Anger Management Training.

This course can be used for continuing education for Domestic Violence Batterers Facilitators, Substance Abuse Counselor, Clinical Social Workers, MFTs and Certified Anger Management Facilitators.

Humans Resource Managers from small, medium and large organizations of all types of requesting Organizational Anger Management Training for one, two or four hours on anger management, stress management, communication and emotional intelligence.

The Oakland training will be limited to 12 participants and the fees must be paid by November 9, 2009.

Participants will receive one client workbook entitled The Practice Of Control, a sample Emotional Intelligence Profile, Gaining Control of Ourselves DVD, Organizational Training DVD and the Executive Coaching DVD. In addition, each participant will receive three requests for proposal for Organizational Anger Management Training and one sample proposal.

All those in attendance will be taught how to write a proposal and how to present training for consumers on Organizational Anger Management. Those in attendance must have skills in public speaking/training. This training will be interactive.

For additional information please call us at:

George Anderson
Anderson & Anderson

Anger Management Facilitator Certification

Anderson & Anderson, A.P.C.PRESENTS
Anger Management Guru: George Anderson, BCD, LCSW, CAMF

NOVEMBER 18TH, 19TH & 20TH,  2009*
8:30 AM – 4:30 PM
Cost: $500.00 per day includes client workbook, facilitator guide, and certification. *Those attending all three days will receive a 30% discount on all Anderson & Anderson DVDs and CD-ROMs purchased on the training days.
Approved for 8 CEU’s by CAADAC (#2n96-341-0805), BBS (#PCE60),
CAADE (#CP40-793-C-1009), TCBAP, and the CA. Board of Corrections

The Anderson & Anderson model of anger management is the most effective and widely recognized curriculum in the world. This model, which has been featured in Los Angeles Times Magazine, focuses on enhancing emotional intelligence and assertive communication while introducing behavior strategies for identifying and managing anger and stress. Our certification training and approved provider list are the industry standards and dominate the internet. **

The First day of training will focus on Adolescent Anger Management and will use the Anderson workbook “Controlling Ourselves” as the text. A demonstration and discussion of the Conover Assessment Component will be conducted. This one-day training is designed for Nurses, School Counselors/Psychologists, Substance Abuse Counselors, Case Managers, HR Managers, Clinicians, Probation Officers, as well as staff from group homes, and agencies serving families and youth. This curriculum is currently being used in school districts in Los Angeles, Oakland, Sacramento, Concord and San Diego, as well as school districts in Texas and Louisiana. In addition, probation departments in Arizona, Kansas, California and Texas use this model.

On the Second day, Adult Anger Management will be examined. A demonstration of the Conover Assessment will be conducted with a discussion of its usefulness. “Gaining Control of Ourselves,” in conjunction with experiential exercises and videos, will be used to initiate the participants to this intervention. Most major corporations have accepted this model for use by H.R. and EAP Managers.

The third day of Training is Organizational Emotional Intelligence/ Anger Management. This training is designed to prepare the participant to offer workshops or presentations regarding anger management, civility or emotional intelligence a small group format. This is rapidly becoming one of the most requested interventions in anger management. This training has been conducted for Kaiser Permanente of Southern California the Riverside County Medical Association as well as the Illinois State Bar Association. Participants who attend all three days of this training will receive a free CD containing a 16 hour course on Motivational Interviewing. This in addition to the above three20days will give the participant the required 40 hours of Facilitator Certification Training..
(Each training day counts for 8 of the total of 40 hours required for Certification)       *Free One-Year membership in the American Association of Anger Management Providers
**This training is also available on interactive CD’s. Please visit  for more information.

Lekdan Takspa,
General Manager
Anderson & Anderson, A.P.C
Trusted name in Anger Management 
Phone: 310-207-3591
Fax: 310-207-6234

Los Angeles County Superior Court Providers List Requirement Change

In keeping with the Anderson & Anderson mission to provide the highest quality, most effective anger management services, all providers who wish to appear on the LA County Superior Court List must have completed a full 40 hour Live anger management training. This will go into effect on 11/01/2009.
Please contact our office if you have questions or require additional information about establishing or maintaining your status on the LA County Superiour Court List.

Lekdan Takspa,
General Manager
Anderson & Anderson, A.P.C
Trusted name in Anger Management 
Phone: 310-207-3591
Fax: 310-207-6234

Improving Communication with others.


“The single biggest problem in communication is the illusion that it has taken place.”
                                                                   -George Bernard Shaw
Improving Communication with others

Lack of communication is the root of many troubles, such as hurt feelings, misunderstandings, missed deadlines, and unsuccessful connections. Health communication in its broadest form is important in developing positive healthy relationships between family members and others.

Basic skills are very important and many people do not use them well. Poor communication skills result in unnecessary and misunderstandings in relationships.

Good communication requires two sets of abilities:
1. Ability to hear the other person (Receiving – active listening)
2. Ability to articulate messages accurately ( Sending – speaking clearly)

Four key communication skills for improving interpersonal relations are:
1. To listen without judgment.
2. To comprehend and acknowledge what has been said.
3. To acknowledge the other person and their point of view ( does not imply agreement; however it does require recognition of the person and their message).
4. To not impose your personal beliefs on someone else.
Good communication skills take patience and time to acquire. We encourage participants to use all their learned skills in developing positive healthy relationships.

Lekdan Takspa

General Manager
Anderson & Anderson Executive Coaching / Anger Management

October News

George Anderson, Anger Management Guru, to Represent The National Association of Social Workers (NASW) at the Voice Awards on October 14, 2009
Long time clinical social worker and anger management expert, George Anderson along with his wife Nancy will attend the Voice Awards as representatives of NASW.
The Substance Abuse and Mental Health Services Administration (SAMHSA) will honor writers and producers who have given a voice to people with mental health problems by incorporating dignified, respectful, and accurate portrayals of these individuals into film and television productions. The event, which takes place on October 14, 2009 at the Paramount Theater in Paramount Studios, will celebrate nominated and award-winning productions such as The Soloist, Michael Clayton, Lars and the Real Girl, 90210, Grey’s Anatomy, and United States of Tara.

The Voice Awards will also recognize the accomplishments of consumer leaders who are working to promote the social inclusion of people who have mental health problems and providing them with the possibility of recovery.

Anderson & Anderson Curriculum to be Translated into Chinese
In an effort to reach a broader audience, Anderson & Anderson is collaborating with the Asian Youth Center (San Gabriel, CA) to serve the Asian American Community locally, and to further the globalization of the Anderson model of Anger Management for Adults and Adolescents. Based on evidence of a rising need for these services in the Asian American community, the Asian Youth Center will be permitted to translate the Anderson & Anderson curriculum into Chinese.

George Anderson Invited to Offer On-site Consultation  in Bermuda
George Anderson has been presented with and opportunity to contribute his expertise in the beautiful island of Bermuda. 

Daytime Classes Now Available at Anderson & Anderson
Anderson & Anderson now offers classes on Fridays. This 2 hour course is designed to meet the needs of clients who wish to attend classes during the week. Classes will be scheduled according to the clients’ availability. It is now possible to enroll, complete the assessment, and attend Friday courses until the required number of sessions have been completed.

Lekdan Takspa, General Manager at Anderson & Anderson, launches “Get Acquainted” Campaign
Drawing on his MBA training in International Business and Marketing, Mr. Takspa is raising awareness amongst potential new and recurring clients.

As a result of the diligent efforts of the Anderson & Anderson team to connect with new clients, the month of October saw an increase in non-physician executive referrals, as well as attorneys.

We look forward to providing an ever increasing audience with effective methods for emotional mastery.

Emotional Intelligence, The Most Effective Intervention for Executives

High level executives rarely need help in leadership skill enhancement. Nor are they deficient in team development, decision making, commitment ethic or time management. The fact that these executives have achieved their current status is an indication of their proven leadership skills. All of the above skills are key elements in effective organizational leadership.

What is generally lacking in most Executive Coaching programs for attorneys, physicians, and corporative Vice Presidents, are accurate assessments needed to determine the level of executive clients’ functioning in a wide range of emotional intelligence skills that are essential for the maintenance of high morale and a spirit of goal achievement in the workplace.

Included below is a list of the main tools useful for executives in maximizing the performance of employees in any organization:

·Interpersonal Assertion
·Stress Management
·Self-control/anger management
·Effective Communication/listening skills
·Relationship Management

A careful review of the emotional intelligence skills listed above demonstrates that there is nothing here to suggest mental illness, substance abuse or psychiatric impairment. Rather, all of the above behaviors are learned and responsive to change. Therefore, for motivated participants, skill enhancement can be improved in all emotional intelligence areas with specific strategies designed for skill enhancement.

Executive Coaching Programs based on Emotional Intelligence always begin with a series of comprehensive Emotional Intelligence assessments to determine the clients’ current level of functioning in these areas. Emotional Intelligence Assessments are followed by skill enhancement coaching to address categories in which the participant scored in the need to improve range. Post Assessments are conducted following the Coaching. This is essential both for the executive client, the coach and the client organization.

Emotional Intelligence Coaching for Executives is available on-site anywhere in the United States or at the Los Angeles office of Anderson & Anderson, APC. Anderson & Anderson is the industry standard in Executive Coaching/emotional intelligence for physicians and high profile clients nationwide.

George Anderson, BCD, LCSW
Anderson & Anderson, A.P.C.
Trusted Name in Anger Management

How to Use Anger Management to Create Additional Revenue Streams for Non-Profits

Anger management is one of the new secrets to survival for money strapped non-profit social service agencies nationwide. California leads the nation in its cutbacks on funding for non-profit social service agencies as well as public schools.

As an antidote to loss of funding sources for community services, many organizations have discovered the tremendous new funding available from a wide range of untapped sources interested in promoting anger management as a violence prevention/intervention for children, adolescents, adults and couples.

School districts throughout the nation are contracting local, non-profit social service agencies that are Certified to offer assessments and intervention to students who are seen as at risk for person-directed aggression or who are perpetrators of violence in the school setting. Many school districts use anger management as an alternative to suspension for aggressive behavior at school. This avoids the loss of average daily attendance funds that occurs when students are suspended.

Mental Health Organizations are overwhelmed with referrals for anger management. Since anger is not a pathological condition, anger management cannot be billed as treatment or psychotherapy. Therefore, it is far less expensive and more effective for County and State Mental Health Departments to contract with competent, Certified Anger Management Facilitators from non-profit organizations to provide these needed services.

Family Service Agencies have traditionally provided a wide range on mental health as well as social services to families including substance abuse, domestic violence, parenting and outpatient mental health counseling. Family Service organizations are now being required to demonstrate training and Certification in Anger Management in order to bid on contracts to provide anger management.

With the unprecedented violence in Chicago during the last few days, At Risk Youth are again in the news. While the Chicago School System has invested in metal detectors and increased security, anger management has not been considered a viable intervention. We now see the results of this oversight.

Probation Departments in Texas and California are routinely training Adult and Adolescent Probation Officers to use anger management with probationers on their caseloads who have a history of person-directed violence as a part of their criminal history.

The California State Department of Parole has implemented a new mandate that requires all parolees to complete a 52 -week program in anger management prior to being released from parole for any parolee whose original offense included aggression or violence. The Parole Department routinely contracts for anger management services with non-profit organizations throughout the state of California.

Organizational anger management training is relatively new and not yet well understood. This type of intervention consists of small group trainings that are limited to one or two hours. Each intervention begins with an assessment,  a generic feedback and mini lectures on anger management, stress management, communication and emotional intelligence.

The City of Los Angeles has one of the oldest and most respected After School Programs in the nation. This program is the recipient of major grants from the Broad Foundation of Los Angles. In addition to tutoring, it has always included anger management assessment and classes for most students enrolled in after school programs. The city of Los Angeles only contracts with Non-Profit agencies to provide after school anger management classes.

How to secure anger management contracts for non-profit organizations:

  • Arrange for at least two members of your staff to receive a 40-hour Anger Management Facilitator Certification.
  • Purchase and use a curriculum that includes a Pre and Post Test or one that is evidenced based.
  • Contact your local probation, parole, public schools, mental health departments and at risk programs for youth and ask if your organization may send a proposal to provide this service.
  • Use your agency’s website to announce your interest and availability to provide anger management to after school programs.
  • Go to google and type in “opportunities for contracting” to provide anger management for jails and prisons.
  • Co-sponsor a 40 hour Anger Management Facilitator Certification training in your city.

Finally, there are funds available from the U.S. Department of Justice to provide anger management in Youth Programs.

George Anderson, BCD, LCSW, CAMF
Anderson & Anderson, A.P.C.
Trusted Name in Anger Management