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September 30, 2024

Navigating Crisis: Understanding and Managing Stressful Moments

by Ioanna Kosti, LCSW

Life can throw unexpected challenges our way, leading to moments of intense distress and confusion. When we talk about a crisis, we’re referring to an acute disruption of our psychological balance—an event where our usual coping mechanisms fail, leaving us feeling overwhelmed and impaired.

Types of Crises: Maturational vs. Situational

Crises can generally be categorized into two types:

  1. Maturational Crises
    • These are predictable events in our lives, such as transitioning to adulthood, becoming a parent, or retirement. While these changes are part of life, they can still be challenging and may require adjustments.
  2. 2Situational Crises
    • In contrast, situational crises arise suddenly and unexpectedly, often threatening our sense of integrity and stability. For instance, someone experiencing suicidal thoughts may find themselves in a crisis if they feel they might act on these impulses. It’s essential to address specific triggers and ensure safety through crisis intervention.

Recognizing the Signs of a Crisis

Understanding the signs of a crisis is crucial for early intervention. Here are some common indicators:

  • Feelings of anxiety when confronted with a stressor
  • Physical symptoms like rapid heart rate or confusion
  • Emotional symptoms such as depression, irritability, or numbness
  • Sleep disturbances
  • These signs are signals that someone may be struggling and could benefit from support.

Steps for Crisis Intervention

Effective crisis intervention follows a structured approach:

  1. Biopsychosocial Assessment: Understand the individual’s biological, psychological, and social context.
  2. Establish a Collaborative Relationship: Build trust to facilitate open communication.
  3. Identify Major Problems: Pinpoint the core issues causing distress.
  4. Explore Feelings and Emotions: Allow the person to express what they are feeling.
  5. Generate Alternatives and Coping Strategies: Brainstorm new ways to handle the situation.
  6. Implement an Action Plan: Put agreed-upon strategies into practice.
  7. Plan Follow-Up: Ensure ongoing support and check-in regularly.

De-escalation Techniques

During a crisis, it’s essential to manage emotions and reduce stress. Here are some helpful techniques:

  1. Square Breathing:
    • Inhale for a count of 4
    • Hold your breath for a count of 4
    • Exhale for a count of 4
  2. Pause: Sometimes, the best action is to stop. Take a deep breath and assess your feelings without rushing into decisions.
    Replace Destructive Thoughts: Shift your mindset with positive affirmations:

    • “I don’t like feeling this way, but I can accept it.”
    • “I can feel anxious and still handle this situation.”
    • “I can feel like this and still be okay.

Resources for help:

If you or someone you know is in crisis, it’s vital to seek help. The American Psychological Association offers a comprehensive list of crisis hotline numbers:

  • National Suicide Prevention Lifeline: 988
  • Crisis Text Line: Text HOME to 741741
  • Substance Abuse and Mental Health Services Helpline: 800-662-4357

Remember, reaching out for help is a sign of strength. Whether you’re facing a predictable life change or an unexpected event, support is available to guide you through tough times.

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