Crisis Management
By Alan S. Peterson, M.D.
What is a crisis?
A crisis is when you feel like you can’t cope with something. You might feel that an event is out of your control or that it is dangerous for your physical or emotional health.
What causes a crisis?
Any event can cause a crisis. Some examples are life changes (like having a baby or retiring) or things that upset you (like a car crash, an assault, or being in a hurricane or earthquake). Medical problems (like a heart attack, depression, or cancer) and emotional problems (like troubles in a relationship) also can cause a crisis.
How do I know if I'm having a crisis?
If you are having a crisis you may feel anxious or panicked. Some people have symptoms like an upset stomach or headaches. Some people feel tired as sleep may be difficult. You might try to cope with your feelings in unhealthy ways like denying that the problem exists, having negative thoughts, avoiding other people, abusing alcohol, or using illegal drugs.
What should I do if I feel overwhelmed?
It is important to keep yourself and others safe. If you think that you might be at risk of injury, go to a safe place. If you feel like hurting or killing yourself or others, get help right away. Call your doctor or dial 911, or go to the nearest hospital Emergency Room. In Lancaster County there is also a 24 hour Crisis Intervention Center that can be reached at 394-2631. There are also “Help” centers located in Lancaster County and throughout the state for various specific problems. These telephone numbers are given out in many doctors’ offices and other areas that offer information to patients.
For example: In our office at the Walter Aument Family Health Center, one can obtain a helpful list of these agencies from cards that are available to take home attached to the paper towel rack in our restrooms. (It is felt that confidentiality concerning these issues is important and you can take one of these home for yourself or a loved one without anyone else having knowledge of it.)
How can one cope with a crisis?
Here are some tips that can help you cope with a crisis:
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Stay calm. Breathe deeply and relax your muscles. This can make you less anxious and help you to think more clearly. If you still have trouble staying calm, tell your doctor. He or she may want to see you and/or give you some medicine to help you. Don’t use alcohol or illegal drugs. It can keep you from dealing with the problem and create other issues for you.
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Get support from your friends and family. You could also try things like exercise and hobbies. Staying busy can help anxiety and depression and stop you from feeling alone. Counsel can be received from your clergyman or other counselor.
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Face the problem. Instead of avoiding it, take action to solve it.
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Think positively. Try not to focus on the worst things that can happen, because this can make you feel more anxious. Instead, think about the things that you can do about the problem. Tell yourself “I can get through this” and remind yourself to take it one step at a time. “Tomorrow is always another day.”
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Make a short list of steps you can take to fix the crisis. Writing them out helps you to more clearly reflect on the issues and form a plan. Write your steps down here:
Step 1: _____________________________________________
Step 2: _____________________________________________
Step 3: _____________________________________________
Talk about your steps with a close friend, family member, your doctor, or your clergyman. Begin to carry out your steps, and make changes to your plan as needed.
- Learn from your crisis. A crisis may cause problems, but it can also help you grow. Think about what you have learned from the crisis so that you can cope better in the future.
Where can I get more information?
Obviously your health provider can supply significant information. Some other important agencies might be the National Coalition Against Domestic Violence at 1-800-799-7233 or their website at
www.ncadv.org. Another site of interest might be the National Center for Post-Traumatic Stress Disorder at
www.ncptsd.va.gov. Also the National Mental Health Information Center at 1-800-789-2647 or their website
www.mentalhealth.samhsa.gov/databases. Another very important agency is the National Suicide Prevention Lifeline. The telephone number is 1-800-273-8255 or website
www.suicidepreventionlifeline.org.
Dr. Peterson is a doctor of Family and Community Medicine at the Walter L. Aument Family Health Center, 317 S. Chestnut St., Quarryville.