What to Do When Someone You Know Is Having a Mental Health Crisis

Mental health crises can occur suddenly and require immediate attention to ensure the safety and well-being of the individual experiencing distress. Recognizing the signs of a mental health crisis and knowing how to respond effectively can make a significant difference. This guide outlines practical steps and considerations for assisting someone in such a situation.

 

Recognizing a Mental Health Crisis

 

A mental health crisis is any situation in which an individual’s behavior puts them at risk of hurting themselves or others or prevents them from functioning effectively in daily life. Common signs include:

 

1. Verbal Indicators:

    Expressing feelings of hopelessness or worthlessness.

    Talking about wanting to harm themselves or others.

    Mentioning that they feel out of control.

 

2. Behavioral Changes:

    Sudden withdrawal from social interactions.

    Extreme agitation or inability to calm down.

    Risky or self-destructive actions, such as excessive substance use.

 

3. Physical Symptoms:

    Rapid breathing or heart rate.

    Fatigue or lack of energy despite rest.

    Changes in eating or sleeping habits.

 

4. Psychological Indicators:

    Disorientation or confusion.

    Hallucinations or delusions.

    Severe mood swings or intense emotional reactions.

 

Immediate Actions to Take

 

When someone you know is exhibiting signs of a mental health crisis, follow these steps to ensure their safety:

 

1. Assess the Situation:

    Determine if there is an immediate threat to the individual’s safety or to others.

    Look for access to harmful objects, such as sharp items, medications, or firearms.

    If there is a risk of harm, call emergency services immediately.

 

2. Stay Calm and Composed:

    Approach the individual with a calm and reassuring tone.

    Avoid shouting, making sudden movements, or showing frustration, as this can escalate their distress.

 

3. Engage in Active Listening:

    Let them speak without interrupting or dismissing their feelings.

    Use reflective statements, such as “It sounds like you’re feeling overwhelmed.”

    Avoid judgmental or dismissive language.

 

4. Provide Immediate Support:

    Offer a safe space where they can express their emotions.

    Encourage them to take slow, deep breaths to help reduce anxiety.

    Suggest grounding techniques, such as focusing on their surroundings or naming objects they see.

 

When to Call for Professional Help

 

If the individual’s condition appears severe or life-threatening, professional intervention is necessary. Situations that warrant emergency help include:

 

 Suicidal ideation with a specific plan or means to carry it out.

 Threats of harm to others.

 Extreme agitation or aggression that cannot be de-escalated.

 Symptoms of psychosis, such as hallucinations or paranoia, that impair their ability to function.

 

Dial 911 or your local emergency number, and clearly explain the situation to the operator. Mention that it is a mental health crisis to ensure responders are prepared.

 

Connecting with Mental Health Resources

 

If the crisis does not require immediate emergency intervention, help the individual connect with mental health professionals. Resources include:

 

1. Crisis Hotlines:

    National Suicide Prevention Lifeline: 1800273TALK (8255) or 988.

    Crisis Text Line: Text HOME to 741741.

 

2. Local Services:

    Reach out to community mental health centers.

    Contact mobile crisis teams, which provide onsite assessments and interventions.

 

3. Primary Care Providers:

    Encourage them to schedule an appointment with their primary care physician for a referral to a mental health specialist.

 

 Do’s and Don’ts in a Crisis

 

Do:

 Stay patient and empathetic.

 Maintain a nonjudgmental attitude.

 Set clear boundaries to ensure mutual safety.

 Follow up after the crisis to provide continued support.

 

Don’t:

 Minimize their feelings by saying things like “It’s not a big deal” or “You’ll get over it.”

 Argue or challenge their perceptions.

 Leave them alone if they are in immediate danger.

 Promise confidentiality if there is a risk of harm.

 

Safety Considerations

 

Ensure the environment is safe for both the individual and others. Remove objects that could be used for self-harm, such as sharp tools, medications, or firearms. If necessary, involve others to help maintain a secure setting.

 

Post Crisis Care

 

After the immediate crisis has been managed, ongoing care and support are essential:

 

1. Encourage Professional Help:

    Support them in scheduling appointments with therapists, psychiatrists, or counselors.

    Offer to accompany them to their first visit if appropriate.

 

2. Promote SelfCare:

    Suggest activities that promote relaxation and well-being, such as mindfulness, exercise, or journaling.

    Emphasize the importance of a balanced diet, sufficient sleep, and regular routines.

 

3. Stay Connected:

    Check-in regularly to ensure they feel supported.

    Monitor for any signs of relapse or worsening symptoms.

 

4. Educate Yourself:

    Learn about their condition to better understand their experiences.

    Familiarize yourself with resources and strategies to assist them effectively.

 

Caring for Yourself

 

Supporting someone through a mental health crisis can be emotionally taxing. Prioritize your own wellbeing by:

 

 Seeking guidance from a counselor or support group.

 Setting boundaries to avoid burnout.

 Practicing stress-relief techniques, such as meditation or physical activity.

 

👐👐👐

 

Mental health crises require prompt, compassionate, and informed responses to ensure safety and facilitate recovery. By recognizing the signs, taking immediate action, and connecting the individual to appropriate resources, you can play a vital role in their journey toward stability and healing. Remember, professional support is key, and you don’t have to handle the situation alone.