# Crisis --- **crisis** [[psychology]] what is crisis? ## Developmental Crisis Like if there is someone who "failed" one of [[psychosocial theory|Erikson's]] "stage" For example, if someone got to [[psychosocial theory#Generativity vs. Stagnation|generativity vs. stagnation]], but then just never "lived up" to that potential, and they're "stuck" in a previous life stage. ## Situational Crisis Unusual stressful life event which exceeds a person’s resources or ability to cope. Such as unexpected illness, injury, violence, sexual violence, homelessness, financial crisis, disasters. It is relative and defined by an individual’s response to an event.  Relative Depends on the following: - Previous experiences - have they overcome big things before? Aka [[resilience]] - Perception of the crisis event - Level of support or lack there of - Developmental level and maturity - Concurrent stressors ## Behavioral Emergencies When a crisis escalates to the point that the situation requires immediate intervention to avoid harm to self or others. Some examples are interpersonal violence, suicide, psychotic crisis. For example, a [[dementia#Catastrophic Reactions|catastrophic reaction]]. ## Crisis Intervention You want to start with close-ended questions to start. intervention strategy 1. assessment of lethality and mental status 2. establish rapport and client engagement 3. assessment: identify major problems 1. identify feelings 2. affirm personal strengths 3. provide information 4. planning: exploring alternative options an partial solutions 5. planning develop a realistic action plan 6. implementation: do the action plan 7. evaluation: develop a termination and follow up protocol Plan should be meaningful and pretty short term ## De-escalation We don't call this crisis management, because we don't want to get to crisis. When you see/feel someone getting worked up. Tone is everything. It's important to remain calm and approachable. Everyone can understand tone. • "Please tell me what's bothering you" • "l understand how frustrating this must be for you" • "How can we correct this problem?" • "I'm sorry this happened. Let's find a way to fix it." • "Let me get someone who can help you with this problem" "You seem upset...can you tell me what is bothering you" It's a loop: • Listen • Validate • Offer Choices (limits) Re-peat ___