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Crisis (F'25)

TermDefinition
crisis the acute disruption of psychological homeostasis and a perceived inability to cope; reactions vary emotionally, cognitively, and behaviorally
immediate goals stabilize, restore basic functioning, ensure safety
long term goals strengthen coping skills, recovery planning
Preparedness Cycle Mitigation, Preparedness, Response, Recover
Emergency Action Plans include chain of command, communication, evacuation/shelter plans.
Crisis communication requires clarity, accuracy, multiple channels.
Immediate counselor role stabilization, triage, information management.
Recovery counselor role long term support, referrals, resilience
Core Crisis Counseling Skills immediacy, deescalation, assessment, action steps
Immediacy focus on the present moment to reduce overwhelm.
Deescalation calm tone, grounding, paced breathing, reducing physiological arousal.
Assessment evaluate lethality, coping resources, safety concerns.
Action steps small, concrete, achievable plans that support client stabilization.
Ethical principles autonomy, beneficence, nonmaleficence, justice, fidelity.
Limits of confidentiality danger to self/others, abuse, court orders.
Duty to warn/protect Tarasoff; take reasonable steps to prevent harm to identifiable victims.
Documentation quotes, risk factors, actions taken, consultations, follow
Loss removal of something valued.
Grief emotional/physical/cognitive/spiritual reactions.
Bereavement state after death loss.
Types of loss relational, health, financial, identity.
Instrumental grief style action oriented, cognitive processing.
Intuitive grief style emotional, expressive.
Cultural humility essential explore rituals, meaning making traditions.
SUD substance use disorders.
Effective SUD treatment individualized and addresses co occurring issues.
MI supports stages of change, especially contemplation to preparation.
CBT targets triggers, thoughts, cravings, behaviors.
MAT combines medication and therapy.
Relapse prevention identify triggers, coping skills, high risk situations.
Military culture rank, structure, stigma, unit cohesion.
Post deployment issues: hypervigilance, sleep disruption, reintegration difficulties, moral injury.
Confidentiality concerns differ in military fitness for duty, command involvement.
Trauma informed care supports values, meaning making, and self forgiveness.
Risk factors prior attempts, substance use, recent loss, hopelessness, means access.
Protective factors relationships, spirituality, responsibilities, connection.
Suicide assessment Ask directly about ideation, plan, means, intent; Distinguish passive vs imminent risk.
Interventions safety plan, lethal means reduction, referral/higher care.
Counselor Self Care Ethical duty to remain competent.
Burnout exhaustion; compassion fatigue = emotional residue; secondary trauma = exposure impact.
Burnout warning signs irritability, dread, numbness.
Self care should be physical, emotional, relational, and professional.
Created by: 3layna
 

 



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