Helping in a Crisis

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When a crisis hits, it can be overwhelming for those wanting to help. You may be uncertain what to do or lack the confidence to jump into action. While every situation is unique, these are some basic guidelines to keep in mind when coming to the aid of someone experiencing a mental health crisis. 

Be There

Sometimes the most important and helpful thing you can do is to simply be there for the person in need. However, being there does not simply mean being next to the person physically. While this can certainly add a level of comfort, it is vital that you give them your full attention and support. Practice active listening and let the individual know they are not alone. If you are unable to be there in person, offer to be a listening ear if you are able to comfortably do so.

Don’t Judge

Many times issues such as panic attacks can arise suddenly and without clear reason. To bystanders, this may seem irrational. But the stress and pressure the individual is facing is very real. It is important to withhold any judgments – no matter the situation. Avoid telling the person to calm down or accusing them of being dramatic. This will only make them feel more isolated and can escalate the situation. Instead, if the person is willing to talk, have them tell you what is specifically bothering them. By doing this, a solution may become clear to them or you may be able to identify thought fallacies. If the individual does not want to talk, don’t force them. You don’t need to fully understand in order to show support. Allow them the space they need. Don’t take offense if that is what they ask for – it does not necessarily mean you did anything wrong.

Ask

It is a natural instinct for many helpers to jump right into action. While some crises require swift action, other times a measured response is required. Immediately insisting that the individual has to go to the hospital when feeling depressed or assuming someone feeling overwhelmed wants a hug can escalate the situation. Every situation is different along with each individual’s reaction to said situation. Even someone you know well might have different needs than you expect. So how do you navigate this obstacle? You ask. Ask the person what they need at that moment. If the individual has prior experience with mental crises, they may know what they need. Allow them to take the lead in their own care. If the individual states that they do not know, you may offer suggestions – but allow them to decide how they want to move forward.

Know When to Get More Help

Sometimes a crisis can escalate out of hand or an individual might require more help than you can provide. As someone who struggles to ask for help, it can be difficult to admit that I can’t fix everything on my own. However, I have learned that it is better to ask for help than to try taking on more than you can handle. Refusing to get help can endanger both you and the individual in crisis. Depending on the situation, you may ask for another friend or family member the person is comfortable with to provide extra support. Contact a professional or emergency services if the individual is experiencing suicidal thoughts, appears to be completely disorientated, or is threatening to harm themself or others. These are situations in which it may be necessary to act without asking the individual. Always place safety first.

Conclusion

These guidelines are not all-inclusive but are the steps I think through when helping an individual through crisis. They are based on my experiences as an individual with mental illness, what I have learned through courses and work experience, and stories from friends and family. It is important to remember that every case is different. If you say something wrong or make a mistake, learn from it but don’t be too harsh on yourself. Mental health is complex and dealing with a crisis is stressful for everyone involved. Finally, I want to thank you for taking the time to educate yourself and being willing to provide support at the most critical of times. Your efforts make a difference. 

Crisis Hotline: Call 988

Crisis Text Line: Text HOME to 741741

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