Good review on emotional flooding and how emotions can sometimes overtake an individual. It is important for those subject to emotional flooding to better understand how to control it as well as those around someone who may become emotional unstable.
Please also review AIHCP’s Grief Counseling Certification and see if it matches your academic and professional goals. The program is online and independent study and open to qualified professionals seeking a four year certification in grief counseling. In addition, please also review AIHCP’s other certifications in Stress Management as well as Crisis Intervention
Gender and sexual orientation are important and critical characteristics about a person during counseling. External and internal stressors can all be exist based on the gender of a person or the person’s sexual orientation. As counselors, it is important to have an important understanding of these target populations and the bias and discrimination they face as well as their own internal issues with family and friends.
Please also review AIHCP’s Grief Diversity Certification and see if it meets your academic and professional goals. The program is designed for certified grief counselors looking to enhance their understanding of grief through a better understanding of target populations.
Crisis Intervention specialists deal with an array of issues. Usually issues of self harm, harm of others and suicide are a very common theme. In crisis, logical thinking and hope are erased and the person can sometimes do things out of character that are very lethal in nature. Understanding suicide, suicide assessment, prevention and intervention are key components of helping individuals in crisis not make a permanent and fateful decision.
Suicide is rarely a conscious choice but one with emotional and mental implications that remove one from a state logical thinking
It is critical for crisis counselors, grief counselors, pastoral care givers and ministry, licensed mental health professionals, as well as those in healthcare to have a strong training and educational background in suicide and crises of lethality. AIHCP offers certifications in Grief Counseling but also in Crisis Intervention to help train members in those fields with the additional knowledge and abilities to handle crisis of lethality.
Suicide
While in the past, AIHCP has offered blogs, as well as video content on the nature of suicide, this particular blog will focus on the crisis element of it. It will identify suicidal signs, assessments, but also focus on intervention in particular.
James points out that a person in suicidal crisis is engaged in an expressive act of homicide where emotional state looks to reduce psychological pain (2017, p. 203). According to statistics, James point out that 600, 000 to 100, 000 suicides are attempted each year in the United States and 30, 000 to 60, 000 die each year in those attempts, with 19, 000 permanently injured (2017, p. 204). While different groups within the US have different rates of suicide as compared to others, the leading group is older white males.
Theories surrounding suicide share many common features but also have different emphasis on certain reasons why one attempts to kill oneself. Freud’s psychodynamic theories saw suicide as a reaction of some inner conflict with external stressors (James, 2017, p. 206). Erickson saw reasons for suicide correlated with developmental issues that prevented the person from advancing and reaching certain goals in life. Individuals who become stagnant and unable to develop sometimes choose suicide as an option to escape (James, 2017, p. 206). Escapist theory views suicide as the only way out of a bad situation during fight or flight. Within this theory, individuals feel they fell short, blame themselves, focus on narrow deficits only, and only see a view of perfectionism that if not met can only end in suicide due to the hopelessness perceived (James, 2017, p. 206). Hopelessness remains a common theme in all situations where the person feels they have no power over the situation.
Another important theory was developed by Edwin Shneidman, the founder of suicidology. In understanding suicide he measured one’s psycheache or pain in the mind, one’s perturbation or the degree of the pain, and the press or stress due to external factors (James, 2017, p. 206), With the combination of these things, Shneidman saw how psycheache frustrates or blocks psychological needs leading to hopelessness and suicide and reaching the state of critical mass to activate suicide.
Durkeim in the 19th Century proposed the sociological theory which looks at a person’s connections to society and how social norms and society based on a person’s integration with those norms plays a large role. Egoistical suicide refers to one’s lack integration with any group. Anomic suicide refers to when economic and financial systems of society break down all around the person. Altruistic suicide refers when a person commits suicide for cultural reasons or the perceived better good according to the society. Fatalistic suicide refers to if a person is an intolerable or unescapable situation such a concentration camp (James, 2017, p. 207). According to Van Orden interpersonal states are also key in the mind of those contemplating suicide. Suicidal individuals may acquire capability by decreasing innate fear of pain and death gradually. In their personal views, they perceive themselves as burdensome to others as well as failing to belong to anyone or find attachment to anything (James, 2017. p. 207). Existentialism and meaning also play an important role in suicide theory. Ideas on death, existential isolation, meaning and meaningless in making sense of the world and the freedom of existentialist thought to make choices all play a role in the construction of existentialist thought. When challenges to existence and death are overwhelmed and an existentialist anchor is lost, then many individuals can fall into hopelessness without any reason to exist (James, 2017, p. 208).
Another interesting theory follows a basic suicide trajectory model based on various risk factors that correlate with suicide. This includes, biological, substance abuse history, genetic predispositions, gender, self esteem, psychological maladies, cognitive thinking and environmental stressors (James, 2017, p. 207). Psychology also points to imbalances within the brain, neurochemical reactions that do not allow a person to better respond to a situation (James, 2017, 208).
From these theories and multiple other ones, one has a better understanding that suicide is rarely a free choice but is committed in a state of emotional turmoil without true cognitive reasoning. This is why so many religious views on suicide as a choice or sin have been replaced with a better recognition that most if not all are victims of it.
Characteristics of Suicidal Individuals
For the most part, those thinking of suicide exist in an acute state of crisis or a chronic state of depression that leads to certain characteristics that manifest emotionally, socially, mentally and physically.
Many suicidal individuals suffer from depression or hopelessness. Please also review AIHCP’s Crisis Intervention Certification
Situationally, individuals face an endurable pain they cannot overcome. A stressor frustrates the psychological need (James, 2017, p. 209). Hence situations involving trauma, death, loss, finances, relationship or anything that creates a perceived unbearable loss appears. Motivation wise, individuals look to seek a solution and that solution entails to remove the stressor via cessation of consciousness. Accompanied with this are the affective emotions of hopelessness and helplessness. Cognitively, individuals see solutions in a very narrow scope with out any alternatives to think their way out of the situation. Relationally, an individual wishes to communicate intent and find mutual justification in it and acknowledgement of that right to do so. Serially, characteristics reveal a long history of trying everything else but no other option remains (James, 2017,p. 209).
Within these characteristics of the suicidal mind, it important to dismiss certain myths that distort. First, one needs to dismiss fears of discussing suicide as if it will cause it. In fact, discussing suicide and being very upfront is key. Second, one needs to dismiss the notion that those who say they will commit suicide rarely carry through with it. In fact, many who say they are contemplating are very high risk of attempting it. To the individual suicide is perceived as a very rational act. Third, individuals who commit suicide are insane. Most who commit or attempt suicide are only acutely affected with emotional issues. Fourth, suicide is only impulsive. In fact, most suicides are planned and plotted outside acute crisis. Fifth, suicide is painless. Many suicides can be very gruesome and some go awry and very wrong. Sixth, suicidal thoughts are rare. In fact, they are more common than one may think with 8.3 million have some type of suicidal ideation (James, 2017. p. 212).
Suicide Assessment is Key
Assessment is critical in saving a life. While some crisis specialists deal with suicidal individuals in an acute and heated moment, many suicides are well planned and plotted. Counselors need to be aware of the possibility and assess the lethality
James points out that there are a variety of verbal clues, statements and written letters. As well as behavioral clues such as self harm or isolation. Also situational clues that involve death of another person, financial woes, loss job, or divorce should be acknowledged. In addition, syndromatic clues such as depression, hopelessness and unhappiness with life can play key indicators in possible suicidal. This is why it is so important to also ask someone in assessment (2017, p. 212).
Another tool to utilize is PATHWARM. This is an acronym from the American Association of Suicidology. It utilizes the letter within the acronym to better identify various warning signs. Within the acronym is: Ideation, Substance Abuse, Purposefulness, Anxiety, Trapped, Hopelessness, Withdraw, Anger, Recklessness and Mood.
There are many, many assessment keys, questions, or triages one can utilize. We will briefly go over a select few.
First, the basic clinical interview is essential in determining suicidal ideation. Within it is a long laundry list of observations and questions. Here are a few: Does the person exhibit suicidal intent or tendencies? Does the person have a family history of suicide? Does the person have past suicide attempts? Does the person have a specific plan? Has the person experienced a death recently? Does the person have a history of drugs and substance abuse? Does the person display radical changes in mood and behavior? Does the person display hopelessness? Has the person experienced past trauma? Has the person discontinued medication? Does the person exhibit extreme emotions? Has the person faced financial troubles or loss of job? Does the person feel threatened? Does the person see everything as all or nothing? Does the person feel as if he or she does not belong? Does the person struggle with identity and self esteem? Does the person have access to firearms? Has the person explored suicide through online search or literature? Has the person not seen a medical professional within the last 3 to 6 months? (James, 2017, p. 215).
SIMPLE STEPS is another acronym that can utilized in assessment during interview. Again it emphasizes the importance of asking the question are you thinking of killing oneself? Within the acronym are the following points. Suicidal? Ideation? Method? Pain? Loss? Earlier attempts? Substance abuse? Troubleshooting for alternatives? Emotions? Parental history? Stressors? (James, 2017, p. 216-17). This triage captures the basic essence again of all assessment in that it asks the difficult question and looks to identify potential lethality and danger of a plan. Not all cases may present an immediate acute threat while others may require immediate intervention and reference to medical professionals or notification of authorities and family.
Suicide Intervention
In intervention, whether in acute setting or discussing possible plans of a person to commit suicide, professionals need to not judge the person, or demean the person’s perceived tragic nature of life. Instead, crisis professionals are encouraged to gain an understanding, form a bond and offer alternative options.
The Three “I”s are essential to know if looking to defuse suicidal situations. The person feels the situation is inescapable, intolerable and interminable (James, 2017,p. 218). Hence it is important to help the person feel secure, less painful, and offer hope with solid solutions. When a person is facing crisis, they may feel there is no other way out and may need alternatives presented and applied to the situation. In addition, the crisis counselor may try to help the person reframe the situation with attributes of CBT to see the situation from a different light. The crisis counselor must also help the individual face the pain and discover that is not forever. Helping focus on not so much the lethality but the perturbation of the person can help the person see more clearly, utilize problem solving abilities, and offer alternatives to the current issue. Addressing stressors and helping the person see hope is the biggest key. At this core, Crisis Management looks to help the person plan a response to suicidal issues (James, 2017, p. 222).
Those in suicidal ideation need alternatives and options. They need to know the there is escape and an end to the pain that involves not ceasing consciousness
In counseling, professionals should help clients reframe. This involves not only a new line of thinking but also validating emotions and discussing future suicidal behaviors and how to counter them. It is important to help the person learn real problem solving skills for issues but also address teaching individuals how to cope with pain and emotions in better ways. In addition, counselors can help clients find better social connections to prevent isolation as well as play an important role in life coaching with positive thoughts, plans and goals. Importantly as well, a counselor should obtain from the person a no harm commitment through a suicide “Do not Harm Contract” or “Stay Alive” contract which the individual signs. It is important to let the person know he or she is not alone and can reach out or call when certain triggers may appear that seem unbearable (James, 2017, p. 227)> In some cases, calls to the authorities may be needed, or a person may need observed for a period of time before the crisis has subsided.
Conclusion
Suicide is not simply a call for help but a true crisis situation that demands attention. Through warning signs, assessment and proper intervention, crisis counselors can save lives. It is also important to note that suicide is not something rationally chosen but one that is mentally and emotionally chosen when in a illogical state of mind. Hence negative social stigmas need removed and professionals as well as society need to see these individuals who attempt or complete suicide as victims. This is why it is so important to be educated on the subject and listening and observing with empathy for those who shows signs of suicidal ideation.
Please also review AIHCP’s Crisis Intervention Program and see if it meets your academic and professional goals. The program is online and independent study and open to qualified professionals seeking a four year certification. Counselors, first responders, clergy and other mental health professionals can play a key role crisis intervention and saving lives from suicide.
Resources
James, R & Gilliland, B. (2017). “Crisis Intervention Strategies”. (8th). Cengage
Additional Resources
Clay, R. (2022). “How to assess and intervene with patients at risk of suicide”. APA. Access here
Are you thinking about suicide? How to stay safe and find treatment. Mayo Clinic. Access here
Ryan, E. & Oquendo, M. (2020). “Suicide Risk Assessment and Prevention: Challenges and Opportunities”. Psychiatry Online. Access here
Suicide and suicidal thoughts. Mayo Clinic. Access here
Suicide Prevention Tools for Public Health Professionals. CDC. Access here
Psycho dynamic therapies are Freudian in base and look at past traumas in early life and other emotional scars to explain present behaviors. In understanding why one acts a certain way, one can then address the current behavior. How one grieves and reacts to loss can also be understood in one’s past. Grief counselors who utilize aspects of Psycho Dynamic theory help individuals understand their past losses to better cope with their present. This can also include how they dealt with loss and grief in the past and how those grieving patterns are negatively effecting a current loss.
Please also review AIHCP’s Grief Counseling Certification and see if it meets your academic and professional goals. The program is online and independent study with mentorship as needed and open to qualified professionals in human services, mental health, ministry, and healthcare with appropriate degrees or licensures.
Crisis Intervention is a specialty field that is on the battlefield itself. It is the first aid of those in initial emotional pain and mental disorientation. It involves emergency workers, fire, police, paramedics, but also trained professionals in social work, chaplaincy and mental health. These individuals go to the distressed whether the situation is individual or collective at a local or state level. They meet the emotionally distressed at their home, whether it is due to violent crime, rape, murder, suicide, or sudden death, or to sites where national disasters such as hurricanes have wiped out a person’s home, or to terrorist or shooting sites where communities are left without meaning. Crisis Intervention Specialists look to help individuals find sanity in the insanity and help equip them with the necessary immediate physical, mental, emotional and spiritual care needed to access and find direction. They are not long term specialists for trauma but the first mental health responders to crisis itself.
Those in crisis intervention look to stabilize the person and help them regain emotional balance and the ability to cope when things personal or local disaster strikes
Crisis Intervention stems back the very first Suicide phone line in 1906 and the need for it was escalated with the infamous Coconut Grove Nightclub fire of 1942 (James, 2017, p. 3). The crisis emergency became more apparent with the Community Mental Health Act of 1963 that closed asylums and referred those with mental issues to local mental health services (James, 2017. p. 3-4). Unfortunately, without observation, most suffering from mental trauma, addiction, or minor mental health became the problem of law enforcement and many now find themselves in prisons. The constant and sometimes fatal interactions with mentally unstable individuals with police have led to multiple unfortunate deaths which have called for better mental health accountability by society as well as police training in crisis intervention. With the awakening of post Vietnam PTSD among veterans, addiction, as well as women rights and abuse, the need for crisis intervention grew even more. Today it is a must in a society with many mental maladies that lead to acute instance of crisis.
Crisis definition while sharing key qualities is defined by many mental health professionals. According to James there are a variety of instances that constitute crisis. People can face crisis when obstacle to life goals seems to insurmountable that it leads to despair and disorganization in life. People can face crisis when a traumatic event occurs that totally usurps one’s life and life narrative. People face crisis when a person has no response for the problem or immobilizes them and prevents them from moving forward. People face crisis when fall into anxiety, fear, shock and distress about a disruption in life. People face crisis a loss of psychological equilibrium and emotional instability and imbalance result. People face crisis when they enter into an acute emotional situation arising from external sources that one has temporary inability to cope with or deal with. People face crisis with extraordinary events of disaster and terror or rapidly building stressors that upset the homeostatic balance of the person’s life creating a vulnerable state (2017, p. 9).
James also gives a more precise definition accumulating the above ideas of crisis. He refers to crisis as the “perception or experiencing of an event or situation as intolerable difficulty that exceeds the person’s current resources and coping mechanisms. Unless the person obtains relief, the crisis has the potential to cause severe affective, behavioral, cognitive malfunctioning up to the point of instigating injurious or lethal behavior to oneself or others (2017, p. 9)”.
Types of Emergencies
Behavioral emergencies when situations escalate to a point of immediate intervention to avoid death or injury (James, 2017. p. 9). This can include suicide intervention, homicides , lethal situations, abuse, rape, or any type of violent interpersonal behavior. It can be direct or indirect. Sometimes these emergencies occur due to accidents without intent of injury but injury or life risk occurs. In other cases, they can be a product of emotional reaction
Another type of emergency is referred to systemic emergencies that affect organizations, communities or nations. James defines a systemic emergency as a “when a traumatic event occurs such that people, institutions, communities and ecologies are overwhelmed and response systems are unable to effectively contain and control the event in regard to both physical and psychological reactions to it (2017, p.11)”. These can include natural disasters such as hurricanes, tsunamis, earthquakes or tornadoes, as well as terrorist actions, or public shootings. Within all crisis is the possible of it spreading. The term metastasizing crisis is utilized to explain how crisis can outgrow one person and spread to another or how one local crisis can spread to a larger reason. Crisis Intervention teams and emergency response units look to contain crisis through primary prevention as well as secondary intervention policies to prevent as well as minimize.
In all of these cases, the presence of danger exists. Things can change quickly and there are no quick fixes In most of these crises, individuals are faced with choice or no choice. Many are unable to make a choice without help but choosing to do something shows ability to respond and react. Whether an individual is negatively effected by a crisis depends on their individual makeup. Any human being can be victim of a crisis but how one responds depends on interior and exterior characteristics of both the person and the the type of emergency. Resiliency plays a key role in whether one in crisis events and emergencies will go numb, or emotionally instable and uncapable of response. Ultimately beyond exterior and interior sources of a person, it is ultimately one’s perception of the crisis that has a stronger influence than the actual event itself (James, 2017, p. 11-12).
Types of Crisis and Transcrisis States
Within these types of emergencies, there exist numerous types of crisis to the individual. Individuals can suffer from developmental crisis as a result of change throughout life that produces abnormal responses of crisis. Such examples can include the birth of a child, college, a midlife crisis, or even aging (James, 2017, p. 18). In addition to developmental crisis, individuals also face situational crises that are uncommon or extraordinary as to result in inability to respond or cope. Existential crises are far deeper reaching and reach the core of the person’s belief system. Finally, ecosystemic crises involve acts of nature, or human causes evils or disasters that affect individuals or communities (James, 2017. p. 18).
Individuals can experience many different types of crises.
While it is the job of the Crisis Intervention Specialist to help individuals again find balance during crisis, sometimes individuals carry baggage of unresolved issues and current stressors can trigger past unresolved trauma. This is referred to as transcrisis states that can emerge. These states can also occur due to a variety of mental issues ranging from development and unfilled duties, to repressed trauma, as well as addiction which can lead one into crisis when faced with other issues.
James notes however that transcrisis state should not be confused with PTSD which is an identifiable disorder linked to a specific trauma (2017, p. 13). While those with PTSD may be in a transcrisis situation, transcrisis by itself is more vague and due to multiple issues and stressors. The state is one that is residual and reoccurring and always capable of catching fire with a stressor that overflows the cup of the person’s mental abilities.
Basic Crisis Intervention Theories
Lindermann introduced the first basic concepts of Crisis Intervention with his research from survivors from the Coconut Grove Nightclub fire but he focused more solely on normal grief reactions and adjustments to the loss. Caplan, later would view the whole of the traumatic event as crisis beyond grief and loss. Caplan listed the the basic qualities of crisis and adjustment to crisis involving disturbed equilibrium, grief therapy, grief work and restoration of equilibrium (James, 2017, p. 14-15).
Other systems would expand on this basic theory and address certain aspects of psychology of one or more over the other. This included various systems. First, psychoanalytic theory applied the idea of expanded crisis theory beyond general systems that surround the person to also include the individual’s subconscious thoughts and past emotional experiences and how they relate to the current crisis (James, 2017, p. 15). Systems theory instead of looking within the person, emphasized analyzing the interrelationships and interdependence of individuals in crisis or the event and how needs were met within those systems. Via aid and assistance, one can lessen the crisis to the individual or family (James, 2017, p. 16). Ecosystems theory places more emphasis on the macrosystem involving the person, family or community and the interrelated elements and how change to one aspect can lead to disarray for the whole (James, 2017, p. 16). Adaptational Theory focuses on a persons adaptive or maladaptive coping strategies and how good coping will alleviate the crisis sooner than maladaptive reactions. Hence the focus is on how one copes with the issue in a healthy way (James, 2017, p. 16). Interpersonal theory focus on internal locus of the person and the ability to reshape and reframe and find optimism. It is based on empathy and listening as well as the ability to help individuals find confidence that will ultimately defeat the crisis state (James, 2017, p. 17-18). Finally, Developmental theory analyzes how ones development in life has prepared or not prepared an individual for future crisis (James, 2017, p. 18)
Crisis Intervention Models
The three primary models in crisis intervention are the equilibrium model, the cognitive model and psychosocial transition model.
Different models approach crisis from different angles. Please also review AIHCP’s Crisis Intervention Specialist Certification
The Equilibrium model is based off Caplan and identifies crisis state as an emotional and mental imbalance. Their abilities to cope and meet the needs of the crisis are overwhelmed and require assistance in finding equilibrium as opposed to disequilibrium. The goal is to help individuals find balance (James, 2017, p. 19).
The Cognitive model looks to correct faulty thinking in crisis regarding the events surrounding the crisis. The goal is to help the individual become aware of their faulty thinking, reframe and change their views or beliefs about the situation. They are very much connected with CBT (James, 2017, p. 19).
The Psychosocial model states that individuals are a product of their genes, social influences and social environment. When crisis arrives, professionals look to help individuals identify internal behaviors and moods as well external factors which are preventing the individual from utilizing resources or workable alternatives to the crisis at hand (James, 2017, p. 19).
A large part of all models is helping individuals again be able to cope with the problem at hand. Hence the term Psychological First Aid was coined for crisis intervention (James, 2017, p. 20-21). Like stopping the bleeding of the wound, crisis intervention specialists, first responders, emergency relief, social workers, and chaplains are trained to help individuals by meeting basic needs so the person can regain pre-crisis state. US Department of Veteran Affairs, among many, list the most important steps in psychological first aid. Some of these issues also deal with supplying basic safety and security, including shelter and food when necessary as part of basic Maslov needs. Basic Psychological First Aid includes proper contact and engagement which is non-intrusive and compassionate. It should include a sense of safety and comfort. It needs to help stabilize if needed the individual from a mental perspective. It needs to gather information for the needs of the individual and then giving practical assistance for those needs. Furthermore, it entails connecting the individual with social supports such as family, friends as well as informing the individual how to cope with stress and help the person continue to function. Finally, it involves securing for the individual future contacts for aid and help with various services for their particular issue or mental health. (James , 2017, p. 21).
Within this first aid model, the ACT model can play as key guide. One needs to access the problem and understand the needs of the person, connect the person to social support systems and to identify any traumatic reactions or possible future disorders.
Conclusion
Crisis comes in many forms and is universal to all humanity but different people react differently to crisis. Some may lose emotional balance and equilibrium and need immediate care. Those in emergency services, chaplaincy, social work, or disaster relief need to understand the nature of crisis and how to help individuals in the moment regain that emotional equilibrium. While different crisis range and different models exist to help others, crisis intervention is similar to emotional first aid in that it looks to stop the immediate emotional bleeding and help the person again regain control of the situation and be able to cope. While this only deals with the first phase of a long recovery, like all emergency and acute situations, it is vital for many to be able to survive the initial blast of crisis at during different times.
Please also review AIHCP’s Crisis Intervention Specialist Program
Please also review AIHCP’s Crisis Intervention Specialist Program and see if it meets your academic and professional goals. The program is online and independent study with mentorship as needed. The program is and to qualified professionals seeking a four year certification who work in human services, mental health and healthcare professionals, social work, chaplaincy, nursing, emergency call centers, first responders, and disaster relief teams.
Resource
James, R. & Gilliland, B. (2017). Crisis Intervention Strategies (8th)”. Cengage
Additional Resources
Boscarino, J. (2015). “Community Disasters, Psychological Trauma, and Crisis Intervention”. Published in final edited form as: Int J Emerg Ment Health. 2015. National Library of Medicine. Access here
Ford, J. D. (2021). Essential elements of crisis intervention. In J. D. Ford, Crises in the psychotherapy session: Transforming critical moments into turning points (pp. 63–79). American Psychological Association. Access here
Valeii, K. (2024). “Psychological First Aid: How It’s Used”. Very Well Health. Access here
Wang, D & Gupta, V. (2023). “Crisis Intervention”. National Library of Medicine. Access here
Animal Therapy helps individuals who are hurt by intense trauma and have a hard time expressing themselves from it. It also has benefits for those who have issues communicating, such as those with Autism or even children. The type of animal used also plays a role pending on the need and personality of the person. Animals love unconditionally and hence can help people experience love and warmth but also learn ways to express, care and feel needed through responsibility.
Please also review AIHCP’s Grief Counseling Certification
Please also review AIHCP’s Grief Counseling Certification and see if it meets your academic and professional goals. The program is online and independent study and open to qualified professionals.
Play Therapy is an important type of therapy in counseling for children. It helps children better express themselves about trauma, loss, or emotional issues. Children are less verbal and the play associates more with their brain development in how they communicate. Clinical Professional Counselors who specialize in play therapy are able to help children face issues and help them find healing. Grief Counselors can utilize Play Therapy as well in helping grieving children. Obviously, pastoral counselors cannot utilize this type of therapy even if grief certified since they are not licensed counselors, but those certified in grief counseling who are also licensed counselors are employ its use in helping children grieve properly. For those who not licensed counselors, but still perform grief counseling at a pastoral level, one can discuss basic loss with a child but if it becomes apparent of deeper pathology, the child should be referred to a licensed counselor who specializes in play therapy.
In the competitive professional landscape, having an edge that sets you apart is invaluable.
Earning a mental health certification can be a game-changer, offering numerous advantages beyond your basic qualifications. Whether you’re looking to enhance your skills, increase job opportunities, or step into leadership roles, this certification provides a critical boost.
Imagine being equipped not just with technical expertise but also with the ability to understand and support the mental well-being of those around you. This powerful combination can significantly propel your career forward in almost any industry.
What is a Mental Health Certification?
A mental health certification, essentially, serves as a formal recognition of your expertise in mental health-related subjects. It often involves completing specialized coursework and passing an exam to demonstrate your knowledge and skills. You might find these certifications offered by various professional organizations or academic institutions, either online or in-person.
They cover topics like emotional intelligence, stress management, and counseling techniques.
Earning one can bolster your credentials, showing employers or clients that you have a solid understanding of mental health issues. It’s like adding another string to your bow in the professional realm. But do you need a psychology degree to get a certification?
Do You Need to Get a Psychology Degree First?
You might wonder if you need to get a psychology degree before pursuing a mental health certification. The good news is, in most cases, you don’t. Many certifications are designed for professionals who have diverse backgrounds.
They can complement your existing skills without requiring an in-person or online psychology degree or traditional education. These certifications cater to educators, managers, and even healthcare workers who want to deepen their understanding of mental well-being without the need for a full-fledged degree in psychology first.
So, you’re more flexible than you might think in this regard. With that said, you should always look at the prerequisite for any certification you pursue before attempting to get one.
What Types of Mental Health Certifications Could Benefit You?
There are many mental health certifications that could benefit your career. Though these certifications have specific uses in the medical field, we’ll explore in the next section how you can use almost any mental health certification in related or unrelated fields.
Mental Health Rehabilitation Technician Certificate: Ideal for rehab settings, this certification focuses on foundational skills needed to support mental health clients.
Certified Clinical Medical Assistant (CCMA) Certification: A great addition if you’re already in the medical field, it equips you with the tools to assist with mental health care.
Certificate in Counseling Skills: This is perfect for anyone looking to enhance their ability to offer basic counseling and emotional support.
Certificate in Integrative Behavioral Health: Blending traditional and holistic approaches, this credential helps you tackle mental health from various angles.
Behavioral Health Certificate: Geared towards those working directly with behavioral issues, it gives practical strategies for managing and improving patient outcomes.
Mental and Behavioral Health Worker Certification: Focusing on frontline workers, this one teaches core competencies required for effective mental health service delivery.
Certified Behavioral Health Technician (CBHT): For those providing hands-on care, it emphasizes real-world skills applicable in various settings like hospitals or clinics.
Mental Health Counseling Advanced Certification: Designed for professionals seeking advanced knowledge, it deepens your counseling proficiency significantly.
Graduate Certificate in Mental Health: Great for anyone wanting postgraduate insight into mental health without committing to a full degree program.
Correctional Behavioral Health Certification – Behavioral Specialty (CBHC-BS): This equips you with skills to address the unique challenges faced by inmates.
Why Mental Health Certifications Could Boost Advancement
1. Enhanced Skill Set
Obtaining a mental health certification can significantly enhance your skill set, making you more adept at navigating the complexities of human behavior and emotional well-being. You’ll acquire specialized knowledge that can be directly applied in various professional situations.
For example, you might learn advanced counseling techniques or effective stress management strategies that help not only your clients but also your colleagues.
The training often includes real-world case studies and hands-on exercises, which means you’re not just learning theory but also practical applications. This skill set is beneficial if you’re in education, healthcare, or even corporate environments where understanding mental health can lead to better team dynamics and enhanced productivity.
2. Increased Job Opportunities
A mental health certification can be a game-changer when it comes to expanding your job opportunities. Employers are continually seeking candidates who bring extra value, and specialized training in mental health sets you apart.
This additional qualification showcases your commitment to professional development and your readiness to handle roles that require a nuanced understanding of emotional well-being.
For instance, if you’re in the healthcare sector, having a mental health certification could make you eligible for more advanced positions like a clinical coordinator or patient advocate.
In corporate settings, it could lead to roles in human resources that focus on employee well-being programs. Even educators with this certification often find themselves better prepared for roles requiring behavioral management skills.
3. Higher Earning Potential
Certifications are often viewed by employers as a mark of expertise, dedication, and specialized knowledge. This added credential sets you apart, often making you eligible for higher-paying positions that demand such competence.
For instance, if you’re already working in healthcare or social services, obtaining a certification might qualify you for advanced roles that come with better salary packages.
In corporate environments, having this extra qualification could make you the go-to person for designing and implementing mental wellness programs, which can sometimes lead to raises or bonuses. Even if you’re self-employed, showcasing your certified skills can attract more clients willing to pay premium rates for your expertise.
4. Versatility Across Industries
One of the standout benefits of earning a mental health certification is its versatility across different industries. Mental health knowledge isn’t confined to just healthcare or counseling; it’s applicable in various fields, including education, human resources, and even law enforcement.
For example, educators with a mental health background are better equipped to manage classroom dynamics and support students facing emotional challenges. In the corporate world, HR professionals with this certification can design more effective employee well-being programs and handle workplace conflicts with greater sensitivity.
Law enforcement officers trained in mental health can approach situations involving emotional distress more effectively, leading to safer outcomes for everyone involved. This broad applicability makes you a valuable asset regardless of your chosen field.
5. Improved Client Relations
A mental health certification can significantly enhance your ability to build and maintain strong client relationships. When clients know you have specialized knowledge in mental health, they feel more confident and comfortable, fostering a deeper sense of trust. This is crucial in fields like counseling, healthcare, and social work, where emotional well-being is often at the forefront.
For instance, if you’re a therapist or counselor, having a certification demonstrates that you’re well-equipped to handle complex emotional issues. In business settings, salespeople and customer service representatives with mental health training can better understand and respond to clients’ needs, leading to higher satisfaction rates.
Furthermore, it equips you with effective communication skills and empathy techniques that are essential for building rapport. This not only improves the quality of service but also increases client retention rates, which is beneficial for long-term professional success.
6. Personal Growth
Pursuing a mental health certification isn’t just about career advancement; it also profoundly impacts your personal growth. The journey of learning and understanding mental health principles can lead to greater self-awareness and emotional intelligence. You’ll gain valuable insights into how you process emotions, handle stress, and interact with others.
For instance, the skills you acquire – like stress management techniques or mindfulness practices – can be applied to your own life, helping you navigate daily challenges more effectively. This newfound knowledge allows for better coping strategies during difficult times, enabling you to maintain emotional balance.
Moreover, these skills enhance your relationships by fostering empathy and active listening. You become more attuned to the needs and emotions of those around you, improving not only professional interactions but also personal connections.
7. Leadership Opportunities
Gaining a mental health certification can open doors to numerous leadership opportunities in your professional journey. Organizations increasingly recognize the importance of mental well-being, and leaders who understand these dynamics are highly valued.
With this certification, you demonstrate an ability to foster a positive work environment, effectively manage stress within your team, and address mental health issues proactively.
For example, equipped with advanced knowledge of emotional intelligence and conflict resolution, you’re better suited for roles such as department head or team leader. You’ll be able to implement wellness programs that boost morale and productivity, making you an indispensable asset to any organization.
Additionally, showing that you care about the mental health of your colleagues builds trust and respect among team members. This not only enhances your reputation but also solidifies your standing as a compassionate and effective leader.
Consider Getting a Mental Health Certification Today
Ready to elevate your professional game? A mental health certification might be just what you need to unlock new opportunities and enhance your skill set. Don’t miss out on the chance to stand out in your field, improve client relations, and qualify for leadership roles.
Investing in this certification is not only an investment in your career but also in your personal growth. So why wait? Take the next step toward becoming a more competent, empathetic, and versatile professional today. Your future self will thank you.
Author Bio: Veronica Turner is a health and lifestyle writer with over 10 years of experience. She creates compelling content on nutrition, fitness, mental health, and overall wellness.
Please also review AIHCP’s Grief Counseling Certification programs and see if it meets your academic and professional goals. These programs are online and independent study and open to qualified professionals seeking a four year certification
A common Rogerian practice is Gestalt which allows the person to speak to an empty chair or imagined person. Usually the person is the deceased or the person causing emotional turmoil. The client is then able to voice what needs said but in a safe and controlled environment. The client is able to express emotion, imagine what the other person would say and also learn how to find closure even if the other person is unable to communicate. This release of emotion is therapeutic and it helps resolve issues of conflict. Furthermore, it grants the individual ways to communicate messy subjects without consequence of in person tensions.
Grief Counselors who are licensed can utilize this therapy if necessary to help the grieving find resolution. Please review AIHCP’s Grief Counseling Certification and see if it meets your academic and professional goals.
Asian Americans, as well as those who immigrate from Asia to the West are a multicultural group that cannot be categorized completely as one group. In many cases, the general assumption of Asian equates to those of the Orient, but Asia encompasses far more than the mere Orient Japanese, Chinese and Korean cultures, but also India and many other locations throughout the massive continent. Hence when referring to Asian Americans, it is to be understood as Asia as a whole and not merely those of Oriental descent. Regardless, Asian Americans share many similar traits, religious ideals and cultural and family structures. In addition, they have also faced there own oppression at home as well as within the West and United States. Grief counselors who wish to help Asian clients need to have a full understanding of their culture and ways of expression, in addition to understanding historical oppressions.
Please also review AIHCP’s Grief Counseling Certification and see if it matches your academic and professional goals.
The Asian American and Migrant
Asian Americans are a diverse group of individuals who share many common family structure norms. This plays a large role in their mental health and adjustment to Western culture
Like any migrant group, Asian Americans face unique challenges during acculturation, as well as unique challenges from their homeland. Many Asians immigrated to the United States via the west coast in the 19th Century, as well as those who have fled communist and tyrannical regimes in the 20th Century. There are numerous migrants from China, Vietnam and Korea since the mid century who fled oppressive regimes, as well as government persecution of minorities in India and Southeast Asia. Within the West, Asian Americans have met there own discrimination especially within the United States. In the 19th Century, many Asians were commonly mocked and ridiculed and left isolated within their own districts. During the World War II, many Asian Americans were collected into determent camps by the US government. Many Oriental Americans, especially of Japanese descent had to prove their American values and were treated as traitors or spies. Even today, various racist slurs or attributed to Asian Americans of different descent and most recently, many were unjustly targeted for the spread of Covid19.
Ironically, many Asians also receive “positive” stereotypes that can also be damaging, such as the assumption all Asians are smart and receive good grades. While education is key driving force within Asian culture, these reinforced stereotypes when applied can cause confusion and distress to the particular individual.
In addition, Asian Americans and migrants face acculturation issues within their own unique family structures and Western society. Asian American cultural structures place greater value on collectiveness and needs of the family. It submits to a stronger hierarchal structure that places the individual at the need of the family. Many personal and individual decisions made by Westerners are considered family business in Asian families. Hence obligation to family, obedience, and arrangements even in marriage are considered social necessities (Pederson, 2018. p. 122). In addition, Asian culture emphasizes humility and modesty when speaking of self and are far less lenient with outsiders than family members in these regards. In addition, self restraint and harmony are prized more than self disclosure and independent choices (Pederson, 2018, p. 122). With this higher respect of authority, many Asian Americans have difficult times understanding American and Western culture and its demand of freedom, pride, rebellion and personal choice.
Hence within this group, there can be a struggle between first and second generation family members as well as integration with less traditional Asian families via marriage. This can lead to depression and anxiety for members who need their family structure and support but wish to express themselves outside the cultural norm of their family.
Counseling the Asian American
Many Asian Americans who experience better acculturation seek counseling more so than those with worst experiences. Of course tradition, language barriers and other cultural factors can play a role in willingness to seek mental health help. Overall, Asian Americans are considered to under utilize health services (Pederson, 2018, p. 129). Asian Americans, however, experience the same general mental issues all human beings experience despite the “model minority” stereotype (Pederson, 2018, p. 130). Like many cultures, Asian Americans sometimes prefer a counselor of their own culture and race to help foster understanding of cultural issues. Pederson points out that racial matches in counseling do equate to increased utilization and duration of therapy (2018, P. 134). Racial match while able to grant better credibility within the counseling relationship is not always ideal or available and this again leads to the importance of counselors to be multicultural aware. Of course with so much discussion about racism, many sometimes wish to turn a blind eye to race itself but turning one’s eye to race and culture ignores the fabric of the client sometimes him or herself. Ignoring hate and removing it is the key, not denying differences that are integral to who someone is. Hence counselors need to be aware of the differences and through this understanding be competent to bridge the cultural difference between counselor and client. This will ultimately help population groups, such as Asian Americans, become more comfortable with a non-Asian counselor. This involves Western counselors having a stronger understanding of authority and family structures within Asian American homes and better apply that knowledge to the counseling dynamic. Interesting enough, it is important to discuss the counseling outcome and dynamic with Asian Americans. Normally, Asian Americans expect answers from experts. They wish to be told what to do and how to follow through. The overall view for many is that counseling is directive and authoritarian. Many expect more directness in what to do (Pederson, 2018, p. 128). This is why is it important to review expectations of mental therapy and the importance of the process of self discovery and healing instead of the counselor taking upon a role of authority.
Grief Counselors need to have multicultural competencies in Asian culture to best help clients with grief
Again noting that no two people are alike, counselors can still have a base understanding of Asian culture when working with a Asian client. First, it is important to note that many Asians communicate in a high context style without direct or specific references (Pederson, 2018, p. 125). In addition, many Asians do not express or communicate emotion as freely as Westerners (Pederson, 2018, p. 125). It is important to understand this because if analyzed from a Western lens only, this may appear to be hiding feelings or pathological but in reality is merely cultural. Other misconceptions can occur as well if a Western lens is utilized in call cases. If an Asian client seeks parental and family advice on every issue from employment to relationships is judged as a Westerner, then diagnosis may present a maladaptive issue, while in reality, the Asian client is performing well within his or her cultural norms. Hence it is important to have a strong understanding of the cultural emphasis of family and authority within Asian communities and how this comes into play during counseling.
One key cultural expressions within Asian communities is the issue of shame and loss of face. The fear of shame or failure or losing face and disappointing the family can be a large motivational pull for Asian clients (Pederson, 2018, p. 124). Feelings of shame upon one’s name and family is a large fear in collectivist cultures (Pederson, 2018, p. 124). Hence shame can play a role in loss, grief, as well as decisions. One may live an unhappy personal life at the expense of a living a life that spares shame upon the family name. In addition to shame and loss of face, many individuals within Asian cultures are pushed to perfection and fear failure. The more perfectionist the family structure, the far greater stressors for the individual to succeed at all costs (Pederson, 2018, p. 127). In addition to fear of shame, or depression and anxiety associated with perfectionist model families, counseling with Asians must also take into context high contextual communication styles versus lower contextual communication styles. Most Asians associate with non-verbal cues to express ideas. This helps avoid confrontation or disrespect. On the contrary, most Westerners communicate with more direct communication or low contextual communication where words are purposely used to state and communicate an issue. This can across to an Asian as direct, aggressive, or rude (Pedersen, p. 125).
Within grief, various family structures and inner frictions can cause unresolved issues during loss and death. Anytime a person exists within a culture that has expectations of the group over the self, as well as a restraint of emotion, one can expect possible grief reactions. The individual may experience depression or anxiety with one’s own life choices and then when family death occurs and also possibly feel multiple guilts if one did not do as one was told to do by the deceased. These issues need addressed in counseling to allow for proper grieving and resolution of the loss. When dealing with Asian clients, these issues may exist during grief and loss and may need addressed or at least explored to discover if the client’s family had such cultural norms.
Conclusion
Asian Americans or migrants are more than just South East Asia but also include India and outlaying areas. The culture for the most part is very family and collectivist orientated with emphasis on respect of authority. Family plays a key role in decisions. Shame also plays a key role in keeping members of the culture to performing their duties to the family. Counselors need to be aware of the cultural dynamics when working with individual clients. Pending on acculturation and family dynamics, different Asian clients will vary in how they respond to Western ideals. Regardless, grief and loss can still be impacted within family structures that dismiss emotional expression and individual freedom. Resentment and anger can build up and play a role later in loss and grief.
Helping different cultures acculturate yet maintain identity is key. Please also review AIHCP’s Grief Counseling Certification
Please also review AIHCP’s Behavioral Therapy Certifications for Human Service Professionals as well as Healthcare Professionals. In particular, please review AIHCP’s Grief Counseling Certification and see if it matches your academic and professional goals. The program is online and independent study and open to qualified professionals. In particular, for those who are already certified grief counselors, please review AIHCP’s specialty Grief Diversity Counseling Program.
Reference
Pederson, P. et al. (2018) “Counseling Across Cultures” Cengage
Additional Resources
Huizen, J. (2021). “Asian American mental health stigma: Why does it exist?”. Medical News Today. Access here
Nagayama Hall, G. et al. (2011). “Culturally-Competent Treatments for Asian Americans: The Relevance of Mindfulness and Acceptance-Based Psychotherapies”. Clin Psychol (New York). Author manuscript; available in PMC 2012 Sep 1. National Library of Medicine. Access here
Cherry, K. (2023). “17 Mental Health Resources For Asian Americans and Pacific Islanders” Very Well Mind. Access here
Misun Kormendi, N. (2021). “Asian American mental health during COVID-19: A call for task-sharing interventions” SSM Ment Health. 2021 Dec; 1: 100006.. National Library of Medicine. Access here
