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Crisis

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Compiled by: MN Francisco

CRISIS

• Crisis is a sudden disruptive event or an upset in a steady state.


• Creates feelings of being vulnerable, unprepared, and overwhelmed and
threatened, therefore, it is experienced as a painful state.
• Contains implicit as well as explicit threats, usually a loss of some vital
things, often has to do with our sense of control, causes high anxiety,
hopeless feelings.
• Normal coping may fail, may reactivate old problems.

Concept of crisis
• Crisis is a dangerous opportunity
• Crisis is a response to a hazardous event
• Not all stressful experience produces a crisis situation
• Psychological crisis is painful and maybe viewed as a turning point for better or
for worst
• Both danger and opportunity
• Self-limited – few hours to weeks
• New equilibrium within 4-6 weeks
• Mobilizes powerful reactions to alleviate discomfort and return to the state of
emotional equilibrium
• Imposes a variety of affective, cognitive, and behavioral tasks to be mastered,
requires new coping mechanisms
• Stressful events reactivates old problems therefore it is possible to rework
previously unresolved problems
• Have predictable stages

Types of crisis
• DEVELOPMENTAL CRISIS – transitional periods wherein an individual passes
one stage to another
• SITUATIONAL CRISIS – when specific external event upsets a person’s
equilibrium
• ADVENTITIOUS CRISIS – accidental, uncommon, unexpected events with
multiple losses & gross environmental changes

Most common feelings experienced during crisis


• Anxiety – mobilize to action but can also produce confusion, poor
judgment/decision, self defeating behavior
• Helplessness
• Shame – mainly due to feeling of incompetence and need to defend on others
• Anger – often hidden behind the expression of feelings, may be displaced
• Ambivalence – issues of control vs. out of control, reaching for help vs.
managing self = decrease self esteem
Compiled by: MN Francisco

Thought and feeling ratio

Crises intervention
• A process of actively influencing the psychological functioning of individuals
during a period of disequilibrium

Goals
• To alleviate the immediate impact of a disruptive stressful event.
• To help mobilize the manifest and latent psychological capabilities and social
resources of those directly affected to cope with the effects of stress adaptively.

Criteria for crises intervention


• Specific hazardous situation of recent origin that produces anxiety
• A precipitating event that intensified the anxiety
• Clear cut evidence that client is in psychological crisis
• High motivation to overcome the crisis
• A potential for making a psychological adjustment equal or superior to previous
level
• Ability to recognize psychological reason for the present predicament

Counseling task
1. Initiate a supportive relationship
2. Identify the client’s major concerns and perception of the kind of help needed
• Psychological intactness
• Physical intactness
• Police-legal assistance
3. Educate with data needed to make informed decision
4. Mobilize the client to use available social support – evaluate accessibility and
effectiveness of his/her social network
5. Anticipate future feelings, thoughts, and symptoms that he/she may experience
Compiled by: MN Francisco

Steps for crisis counseling


1. Establish trust – physical safety, personal trust
2. Negotiate the relationship – clear roles and limits, rules and regulations that
protect the client and requirements that are involved
3. Validate experience – encourage to share details, help sort out details
4. Process decisions:
1. Assess situation – potentials for additional, immediate abuse, various
needs, medical, etc.
2. Review options – options for justice, consequences
3. Develop Action Plan
4. Assess other resources – medical assistance, child care, court
information, counseling for family
5. Pursue Action Plan
5. Come to catharsis and temporary emotional resolution – fear, anger, guilt,
etc.
6. Develop future goals and plans – induces termination issues

Techniques
1. Concentrate on affective experience
2. Maintain calm, attentive and concern/demeanor
3. Avoid being controlling
4. Ask general questions and then move gradually to more specific inquiries
5. Use clarification, generalization, and reflections to facilitate communication and
convey understanding
6. Support existing adaptive defenses
7. Deal with affective concerns as they are raised by the client
8. Underscore options as a way of encouraging client to take active role in his/her
recovery

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