
Managing a Crisis
When situations are too much to handle, it is natural to feel overwhelmed, shut down, panic, and regress to a childish state. If you ever have felt like this before you are not alone – one out of five people suffer from conditions that warrant serious treatment, but how many actually get the help they need?
I worked at the first Mental Health Urgent Care center in this country, where we treated people who were in crisis. The sad fact was it was just a trickle of people, even though we treated upwards of 20,000 people a year we needed to quadruple that number to attend to everyone who needed help. The problem was a lack of trust. Many don’t trust authority, or medication, or feel if they were honest about their condition they would be locked up for the rest of their lives. We also found that people who needed the help the most fought it the most. It turned out that my primary job there was to calm people down and explain that I was there to help, and I only cared about their wellbeing.
When I opened up my Residential Treatment Facility in the Pacific Northwest, one of my clients was a psychiatrist. This person had a psychotic break and refused to take medication because of the belief that if they did so, their license to prescribe medication would be taken away. This person at first responded very well to treatment, even without the medication, but as the discharge date loomed closer and closer their psychotic symptoms reappeared and medication became the only option, which helped them stabilize and return to their practice.
This shows that even professionals have issues. Some even have a crisis. At the Mental Health Urgent Care, the most common crises were a result of being a victim of a crime, having a psychiatric break, substance overuse, head injuries, or medical conditions. Therefore, we would provide each person with a quick medical exam, go over their current medication, provide a mental health assessment, and then have our psychiatrist interview them and recommend medication if necessary. Not such a bad deal if you had no insurance and lacked funding because the service was free.
The saddest thing I saw there was a 19-year-old, who went psychotic after his friends took him to a rave to celebrate his receiving a full scholarship to Cal State Berkeley, gave him ecstasy, and have regretted it ever since. He had to quit school and now is dependent on antipsychotic medication for the rest of his life to remain stable.
Buyer beware. If you have a relative who has a psychotic disorder, you have a higher probability of turning out like them if you experiment with substances like ecstasy or meth.
In general, people have a crisis when their ability to cope with a situation becomes too overwhelming. Unfortunately, the first option people take while in a crisis is substances. Honestly, this can make matters worse! There are a number of tools you can use to get yourself through a crisis and the first step is being gentle with yourself.
What do you do? Have a drink? Take pills? Find substances from the dealer? If so, you can risk dependence, but also, do you really know what you are getting from people you just met?
I recently had to calm myself down at a concert in Las Vegas. The Sphere is a new facility that has an audio and visual experience, second to none, but when the visuals had me feeling like I was in an elevator and the ground beneath me was dropping I used the following tools:
- I took in a deep, healing breath and filled my lungs with oxygen – often, anxiety results in a lack of air in your system.
- Closed my eyes – I just let the rest of the world fade away and focused on being with myself.
- Repeat uplifting words – I kept repeating the word “calm” as I consciously breathed relaxation in and out.
- Relax – I found myself clenching my fists and shoulders. I forced my body to relax the tight muscle groups while breathing in calm and exhaling tension.
- Drinking water – my body may have been alerting me that it was dehydrated or in need of grounding (discussed later). I asked my partner to get some water for me.
- Grabbing hold of your younger self – if you have suffered from past trauma, it is important to continually care for the younger part inside of you that went through trauma. I gave myself a hug and told my younger self kind words to show him that I cared.
NOTE: #6 may be difficult for people who have not been exposed to this type of work. Giving love to the root of our ailment can literally heal an issue for the last time.
- Grounding – grounding is getting the fearful energy from our body to exit, normally through the bottom of our feet. Though, that wasn’t a possibility due to my being amongst the 18,000 people at the arena but is a regular item in my arsenal when I am highly anxious.
- Having hope – not enough has been written about the healing power of hope. If you are doing something and it seems pointless you will probably give up. I, myself, have faith in all of the above tools because they have worked well on me and the people I have treated.
There are countless other tools to use, like relaxation, acupuncture, food that is used as medicine, and Swedish massage. Though, at the concert, these would be impossible for me to do. While sitting down in my seat I was able to relax, breathe steadily, and in no time, was back in my center and enjoying the Eagles playing the tunes I grew up to.
In a crisis, it can be difficult to think and even I will toss out the tools I know. I have a quick reference card I keep in my wallet with one big word at the top: BREATHE.
A word of advice is in order here. Many will turn to substances, even prescribed medication to numb out during this process. Prescribed medication is one thing and is important to use, however, drugs bought on the street are a concern and may cause damage or death. Do you really know what you are getting and if it is pure? If not, then you’re not only risking your life, but also your brain—based on what I witnessed at the Urgent Care Center. Emotional issues that hit us need to be processed through, otherwise being in a crisis can end up being a daily affair. Our issues are there for a reason and according to Spiritual Psychology, our issues left unsolved will cycle back to us again and again, until we ultimately face them.
If you continue to find yourself in a crisis, expert care is in order. Why suffer needlessly? Instead of bandaging over the thorn, why not simply pull it out once and for all?
In closing, it is important to have tools to turn to when in a crisis. Practicing those tools will have them more ready to use if by chance they are needed. Recently a client learned that one of their parents has about 8 more months to live. When the initial shock hit it was overwhelming. They immediately used opposite-hand writing to talk with the younger part inside of them that was hurting. They reported that they were still stunned, but in the past, they would have turned to drinking. Now, they found themselves hugging their inner child. “Hugs, not drugs” has always been my motto, and may you turn to the tools that have been tried and true, instead of what has not worked in your past.
Compassionate Care is Always Available
There are many more tools and strategies you can use in your pursuit of happiness. Here is where we come in. Contact us at Basic Steps Mental Health and let us support and educate you on this journey back to your loving heart center. Imagine living a heart-centered life, regardless of what is happening externally. We’d love to be of help.
For 25 years, Dr. Scott Alpert, the clinical director of Basic Steps Mental Health, has treated over 7,000 people with mental health and addiction problems, using a Psychological approach that mixes and matches ten of the top approaches used in the industry. We are here virtually and in-person to help you get through this COVID-19 pandemic and many other difficulties you may be experiencing.
May you have good mental health.
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