Adam had never been to therapy — and he wasn’t sure he needed, let alone wanted, to be here. He was meeting with me at the insistence of his wife, who, according to Adam, “thinks I have anger issues.” Adam cares deeply for Sara, his wife of 10 years, and their three young kids. (The family’s names have been changed to protect their privacy.) He recognized that his angry outbursts scared them. The outbursts scared him too. “I don’t know what comes over me,” he told me.