Crisis Counseling Vs Traditional Counseling Settings

Posted on October 31, 2024October 31, 2024 by Mark Moran

Obviously crisis counseling is sometimes on the scene of the event. It is emotional first aid that attempts to restore equilibrium and mobility to the person. It is short term in its plan and it briefs the individual and carries through necessary tasks to help the person return to pre-crisis state. It also looks to help the person find orientation and resources to help avoid future crisis and find resolution to what caused the crisis reaction.

Crisis specialists who arrive on scene have an entirely different approach to counseling than long term counselors in mental health

In this blog, we will look at crisis counseling in settings where intake occurs and how counselors work to help individuals leave the state of crisis. In these cases, the individual is brought in by the police, or rescue and the person requires mental care until able to be released. These types of counseling sessions differ greatly from traditional counseling settings. They still are not long term but they do look to alleviate crisis as much as any work on the scene itself. In addition to reviewing these types of crisis counseling settings, we will look at the efforts to better concert the police with mental health professionals in ensuring mutual safety of first responders and those in crisis.

Please also review AIHCP’s Crisis Intervention Specialist Program, as well as its Substance Abuse Specialist Program for qualified professionals in Human Services and first response.

Crisis Counseling in Facilities

Many mental health community centers are equipped to handle walk-ins, police escorted individuals in crisis, family admitted or social service recommended cases (James, 2017, p. 100). Like the crisis specialist in the field and on the scene, these professionals provide the same type of de-escalation model to help the person find equilibrium and mobility. They can also keep the person a few days if necessary and later coordinate with case managers to ensure the person receives continued observation, medication, or future counseling. Some facilities are 24 hour facilities, while others have emergency call centers beyond the regular hours (James, 2017, p. 102).

Upon entry into a facility, a person is assessed across the range of the triage scale to determine if someone is mildly or severely impaired. For more severe cases, a senior technician is called upon to help the person. Crisis specialists will also try to receive a case history of the person to better determine the onset of crisis. If mental pathology is present, a psychiatrist may be called to better meet the needs of the person (James, 2017, p. 100). James also references that those who face more severe mental fragmentation will be committed until safe to self and others (2017, p. 100).

The initial intake interview is a key process where questions and basic crisis intervention tasks can be completed. If the person is appraised negatively with a high level of lethality as well as drug use, then the person will need to stay longer. The clinician or team following the intake interview, prepares a disposition that describes the case as well as suggestions for treatment. In some cases, the facility will supply the person with a psychological anchor. This refers to a professional who will serve as their case worker, advocate or contact person (James, 2017, p. 101). In some cases, the individual will need short term disposition which meets the immediate physical needs of food, water or shelter. The Department of Family Services plays a big role with social workers to ensure the proper government entities meet the needs of the person. However, sometimes, long term disposition occur where the person needs long term care plan which includes counseling abd medication to help the person deal with future issues and crisis (James, 2017, p. 101).

Crisis and Short Term Vs Counseling and Long Term Cases

Since crisis is about mental and emotional first aid that looks to stop emotional bleeding, its goals and procedures to reach those goals differ greatly from long term counseling and cases. James lists numerous differences between these two types of mental health models. In regards to the initial tasks themselves, there is a large difference. Crisis counseling looks to ensure client safety and assess lethality initially, while long term looks to prevent future problems. Where crisis counselors look in the first task to form a bond with the person in crisis, long term counselors look to correct issues with sound and tested evidence based treatments. Where crisis counselors help the person define the immediate problem, long term counselors help provide systematic support for that problem. Where crisis counselors provides support to help calm the person in crisis, long term counselors help facilitate growth in the healing process. Where crisis counselors look to help those in crisis see alternate options and develop a plan, long term counselors look to re-educate and help clients express and clarify emotions. Where crisis counselors resolve with commitment to plan and follow up, long term care counselor continue treatment with resolving issues, accepting realities, reorganizing attitudes and working on maximizing intellectual resources to deal with issues (2017, p. 98).

Those admitted into crisis centers are facing affective, behavioral and cognitive issues that are preventing proper emotional balance and coping. These facilities face different types of intake individuals who face acute crisis

Crisis intervention specialists utilize diagnosis via the triage method looking at the affective, behavioral and cognitive issues on the spot and face to face, while long term counselors work with a detailed case history as well as observation throughout a period of time with most patients not experiencing a state of acute crisis. Where crisis specialists treat acute trauma and help to stabilize, long term counselors look at the underlying causes for issues over an extended period of time. Where a crisis specialist’s plan is to meet the immediate physical and emotional needs to stabilize a person, a long term counselor’s plan is a comprehensive effort that covers time and numerous personal and social environments that looks to help alleviate a non acute issue. (James, 2017, p. 98). Hence crisis intervention specialists deal with individuals who are affectively in an impaired state, cognitively unable to think logically and behaviorally out of control and pose a threat to themselves and others, while a long term counselor deals with individuals not in impairment emotionally and is able to think and socially behave (James, 2017, p. 99). This means that crisis professionals whether on the scene, or in a facility helping a person in crisis are working at a mental emergency level where decisions and observations must be quicker and plans may need be adjusted quickly due to safety issues (James, 2017, p. 99)

Types of Issues with Crisis

Obviously dealing with those in crisis requires quick thinking and assessment but it also entails dealing with individuals who are a lethal threat to self and others, as well as many times on multiple types of drugs. Crisis professionals deal with chronic mental illness, acute interpersonal problems due to relationships and other social factors, and combinations of both (James, 2017, p. 97). While long term care counselors deal with these type of issues, usually the person is not actually intoxicated, or in a state of mania, or suicidal with gun in hand during a session. Many crisis counselors deal with an array of acute issues that include those who are constantly in a transcrisis state that can be activated at any moment. Those facing multiple stressors or anxiety or depression can easily fall into a state of acute crisis in these cases. In addition to transcrisis, many individuals in chronic crisis will face regression and fall back into old issues that led to crisis. Others may face issues with possible termination of future sessions with counselor since the counselor has become an anchor (James, 2017, p. 108). In addition to dealing with those in transcrisis, many counselors deal with individuals with addiction issues and psychotic breaks with reality. One common type of malady that corresponds with crisis in Borderline Personality Disorder. This disorder prevents the person from past trauma to achieve stable moods from hour to hour, day to day or month to month. They can erupt into anger or sadness over minor things they perceive as slights. Many are also impulsive, self destructive, confused with goals, unable to maintain self esteem, possess suicidal ideation, and have destructive choices in relationships (James, 2017, p. 111). Obviously this type of disorder is a chaotic recipe for crisis calls for the police and later mental health intervention.

These types of issues can lead to big problems with counselors and those in crisis as well as those who offer long term counseling. It can lead an array of issues where the client is suicidal, deals with abuse, or problems with finances or the law, as well as one who frequently misinterprets a therapist’s statements, reacts strongly to advice, fears resistance and follow through of treatments, as well as transgressing professional boundaries with calls and insults (James, 2017, p. 111). James points out that when dealing with individuals in chronic crisis or facing other mental maladies, one needs to set ground rules that apply for everyone. Sessions need to start and end on time. Sessions need to be void of threats. Everyone speaks for oneself and is fully heard. Everyone faces all issues discussed and does not have the option to abruptly leave. The session will not include gaslighting or avoiding the subject. No one is to arrive drunk or intoxicated. The crisis counselor or counselor will not take sides. Time will be respected outside the office and the needs of other clients will not be dismissed for another’s immediate demands (James, 2017, p. 114). Obviously dealing with those that face multiple issues and chronic crisis is a heavy task. It involves professionalism, boundaries and sometimes a place to vent for the counselor afterwards.

Crisis Facilities and Law Enforcement

Since the closing of mental asylums in 1963, law enforcement and prisons have picked up the slack of dealing with those in mental crisis. This has led to many unfortunate incidents of police shootings, or police brutality cases. While most police officers and law enforcement are good people, the job of dealing with those in mental crisis is exhausting and can trigger a sane individual into actions not normal for fear of safety of self or frustration. Most police historically have dealt with criminals in the true sense. Upon apprehending of a thief, the thief understands to drop the weapon or the stop. Unfortunately in heated situations of mental crisis, people sometimes cannot emotionally understand or comprehend orders. Due to equilibrium and immobility of a person in crisis, an officer has to show constraint and avoid authoritative and aggressive commands or he/she may escalate the situation. Some officers are not able to handle this type of mental health interaction but modern policing requires it. As more and more unfortunate death by cop whether intentional or intentional occurs, the more police need trained in crisis intervention and de-escalation. Police officers who cannot handle this adjustment either need to find a new profession or soon risk the chance of ending up in prison, sued, or fired themselves.

Police are responding more and more to crisis calls than merely criminal calls. They need to be trained in how to help individuals face crisis to avoid future fatalities

James mentioned the change in policing from instrumental crimes to more expressive crimes where officers are required to adjust their approach in dealing with the person in crisis (2017, p. 102). James illustrated one of the first joint task teams of law enforcement and mental health and crisis centers with the Memphis Police Department in 1987 (James, 2017. p. 103). The Crisis Intervention Team or CIT was designed to train police when dealing with those in crisis as well as to coordinate with mental facilities instead of prisons. James pointed out that the model was not just about training police but also to help create better coordination with the mental health community and consumer advocates promoting mental health awareness (2017, p. 104). James pointed out that the program covered 40 hours of CIT training that covered cultural awareness of mental illness, substance abuse, developmental disabilities, treatment strategies and mental health resources, patient and legal rights in crisis intervention, suicide intervention, use of mobile crisis teams, education on psychotic meditations and effects, verbal defusing and de-escalating techniques and education on borderline personality disorder and other mental issues (2017, P. 105).

According to James, the program has been a success and a model for other law enforcement agencies in other communities and cities. Within its first 16 months of operation in 1987 to 1988, Memphis CIT trained officers responded to 5, 831 mental disturbance calls, transported 3, 424 cases to proper mental health facilities without patient fatality (2017, p. 106). In the 20 and more years since, more calls are received to the hotline differentiating crime and mental crisis and there has been a reduction in the use of force and more individuals being sent to mental facilities instead of jail (James, 2017, p. 106).

This is an important issue and the success shows that modern policing can meet the needs of mental crisis. Some departments also receive additional aid from social workers, chaplains and other crisis professionals on calls related to mental disturbance. This does not mean that danger and risk exists both for the person in crisis as well as the first responders but it does reduce the chance for unnecessary and tragic fatality. This should be an issue every person cares about because anyone can become a victim of crisis and police when called need to be able to de-escalate and not escalate.

Conclusion

Crisis intervention care is not for the faint of heart. It requires quick thinking and decisions which need to be adjusted on the fly as danger and possible death loom with every call. Crisis cases whether on scene or in a facility deal with acute crisis. Individuals are facing dis equilibrium and immobility. They are affected emotionally, behaviorally and cognitively. This leads to a different type of response than long term care. Crisis counselors understand the different nature of their calling and profession. In addition, mental health facilities, the public, and police are all beginning to incorporate better crisis response to negate police brutality or illegal shootings of those in crisis. This involves understanding that modern policing is more about arresting bad guys but also helping sick people find balance and the proper treatment.

Please also review AIHCP’s Crisis Intervention and Substance Abuse Specialist Programs

Please also review AIHCP’s Crisis Intervention Specialist Certification as well as its Substance Abuse Specialist Certification. Both programs are online and independent study with mentorship as needed. The program is open to qualified professionals in law enforcement, healthcare, mental health, human services and chaplaincy.

Source

James, R. & Gilliland, B. (2017). “Crisis intervention Strategies” (8th). Cengage

Additional Resources

Crisis Centers by State and U.S. Territory. Access here

Crisis Text Line. Access here

If You or Someone You Know is in Crisis and Needs Immediate Help. National Institute of Mental Health. Access here

National Hotline for Mental Health Crises and Suicide Prevention. NAMI. Access here

988 Suicide & Crisis Lifeline. Mental Health America. Access here

Tich, B. (2023). “What Works in De-Escalation Training”. National Institute of Justice. Access here

Zeller, S. & Kircher, E. (2020). “Understanding Crisis Services: What They Are and When to Access Them”. Psychiatric Times. Access here

Crisis Intervention and Assessment of Those in Crisis

Posted on October 30, 2024November 13, 2024 by Mark Moran

Those in crisis require different kinds of counseling than those in short and long term care counseling. Those in crisis have emotional and mental wounds that are intensely bleeding from within leading to sometimes lethal and dangerous decision making. Individuals feel lost and without purpose with no light at the end of the tunnel. Hence those in crisis lose cognitive and mental capabilities to make safe and logical decisions. This requires on site mental first aid and de-escalation. Those in EMT, police, FEMA, as well as chaplains and social workers who work with law enforcement approach those in crisis as mental first responders. One does not know what to expect and the job can definitely be dangerous due to the unexpected behavior of those in crisis. Individuals trained in crisis hence provide emotional and mental first aid and look to stabilize individuals from a mental and emotional way. This blog will look at the basic steps of Crisis Intervention and the role of assessing individuals in crisis.

Crisis Intervention professionals assess and implement plans to stabilize the person in crisis

Please also review AIHCP’s Crisis Intervention Specialist Certification and see if it meets your academic and professional goals

Hybrid Model of Crisis Intervention and Steps

Various models of Crisis Intervention look to examine the best psychological way to understand the state of crisis and how to help an individual reach pre-crisis state. Crisis professionals all agree that those in crisis experience disequilibrium as opposed to equilibrium and immobility as opposed to mobility (James, 2017, p. 48). Disequilibrium refers to lack of emotional stability, balance or poise within an individual (James, 2017, p.48) and immobility refers to the state of a being that is unable to autonomously change or cope or respond to different moods, feelings needs, conditions that require adaptation (James, 2017. p. 48). Hence it is the duty and vocation of the crisis professional to help individuals again find balance and ability to cope with the crisis inducing situation. The crisis professional is not again present to help resolve the issues causing the crisis itself but only present to help the person again find ability to cope with the situation in the heat of the moment. The crisis professional can then guide the person to appropriate resources and support to face the problems that created the conditions for crisis to occur. This involves various steps and procedures to help a person in crisis stabilize and find balance again. However, James warns that those in crisis are ones to follow steps but in reality are far more chaotic. With this in mind, these steps serve as a checklist or guidebook that can be adapted, or repeated, or reused as necessary within the process until the person again finds state of mind.

The Hybrid Model serves as a way for crisis professionals to help de-escalate the situation and help a person find pre-crisis state through seven steps. The first step is predispositioning/engaging and initiating contact (James, 2017, p. 50). This essential task sets the table and emotional response between anyone in crisis, whether one is facing little impairment or facing extreme emotional impairment. This step involves the crisis professional introducing him/herself and attempting to form some type of bond or understanding. When a person is in intense crisis, approach is key. An aggressive approach can turn the person to self harm or harm of others or also increase agitation within the mind. Trained police officers who approach someone in a mental breakdown who approach with more calmness and articulation are far better able to de-escalate as opposed to officers who approach as angry, aggressive or authoritarian. Many times, police escalate the situation of a person in crisis by challenging, commanding, or threatening. A person in crisis will not respond logically or calmly to these types of approaches. The best way is to introduce oneself calmly without threatening (James, 2017, p. 50). Within this initiation of contact, police or crisis professionals should attempt to learn the name of the person and also clarify one’s intentions in what the person in crisis should expect to happen next. Calm, clear and precise articulation can help break the ice and begin the process of de-escalation as opposed to making the situation worst.

The second task involves exploring the problem. This involves understanding the problem from the current context of the individual in crisis (James, 2017, p. 51). Key to helping and understanding requires core listening skills that encompass empathy and genuineness (James, 2017, p. 51). In this way, the crisis specialist examines the situation as a detective. H/she not only assesses the person (which we will review in the second part of the blog), but he/she also looks for clues about the current problem and addresses the person’s issue as how he/she is experiencing it. If a person is experiencing a breakdown, the crisis professional will discuss why the person is upset and reinforce understanding of why the situation is bad but also why it can be fixed. In addition to the person, the crisis professional will also see all the other issues surrounding the current issue, such as interpersonal issues, or other environmental issues and understanding how they fuel the current crisis.

The third task involves providing support. The crisis specialist, police or chaplain on the scene can provide support via continued empathetic dialogue. This includes letting the person know he/she is not alone and that the crisis specialist is a person who cares about he or she and that the crisis professional is present to help the person receive the support necessary (James, 2017, p. 52). This type of reassurance can help a person find some stability. Many individuals facing natural disasters will need those simply initial words of support to help them find some peace and calm after being completely overwhelmed. The crisis professional can supply psychological support, logistical support which leads the person to basic survival needs, such as food or water or shelter, social support which includes activating and discovering family, friends, coworkers or church, and information support which can include resources the person can access to find help (James, 2017, p. 53). Sometimes a person in crisis will need to be reassured that there is support before he/she will accept help from someone or leave a potentially dangerous situation. A crisis professional can help alleviate the hopelessness by asking and promising the help one needs. Of course, safety is a huge concern during these discussions. When weapons or erratic behavior exist, crisis specialists are at risk. Whether its a violent person in the street, a person threatening to shoot oneself with a gun in hand, the crisis specialist needs to assess, utilize the proper safety guidelines and also the backup present when hoping to diffuse and talk to individuals in a state of crisis.

The fourth task involves helping the person find alternatives to the current mode of thinking (James, 2017, p. 54). Sometimes rational ideas or different ways of viewing a crisis can help a person find some logic or some hope in finding pre-crisis state. This involves asking about situational supports the client has had in the past involving family or friends who can help, as well as offering coping mechanisms that include actions, behaviors or resources that can help the client in the temporary crisis. In addition, offering positive reframing of the current and temporary situation can help the client or person in crisis think more clearly. A crisis professional can offer a variety of solutions or alternative to the one in crisis to view the situation differently (James, 2017, p. 54). This ultimately involves a serious examination of the person’s realistic options within the current crisis situation.

Crisis Intervention counselors and specialists on scene look to help the person find emotional balance and mobility to cope with the short term problem through a series of tasks

The fifth task is to create a plan. Usually these plans are short goal but they offer order in the chaos for the person in crisis. The crisis professional offers certain ways of proceeding forward and meeting immediate and short term needs of the person. This type of grounding helps the person find some anchor in the chaos and that there are plans available to escape the crisis. This is important for individuals who may have lost a home to hurricane or a person who lost his or her job, or a person who is going through a divorce and lost his or her children. The crisis professional helps the person find order and some control (James, 2017. p. 55). The person should feel part of the plan and have autonomy within it.

The sixth and seventh tasks involve obtaining commitment on part of the person to follow through on the plan and then following up with the client within a few hours, or even days to ensure the person is still on the right path (James, 2017, p. 55-57). Commitment shows the person understands and comprehends the plan and also gives the person a sense of empowerment. Follow up is key to ensure the person still understands the plan and is meeting with the necessary agencies or persons to permit the plan to blossom. This also shows that the crisis professional cares and wants the person to be able to find permanent success following a crisis. This is important for anyone who lost a job or home and needs to contact certain groups, as well as those who were suicidal are committing to the plan of getting the help they need.

A similar model is referred to as the Robert Model. This involves assessment of the situation and person regarding lethality. Following assessment, involves rapport with the individual as found in the Hybrid model. Following rapport, identifying the problem and crisis and then exploring the emotions is addressed. Alternative options and plans are then addressed with follow up. As one can see, most models share a similar 7 step procedure that involves assessments, making contact, understanding the situation and giving options to de-escalate and help the person return to precrisis state with followup.

Interaction with Those in Crisis

Within the first task of initiating contact, it is crucial to establish trust and a bond with those experiencing crisis. Whether a person is brought to a mental health facility in a state of crisis, or arriving upon a scene, basic interaction with communication and listening skills are important. As they are in any counseling, particular ways crisis counselors speak and listen can play a big role in de-escalating a situation. Open ended questions are important that request descriptions of the situation such as “Please tell me” or “Show me” can help a person open up and communicate the crisis. In addition open ended questions that focus on plans of the person such as “What will you do?” can help make the person in crisis think. Expansion questions can help broaden the story by simply stating, “Tell me more” or questions that look to assess the situation. For most cases, “why” questions should be avoided since they provide opening for illogical defense. While it may attempt to allow one to understand, it also allows the person to intellectualize and defend why one is doing something that one should not do (James, 2017, p. 74). Close ended questions are used for more focus and quicker responses. They can obtain specifics, obtain commitments, and help focus on the issue at hand. Crisis counselors can also apply basic counseling skills that involve restatements of what the person feels as well as summaries of how the person is acting. Sometimes, restating and summarizing can allow a person in crisis to see the insanity of his/her state of mind.

In crisis, crisis professionals many time utilize owning or owning of feelings (James, 2017, p. 75). Utilizing “It” statements in what is to be done, or how one feels can help the conversation become more intimate and less confrontational as “we”. The person in crisis has only the professional to discuss, when “I” is utilized. Such as examples of ” I understand” . It is important not to falsely understand when one does not. In these cases, one should ask for clarification. Assertion statements are also useful when telling the individual what you expect and how you want someone to do something for one’s own safety. In these statements, specific actions are asked in the particular moment with “I” statements. In addition, it is important to offer positive reinforcement when applicable while working a person through crisis. Compliment the person who is able to breathe smoothly or who is starting to show control of emotions (James, 2017, p. 77).

In addition to various statements that can help create bonds and trust, as well as de-escalation, counselors need to listen with empathy and genuineness (James, 2017, p. 78). This involves empathetic listening for clues and acknowledging what the person is saying, but also understanding it while helping to guide the person to better options. It is not patronizing but serious listening and response to what is being related by the person in crisis. If the person in crisis understands that the counselor is acknowledging fears and taking what the person feels as serious, then respect can exist and the person in crisis will be more listening to reason and statements from the counselor. Through this, sometimes, a counselor can help create awareness of the situation during reflection of what the person in crisis is stating. Sometimes, restating the problem via good listening and offering a clear awareness of the difficult situation can be a great aid for the person. Sometimes, it is also important to allow the person in crisis to talk. One needs to allow sometimes for the person to talk, express, swear, curse, rant or mourn before reason can be restored (James, 2017, p. 80). In crisis intervention counseling this is referred to as catharsis. Ultimately, listening and communicating involves empathy with the client in crisis. It involves proper attending, verbal communication, reflecting feelings, and utilizing nonverbal cues and silence as a way to show empathy (James, 2017, p. 82).

Throughout the tasks, especially when discussing emotions, alternatives and plans, the crisis specialist needs to also promote expansion of the client’s tunnel vision of the temporary moment and open possibilities. This helps the client see the overall picture (James, 2017, p. 81). Sometimes during these phases and tasks, crisis counselors can also help individuals focus on the immediate issue. Many times individuals in crisis will spiral out of control and discuss multiple stressors that are not present. The crisis counselor can help partition, decompartmentalize and downsize client’s fears and stressors (James, 2017, p. 81). In addition, counselors during interaction need to know how to supply guidance and help implement order. Those in crisis and chaos depending on their level of impairment need direction and guidance. Finally, crisis counselors need to assure those they are working with that they are safe. “I” statements that assure safety and meeting of physical needs can help a person in crisis become more secure and open to de-escalation (James, 2017, p. 81).

Again, simplified, the basic ABC’s of Crisis Counseling merely involves achieving a relationship, breaking down the problem and committing to a plan of action. Identifying what activated the event, understanding the beliefs associated with it and the consequences surrounding it. This involves helping the person again find mobility and equilibrium throughout that process and utilizing the skills listed above in that process and also understanding the affective, behavioral and cognitive states of the person.

Assessment in Crisis Intervention

The tasks in helping a person find balance and mobility again are essential in crisis intervention. One of the initial observations during the first contact with a person in crisis is assessment of the person. Crisis Intervention offers a variety of assessment tools and charts to help EMT, police, chaplains and social workers to better able assess a person’s threat to oneself and others. Most assessment covers affective and emotional states, behavioral states and cognitive states. It is also important to assess whether a client has been in crisis before or if this is merely an isolated acute situation or if the person is chronic crisis with common re-entry (James, 2017, p. 69). Chronic, long term and transcrisis can all play roles in the persons limitations on resources and resiliency.

Affective states refer to one’s current mood. Hence any abnormal or impaired mood can show signs of crisis upon the scene. A person may seem over emotional or severely withdrawn. The behavioral functioning can also be important in assessing. The crisis professional observes the doing, acting and behavior of the person on scene (James, 2017, p. 58). Finally the cognitive state of the person in crisis in important in crisis. The crisis professional reviews the thinking patterns and thoughts of the person in crisis.

These three observations detail the ABC model of affective, behavioral and cognitive states (James, 2017, p.58). The Triage Assessment system and chart lists a series of questions that look at affective, behavioral and cognitive issues as well as supplying a chart to access severity of crisis (James, 2017. p. 59-64). A person’s affective state will include observing if the person is on medication or not, under a substance, experiencing psychosis or paranoid or any other mood related or physical appearances. A person’s behavioral state is ranked based on if the person is defiant, aggressive, reckless, suicidal, or violent. From a cognitive state, observations include if a person is uncooperative, impulsive, hysterical, confused or unresponsive (James, 2017, p. 60 & 68).

The Affective, Behavioral, and Cognitive scales help assessment with the worst score totaling 30. Important labels include no impairment and minimal to low, moderate, marked and severe. Stable moods are contrasted moods devoid of feeling, behaviors are rated from socially appropriate to behaviors that intensify crisis, and decisions are ranked from considerate of others to decisions that are clear and present danger to self and others (James, 2017, p. 61-62). Ratings are based off of a 1 to 10 model of each facet of affective, behavioral and cognitive. Within affective, one rates anger, fear and sadness. Within behavioral, one rates approach, avoidance and immobility. Within cognitive, one ranks current transgression, perceived future threat and past reflection on loss. In addition, there exists observation questions regarding the person that looks at if the person is on or off medication. Individuals who rate within 3 to 10 total points within assessment are considered minimal impairment and need little direction and can self direct. Those with ratings of 11-15 require some guidance and direction. Those with a score of 16 to 19 are indicative of a person losing more and more control of the situation. Those with scores at 20 are potentially entering into harms way and need intense direction to avoid a lethal range, while those in the upper 20 scores have entered into a lethal range and lethality is present (James, 2017. p. 66).

Conclusion

Please also review AIHCP’s Crisis Intervention Specialist Program and see if it meets your academic and professional goals

Crisis Intervention is a structured response to pure and utter chaos. It is mental first aid. While structured it is adaptable and adjustable. Those who are experienced and talented utilize the core concepts and adjust and adapt in the moment. The seven tasks to help a person find balance and mobility are key as well as assessing low impairment and high impairment cases within one’s affective, behavioral and cognitive abilities. Those in crisis intervention whether in police, EMT, social work, mental health, and chaplaincy require empathy, patience and skill to safely deal with those who are harmful to self and others.

Please also review AIHCP’s Crisis Intervention Specialist Program. Qualified professionals can earn a four year certification to help them within this field. Whether working at a crisis center or trained professionals on the scene, the certification can help give academic and core information that can aid others attempting to work in this high stress but high rewarding field. The program is online and independent study with mentorship as needed

Resources

Bengelsdorf, H., Levy, L. E., Emerson, R. L., & Barile, F. A. (1984). A crisis triage rating scale: Brief dispositional assessment of patients at risk for hospitalization. Journal of Nervous and Mental Disease, 172(7), 424–430. Access here

James, R & Gilliand, B. (2017). “Crisis Intervention and Strategies” (8th). Cengage.

Marschall, A. (2023). “How a Crisis Intervention Provides Mental Health Support”. Very Well Mind. Access here

Myer, R. A., Lewis, J. S., & James, R. K. (2013). The introduction of a task model for crisis intervention. Journal of Mental Health Counseling, 35(2), 95–107. Access here

Roberts, A. & Ottens, A. (2005). “The Seven-Stage Crisis Intervention Model: A Road Map to Goal Attainment, Problem Solving, and Crisis Resolution”. Brief Treatment and Crisis Intervention. Access here

A Closer Look at Crisis Intervention

Posted on October 23, 2024 by Mark Moran

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.

AIHCP offers a four year certification for those interested in a Crisis Intervention Specialist Certification

What is 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 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

“What to Do In a Crisis”. NAMI. Access here

What is a Stress Management Consultant? A Comprehensive Guide

Posted on October 23, 2024 by Dominick Flarey

By – James M. Katz, BA

In today’s fast-paced world, stress has become a widespread issue affecting people’s health and well-being. As a result, the role of a stress management consultant has gained significant importance. These professionals help individuals and organizations develop effective strategies to cope with stress and improve overall quality of life. Stress management consultants use their expertise to provide personalized stress management plans and teach valuable stress reduction techniques.

This comprehensive guide explores the world of stress management consulting. It covers the growing need for these specialists, their core competencies, and the various types of stress management consultants. The article also delves into the consultation process, the integration of technology in stress management, and career prospects in this field. By the end, readers will have a clear understanding of what a stress management consultant does and how they can make a positive impact on people’s lives.

The Growing Need for a Stress Management Consultant?

In today’s fast-paced world, the demand for stress management consultants has significantly increased. These professionals play a crucial role in helping individuals and organizations cope with the mounting pressures of modern life.

Statistics on workplace stress

Recent studies have revealed alarming statistics about workplace stress. According to the American Psychological Association (APA), 77% of Americans reported being stressed out by work in the last month. Even more concerning, 57% of workers indicated they experienced burnout due to work-related stress. The prevalence of stress in the American workplace has become so high that most workers have accepted it as a way of life.

The impact of workplace stress extends beyond individual well-being. It has a substantial economic cost, with workplace stress having a USD 300.00 billion annual price tag in the U.S. alone. This staggering figure underscores the urgent need for effective stress management strategies and the expertise of stress management consultants.

Impact of chronic stress on health and productivity

Chronic stress, often referred to as toxic stress, occurs when the body’s stress response is activated too often or for extended periods. This persistent state of stress can have severe consequences on both physical and mental health. It increases the risk of chronic illnesses, infections, heart disease, mental health disorders, and addictive behaviors.

The effects of chronic stress are not limited to personal health; they also significantly impact workplace productivity. Employees lose over 5 work hours per week thinking about stressors, and 1 million Americans miss work each day due to symptoms of workplace stress. This loss of productivity translates to substantial economic losses, with work-related stress costing the U.S. USD 190.00 billion in healthcare expenditures annually.

Emergence of stress management as a specialized field

The growing recognition of the detrimental effects of stress has led to the emergence of stress management as a specialized field. Stress management consultants have become essential in helping individuals and organizations develop effective coping strategies and stress reduction techniques.

These professionals provide personalized stress management plans, taking into account the unique stressors and triggers of each individual or workplace. They offer a range of services, including stress management coaching, stress reduction programs, and stress management courses. Their expertise helps clients develop crucial stress management skills and implement effective stress management strategies.

As the demand for stress relief continues to grow, the role of stress management consultants becomes increasingly vital. They serve as stress management experts, offering guidance and support to those struggling with the pressures of modern life. By providing specialized stress management services, these professionals contribute to improving both individual well-being and organizational productivity.

Core Competencies of a Stress Management Consultant

Stress management consultants possess a unique set of skills and expertise that enable them to help individuals and organizations effectively cope with stress. These professionals play a crucial role in promoting healthier, more balanced lifestyles by providing personalized solutions and teaching valuable coping methods to their clients.

Stress assessment and analysis

One of the primary competencies of a stress management consultant is the ability to conduct comprehensive stress assessments. These assessments involve identifying sources of stress, understanding their impact on an individual’s life, and analyzing the effectiveness of current coping mechanisms. Stress management consultants use various tools and techniques to measure stress levels accurately.

For instance, they may employ heart rate variability (HRV) analysis, which involves recording the variation in time between consecutive heartbeats. HRV is controlled by the autonomic nervous system and can provide insights into an individual’s stress response. Additionally, consultants may use electroencephalography (EEG) to measure brainwaves, as research suggests that brainwaves can be an accurate way to measure stress response.

Another valuable tool in a consultant’s arsenal is the Perceived Stress Scale (PSS), a questionnaire developed in 1983 to assess the amount of stress an individual feels they’re under. This self-reported measure helps consultants gain insights into their clients’ emotional and mental states.

Customized intervention strategies

Based on the results of stress assessments, stress management consultants develop personalized stress management plans tailored to each client’s unique circumstances and goals. These plans take into account specific stressors, triggers, and objectives, providing a roadmap for effectively managing stress in daily life.
Stress management consultants employ a variety of evidence-based treatments and techniques to help their clients. Common approaches include mindfulness meditation, yoga, and physical activity, which have been associated with significant reductions in self-reported and physiological measures of stress. However, it’s important to note that these interventions often have high levels of heterogeneity in treatment effects, indicating that not all individuals may benefit equally from a given intervention.

To address this challenge, some stress management consultants may adopt a personalized (N-of-1) trial approach. This method involves evaluating the outcomes of different interventions specific to an individual, allowing consultants to identify the most effective stress management techniques for each client.

Ongoing support and evaluation

Effective stress management consulting goes beyond providing initial strategies; it involves integrating stress management techniques into daily life and offering continuous support. Stress management consultants work closely with their clients to implement coping strategies, monitor progress, and make necessary adjustments to the stress management plan.

To assess the lasting impact of stress management interventions, consultants implement long-term follow-up strategies. These may include regular check-ins, progress evaluations, and adjustments to the stress management plan as needed. By providing ongoing support and evaluation, stress management consultants help their clients develop resilience, maintain a positive mindset, and cultivate healthy habits that support overall well-being.

Types of Stress Management Consultants

Stress management consultants come in various forms, each specializing in different areas and catering to specific needs. Understanding these different types can help individuals and organizations choose the right consultant for their stress management requirements.

Corporate consultants

Corporate stress management consultants focus on helping businesses create a healthier work environment and improve employee well-being. These professionals offer a range of services designed to address workplace stress and enhance productivity.

Corporate consultants often provide coaching, classes, and workshops to foster a culture of wellness within organizations. They may offer live, instructor-led classes both onsite and virtually, covering topics such as mindfulness-based stress reduction, meditation, breathwork, yoga, and art therapy. These consultants work closely with companies to develop comprehensive stress management programs that complement existing wellness initiatives or form part of a broader annual wellness strategy.
One of the key advantages of corporate stress management consultants is their ability to tailor programs to the specific needs of each organization. They often assign dedicated account managers who follow a time-tested roadmap for launching new programs or enhancing existing ones. These account managers ensure that initiatives are implemented on schedule and can make ongoing adjustments as needed.

Healthcare-based consultants

Healthcare-based stress management consultants specialize in addressing stress within medical settings and improving patient experiences. These professionals play a crucial role in enhancing patient engagement and implementing patient-centered care practices.
Healthcare consultants often work closely with healthcare providers to develop and implement effective patient engagement and experience programs. They may offer services such as patient experience audits, implementation of digital health tools, and strategies to improve patient-provider interactions. Their expertise can lead to measurable improvements in patient satisfaction scores and overall quality of healthcare services. As show from our program in Stress Management Consulting.

Some healthcare-based stress management consultants focus on specific areas, such as enhancing member and patient experiences throughout the wellness journey. Others may specialize in developing cultures that are appreciated by both healthcare teams and patients, recognizing the increasing influence of healthcare consumers in the age of technology.

Independent practitioners

Independent stress management consultants work directly with individuals, offering personalized solutions to help clients manage their stress effectively. These professionals often have diverse backgrounds and may combine various approaches to stress management.

Independent practitioners typically provide one-on-one sessions tailored to each client’s unique goals and challenges. They may teach relaxation techniques, coping methods, and stress reduction strategies. Some independent consultants specialize in specific areas, such as mental performance consulting for athletes and professionals, helping clients address anxiety, improve sleep and recovery, and set goals.

These consultants often draw from their personal experiences with stress management, either through formal education in psychology or stress management, or through their own journey of overcoming stress using various techniques and lifestyle changes. Their approach may involve a combination of evidence-based treatments, such as cognitive-behavioral therapy, mindfulness practices, and lifestyle modifications.

By understanding the different types of stress management consultants available, individuals and organizations can make informed decisions when seeking professional help to address stress-related challenges and improve overall well-being.

The Stress Management Consultation Process

The stress management consultation process is a structured approach that stress management consultants use to help clients effectively cope with stress and improve their overall well-being. This process typically involves several key steps that allow consultants to assess, plan, and implement personalized stress management strategies.

Initial assessment

The first step in the stress management consultation process is conducting a comprehensive initial assessment. During this phase, stress management consultants employ various tools and techniques to evaluate the client’s current stress levels and identify specific stressors. One commonly used method is the Perceived Stress Scale (PSS), a questionnaire developed in 1983 to assess the amount of stress an individual feels they’re under. This self-reported measure helps consultants gain insights into their clients’ emotional and mental states.

In addition to self-report questionnaires, consultants may use more advanced techniques such as heart rate variability (HRV) analysis. This method involves recording the variation in time between consecutive heartbeats, which is controlled by the autonomic nervous system and can provide valuable insights into an individual’s stress response. Some consultants may also employ electroencephalography (EEG) to measure brainwaves, as research suggests that brainwaves can be an accurate way to measure stress response.

Goal setting and action planning

Once the initial assessment has been completed, stress management consultants work with their clients to set specific, measurable, attainable, relevant, and time-bound (SMART) goals. This approach helps to bring clarity, drive motivation, and increase the chances of success in managing stress. By setting SMART goals, clients can get a clear picture of what they need to do within a given timeframe.

During this phase, consultants help clients prioritize their goals and develop a comprehensive action plan. This plan outlines the steps needed to achieve the set goals and includes specific stress management techniques and coping strategies tailored to the client’s unique needs and circumstances. These may include mindfulness meditation, yoga, physical activity, or other evidence-based treatments that have been associated with significant reductions in self-reported and physiological measures of stress.

Implementation and follow-up

The final phase of the stress management consultation process involves implementing the action plan and providing ongoing support and evaluation. Stress management consultants work closely with their clients to integrate stress management techniques into daily life and offer continuous coaching support. This may involve regular check-ins, progress evaluations, and adjustments to the stress management plan as needed.

To assess the lasting impact of stress management interventions, consultants implement long-term follow-up strategies. These strategies help clients develop resilience, maintain a positive mindset, and cultivate healthy habits that support overall well-being. Some consultants may adopt a personalized (N-of-1) trial approach, which involves evaluating the outcomes of different interventions specific to an individual. This method allows consultants to identify the most effective stress management techniques for each client and make necessary adjustments to the plan over time.

Integrating Technology in Stress Management Consulting

The field of stress management consulting has seen a significant transformation with the integration of technology. Stress management consultants now have access to a wide array of digital tools and platforms that enhance their ability to assess, monitor, and address stress-related issues in their clients. These technological advancements have revolutionized the way stress management services are delivered, making them more accessible, personalized, and effective.

Digital stress tracking tools

One of the key innovations in stress management consulting is the use of digital stress tracking tools. These tools allow consultants to gather real-time data on their clients’ stress levels and physiological responses. For instance, wearable devices equipped with sensors can continuously measure heart rate variability (HRV), which is considered a reliable indicator of stress levels. Some devices, like the Empatica E4 and Fitbit, can even measure electrical changes in sweat glands that respond to stress and emotional arousal.

These digital tools provide stress management consultants with valuable insights into their clients’ stress patterns and triggers. By analyzing this data, consultants can develop more personalized stress management plans and offer targeted interventions. For example, if a client’s stress levels consistently spike during certain times of the day, the consultant can recommend specific stress reduction techniques for those periods.

Virtual coaching platforms

The rise of virtual coaching platforms has made stress management services more accessible and convenient for clients. These platforms allow stress management consultants to provide support remotely, enabling clients to receive guidance from the comfort of their homes. Virtual coaching leverages various digital communication tools, making it a budget-friendly alternative to traditional in-person sessions.

Many virtual coaching platforms incorporate features such as video calls, instant messaging, and progress tracking tools. These features enable stress management consultants to maintain regular contact with their clients, provide real-time support, and monitor their progress over time. Some platforms even offer AI-powered coaching assistants that can provide additional support between sessions with human consultants.

Stress management apps and wearables

Stress management apps and wearables have become increasingly popular tools in the consultant’s arsenal. These technologies offer clients continuous support and guidance in managing their stress levels. Apps like Headspace, Calm, and MyLife provide users with a variety of stress management tools, including guided meditations, breathing exercises, and sleep improvement techniques.

Wearable devices, such as smart watches and fitness trackers, have also evolved to include stress management features. For example, some devices can detect when a user’s stress levels are rising and prompt them to engage in stress-reducing activities, such as deep breathing exercises. These real-time interventions can help clients develop better stress management skills and coping strategies throughout their day.

By integrating these technological tools into their practice, stress management consultants can offer more comprehensive and personalized services to their clients. The combination of expert guidance and cutting-edge technology creates a powerful approach to stress management, empowering individuals to take control of their stress levels and improve their overall well-being.

Career Prospects for Stress Management Consultants

Job outlook and growth potential

The career prospects for stress management consultants are promising, with a growing demand for mental health professionals nationwide. The American Psychological Association (APA) Trends for 2024 Report highlights the need for greater access to mental health services, as 90% of respondents believe there is a mental health crisis in the United States. This increasing awareness of mental health issues has a substantial impact on the job outlook for stress management consultants.

The job outlook for mental health counselors and related allied health professionals is projected to grow 18 percent by 2032, which is much faster than the average for other occupations. This rapid growth is driven by the gaps in care and the increasing recognition of the importance of mental health and stress management in overall well-being.

Salary expectations

Stress management consultants can expect competitive salaries, with potential for growth as they gain experience and specialization. According to recent data, the estimated total pay for a Stress Management Counselor is USD 90472.00 per year, with an average base salary of USD 67608.00 per year. The additional pay, which may include bonuses, commissions, and profit sharing, is estimated at USD 22864.00 per year.

It’s worth noting that salaries can vary based on factors such as location, experience, and specialization. For instance, the median pay for mental health counselors is around USD 53710.00, with higher compensation available for professionals with advanced training and certification.

Opportunities for specialization

Stress management consultants have various opportunities for specialization, which can lead to increased earning potential and career growth. Some areas of specialization include:

1. Corporate stress management: Consultants can focus on helping businesses create healthier work environments and improve employee well-being. This may involve developing comprehensive stress management programs and offering coaching, classes, and workshops.
2. Healthcare-based consulting: Specializing in addressing stress within medical settings and improving patient experiences can be a lucrative career path. Healthcare consultants may work on enhancing patient engagement and implementing patient-centered care practices.
3. Independent practice: Some stress management consultants choose to work directly with individuals, offering personalized solutions and one-on-one sessions. This path allows for flexibility and the opportunity to develop a unique approach to stress management.
4. Technology integration: With the growing importance of digital tools in stress management, consultants can specialize in integrating technology into their practice. This may involve using digital stress tracking tools, virtual coaching platforms, and stress management apps.

As the field of stress management continues to evolve, consultants who stay updated with the latest research and techniques will have the best opportunities for career advancement and specialization. The increasing focus on mental health and well-being in various sectors, from corporate to healthcare, suggests a bright future for stress management consultants who are willing to adapt and grow with the changing landscape of mental health services.

Conclusion

The field of stress management consulting has seen significant growth, driven by the increasing awareness of mental health issues and the need for effective coping strategies. Stress management consultants play a crucial role in helping individuals and organizations deal with the pressures of modern life. Their expertise in assessing stress levels, developing personalized interventions, and providing ongoing support has a positive impact on both personal well-being and workplace productivity. As technology continues to evolve, these professionals are embracing new tools and platforms to enhance their services and reach a wider audience.

Looking ahead, the future looks bright for stress management consultants. The growing demand for mental health services, coupled with the rising recognition of stress-related issues in various sectors, points to promising career prospects in this field. As stress management consultants continue to adapt to changing needs and incorporate new techniques, they will remain essential in promoting healthier, more balanced lifestyles. Their work not only helps individuals cope with stress but also contributes to creating more supportive and productive environments in workplaces and communities.

After reviewing and researching how a stress management consultant can help communities, hospitals, businesses deal with the ever-growing issue of stress, if you’re interested AIHCP offers an online certification program in Stress Management Consulting. It requires one to complete several online stress management consultant courses. Once complete you would be a certified Stress Management Consultant. For full details on the certification program in Stress Management, please visit our page here.

FAQs

What are the primary strategies included in the 5 A’s of stress management? The 5 A’s of stress management include Avoid, Alter, Adapt, Accept, and Active. These strategies help in dealing with stressors that are both unavoidable, like personal tragedies, and those that stem from daily routines. It involves changing your approach to stressful situations, adapting to changes, accepting circumstances beyond your control, and staying physically active to manage stress effectively.
How can one become a stress management consultant? To become a stress management consultant, one must complete a specialized educational program that prepares individuals for this field. These programs typically require at least 225 hours of lecture and study. Candidates must also provide proof of successful completion of such a program to be certified.
What are the 4 A’s of stress management? The 4 A’s of stress management are Avoid, Alter, Adapt, and Accept. These represent different strategies one might use to handle stress, recognizing that individual responses to stress vary, and no single method works for everyone.
What is the primary function of stress management? The primary function of stress management is to offer various techniques that aid individuals in handling stress and adversities in life more effectively. It involves understanding and utilizing different methods to maintain a balanced and healthier lifestyle, as stress is a natural response to challenging situations.

Research Articles:

Psychological stress among health care professionals during the 2019 novel coronavirus disease Outbreak: Cases from online consulting customers. Yarong Ma, Et Al. Intensive and Critical Care Nursing Volume 61, December 2020, 102905
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Behavioral stress recovery management intervention for people with high levels of perceived stress: A randomized controlled trial. Almén, Niclas Et Al. International Journal of Stress Management. 2020 27(2), 183–194.
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Stress Management in the Modern Workplace and the Role of Human Resource Professionals. Tran, C. T. H., Et Al. Business Ethics and Leadership, (2020). 4(2), 26-40.
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Stress management interventions for college students: A systematic review and meta-analysis. Amanvermez, Y., Et Al. (2023). Clinical Psychology: Science and Practice, 30(4), 423–444.
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11 Essential Stress Management Techniques for Patients with Chronic Illnesses

Posted on October 21, 2024 by Joseph Gerard

Word Cloud with STRESS MANAGEMENT concept create with text only.

Written by Charles Schubert.

Living with a chronic illness is not just about managing physical symptoms. It also takes a toll on your mental well-being. You feel overwhelmed and stressed sometimes. But here is the good news: effective stress management techniques exist for you to explore. From holistic care approaches inspired by innovative practices at places like AIHCP, there’s plenty of help available.

This guide is packed with strategies that prioritize both mind and body wellness for those facing ongoing health challenges. If you are curious about how simple changes can make a big impact on your life, you’re in the right place.

Let us dive into some game-changing ways to improve your quality of life while dealing with chronic illnesses.

Mindfulness and Meditation in Stress Management

Exploring mindfulness and meditation opens up avenues for managing stress. These practices help cultivate focused awareness of the present moment, fostering calmness amid chronic illness challenges. Engaging in mindful breathing exercises or guided meditations also reduces anxiety by promoting relaxation.

Incorporating mindfulness into daily routines can also offer more than temporary relief. Over time, it rewires brain patterns to respond less reactively to stressors. Patients notice improved emotional resilience with consistent practice as they become adept at observing thoughts without judgment.

Resources like mobile apps and online platforms offer easy access to tailored meditation programs suitable for different needs and schedules. Committing just five minutes a day can spark change without overwhelming one’s schedule.

Nutrition for Stress Reduction

Nourishing your body also plays a crucial role in managing stress levels, particularly for those with chronic illnesses. Foods rich in antioxidants, omega-3 fatty acids, and B vitamins can support brain health and mood regulation. Integrating more leafy greens, nuts, fish like salmon, and fruits such as berries into meals provides these essential nutrients. Hydration is equally vital; water aids bodily functions that keep you feeling balanced.

Planning meals thoughtfully can also help stabilize blood sugar levels and prevent stress-induced cravings. Consistency matters here; aim to maintain regular eating patterns to fuel the body consistently throughout the day.

In some cases, specific dietary needs require consulting healthcare professionals or nutritionists who specialize in chronic illness management.

Physical Activity as a Stress Reliever

Pairing good nutrition with physical activity can significantly enhance your stress management efforts. Regular exercise releases endorphins, the body’s natural mood lifters, which help combat feelings of anxiety and depression common in chronic illnesses. You do not need to run marathons; even light activities like walking or stretching contribute significantly.

Personalized exercise routines cater to individual capabilities and preferences. Yoga or tai chi can also offer gentle yet effective ways to reduce tension while improving flexibility and balance.

Carving out time for physical movement benefits mental health, improves cardiovascular function, and boosts overall energy levels. If joining a class is not an option right now, online resources abound with guided workouts suitable for different fitness levels. Remember that consistency trumps intensity when integrating physical activity into daily life amidst health challenges.

Importance of Social Connections and Support Networks

Combining physical activity with social engagement enhances stress management for chronic illness patients. Human connections provide emotional support, a crucial buffer against the isolation those managing ongoing health conditions often feel.

If you have a condition like Hashimoto’s thyroiditis, which causes fatigue and depression due to autoimmune-related thyroid dysfunction, engaging with others helps lift your spirits.

Family members or friends can accompany you on walks or other light exercises to blend fitness with companionship. Joining support groups also offers shared experiences that foster understanding and camaraderie among people facing similar challenges.

Exploring social security disability benefits can provide financial assistance while adjusting work commitments around health needs if you have Hashimoto’s or any other condition that leaves you unable to work. Such benefits may help ease stressors related to managing chronic conditions like Hashimoto’s by offering a safety net for essential expenses.

Cognitive Behavioral Techniques for Mental Resilience

The strength gained from supportive networks extends further with cognitive behavioral techniques. These methods equip chronic illness patients to navigate mental hurdles, complementing the emotional support from social connections. Understanding how thoughts influence feelings and behaviors enables you to identify negative patterns contributing to stress.

Developing coping strategies through cognitive restructuring encourages healthier responses to challenging situations, such as managing flare-ups. Also, setting realistic goals for self-care helps boost confidence and motivation, turning overwhelming tasks into manageable steps.

Professional guidance from therapists can deepen your understanding of these techniques, helping you tailor them effectively to individual needs. Incorporate journaling because it offers a practical approach. Capturing your thoughts helps clarify emotions and track progress over time on this journey toward mental resilience amid chronic health challenges.

Harnessing Technology for Stress and Illness Management

Expanding mental resilience through cognitive techniques can also be complemented by technology’s growing role in health management. Digital tools, like mobile apps and wearables, provide practical solutions to track symptoms, medication schedules, and stress levels. Chronic illness patients gain insights into their condition with data analytics.

These technologies offer personalized interventions that align with your lifestyle preferences and health goals. From guided meditation apps promoting mindfulness to fitness trackers encouraging physical activity consistency, the options are vast. Telehealth platforms enable convenient consultations without travel-related fatigue.

Finding a blend of technological aids that fit seamlessly into daily routines makes managing chronic conditions less daunting. When leveraging these resources, the goal is to take control of stressors while staying informed about emerging trends tailored specifically for chronic illness care needs. So the more easily it fits into your needs, the better it will be for you.

Environmental Adjustments to Alleviate Stress

Utilizing technology for stress management becomes even more effective with supportive environmental adjustments. Your surroundings can significantly impact your mental and physical well-being, especially when living with chronic illness. For example, a clutter-free home can help promote calmness by reducing sensory overload.

Consider integrating natural elements like plants or calming color schemes to create a serene atmosphere. Lighting also plays an important role; bright light exposure helps regulate sleep cycles that are often disrupted by autoimmune disorders.

Another thing you may want to consider is establishing designated relaxation areas within the home. This space can act as your dedicated space for unwinding through meditation or gentle exercises. These thoughtful changes can reduce daily stressors while enhancing overall comfort, providing much-needed respite amidst life’s challenges related to chronic illnesses.

Holistic Approaches in Chronic Illness Care

Adopting holistic care approaches for chronic illness management is pretty effective at managing stress for patients living with a chronic condition.

This method focuses on treating the whole person, not just symptoms, ensuring that emotional and physical aspects receive equal attention. You may want to explore practices such as acupuncture or massage therapy; they often complement conventional treatments by easing tension.

Incorporating dietary supplements like herbal teas, known for their calming properties, can also support relaxation and well-being. Working alongside healthcare providers familiar with holistic techniques enables you to tailor a comprehensive plan addressing individual needs effectively.

Balancing these integrative therapies within your routine promotes harmony between body and mind.

As an evolving field of study, holism encourages continuous learning about innovative ways to enhance health outcomes amid ongoing challenges faced by those living with chronic conditions.

Embracing Art and Creativity for Stress Relief

Expanding upon holistic approaches can naturally lead you to the therapeutic power of art and creativity. These outlets provide an emotional escape, offering relief from stress associated with chronic illnesses. Painting, drawing, or crafting allow self-expression that transcends verbal communication limits.

You do not need to be an artist to benefit; engaging in creative activities often stimulates brain regions linked with happiness and relaxation. You may consider participating in community workshops or online classes to encourage exploration while fostering connections with like-minded individuals who understand your journey.

Experimenting across various artistic mediums offers freedom without expectations of perfection. This creative release promotes mindfulness by focusing on present tasks instead of lingering worries about health challenges. Over time, cultivating a regular practice reinforces coping skills crucial for maintaining balance when managing long-term conditions.

Pet Therapy for Emotional Support

Interacting with animals brings unique emotional support to those dealing with chronic illnesses. Pet therapy offers unconditional companionship that alleviates feelings of loneliness or anxiety. Dogs and cats are well-known for their comforting presence, but other pets like birds or fish also provide soothing effects.

Pets encourage routines vital for patients who struggle to maintain daily schedules due to fluctuating health conditions. Caring for an animal also fosters a sense of responsibility and purpose amidst challenging times.

This mutual bond often leads to increased resilience and improved mental well-being. If you can’t own one, consider exploring local volunteer opportunities at animal shelters that allow interaction without long-term commitment if ownership is not feasible right now.

Prioritizing Rest and Sleep for Optimal Health

No stress management plan is complete without addressing the crucial role of rest and sleep in chronic illness care. Quality sleep restores energy, supports immune function, and balances emotions, all vital for managing ongoing health conditions effectively.

Create a calming bedtime environment by eliminating noise distractions or using blackout curtains if necessary. Incorporating relaxation techniques such as deep breathing or gentle stretching before bed also aids in unwinding from daily stressors.

Explore ways to establish regular sleeping patterns aligned with your body’s natural rhythms through consistent wake-up times and pre-sleep rituals tailored specifically around personal needs.

Future Perspectives in Stress Management

Looking ahead, stress management techniques for chronic illnesses will likely become even more personalized.

Medical research and technology advancements promise to uncover tailored interventions specific to each individual’s needs and conditions. You can expect to see more innovative tools that integrate genetic insights with lifestyle data to provide bespoke solutions.

Writer’s Bio

Charles Schubert is a passionate health writer specializing in chronic illness care and stress management. With over a decade of experience in patient advocacy, Charles combines his personal experiences with expert insights to empower readers facing health challenges.

His writing often explores innovative holistic approaches and practical solutions for well-being. In his spare time, Charles enjoys hiking and practicing mindfulness meditation, drawing inspiration from nature’s healing power to inform his compassionate approach to healthcare writing.

Please also review AIHCP’s Stress Management 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

Treating Anxiety Disorder – Discovering The Effectiveness Of The 333 Rule

Posted on October 9, 2024 by Joseph Gerard

A picture of a hand pointing to the word Anxiety.

Written by Shebna N. Osanmoh, PMHNP-BC.

If you look around yourself, you will find a lot of people from different age groups who have suffered from anxiety at some point in their lives. Look closely at their story, and you’ll see they experience anxiety due to different reasons or some serious events in their lives. These events might be anything like an exam, a job interview, a competition, a debate on serious issues, or any traumatic period in our lives or at work. Many of these people who suffer from long-term anxiety may ultimately end up having an anxiety disorder.

Anxiety can rapidly shift a person’s emotions from a stable condition to a hyper state and further make it out of control. The person may feel disproportionately worried and may be experiencing severe panic attacks. That is why it is vital to have strong coping and grounding methods in place to assist people in either avoiding these circumstances or bringing their core feelings back into balance if they get agitated or overwhelmed.

Considering the reality that a lot of people experience anxiety and stress, it is also deniable that only a few of those sufferers open up about their situation and seek strong coping skills. A lack of knowledge, social pressure, and hesitation are the prime reasons for this dilemma. However, there are plenty of ways actually available to them that can help them deal with anxiety and prevent it from dominating their lives. Undoubtedly, the 3-3-3 rule is one of the most effective ones.

In this article, I am going to discuss the 3-3-3 rule, how it works, and why it is effective for individuals looking to handle their anxiety with ease. But first, let us dig a bit deeper into the root problem that makes this therapy important.

Why do people experience Anxiety?

Many of my patients have asked me this question several times, so I believe readers of this content must also be informed about this. Anxiety can arise from a complex interplay of various factors, both biological and environmental. Let’s elaborate on the common factors:

Genetics and Family History
Research shows that anxiety can run in families. If you have relatives who suffer from anxiety disorders, there’s a possibility that you may be genetically predisposed to experience anxiety. Specific genes are believed to influence how the brain regulates emotions and responds to stress, making people more susceptible to anxiety.
Brain Chemistry
The brain’s chemical balance, particularly the levels of neurotransmitters like serotonin, dopamine, and gamma-aminobutyric acid (GABA), plays a key role in regulating mood and emotions. An imbalance or dysfunction in these neurotransmitters can lead to heightened feelings of anxiety. Psychiatrists may prescribe medications like antidepressants to target these chemicals to help manage anxiety symptoms.
Stressful Life Events
Experiencing significant stress, whether through major life events (like moving to a new place, starting a new job, or ending a relationship) or daily pressures, can increase feelings of anxiety. When stress becomes chronic, it can overwhelm the body and mind, leading to anxiety disorders over time.
Traumatic Experiences
Trauma, such as abuse, violence, accidents, or the loss of a loved one, can have long-lasting effects on our mental health. People who have gone through traumatic events often develop anxiety as part of post-traumatic stress disorder (PTSD) or in other forms, as the brain may become conditioned to remain in a heightened state of alertness.
Early Childhood Experiences
Early life experiences, including how a person was raised, can impact emotional development. A chaotic or overly strict environment, neglect, or inconsistent caregiving during childhood can make a person more vulnerable to anxiety. Children who grow up in unstable or unsafe environments may develop anxiety due to constant uncertainty or fear. I have seen many kids who had a stressful childhood and grow into an introverted person, lack self-confidence, and end up experiencing anxiety disorder.
Personality Traits
Certain personality traits, like being naturally shy, sensitive, or perfectionistic, can make an individual more prone to anxiety. People who tend to overanalyze, seek approval from others, or fear making mistakes may experience more stress and worry, leading to chronic anxiety. I have seen one of the patients with anxiety disorder canceled her appointment seven times before she finally met up for treatment.
Cognitive Patterns
The way people think can also influence anxiety levels. Those who frequently engage in negative thinking, catastrophic thinking (imagining the worst possible outcomes), or overgeneralization are more likely to develop anxiety. Cognitive distortions can perpetuate anxiety, making situations seem more threatening than they actually are.

What Are The Common Anxiety Symptoms

Anxiety disorders can be developed in various forms, affecting your mental, physical, and behavioral health. While occasional anxiety is common among people, continuous and severe anxiety can significantly impact a person’s daily functioning and well-being. It is important for people to identify these symptoms and act wisely.

Psychological Symptoms

People with anxiety often experience:

Excessive Worry – You might have persistent, unrealistic worry about everyday situations or tasks.
Difficulty Sleeping: The most common one is trouble falling asleep or staying asleep. It often happens due to persistent worry.
Racing Thoughts: You are facing the inability to stop a rapid flow of thoughts.
Irrational Fears: You are experiencing fear disproportionate to the actual threat. These fears are often tied to specific phobias, such as fear of heights, fear of talking before a large number of people, or different social situations.
Anticipatory Anxiety: You are getting overwhelmingly worried about future events that may not happen.
Panic Attacks: You are facing sudden, intense fear with physical symptoms such as chest pain, dizziness, and shortness of breath.

Physical Symptoms

Physical signs of anxiety can include:

Shortness of Breath – Difficulty breathing, often during panic attacks.
Increased Heart Rate – Palpitations or a racing heart, sometimes confused with heart issues.
Muscle Tension – Continuous tightening of muscles, especially in the neck, shoulders, or back.
Sweating – Excessive perspiration, particularly during moments of fear or worry.
Gastrointestinal Distress – Upset stomach, nausea, or irritable bowel symptoms.
Dizziness or Lightheadedness – Feeling faint or off-balance, often due to hyperventilation or a drop in blood pressure.

Behavioral Symptoms

Behavioral changes can be seen as:

Avoidance – You are actively avoiding situations or places that might trigger your anxiety.
Procrastination – You are putting off important tasks that provoke anxiety, even if you are keen to do those tasks.
Social Withdrawal – You are isolating yourself from social events or work environments to avoid judgment or embarrassment.

Long-Term Effects Of Anxiety

If you leave your anxiety issues untreated, it can lead to other chronic health issues, including:

Cardiovascular Problems – Chronic stress and increased heart rate can contribute to heart disease.
Digestive Issues – Long-term gastrointestinal problems such as irritable bowel syndrome (IBS).
Weakened Immune System – Constant anxiety can suppress immune function, making one more susceptible to infections.
Mental Health Concerns – Anxiety can co-occur with depression and lead to substance abuse. In severe cases, it can trigger suicidal tendencies.

What Are The Common Types Of Anxiety Disorders

According to the National Institute of Mental Health Trusted Source, common anxiety disorders include:

Generalized Anxiety Disorder (GAD)

GAD is characterized by chronic, excessive worry about a wide range of topics, including daily activities, personal health, work, or social interactions. The worry is difficult to control and occurs on most days for at least six months.

Symptoms:

Restlessness or feeling on edge
Fatigue
Difficulty concentrating or mind going blank
Irritability
Muscle tension
Sleep disturbances

The National Institute of Mental Health (NIMH) provides comprehensive resources about GAD, highlighting that around 2.7% of U.S. adults experience GAD at some point, with women being twice as likely to be affected as men【source: NIMH].

Panic Disorder

Panic disorder involves recurrent, unexpected panic attacks. A panic attack is a sudden, intense episode of fear or discomfort that peaks within minutes and is often accompanied by physical symptoms such as a pounding heart, sweating, or shortness of breath.

Symptoms:

Palpitations, pounding heart, or accelerated heart rate
Sweating
Trembling or shaking
Feelings of choking
Chest pain or discomfort
Fear of losing control or “going crazy.”
Fear of dying

The Substance Abuse and Mental Health Services Administration (SAMHSA) describes panic disorder as a condition that affects around 2.7% of adults in the U.S. annually. Panic disorder can be debilitating but is treatable with therapy and medication【source: SAMHSA】.

Social Anxiety Disorder

Social anxiety disorder is identified by a severe sense of fear towards social situations where people can be criticized by other people. The individual often fears they will be embarrassed, humiliated, or rejected, leading to avoidance of social interactions.

Symptoms:

Intense fear of interactions or being observed by others
Avoidance of social or performance situations
Physical symptoms such as blushing, trembling, sweating, or a shaky voice
Fear of judgment or embarrassment

The Centers for Disease Control and Prevention (CDC) notes that social anxiety disorder affects around 7.1% of the U.S. population annually. It often begins in adolescence and can persist into adulthood if left untreated【source: CDC].

Phobia-related Disorders

Specific phobias are intense, irrational fears of specific objects or situations. These phobias can cause distress and avoidance behavior, even if the feared object or situation poses little or no actual danger.

Types of Phobias:

Animal Phobias: Fear of animals such as spiders (arachnophobia) or snakes (ophidiophobia).
Natural Environment Phobias: Fear of natural events like heights (acrophobia) or storms (astraphobia).
Situational Phobias: Fear of specific situations, such as flying (aviophobia) or enclosed spaces (claustrophobia).
Blood-Injection-Injury Phobia: Fear of blood, injections, or injury.

According to the National Institute of Mental Health (NIMH), specific phobias are among the most common anxiety disorders, affecting about 9.1% of U.S. adults each year【source: NIMH】.

These anxiety disorders are clinically recognized. But there are also other types of anxiety that people commonly experience:

Obsessive-Compulsive Disorder (OCD)

OCD is identified by the constant, invasive thoughts (obsessions) and repetitive mental activities (compulsions) that push an individual to perform certain things. By performing these actions, a person tries to reduce his/her anxiety and avoid those events that trigger such anxiety. However, these actions provide only temporary relief and can interfere with the person’s normal daily functioning.

Symptoms:

Obsessions – Recurrent, unwanted thoughts or urges (e.g., fear of germs or contamination, fear of harming others, or needing things to be symmetrical).
Compulsions – Repetitive behaviors (e.g., excessive handwashing, checking locks or appliances, counting, or organizing) performed in response to obsessions.

The National Institute of Mental Health (NIMH) notes that approximately 1.2% of U.S. adults have OCD, and it is equally common in men and women. Treatment can include a combination of cognitive-behavioral therapy (CBT) and medication such as selective serotonin reuptake inhibitors (SSRIs)【source: NIMH】.

Separation Anxiety Disorder

Separation Anxiety Disorder is a condition where individuals experience excessive fear or anxiety about being separated from attachment figures (such as parents, caregivers, or partners). This disorder is most commonly associated with children but can also affect adults.

Symptoms:

Excessive distress when anticipating or experiencing separation
Persistent worry about losing or harm befalling loved ones
Reluctance to be alone or sleep away from attachment figures
Physical symptoms like headaches or nausea when separation occurs

According to the American Psychiatric Association (APA), Separation Anxiety Disorder affects around 4% of children and a smaller percentage of adults. Therapy and family support plays a crucial role in treating this condition【source: APA】.

Health Anxiety (Hypochondria)

Definition: Health anxiety is an excessive preoccupation with the fear of having a serious illness despite medical reassurance. Individuals with this anxiety often misinterpret normal bodily sensations as signs of severe disease.

Symptoms:

Constant worry about health, even when there are no symptoms
Frequent checking of the body for signs of illness
Avoiding medical care out of fear of bad news
Repeated medical consultations or research about health conditions

The NIMH categorizes health anxiety under somatic symptom disorders, which involve excessive concern about physical symptoms. Cognitive-behavioral therapy (CBT) is often used to treat individuals with this form of anxiety【source: NIMH】.

Performance Anxiety

Definition: Performance anxiety, often referred to as “stage fright,” occurs when a person experiences intense fear or nervousness in situations where they are expected to perform, such as public speaking, sports, or artistic performances.

Symptoms:

Racing heart, sweating, trembling, dry mouth
Fear of embarrassment or failure
Difficulty focusing or remembering material during performances

The CDC discusses performance anxiety as a subset of social anxiety disorder, particularly when it involves fear of public performance. Treatment can include desensitization techniques and therapy【source: CDC】.

High-Functioning Anxiety

Definition: High-functioning anxiety refers to individuals who experience anxiety symptoms but manage to maintain a high level of productivity and success. Despite outward appearances of control, these individuals may struggle with inner turmoil, restlessness, and perfectionism.

Symptoms:

Constant overthinking and worry
Perfectionism and difficulty relaxing
Fear of failure and procrastination
Avoiding downtime or relaxation

While not an officially recognized disorder, high-functioning anxiety fits under the broader spectrum of generalized anxiety disorder (GAD), as described by organizations like NIMH【source: NIMH】.

Sex Anxiety

Definition: Sex anxiety involves feelings of worry, fear, or discomfort related to sexual activity. This can be caused by performance concerns, body image issues, or fear of rejection. It can affect both men and women.

Symptoms:

Fear or avoidance of sexual situations
Anxiety about sexual performance or appearance
Physical symptoms such as sweating, rapid heartbeat, erectile dysfunction, or inability to focus during intimacy

The CDC and other health agencies note that sexual anxiety may be linked to broader mental health conditions such as social anxiety disorder or body image concerns. Therapy and counseling are often recommended for individuals struggling with sex anxiety【source: CDC】.

Comparison Anxiety

This form of anxiety arises when individuals constantly compare themselves to others, often feeling inadequate or worried about not measuring up in terms of appearance, success, or lifestyle.

Symptoms:

Doubting your own abilities, accomplishments, or personal worth.
A chronic sense of inadequacy or inferiority or low self-esteem.
Obsessively analyzing others’ successes and comparing them to your own perceived failures.
Feeling resentful or envious of other people’s achievements, relationships, or possessions.
Feeling anxious or upset after seeing posts that highlight others’ successes or positive experiences.
Avoiding certain social settings where you fear you might be judged or where comparisons may occur.
General feelings of stress and anxiety when comparing yourself to others.
Worrying excessively about how others perceive you, especially if you feel you don’t match up.

While comparison anxiety is not listed as a specific disorder, it relates to the broader concept of social anxiety and self-esteem issues, which are recognized by mental health organizations like SAMHSA as contributing factors to mental distress【source: SAMHSA】.

Now that you know plenty about anxiety, let’s discuss the 333 Rule and its basics.

What Is the 333 Rule?

The 333 Rule is a simple grounding technique that helps bring your mind back to the present moment when you feel anxious. It’s an easy, actionable exercise that involves engaging your senses to help shift your focus away from anxious thoughts and towards your immediate surroundings. The idea is to interrupt the cycle of anxiety by bringing your attention back to what’s happening in the here and now.

According to Aimee Daramus, PsyD, a clinical psychologist at Clarity Clinic, Chicago – “It’s basically a way of distracting yourself from your anxiety by shifting your attention to your senses.”

Executive director of Newport Healthcare in Virginia, Leigh McInnis, LPC, also elaborated that – “By redirecting your focus away from anxious thoughts, it grounds you in the present moment.”

The 333 Rule works by directing your focus in three steps:

Look Around You and Name Three Things You Can See
Find three objects in your surroundings and say them out loud or silently to yourself. These could be anything from a plant in the corner of the room to a book on the table or a car passing by outside. The key is to engage your visual senses to anchor your mind in the present moment.
Identify Three Sounds You Can Hear
Take a moment to focus on your hearing. Listen carefully to your environment and name three distinct sounds. You might notice the ring of your cell phone, dogs barking at the neighbors, or distant cars honking. By focusing on external sounds, you’re pulling your attention away from racing thoughts.
Move Your legs, hands, and the head
Finally, moving your body parts could be something simple like wiggling your fingers, rotating your shoulders, or stretching your legs. Physical movement, no matter how small, can help reconnect your body and mind, further grounding you in the moment.

By the time you’ve completed these three steps, your brain has had a chance to slow down, which can reduce the intensity of anxious feelings. The process of focusing on your immediate environment helps shift your attention away from overwhelming thoughts and physical sensations of anxiety.

Why Does the 333 Rule Work?

Anxiety often stems from worries about the future or replays of past events, causing your mind to spiral into scenarios that haven’t happened or are out of your control. This mental “time travel” takes you away from the present, intensifying your stress and making it harder to break free from anxious thoughts. The 333 Rule works because it forces your attention back to the present moment, creating a mental break in the anxiety loop.

Here’s why the 333 Rule can be particularly effective:

Engages Your Senses – Anxiety often disconnects you from your immediate surroundings, making your thoughts feel abstract and overwhelming. By engaging your senses—sight, sound, and physical movement—you bring yourself back to your body and environment.
Interrupts Anxious Thoughts – Anxiety often thrives when thoughts are allowed to spiral unchecked. The 333 Rule interrupts that spiral by giving your brain something else to focus on, breaking the cycle of rumination.
Easily Accessible – One of the greatest benefits of the 333 Rule is its simplicity. It doesn’t require any special tools, medications, or a therapist. You can practice it anywhere—whether you’re at work, in public, or at home.
Promotes Mindfulness – At its core, the 333 Rule is a mindfulness technique. By paying attention to what’s happening in the present moment, you’re practicing mindfulness, which has been shown to reduce stress and anxiety over time.

When to Use the 333 Rule

The beauty of the 333 Rule is that it’s easy to apply whenever you start to feel anxious, whether you’re dealing with mild anxiety or a more intense moment of panic. Here are some situations where it might come in handy:

During a Panic Attack – If you feel a panic attack coming on, the 333 Rule can help slow down your racing thoughts and heart rate by focusing on tangible, real-world stimuli.
In High-Stress Situations – Whether you’re about to give a presentation or are stuck in a stressful traffic jam, the 333 Rule can help reduce your anxiety by refocusing your mind.
As a Preventative Tool – Even if you’re not in the midst of an anxiety attack, practicing the 333 Rule can help you stay grounded throughout the day, reducing your overall anxiety levels over time.

Additional Tips for Managing Anxiety

While the 333 Rule is effective, it works best with additional anxiety-reducing practices:

Deep Breathing – Take slow, deep breaths (inhale for 4, hold for 4, exhale for 4); it’ll help you calm the mind.
54321 Method – Notice five things you see, touch four things, hear three different sounds, try two specific types of smell, and taste one specific flavor to stay grounded.
555 method – The 555 rule is a simple breathing technique that involves inhaling for 5 seconds, holding for 5 seconds, and exhaling for 5 seconds. It provides a quick reset, helping to restore clarity and calmness.
4-7-8 method – Inhale for 4 seconds, hold for 7 and exhale for 8 to reduce anxiety.
Physical Exercise – Do physical activities such as walking barefoot on the grass or stretching. They’ll help you release endorphins, which can reduce anxiety.
Progressive Muscle Relaxation – You should practice tensing and relaxing your muscles to relieve tension.
Mindfulness Meditation – You must regularly practice meditation and manage anxious thoughts by staying present.
Feet on the Ground – Focus on the sensation of your feet touching the floor to regain stability.
Sit Bones – It is a technique to concentrate on the feeling while you sit on a chair or a couch. It is the sensation of your sit bones connecting with the place you are sitting.
Body Scan – You may carefully feel the sensations in your body from toes to head to release tension.
Box Breathing – Whenever you feel anxious try this technique. First, inhale, hold, exhale, and pause for four seconds each to calm your mind.
Guided Imagery – Visualize a peaceful place and engage your senses to soothe your mind.
TIPP – Use cold temperatures, intense exercise, paced breathing, or progressive relaxation to manage intense emotions.
Counting Backward – Simple yet effective method that you can use anywhere. Count down from 100 backward, like 100, 99, 98.. until 1. This way, you can distract and focus your mind away from anxiety.

If anxiety persists, reaching out to a mental health professional can provide essential support. Therapy offers personalized strategies to manage anxiety and regain control over your life.

Therapies effective in helping people with Anxiety

Cognitive Behavioral Therapy (CBT)

CBT is a goal-oriented form of talk therapy that helps individuals identify, challenge, and replace unhelpful thoughts and behaviors with healthier ones. It’s effective for anxiety disorders by teaching people practical coping strategies so that they can manage anxiety and develop healthier responses.

Acceptance and Commitment Therapy (ACT)

ACT focuses on accepting difficult emotions rather than avoiding them. It helps individuals learn to coexist with negative thoughts and feelings without letting them control their actions, promoting emotional flexibility.

Neurofeedback Therapy

In neurofeedback, individuals are connected to sensors that monitor brainwave patterns. Through real-time feedback, they learn to adjust brain activity, promoting relaxation and reducing anxiety. This therapy enhances self-regulation by training the brain to achieve calmer states.

Finding the right therapist is key, no matter the type of therapy. During your search, ask relevant questions, be open about your struggles, and stay committed to the process to set yourself up for success.

When You Should Seek Professional Support?

Untreated anxiety can become debilitating and significantly affect your daily life. So, you must seek the guidance of a professional mental health expert and identify your specific anxiety triggers. It will help you develop coping strategies tailored to your needs. You can locate a therapist through local directories or opt for an online therapy service.

In cases where anxiety symptoms feel overwhelming and unmanageable, medication may be a helpful addition to your treatment plan. Many online psychiatry services are available to connect you with a qualified psychiatrist who can assess whether medication is an appropriate option to complement your therapy.

If you or anyone you know are suffering from anxiety, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for support and treatment facilities in your locality.

Conclusion

Anxiety can be overwhelming, but techniques like the 333 Rule provide an immediate and effective way to ground yourself. By focusing on your senses—sight, sound, and movement—you can calm anxious thoughts and bring your attention back to the present moment. This simple practice reinforces the importance of reconnecting with the world around you to reduce anxiety.

Whether managing daily stress or facing more intense moments of anxiety, the 333 Rule is a valuable tool to incorporate into your mental health toolkit. Next time when you feel anxious, take a deep breath and apply the three steps: observe, listen, and act. It may be just the perfect strategy you need to regain control over your thoughts and emotions.

Author Bio:

Shebna N. Osanmoh, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner associated with Savant Care, Los Altos, CA, mental health clinic. He has extensive experience and a Master’s from Walden University. He provides compassionate, holistic care for diverse mental health conditions.

Grief and Counseling with Asian Americans

Posted on October 2, 2024October 8, 2024 by Mark Moran

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

Grief Counseling and Immigration: Needs of the Migrant

Posted on October 2, 2024 by Mark Moran

Migrant populations are becoming more and more increasing in the West and this has had a large impact on Grief Counseling as well as other forms of mental therapy. Throughout numerous blogs, we have discussed the immigration factor for population groups of Asian, African, and Hispanic groups, but the general and universal need of the immigrant and the acculturation process is a unique process within itself. Whether from Eastern Europe or South East Asia, there are general considerations to take into account for counseling migrants. Of course, for some population groups, the cultural shock and change are far greater as the cultures differ, but there still remains a general shared story for any traveler in a foreign land.

While some may paint the immigration story to America as perfect, the reality is somewhere in between

Please also review AIHCP’s multiple behavioral health and counseling certifications for Human Service and Healthcare professionals in the areas of Grief Counseling, Stress Management, Crisis Intervention, Anger Management, Life Coaching and Christian or Spiritual Counseling.

The Immigrant

For a nation that prides itself upon taking upon the world’s ragged and poor, the welcoming arms of the Statue of Liberty has not always been so welcoming. As a nation built upon migrants and the concept of social melting pot, there ironically has existed a counter effort to maintain its Anglo-roots. WASP and Nativist movements have existed within the US since the early 19th Century as an attempt to keep America White, Anglo, Saxon and Protestant. Social agitation to Irish immigration, Italian immigration, Asian immigration and African freedom, as well as discounting of the rights of the original inhabitants, the Native Americans, have always been a priority for these racist groups. Whether in regards to restriction of rights, rewriting history, or national intimidation tactics, the Nativist Movement within the United States has always had a minor audience that wished to keep America Anglo Saxon, or at least European. This has led to countless cases of intimidation and hate against migrants. This was especially true in the 19th Century at the hands of the Know Nothing Party and its attempts to suppress Irish Catholics. Later, the KKK would take up the effort to intimidate not only African Americans recently freed from slavery, but also to all immigrants ranging from Jews and Asians to Catholics and Irish. Unfortunately, even today, the anti-immigration rhetoric is powerful. In 2024, our nation still exhibits racist tactics against migrants at the border as well as against Haitians accused of eating pets in Ohio.

Dehumanizing is the key part of any rhetoric. Hispanics at the border are labeled as cartel thugs, rapists and criminals or Haitians are accused of eating pets. These dehumanizing attempts are part of the play book of the racist. It was done to the Jewish people in Europe and to the African American peoples during slavery. The moment the individual is dehumanized, one is able to rationalize and justify their horrendous activity. Downplaying the migrant is also key in the playbook of the Nativist. Pederson points out that migrant faces various myths that attempt to make them appear as threats to the average American. First, he points out the myth migrants have low education and little skills. On the contrary, most migrants consist of 47 percent of the US. top academic positions within doctorate levels. Secondly, Pederson points out that migrants are painted as threats to taking American jobs. The reality is migrants make up about 15 percent of the American workforce. As for the jobs taken, many are low level entry positions or farming. In fact, migrants make up 75 percent of farming jobs for fruit and vegetables, contributing to 9 billion in federal taxes and 75 billion in earnings. Third, many label migrants as undocumented, but the reality is two-thirds of all migrants are documented. Finally, many push the myth that a stronger border is needed to prevent invasion. This has been suggested due to the terror attacks and security issues but while this is important, most migrants are not a threat and more focus should be to making those who are illegal into becoming legal and productive individuals, especially since so many are actually born here as children or existing on expiring visas (2018, P. 324-325). Again, the Nativist myth that migrants are invaders are the larger myth at play here. Border security is crucial but if the reason is due to fear of migrants, then the wrong emphasis on the wrong security issue is being emphasized to the detriment of a population group. Unfortunately, the Nativist Movement is strong and alive again in the United States and it is something that must be addressed in the future years.

Migrant Issues in the United States

Acculturation varies upon the culture extremes between the country of origin and the host nation but also upon not just the culture but the individual. So again, issues for one, may not exist for another. One cannot in counseling assume one thing exists and another does not but must investigate each individual’s unique situation. With that understood, one can still give a general and likely list of issues that can exist for a migrant during acculturation.

Migrants face different stories in their immigration and also face additional stressors within the host nation

First it is important to note that some migrants are here voluntarily, while others have had no choice. One migrant may arrive for a better life and education or job chances, while others may be fleeing persecution, revolution or famine and disaster (Pederson, 2018, p. 323). Obviously these two extremes present different mindsets when counseling a migrant. Hence the refugee migrant will have a far more traumatic experience than someone who has travelled to the United States or the West for opportunity. The refugee faces various cases of potential PTSD, subjugation to relocation, detention facilities, lost family members as well as trying to adjust to a new culture, language and basic survival itself (Pederson, 2018, p. 326). Some prior to arrival to the United States may have been tortured, abused, raped, falsely imprisoned or during time in refugee camps faced unclean sanitary conditions resulting in health issues and malnutrition (Pederson, 2018, p. 326). Some may also experience survivors guilt issues along with PTSD.

Merely the psychosocial adjustment for forced migrant or voluntary migrant is difficult. New schooling, or new jobs or new homes can all take time to adjust for anyone. Merely relocate to another house across town and one is merely stressed, much less moving from an entirely different culture and nation to a new and foreign place. The first 1 to 2 years constitute a crucial period for migrants as they attempt to find a foundation in life with basic survival (Pederson, 2018. p. 329). This involves finding stable income and food, housing and jobs. Many migrants who are refugees do no have the luxury as well as those who immigrated voluntarily to choose a destination.

During acculturation, migrants will experience the phenomenon of culture shock. Some may integrate, others may not, others may gradually adjust, but the stresses of one culture clashing with another can have big affects on the individual as well as one’s family dynamics. Pederson lists four phases that exist within culture shock. The first is likened to a tourist who sees different and new things about a place and finds excitement regarding the differences. The second phase can be a turning point, where the individual becomes dissatisfied or even disorientated to the change. The third phase involves adjustment or re-orientation. Finally, one reflects a degree of adaptation in managing cross cultural transitions (2018, p. 306-307). Culture shock itself can manifest also in various physical ailments such as headaches, cognitive impairment, stomach issues, reduced energy and fatigue (Pederson, 2018, p. 307). Mentally, it can lead to anxiety, depression and overall stress (Pederson, 2018. p. 307). Culture shock is a big part of acculturation depending on the culture and the person. It is in essence an objective and subjective balance that varies from person to person, yet it is something that many migrants face due language barriers, challenges within the family due to external pressures, and racism within the host nation.

Counseling the Migrant

Whether a international student, a refugee, forced or chosen visitor, the migrant faces issues that sometimes are dismissed from the behavioral and mental health aspect. Many migrants do not understand or wish to partake in the mental health services available due to cultural differences regarding counseling and expressions. Pederson points out that many migrants will first seek what is comfortable and familiar to them when facing emotional issues. Many turn to traditional forms of medication or services from their home culture. In addition, many migrants feel the Western system of care is incapable of addressing their issues due to cultural barriers. They also feel uncomfortable due to various language barriers that can make it difficult to communicate issues. Finally, many are unable to find locations where services are provided due to their relocation itself (2018, p. 328-329).

Counselors need to be multi cultural proficient to help migrants from different places

Due to the wide variety of migrant cultures, counselors are called to multicultural proficiencies and practices (Pederson, 2018. p. 336). In helping migrants, there is a multi model phased process to help migrant clients. The first phase should involve education regarding mental health practices and interventions. This will help eliminate any misconceived notions about the process and help the client and migrant understand the process. Many cultures may have different ways of expressing and discussing issues. This is why it is so pivotal to address how mental health works, however this does not mean the client’s cultural ideas and methods of healing are dismissed. Within the second phase, traditional healing and other cultural aspects are taken into account. The counselor learns and understands how the migrant from a particular culture expresses and migrant’s needs of family or traditional healing methods. In the third phase, counselors help migrants regain cultural empowerment within their environment. This not only involves discussing mental issues with the migrants, but also focusing on daily issues and helping the migrant find services that meet everyday needs. It is sometimes critical to focus on helping stabilize the migrant’s daily life before helping the migrant with his/her mental issues. Part of this not only involves discussing daily problems but also addressing issues of racism and micro aggressions. The final phase, it not only final, but also incorporated throughout the counseling process. This phase involves the counselor as acting as a social advocate and as one pushing for basic human rights of the migrant (Pederson, 2018, p. 337-339).

Hence, counselors are not only helping migrants with grief, loss, relocation, but also a host of other adjustments that occur within the transitional period. Many of the issues related to the immigration can sometimes become secondary to the new acculturation process itself. The numerous stressors to change of environment can become overbearing to anyone, much less someone who may be fleeing a war torn nation. Hence counseling migrants presents a whole new level of complications than the basic citizen.

Grief Counselors may be working on the pain and loss of home, family and way of life with a migrant, but also have to deal with an array of stressors arising from the acculturation process and its many demands. This can lead to complications within grief as well. In fact, many migrants may be dealing with traumatic grief itself.

Conclusion

Migrants face a unique challenge than other target groups. First, they are not born within the host nation and face a more drastic change and acculturation process. Second, they face greater discrimination and third, many are refugees and are forced into relocation due to famine, disaster or war. Many face mental issues from the relocation and in addition face acculturation issues in the host nation. Grief Counselors, Licensed Counselors, Social Workers or pastors need to understand not only the culture of origin but also the general pain of the migrant. There obviously will be objective and subjective elements to each story, but counseling is definitely needed for many migrants who have faced atrocity and now face new discriminations within the host nation. Unfortunately for many migrants, counseling can be a difficult process due to cultural differences, language and lack of access to it.

Please also review AIHCP’s multiple behavioral health certifications, especially, the Grief Counseling Certification. The program is online and independent study and open to qualified professionals in both behavioral health as well as healthcare itself. Please review and see if the Grief Counseling Program meets your academic and professional goals.

Reference

Pederson, P. et. al. (2018). “Counseling Across Cultures”. Cengage

Additional Resources

Line, A. (2022). “Considerations When Counseling Immigrants and Refugees” NBCC. Access here

Hodges, H. (2020). “Going To Therapy Can Be Hard, Especially For Immigrants — Here’s How To Start”. NPR. Access here

Tan. J. & Allen, C. (2021). “Cultural Considerations in Caring for Refugees and Immigrants”. National Library of Medicine. Access here

Moncrieffe, M. (2023). “Specialized care for immigrants experiencing trauma is vital. Psychologists are breaking down the mental health barriers”. APA. Access here

Multicultural Counseling Video Blog

Posted on September 26, 2024October 22, 2024 by Mark Moran

Multicultural counseling competency is important in counseling. Counselors need to be diverse in understanding how culture, race , creed, age and gender play a role in how a client will respond to them. Counselors need to be also aware of their own internal biases. With good cultural understanding, the counseling relationship can become enhanced and help the client heal and grow. Please review the video above to learn more about multicultural counseling,

It is important to have a strong grasp of multicultural counseling skills when helping clients from diverse backgrounds. Please also review AIHCP’s many behavioral health certification programs

Please also review AIHCP’s Grief Counseling Certification, as well as its numerous behavioral health certifications in Christian Counseling, Spiritual Counseling, Anger Management, Crisis Intervention and Stress Management, as well as Life Coaching, ADHD Consulting and Meditation Instructor.

Stress and Anger Management: Helping Others with Emotional Flooding

Posted on September 11, 2024 by Mark Moran

Sometimes emotions get the best of individuals. Individuals may be overwhelmed, dealing with multiple stressors or losses, overworked, or dealing with anxiety and stress. These individuals may finally hit the final straw and face an occurrence known as emotional flooding. First coined by John Gottman, this phenomenon can occur in workplaces, at home between couples and also between parents and children.

Emotional Flooding can occur when someone is overworked, over stressed and not getting enough self care. Please also review AIHCP’s Anger Management and Stress Management programs

Emotional Flooding can lead to an outburst or even a withdraw. The individual loses ability to communicate rationally and becomes emotionally overcome. This is quite similar to Fight or Flight responses, where the individual is put into a survival mode situation. Obviously, emotional flooding can lead to drastic problems in relationships, mental health and legal situations especially in cases of anger. It is hence important to utilize both Stress Management and Anger Management skills to help one face emotional flooding situations and hopefully prevent it.

Who is More at Risk for Emotional Flooding Situations?

Individuals who already have high levels of stress and anxiety or various anxiety disorders. PTSD or depression have a higher risk of emotional flooding occurring, as well as those with border line personality disorders as well as attachment disorders. Traditionally, males more so than females also have greater chances of outbursts, but many females still experience the problem. Those with higher sensitivity issues are also more prone to becoming overcome with emotional flooding.

Emotional Flooding, like any stress response, is a fight or flight response that will either push the person to emotional react without rationale or retreat. With higher level of stress, the body will pump cortisol into the blood stream and one’s blood pressure and heart rate will increase, muscles will tighten to prepare the body for fight or flight moments. In addition, rapid breathing and shortness of breath may occur, with loss of focus and increased anxious states.

These types of lapses are obviously huge problems at work places, arguments between couples and when parents are dealing with unruly children. It is important to identify the triggers and symptoms, as well as understand one’s current level of stress to better prepare for a total flooding moment. Emotional Flooding hence has huge negative impacts on mental health, physical health and social life. This in turn leads to worst anxiety, poor decisions, broken relationships, legal issues, lost jobs and physical break down of health.

Dealing with Emotional Flooding

When facing and dealing with stress and anxiety, the first step is a good defense. Individuals need to identify stress loads and mental health issues. These need addressed and treated as needed to prevent a flooding moment. Those who sense burnout is approaching, need to address mental and physical health issues to better address stressors. In addition, individuals need to identify triggers that can set them off. Those who see life as all or nothing or catastrophize things also need to readdress and realign their mental outlook on life. Reframing can be a huge help to maintain a reasonable outlook when things go wrong or when one is over flooding with emotion.

Individuals who are facing emotional stress at a larger level hence need to take a good inventory of their life and their emotions. They need to practice self care and give themselves time to reflect. They need to set boundaries with others if too many things are overtaking them and they also need to find time to meditate, breath, or rest. In addition, when facing an outburst, it may be helpful to practice breathing exercises, or grounding techniques seen in PTSD where the individual uses physical touch or grabbing of an item to help keep connection to reality. It is important to identify triggers and emotions beforehand and to see how they can suddenly sabotage a person’s day. Thinking about reactions and practicing reactions when in a peaceful situation can also help reframe reactions. This is usually conducted in therapy.

When individuals lives begin to spiral out of control due to outbursts, then it is time to seek professional help. Individuals may begin to isolate, lose sleep, lose appetite, become depressed, or lose important relationships. Higher levels of anxiety may begin to creep into the person’s life and professional help may be required to help not only manage anger and stress but to also cognitively reframe reality. In addition, if dealing with higher levels of anxiety or depression, certain medications may be temporarily needed to help a person again find balance in life.

According to therapist Maggie Holland, “Emotional flooding can be an extremely overwhelming and intense experience, but help is available. By working through your triggers, learning to self-regulate, making healthy lifestyle changes, or working with a therapist, you can feel more confident when navigating difficult situations and emotions (2024)”.

Helping a Loved One through Emotional Flooding

Of course no-one should ever permit themselves to be emotionally and physically abused. It may sometimes be important to remove oneself from the situation. While trying to help others through emotional flooding issues, one can help the other person cognitively through supporting the person and understanding the condition and triggers. Focus, listening and empathy can help the person face the emotional surge. Avoiding quick judgement and feeding the anxiety is also key. One can help the loved one breathe and calm down by presenting a calm and caring voice.

Conclusion

Selfcare, identifying triggers and grounding can help one deal with emotional flooding. Please also review AIHCP’s Stress and Anger Management programs

Obviously Emotional Flooding can be acute or chronic with an individual. Some individuals are dealing with immediate stressors and overloaded while others may have anxiety, depression, PTSD, or Borderline Personality issues which would make the emotional breakdowns more common. Regardless, it is important to practice good Stress Management skills and Anger Management skills to avoid worse breakdowns during flooding. This involves identifying triggers, understanding one’s mental state and emotions, and grounding oneself. One can also practice self care, meditation, and set greater boundaries to prevent overload. With work, family life, partners and children at risk, it is critical to regain control of one’s life.

Please also review AIHCP’s Stress Management and Anger Management Certifications. The programs are online and independent study and open to qualified professionals seeking a four year certification. Many healthcare as well as behavioral healthcare professionals seek these additional certifications to enhance their work resume and specialty practices.

Reference

Holland, M. (2024) “Emotional Flooding: Definition, Symptoms, & How to Cope”. Choosing Therapy. Access here

Additional Resources

Gould, R. (2023) “How to Navigate the Storm of Emotional Flooding”. VeryWellMind. Access here

Romanelll, A. (2020). “Flooding: The State That Ruins Relationships”. Psychology Today. Access here

Malik. J. et., al. (2021). “Emotional Flooding in Response to Negative Affect in Couple Conflicts: Individual Differences and Correlates”. J Fam Psychol. 2020 Mar; 34(2): 145–154. Library of Medicine. Access here

“Expert Tips: How To Navigate And Overcome Emotional Flooding”. Mind Help. Access here

Crisis Counseling in Facilities

Crisis and Short Term Vs Counseling and Long Term Cases

Types of Issues with Crisis

Crisis Facilities and Law Enforcement

Conclusion

Hybrid Model of Crisis Intervention and Steps

Interaction with Those in Crisis

Assessment in Crisis Intervention

Conclusion

What is Crisis?

Types of Emergencies

Types of Crisis and Transcrisis States

Basic Crisis Intervention Theories

Crisis Intervention Models

Conclusion

The Growing Need for a Stress Management Consultant?

Statistics on workplace stress

Impact of chronic stress on health and productivity

Emergence of stress management as a specialized field

Core Competencies of a Stress Management Consultant

Stress assessment and analysis

Customized intervention strategies

Ongoing support and evaluation

Types of Stress Management Consultants

Corporate consultants

Healthcare-based consultants

Independent practitioners

The Stress Management Consultation Process

Initial assessment

Goal setting and action planning

Implementation and follow-up

Integrating Technology in Stress Management Consulting

Digital stress tracking tools

Virtual coaching platforms

Stress management apps and wearables

Career Prospects for Stress Management Consultants

Job outlook and growth potential

Salary expectations

Opportunities for specialization

Conclusion

FAQs

Research Articles:

Mindfulness and Meditation in Stress Management

Nutrition for Stress Reduction

Physical Activity as a Stress Reliever

Importance of Social Connections and Support Networks

Cognitive Behavioral Techniques for Mental Resilience

Harnessing Technology for Stress and Illness Management

Environmental Adjustments to Alleviate Stress

Holistic Approaches in Chronic Illness Care

Embracing Art and Creativity for Stress Relief

Pet Therapy for Emotional Support

Prioritizing Rest and Sleep for Optimal Health

Future Perspectives in Stress Management

Why do people experience Anxiety?

What Are The Common Anxiety Symptoms

Psychological Symptoms

Physical Symptoms

Behavioral Symptoms

Long-Term Effects Of Anxiety

What Are The Common Types Of Anxiety Disorders

Generalized Anxiety Disorder (GAD)

Panic Disorder

Social Anxiety Disorder

Phobia-related Disorders

Obsessive-Compulsive Disorder (OCD)

Separation Anxiety Disorder

Health Anxiety (Hypochondria)

Performance Anxiety

High-Functioning Anxiety

Sex Anxiety

Comparison Anxiety

What Is the 333 Rule?

Why Does the 333 Rule Work?

When to Use the 333 Rule

Additional Tips for Managing Anxiety

Therapies effective in helping people with Anxiety

When You Should Seek Professional Support?

Conclusion

The Asian American and Migrant