This video reviews the nature of crisis intervention from a pastoral perspective. Please also review AIHCP’s Crisis Intervention Specialist Program as well as AIHCP’s Christian Counseling, Grief Counseling, Pastoral Thanatology and Stress Management Programs. All programs are online and independent study with mentorship as needed for qualified professionals seeking a four year certification
Hoarding is a problem that is often not well understood and carries a lot of stigma. It creates significant difficulties for people who experience its negative effects. It involves keeping too many possessions and not being able to throw things away, which can hinder one’s daily life and relationships. As society tries to understand this behavior better, it is important to look into counseling methods that can help those who are affected by hoarding. This initial discussion aims to place hoarding in a wider psychological picture, emphasizing the need to grasp its root causes, such as anxiety and past trauma. Additionally, it will highlight the essential role of mental health professionals in aiding recovery and encouraging better decision-making habits. In the end, by examining the details of hoarding and its treatment, this essay intends to shed light on recovery options for those impacted and promote increased understanding in society.
AIHCP offers a variety of mental health counseling certifications as well. While clinical counselors deal with such pathologies as hoarding, many non clinical and clinical counselors alike earn certifications in grief counseling, crisis counseling, anger management and stress management that can offer skills to deal with issues that exist within larger mental pathologies.
Hoarding disorder is marked by trouble when it comes to throwing away or giving up items, which results in the buildup of belongings that crowd living areas and interfere with regular use. This disorder is not just a habit of collecting; it shows deeper psychological problems often tied to anxiety and difficulty making decisions. People with hoarding disorder might view their belongings as having personal value or be afraid that getting rid of items could lead to missed chances or regrets. As a result, this behavior may cause significant stress and hinder social, work, or other areas of life. Moreover, hoarding can impact families and communities, illustrated by cases of animal hoarding where the neglect of pets often reflects the seriousness of the disorder. It is crucial to understand the complex nature of hoarding disorder to create effective counseling methods that can ease the related symptoms and enhance the quality of life for those affected (Lee et al., 2017)(Lee et al., 2017).
Hoarding disorder is a big problem for both people and their families, causing a mix of emotional, social, and money-related issues. Studies show that around 2-6% of people have hoarding issues, which can lead to a lot of distress and problems with everyday life (cite3). People with hoarding disorder usually live in worsening conditions, have troubled relationships, and feel more shame and isolation. Families have a hard time dealing with the physical and mental effects of their loved ones’ actions, such as intervention fatigue and a greater burden on caregivers. Plus, the financial effects can be serious, involving costs for cleaning, health emergencies, and property damage (cite4). Understanding these various effects is important for counselors who want to give good support, as they need to focus on not just the individual symptoms but also the larger family dynamics that play a role in hoarding situations.
Good counseling methods are very important for dealing with the problems that come with hoarding disorders, as they greatly affect how well treatment works for those who are affected. A clear understanding of the psychological reasons behind hoarding is crucial for counselors so that they can work well with clients and promote real change. For example, new therapy methods that include cognitive-behavioral techniques can help clients question the thoughts and feelings that lead to their compulsive actions. Also, since hoarding is complicated, treatments need to be customized for each person’s situation, making sure that the strategies fit with each client’s specific experiences and needs (Cardenas et al., 2009). Importantly, the effects of hoarding go beyond just the person, affecting families and communities, which highlights why counselors need to also look at relationships and social issues (Lee et al., 2017). By using effective counseling methods, practitioners can help clients grow personally and also support the well-being of the wider community.
Hoarding disorder is more and more seen as a complicated mental health problem. It is marked by ongoing trouble getting rid of things, leading to a mess that interferes with living spaces and greatly affects daily activities. To understand this disorder well, one needs to take a multi-part view that includes psychological, emotional, and social aspects. Studies show that hoarding often happens along with other mental health issues, making treatment more difficult and highlighting the need for specific therapy plans (cite8). Cognitive Behavioral Therapy (CBT) has been found to be a helpful treatment, showing it can adjust to meet the special needs of people who hoard (cite7). This adaptability lets therapists use particular methods that focus on mistaken beliefs about belongings, leading to better treatment results. As understanding of hoarding disorder increases, it is vital to push for better mental health services and support systems that recognize the complex lives of those affected.
Understanding the mental reasons for hoarding behavior is important for helping those with this problem. People who hoard often have issues like anxiety, obsessive thoughts, and strong emotional ties to their belongings, which they use to deal with feelings of loss or low self-worth. Studies show that many hoarders go through bad life events or ongoing stress that can make their need to gather and keep things worse (Lee et al., 2017). Also, they often struggle to throw things away due to thinking errors, such as placing too much value on their items and irrational fears of not having enough in the future, which makes it hard for them to make decisions. Therefore, tackling these mental issues through therapy can help develop better ways to cope and enhance overall well-being. By understanding these connections, counselors can adjust their methods to better assist clients dealing with the difficulties of hoarding (Lee et al., 2017).
Knowing how trauma and life experiences play a role is important when helping people with hoarding disorders, as these issues often help create and keep up the condition. Many people who hoard have faced major life stressors like loss, abuse, or other traumatic situations, leading to feelings of powerlessness and an incorrect desire for control through possessions. Research shows that effective therapies, like Cognitive Behavioral Therapy (CBT), can tackle the emotional roots of hoarding by looking at these traumatic events and changing how clients view their items (Hajjali et al., 2021). Additionally, a complete approach that checks the mental health services these individuals use is needed to better customize treatment options, which can improve recovery results (Cardenas et al., 2009). Thus, recognizing trauma and life experiences is crucial in developing a well-rounded counseling plan for those dealing with hoarding.
Hoarding behavior is complicated by other mental health issues like obsessive-compulsive disorder (OCD) and depression. Studies show that people with these issues often have similar symptoms, making it harder to diagnose and treat them ((Moroney et al., 2017)). In the case of hoarding, the urge to collect items, along with the stress of throwing things away, can make feelings of hopelessness worse, increasing depressive symptoms. Also, hoarding disorders affect family members and the wider community, creating a cycle of problems that needs organized intervention ((Gail et al., 2022)). It is important to understand how hoarding and these other conditions interact in order to create effective counseling methods. By focusing on both the hoarding behaviors and the underlying mental health problems, counselors can create a more complete treatment plan that supports lasting recovery and a better quality of life for those involved.
Counseling people who have hoarding issues needs a careful method that fits their special psychological and emotional situations. Compulsive hoarders often have strong emotional ties to their things, which makes therapy harder (cite16). Counselors must first build a connection that values the client’s caution—a normal way to protect themselves from more emotional pain, especially if they have faced trauma in the past (cite15). Using methods like cognitive-behavioral therapy (CBT) can help clients confront unhelpful thoughts linked to their belongings. Slowly guiding clients to let go of items, along with teaching them about how hoarding affects their mental health and finances, can help them make real progress. In addition, including family members in the therapy can give important support and help create better choices about possessions, leading to a way to recovery.
Cognitive Behavioral Therapy (CBT) methods are very important for dealing with hoarding behaviors, which often show up as a hard time getting rid of items due to stress and strong emotional ties. A key part of CBT is figuring out and changing harmful beliefs about possessions, with therapy methods aiming to reshape these beliefs. For example, therapists might use exposure exercises to help clients slowly face anxious situations related to getting rid of things, helping them get used to the distress involved. Research shows that mixing exposure and response prevention strategies can improve treatment results, especially for those who are not open to typical approaches ((Jones et al., 2014)). Additionally, it is important to have a good grasp of the psychological factors involved, like past trauma and compulsive actions, to customize the interventions ((Sarno et al., 2009)). In the end, using a structured CBT approach helps therapists to systematically tackle the challenges of hoarding, encouraging significant behavioral changes and better emotional health.
Motivational interviewing (MI) is being seen more and more as a good counseling method for helping with hoarding disorder, mainly because it focuses on the patient and encourages them to want to change. By creating a caring and non-judgmental space, MI steers clear of confrontational tactics that can increase resistance, which is often a big issue when treating hoarding behaviors. Studies show that MI can improve a client’s willingness to participate in treatment, letting them think about their personal values and goals tied to cleaning and organizing their homes. Additionally, MI has been used along with cognitive-behavioral therapy (CBT) to help people tackle issues like self-stigma and emotional bonds to their belongings, leading to better results. Serving as a pathway to more structured treatments, MI helps clients face the underlying mental health issues related to hoarding, pointing to a hopeful direction for effective therapy (Krafft et al., 2021). Therefore, adding MI into treatment plans provides a useful method for helping those struggling with hoarding make significant changes.
In counseling people who have hoarding issues, getting the family involved is an important part of the therapeutic process. Involving family members not only gives emotional support to the hoarder but also helps everyone understand the psychological reasons behind the behavior better. Family can share important information about the hoarder’s background and relationships, which helps the counselor’s method. Also, as mentioned, working together can create a more lasting effect, lowering the chances that hoarding behaviors will return, which often goes over 100% without help ((Lee et al., 2017)). Good therapy includes teaching families about hoarding so that they can notice symptoms and stop behaviors that support the cycle. Overall, including family members leads to a broader approach, improving treatment outcomes and helping to create a supportive environment that honors the dignity and independence of the hoarder.
Helping people who hoard things has many special challenges that need a specific therapy method. Clients usually have strong feelings tied to their belongings, making therapy more difficult, as these feelings can cause a lot of stress when they are faced directly. Additionally, thinking errors, like putting too much value on items and being unable to decide what to throw away, often slow down the treatment process (cite23). The presence of other problems, like anxiety or depression, which often come with hoarding, can make these issues worse, so it’s important for counselors to use a varied treatment strategy. Techniques like Cognitive Behavioral Therapy (CBT) have been helpful in dealing with these problems, helping clients change their thinking and slowly face their fears (cite24). In the end, effective counseling needs time, understanding, and a clear grasp of the inner psychological factors that lead to hoarding.
Resistance to change is a big problem in counseling people who have hoarding issues, often showing up as denial about how serious their situation is. Many individuals with hoarding behavior may seem defensive because they have a strong need to control their surroundings, which can block the therapy process. As practitioners in the field have pointed out, these patients often struggle to recognize how their compulsive actions affect them, making it hard to have real conversations about needed changes (Sarno et al., 2009). This resistance can get worse if there is a background of trauma or upsetting experiences, which can intensify feelings of vulnerability when facing the need to change. Research on motivation to change in similar disorders shows that less willingness to change is linked to greater symptom severity, highlighting the difficulties counselors encounter when dealing with denial and avoidance behaviors (Link et al., 2004). Therefore, it is important to create targeted interventions that acknowledge the emotional defenses of the patients while gradually encouraging their willingness to change, which is key for effective hoarding treatment.
The strong feelings people have for their belongings are often a main problem in therapy for those with hoarding issues. Many hoarders feel deep bonds with their things, seeing them as parts of who they are or as containers for important memories. This strong attachment makes it hard to let go, causing severe anxiety at the thought of getting rid of items, no matter how useful or valuable they are. Therapists are increasingly aware of the complex connection between emotional pain and compulsive collecting habits, as shown in research that emphasizes how past trauma, like childhood abuse, can strengthen these behaviors (Sarno et al., 2009). Since the emotional burden of possessions makes treatment more difficult, it is clear that interventions need to be customized to address these strong feelings (Cardenas et al., 2009). Therefore, effective therapy must include methods that gently challenge these attachments while helping individuals process their emotions in a healthier way.
Ethical issues in intervention are very important when dealing with hoarding, as counselors must manage the sensitive aspects of this behavior. Practitioners need to find a balance between respecting clients’ independence and their duty to protect safety and well-being, making therapy more difficult. Also, people who hoard are often vulnerable, so a caring approach that shows respect and empathy is essential and aligns with ethical principles in counseling standards (Baker et al., 2019). Moreover, sticking to updated CACREP standards is crucial because it emphasizes the need for extensive training on behavioral/process addictions, which helps counselors deal with the specific difficulties of hoarding effectively (Baker et al., 2019). By building a trusting relationship and understanding the complex aspects of hoarding, counselors can promote ethical interventions that empower clients and reduce risks, thus improving the overall effectiveness of treatment.
To wrap up, tackling the tough problems faced by those with hoarding disorder requires a well-rounded method that combines psychological, social, and legal views. Cognitive Behavioral Therapy (CBT) has shown to be a useful treatment, proving it can be adjusted to meet the different needs of various clients, including those who have other disorders ((Hajjali et al., 2021)). These customized approaches not only strengthen the relationship between therapist and client but also encourage real changes in behavior. Moreover, the effects of hoarding go beyond the person, impacting families and neighborhoods, as seen in serious cases like animal hoarding, which causes great distress for both pets and their human owners ((Lee et al., 2017)). Therefore, thorough counseling plans should focus on teamwork among mental health experts, community support, and legal systems. By raising awareness and pushing for better handling of hoarding behaviors, we can ultimately aid in the recovery and support of both individuals and their communities.
When looking at the difficulties and methods related to helping people with hoarding problems, a few main ideas come up. First, it is important to know that hoarding is often linked to other mental health problems like anxiety and depression, which makes treatment harder. Good counseling needs a kind understanding of the feelings that lead to the excessive gathering of possessions and the deep distress that both the hoarder and their families feel. It is also important to work with community resources and legal systems since they can offer help during treatment. The challenges of animal hoarding show this need even more; these situations show the wide-ranging effects on both human and animal welfare, stressing the need for complete intervention methods ((Lee et al., 2017), (Lee et al., 2017)). In the end, effective counseling relies on a well-rounded method that mixes compassion with practical answers, seeking to promote lasting changes.
Ongoing help and resources are important for managing hoarding disorder, as the problems linked to it usually go beyond the first treatment. People with hoarding issues need constant access to mental health support customized to their specific needs, especially since some standard treatments like cognitive-behavioral therapy (CBT) might not include important ideas like mindfulness and acceptance (Krafft et al., 2021). Studies show that self-help programs that use these techniques are beneficial, as they offer necessary support that enhances traditional therapy methods (Cardenas et al., 2009). Furthermore, ongoing help creates an atmosphere of accountability and helps lessen the stigma around getting help, which encourages continued participation in treatment. Research has shown that participants who made use of supportive resources had notable improvements, showing that a comprehensive approach that combines ongoing help with available resources is essential for achieving long-term recovery for those dealing with hoarding.
As hoarding behaviors become more recognized in mental health talks, future research and practice in hoarding counseling need to change to deal with the complicated nature of this issue. One good way forward is to mix different approaches that look at psychological, social, and environmental factors affecting hoarding. This may include teamwork among psychologists, social workers, and community groups to develop well-rounded intervention plans that not only center on personal therapy but also involve family dynamics and community help. In addition, studying the use of technology-assisted methods, like virtual reality exposure therapy, could boost engagement and offer new therapeutic options. Research that examines the lasting results of different treatment methods is important for finding the best practices. In the end, a complete plan that looks at personal motivations, societal views, and systemic obstacles will greatly enhance the counseling field for those facing hoarding challenges.
Please also review AIHCP’s Behavioral Health Certifications for healthcare and mental health professionals. The programs are online and independent study with mentorship as needed
Crisis is a state of emotional imbalance and in an inability to cope. This short video takes a closer look at the nature of crisis and what it entails. Please also review AIHCP’s Crisis Intervention Specialist Certification 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.
The helping professions are strenuous at a personal level but also a professional level. They demand the best of everyone to not only at a personal level but also at a professional level. One is not only taking upon their own personal stressors but also a number of other personal stressors and crises of other people. Whether a police officer, social worker, counselor, nurse, chaplain, first responder, crisis worker, or hospice care worker, one will find oneself in situations of intense pain, crisis and trauma. This involves not only juggling one’s own daily life but also being emotionally, mentally and physically available at a professional level. Compassion fatigue and burnout is very common in these areas and can cause intense crisis to the helping professional.
According to James, burnout is the “internal psychological experience involving feelings, attitudes, motives and expectations…the total psychic energy of the person has been consumed (2017, p. 544).” Burnout just does not occur as a crisis overnight but is a long process that gradually emerges over a variety of reasons. Occupational burnout according to James occurs for six major reasons. First, workload becomes too complex, urgent and traumatic. Second, freedom and control are restricted and the individual becomes micromanaged and has to deal with ineffective leaders or teams. Third, lack of reward whether emotional, financial, symbolic or even simple recognition of service is ignored. Fourth, absence of social support. Fifth, lack of justice and fairness to the case or situation and sixth, discordant values with employer or organization (2017, p. 544). All of these sources can lead individuals into a state of burnout when dealing with their job or cases. In addition, these overall stressors can lead to stress related diseases or as Selye refers General Adaptation Syndrome (James, 2017. p. 545).
Individuals who suffer from burnout face multidimensional symptoms which are behavioral, cognitive, spiritual, affective and physical. Burnout according to James can be trait in that is is all encompassing and has rendered the worker unfunctional, or it can be a state of activity in which the activity being performed over and over becomes the primary source (2017, P. 551).
Those who suffer compassion fatigue share in the same basic issues of burnout but because of dealing with cases and victims. This can in addition lead to secondary traumatic stress disorder through the stories and experiences or at a higher level secondary trauma via vicarious traumatization where the caregiver beings to transform and shares the client’s related trauma (James, 2017, p., 554-555).
Individuals need to identify key signs of potential burnout and address it properly. The biggest thing to realize is how can someone help another person if one is in crisis him or herself? It is important to administer self care and recognize the signs of burnout before they negatively affect career. This involves recognition of burnout, addressing them with appropriate measures, setting boundaries when necessary, and practicing self care when appropriate. Organizations are also responsible to ensure that employees are not over worked, and in cases that involve trauma ensure that their workers receive the necessary counseling to process what they witnessed.
Since many Human Service workers are perfectionists and many place too much weight on their shoulders to help as many as possible, it is important for self evaluation. Hence intervention exists at three levels involving training to identify burnout, organizational oversight and individual self care (James, 2017, p. 557). Training to identify burnout is key and also emphasis on self care. Individuals need to have a strong understanding of the type of trauma their career will demand. Organizations need to maintain proper monitoring of hours of their workers, as well creating a work place that is open to expression, ideas and values that both organization and employee share. Managers need to take a personal interest in their workers mental health and identify signs of burnout or compassion fatigue. When seen, they need to intervene and help the individual find time off, counseling or other resources to help their employee fulfill daily duties. Social support systems within the organization that supply listening, technical support and emotional support are key (James, 2017, p. 562). Individual support groups of liked careers can also play key roles in helping individuals face the stressors and traumas of the job.
Self care is one of the key preventing resources to burnout as well as a way to alleviate it. James attests that individuals are just as responsible for maintaining emotional and mental stability as their employer (2017, p., 564). Hence it is important to self monitor for signs of distress and if distress starts to occur, then to properly address it. This may involve recognizing that the world is not one’s full responsibility or other false narratives that only oneself can help this particular person. It may involve not being a perfectionist and reducing work load. It may involve understanding that one is not defined solely by career but also multiple other social connections It may involve imposing boundaries and understanding it is OK to say no to something or someone. Self care is hence critical especially since burnout slowly erodes a person sometimes before a person can recognize it. Below are a few self care ideas in relation to cognitive, behavioral, affective, physical, social and spiritual aspects of one’s life.
Burnout occurs especially for human service professionals. Those in healthcare, behavioral health, ministry, human service, and public service are faced with the double edged sword of not only personal issues but also being exposed to secondary stressors of other people. Through time, compassion fatigue or burnout can occur and professionals need to be aware of what causes it and also understand the steps to prevent as well as intervene regarding it. Organizations and employers also have a responsibility to protect their crisis and human service workers through various checks and programs. Self care is ultimately a key friend to any human service professional and is a must for anyone who wishes to work in a field exposed to so much trauma and pain. While self care can be very subjective in nature to the person’s life it is very objective in the end result of better affective, physical, and cognitive functioning for the professional
Please also review AIHCP’s Stress Management Consulting Certification, as well as AIHCP’s Crisis Intervention Specialist Program. Both programs are online and independent study with mentorship as needed.
Resource
James, R. & Gilliland, B. (2017). “Crisis Intervention Strategies”(8th). Cengage.
Additional Resources
Jackson, K. (2014). “Social Worker Self-Care — The Overlooked Core Competency”. Social Work Today. Access here
Sparks, A. (2023). “7 strategies to help prevent burnout”. Medical News Today. Access here
Sherman, L. (2022). “8 Tips for Avoiding Burnout and Functioning at Your Best”. Healthline. Access here
Hendrlksen, E. (2021). “7 Ways to Recover from Burnout”. Psychology Today. Access here
“Job burnout: How to spot it and take action”. Mayo Clinic Staff. Mayo Clinic. Access here
Sleep plays a key role in our cognitive functions and ability to cope and handle stressors. When we lack sleep, it affects our body’s ability to handle stress. An important element of managing stress revolves around healthy sleep schedules and ways to ensure one achieves the necessary amount of sleep
Please also review AIHCP’s Stress Management Consulting Certification and see if it meets your academic and professional goals. The program is online and independent study and open to qualified professionals.
For some individuals depression does not seem to go away when treated initially. After multiple SSRI fail to work and if counseling fails to produce results, then other ways will be needed to help the person get through the depression. This video looks at resistant treatment depression and some ways individuals can find a way to overcome depression
Please also review AIHCP’s Grief Counseling Certification and see if it meets your academic and professional goals. The programs are online and independent study and open to qualified professionals seeking a four year certification
Some individuals remain in grief longer. Some because of prolonged grief or in other cases depression, while others develop maladaptive coping strategies that keep them in acute grief longer. It is important to realize one never recovers from grief or loss because the object or person lost was loved, but one does learn to adjust and process through the acute grief phase. Those who do not usually do not because of poor coping and views on the loss.
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
By – James M. Katz, BA
Why are stress management techniques and effective ways to reduce stress important? People today face stress levels never seen before. 77% of adults say stress affects their physical and mental well-being. The ever-changing world of today makes stress management techniques valuable tools to stay healthy. These evidence-based methods help people feel less anxious, think more clearly and keep their emotions in check throughout the day.
This piece shows you quick ways to handle stress that you can start using right away. You can try mindfulness meditation, physical activities, thought-based approaches or lifestyle changes. These techniques work differently depending on your stress levels. Building a strong support system and learning healthy ways to cope will help you manage stress better over time.
Stress is your body’s natural reaction to physical and psychological challenges. If you have stressful situations, your body activates interconnected neuroendocrine circuits that trigger specific physiological changes. Your body uses this response to face challenges and restore balance, though its success depends on how you perceive the stressor’s predictability and control.
Our brain’s cortical centers detect disturbing stimuli and trigger the stress response. This detection activates pathways that flow through the limbic system. The brain’s response triggers two major systems – the sympathetic-adrenal-medullary axis and the hypothalamic-pituitary-adrenal (HPA) axis. Stress hormones like adrenaline and cortisol surge through the body and regulate cardiovascular and metabolic functions to ready us for life’s challenges.
Chronic stress leads to the most important health complications. Research shows that extended exposure to stress affects multiple systems throughout the body:
• Cardiovascular: Higher risk of high blood pressure and heart disease
• Immune system: Reduced function and increased inflammation
• Digestive: Changes in weight and gastrointestinal problems
• Cognitive: Problems with memory and focus
• Emotional: Greater risk of anxiety and depression
Research reveals that people’s blood pressure levels and overall stress increase as they mentally dwell on stressors. The persistent activation of stress hormones damages blood vessels and arteries, which raises the risk of heart attacks and strokes.
The stress continuum model helps us understand how stress levels change and what they mean for us. This model breaks down stress into four zones:
These zones help you spot your stress level and pick the right ways to handle it. Your body’s cortisol levels might stay high without enough recovery time, which can damage your cells. This knowledge helps create good stress management plans and tells you when it’s time to get professional help.
New research showed that mindfulness and meditation help manage stress and improve mental well-being. Mindfulness-based interventions reduce stress, anxiety, and depression especially.
Guided imagery is a well-laid-out way to manage stress that blends mental visualization with relaxation techniques. This practice gives the ability to create deep relaxation states by engaging all senses in a peaceful mental scenario. Studies show that guided imagery can improve the mind-body connection and boost the immune system.
The practice works best when you:
1. Pick a quiet, comfortable space
2. Take deep, rhythmic breaths
3. Picture a peaceful setting with all your senses
4. Stay with the visualization for 10-20 minutes
5. Make it part of your daily routine
Science has proven that mindfulness meditation is one of the effective ways to reduce stress. Research demonstrates that participants who practiced mindfulness for eight weeks showed lower stress levels and better emotional control. The practice combines two key elements: attention and acceptance.
Regular mindfulness practice offers these benefits:
• The amygdala (brain’s stress-response center) becomes smaller
• The immune system works better with less inflammation
• Knowing how to handle anxiety and depression
• Better awareness of the present moment and emotional control
Deep breathing exercises play a vital role in managing stress and directly affect your body’s stress response. Regular practice activates the parasympathetic nervous system that helps you feel calm and relaxed.
The 4-7-8 breathing technique stands out as a powerful method. You breathe in for four counts, hold for seven, and breathe out for eight counts. Research shows that people who practice deep breathing exercises regularly handle stress better and experience less anxiety.
These exercises work best as part of your daily routine. Scientists have found that just 12 minutes of meditation practice for five days each week can protect and boost your attention span. Different stress management techniques create a mutually beneficial effect that enhances their overall impact.
Physical activity is one of the most effective natural ways to manage stress. It helps both your immediate and long-term mental and physical well-being. Scientists have found that [20 to 30 minutes of cardio can substantially reduce stress levels and lower cortisol levels – your body’s main stress hormone].
Exercise significantly affects our body’s stress response system. Studies show that [regular physical activity improves how the body handles stress through hormonal responses, increasing the production of feel-good neurotransmitters like dopamine and serotonin]. The body experiences these physiological benefits:
• Lower levels of stress hormones adrenaline and cortisol
• Better blood flow and oxygen use
• Better sleep quality
• Stronger immune system function
• Lower blood pressure and heart rate
Yoga stands out as an especially effective way to manage stress. [Research shows that practicing Hatha yoga three times weekly for four weeks led to major improvements in stress, depression, and anxiety levels]. The benefits go well beyond physical flexibility. [Yoga helps your mind and body relax while boosting your mood through endorphin release].
[A 2020 study showed how yoga stretches lower cortisol levels and have positive effects on parasympathetic nerve activity that helps you relax]. You can get the best stress relief results when you:1. Keep a regular practice schedule
2. Mix physical poses with breathing exercises
3. Add meditation to your routine
4. Move with awareness
5. Use correct form when you line up poses
Science has proven that cognitive behavioral techniques work well to handle stress. Research shows that CBT is as effective as or more effective than medications and other therapy approaches when it comes to stress management.
Your internal dialog substantially affects your stress levels and overall well-being. Studies show that positive self-talk can lead to multiple benefits. These benefits include enhanced cognitive performance, reduced anxiety levels, and better motivation. Experts suggest using second-person pronouns to maximize positive self-talk’s benefits. To name just one example, “You can do it” works better than “I can do it”. The process involves these steps:
• Identifying negative thought patterns
• Journaling to track internal dialog
• Practicing conscious thought modification
• Building a positive environment
Cognitive reframing helps people turn stressful situations into manageable challenges. Research shows that our body’s stress response activates more from what we notice as stressful rather than the actual stressful events themselves.
The “Catch it, Check it, Change it” technique enables you to adjust your thought patterns:
1. Catch: Notice negative thoughts at the time they occur
2. Check: Get into the evidence that supports these thoughts
3. Change: Turn negative thoughts into neutral or positive ones
Time management is a vital part of reducing stress. Research shows that you experience less stress and feel more confident about your abilities if you have organized tasks and clear priorities. Studies reveal that it takes about 25 minutes to get back to your original task after getting distracted.
The ABCDE Method helps you prioritize tasks effectively:
• A tasks: Must-do activities
• B tasks: Should-do activities
• C tasks: Nice-to-do activities
• D tasks: Delegation candidates
• E tasks: Elimination candidates
Experts suggest these strategies to manage stress through better organization:
• Design realistic schedules that allow flexibility
• Split big tasks into smaller, manageable pieces
• Set aside specific time blocks for important work
• Stay focused on one task since all but one of these people fail at multitasking
A systematic approach to these cognitive strategies helps you develop better stress management skills. The blend of positive self-talk, thought reframing, and smart time management creates a strong foundation to handle daily stressors and keep your emotional well-being intact.
Effective stress management techniques depend on basic lifestyle changes that improve sleep, nutrition, and consumption patterns. Research shows these modifications can substantially reduce stress levels and enhance overall well-being.
Quality sleep is the life-blood of effective stress management. Research reveals that [adults who sleep fewer than eight hours a night report higher stress levels (5.5 vs. 4.4 on a 10-point scale) compared to those who sleep at least eight hours]. Sleep and stress create a cyclical pattern, and studies show that poor sleep quality affects 42% of adults, while 43% report stress-induced sleeplessness.
Everything in good sleep hygiene includes:
• Regular sleep and wake times
• A cool, dark, and quiet bedroom environment
• Light evening meals
• A calming 30-minute routine before bed
• Regular sleep diary entries to monitor patterns and progress
Your body needs more nutrients when it responds to stress. Studies show that [chronic stress can lead to increased nutrient uptake and excretion], which might worsen existing deficiencies. A balanced diet is a vital part of building stress resilience and maintaining emotional stability.
The best nutrition strategy to manage stress has these essential components:
Nutrient Type Benefits Sources
Complex Carbohydrates Promotes relaxation Whole grains, oats
Lean Proteins Supports neurotransmitter production Fish, eggs, legumes
Magnesium-rich Foods Reduces muscle tension Green vegetables, nuts
Omega-3 Fatty Acids Decreases stress markers Salmon, walnuts
Limiting caffeine and alcohol intake
Your caffeine and alcohol consumption plays a crucial role in managing stress. It would be a good stress management technique to practice moderation or avoid it altogether. Research shows that [high caffeine consumption after 4 PM can disrupt sleep patterns and increase anxiety levels]. Alcohol might seem to reduce stress at first, but [studies reveal it can make anxiety and depression symptoms worse].
These substances affect stress levels in several ways:
• [Caffeine raises cortisol levels and throws off blood sugar balance] • [Alcohol reduces how well you sleep, even though it helps you fall asleep faster] • [73% of children keep taking caffeine, which shows why we need to address these habits early]
Health experts suggest you should have caffeine only before 4 PM and drink alcohol in moderation to manage stress better. [Research indicates that too much caffeine can trigger anxiety and mood disorders, especially if you drink large amounts regularly].
These changes in daily habits create a strong base that helps you manage stress better. Your body’s stress response system works better when you stick to these changes. The best approach is to make small, eco-friendly changes instead of trying big lifestyle shifts that might be hard to keep up.
Strong social connections play a key role in managing stress well. Research shows that social support greatly affects our physical and mental well-being. [People with strong social networks show better resistance to stress and experience fewer symptoms of anxiety and depression].
Social support’s effects go well beyond emotional comfort and influence our basic biological processes. Research shows that [social support moderates genetic and environmental vulnerabilities and affects the hypothalamic-pituitary-adrenocortical system, noradrenergic system, and central oxytocin pathways].
Quality relationships matter more than quantity. Studies reveal that functional support, which includes emotional and instrumental components, predicts good health better than structural support based on network size. Strong social connections offer several benefits:
• Lower levels of distress, depression, and anxiety
• Better skills to cope with challenges
• Clearer understanding of health resources
• Greater sense of control
• Better treatment adherence and recovery results
One of the best Stress Management Techniques is if stress starts affecting your daily life, you need professional support. [Group therapy works particularly well if you have experienced specific stressful events like natural disasters, child loss, or divorce]. Mental health professionals can help you through several approaches:
Support groups are a great way to get resources if you have stress to manage. They give emotional support and practical guidance. Research shows these groups bridge the gap between medical treatment and emotional needs effectively. These groups work in different ways:
Support Group Formats:
1. Face-to-face meetings
2. Teleconferences
3. Online communities
4. Hybrid arrangements
These groups typically feature educational sessions where healthcare professionals, psychologists, and social workers talk about specific needs. Their success comes from connecting people who share similar experiences.
Studies show that people who join support groups feel less isolated, less tired, and handle stress better. Research also points out that meaningful group activities like volunteering or joining social justice movements help create stronger networks and give people purpose.
You should think over these factors when picking a support group:
• How well the group matches your needs
• What meeting style works best for you
• Whether professionals lead the sessions
• What you can learn
• What it costs
Schools, universities, and workplaces can build better social support. They can switch virtual meetings to walking meetings or host social events. These approaches work well with personal efforts to build support networks.
Good social support doesn’t just help with stress – it affects physical health too. Research shows social support’s effect on how long people live is as important as obesity, smoking, high blood pressure, and exercise. Studies also reveal that people with strong social support react better to stress, with lower blood pressure and fewer heart-related responses. Mental health organizations keep lists of peer-run organizations and services across the United States. These resources help you find the right support groups and community activities near you.
A comprehensive approach to stress management techniques combines physical activities, mindfulness practices, cognitive strategies, and lifestyle changes. Research shows these techniques work together. They lower stress hormones, sharpen mental clarity, and boost overall well-being. Regular exercise, meditation, good sleep habits, and balanced nutrition create a reliable foundation to handle daily stress. Cognitive strategies give you practical tools to tackle challenging situations.
Your dedication to stress management techniques and a strong support network leads to lasting results. The path to reducing stress is different for everyone. You need to try different techniques and adjust them to your priorities. These proven methods build your resistance to stress when practiced regularly. They promote better physical and mental health. You can face life’s challenges with more confidence and emotional balance.
After review several stress management techniques, are you interested in become a certified stress management consultant? AIHCP offers a certification in Stress Management that will teach effective ways to reduce stress and help coach others to manage their stress. If you would like to learn more about AIHCP’s Online Stress Management Consulting program, please visit this link.
Psychological Stress, Its Reduction, and Long-Term Consequences: What Studies with Laboratory Animals Might Teach Us about Life in the Dog Shelter. Hennessy MB, Willen RM, Schiml PA. Animals. 2020; 10(11):2061. Access link here
Stress and Coping in the Time of Covid-19: Pathways to Resilience and Recovery. Polizzi C, Lynn SJ, Perry A. Clin Neuropsychiatry. 2020 Apr;17(2):59-62. Access link here
Emotional intelligence and its relationship with stress coping style. Fteiha M, Awwad N. Health Psychology Open. 2020;7(2). Access link here
Exploring stress coping strategies of frontline emergency health workers dealing Covid-19 in Pakistan: A qualitative inquiry. Khadeeja Munawar PhD, Et Al. American Journal of Infection Control Volume 49, Issue 3, March 2021, Pages 286-292 Access link here
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.
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.
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.
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.
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).
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.
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).
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.
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
988 Life Line Access here