The present study examined the role that anger plays in the development of ataque de nervios, a culture-bound syndrome commonly observed in Puerto Rican and Dominican females. While previous studies have emphasized the comorbidity of ataque de nervios with psychiatric disorders, such as panic disorder, the current study sought to understand the underlying dynamics that lead to the development of this syndrome. This study hypothesized that women who suffer from ataque de nervios suppress their anger, due to the anxiety that arises in an effort to avoid conflict. It was also expected that these women would present histrionic tendencies, and higher levels of anxiety and somatization. A correlation between frequency of ataque de nervios and suppression of anger was also expected. Finally, it was hypothesized that lower levels of acculturation, would correlate with higher levels of ataques de nervios. A structured interview and battery of inventories were administered to a sample of 64 women of Puerto Rican or Dominican descent, ranging in age from 18 to 65. The results demonstrated that women's endorsement of the syndrome was not a clinically significant measure. Out of the 33 women who did not endorse experiencing ataque de nervios, 98% of them actually suffered from sufficient symptoms to qualify for the illness. It also indicated that out of the 31 women who did endorse suffering from the syndrome, 45% of them did not have sufficient symptoms to qualify for ataque de nervios . The results also displayed that the women who suffered from ataque de nervios, suppressed their anger, but contrary to expectation, these women scored higher on expression of verbal and physical anger, and did not attempt to control their anger. There also was a high correlation between suppression of anger and frequency of ataque de nervios. The analysis also yielded significant results demonstrating the women who suffer from ataque de nervios scored higher on anxiety and somatic symptoms. Finally, contrary to expectations, the women who suffered from ataque de nervios scored lower on Histrionic tendencies. Practical implications and directions for future research were discussed.