1. How and When to Refer: Mental Health Crisis.
Sabrena "Bre" Suggs
Arman Siddiqui, MD
February 20th, 2019

2. What is a Mental Health Crisis: A mental health crisis is any situation in which a person’s behavior puts them at risk of hurting themselves or others and or prevents them from being able to care for themselves or function effectively in the community.
Sabrena "Bre" Suggs
Arman Siddiqui, MD
February 20th, 2019

3. What can lead to a crisis. Stressors at home
What can lead to a crisis? Stressors at home Health Conditions of Spouse, Death of a spouse (Grief) Divorce Marital Separation Imprisonment Stressors at work Stressors at school Trauma Substance Abuse Medication changes Stopping Treatment
Sabrena "Bre" Suggs
Arman Siddiqui, MD
February, 20th 2019

4. Sabrena "Bre" Suggs Arman Siddiqui, MD February, 20th 2019
Physical Symptoms of Crisis Headaches and loss of appetite are common. Stomach and digestive upset, joint pains, fatigue and other somatic symptoms are often related to depression. Pain and depression are linked because a person’s mood is influenced by the same neurotransmitters that send pain signals. Emotional Symptoms of Crisis Depression Anxiety Scattered, unfocused thinking Self-doubt Loss of motivation Isolation Anger Poor self care Lack of patience or irritability Paranoia Hopelessness
Sabrena "Bre" Suggs
Arman Siddiqui, MD
February, 20th 2019

5. Depression DSM-5 Diagnostic Criteria The DSM-5 outlines the following criterion to make a diagnosis of depression. The individual must be experiencing five or more symptoms during the same 2-week period and at least one of the symptoms should be either (1) depressed mood or (2) loss of interest or pleasure. 1. Depressed mood most of the day, nearly every day. 2. Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day. 3. Significant weight loss when not dieting or weight gain, or decrease or increase in appetite nearly every day. 4. A slowing down of thought and a reduction of physical movement (observable by others, not merely subjective feelings of restlessness or being slowed down). 5. Fatigue or loss of energy nearly every day. 6. Feelings of worthlessness or excessive or inappropriate guilt nearly every day. 7. Diminished ability to think or concentrate, or indecisiveness, nearly every day. 8. Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide. To receive a diagnosis of depression, these symptoms must cause the individual clinically significant distress or impairment in social, occupational, or other important areas of functioning. The symptoms must also not be a result of substance abuse or another medical condition.
Sabrena "Bre" Suggs
Arman Siddiqui, MD
February, 20th 2019

6. DSM V Criteria for Generalized Anxiety Disorder A
DSM V Criteria for Generalized Anxiety Disorder A. Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance). B. The individual finds it difficult to control the worry. C. The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been present for more days than not for the past 6 months): Note: Only one item required in children Restlessness, feeling keyed up or on edge Being easily fatigued Difficulty concentrating or mind going blank Irritability Muscle tension Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep).
Sabrena "Bre" Suggs
Arman Siddiqui, MD
February, 20th 2019

7. Sabrena "Bre" Suggs Arman Siddiqui, MD February 20th, 2019
DSM V Criteria for Generalized Anxiety Disorder D. The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. E. The disturbance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition (e.g., hyperthyroidism). F. The disturbance is not better explained by another medical disorder (e.g., anxiety or worry about having panic attacks in panic disorder, negative evaluation in social anxiety disorder [social phobia], contamination or other obsessions in obsessive-compulsive disorder, separation from attachment figures in separation anxiety disorder, reminders of traumatic events in posttraumatic stress disorder, gaining weight in anorexia nervosa, physical complaints in somatic symptom disorder, perceived appearance flaws in body dysmorphic disorder, having a serious illness in illness anxiety disorder, or the content of delusional beliefs in schizophrenia or delusional disorder)
Sabrena "Bre" Suggs
Arman Siddiqui, MD
February 20th, 2019

8. Sabrena "Bre" Suggs Arman Siddiqui, MD February, 20th 2019
Signs that a child may be experiencing a mental health crisis include: - Feeling sad most of the time, mood swings - Extreme energy or lack of it - Sleeping all the time, or being unable to sleep - Severe agitation, pacing - Speech: talking rapidly or non-stop - Confused or irrational thoughts - Paranoia (Thinking everyone is out to get them or bizarre delusions) - Hallucinations or delusions - Making threats to others or themselves - Isolating themselves from friends and family, not coming out of their room - Appetite Disturbances: Not eating or eating all the time, rapid weight loss or gain - Suicidal thoughts, Passive Suicidal Ideations
Sabrena "Bre" Suggs
Arman Siddiqui, MD
February, 20th 2019

9. When To Refer: thoughts of hurting self or others frequent or persistent feelings of sadness, anger, fear, worry, or anxiety frequent emotional outbursts or mood swings confusion or unexplained memory loss delusions or hallucinations intense fear or anxiety about weight gain dramatic changes in eating or sleeping habits unexplained changes in school or work performance inability to cope with daily activities or challenges withdrawal from social activities or relationships defiance of authority, truancy, theft, or vandalism substance abuse, including alcoholism or use of illegal drugs unexplained physical ailments
Sabrena "Bre" Suggs
Arman Siddiqui, MD
February, 20th 2019

10. How to get help: Call 911 The National Suicide Prevention Lifeline's 24 hour toll-free crisis hotline, TALK ( )  The Child-Help USA  A.CHILD ( ) crisis line assists both child and adult survivors of abuse, including sexual abuse. The hotline, staffed by mental health professionals, also provides treatment referrals. 24 hour , 7 days a week in 140 different languages. SAMHSA Treatment Referral Helpline, SAMHSA7 ( ) Get general information on mental health and locate treatment services in your area. Speak to a live person, Monday through Friday from 8 a.m. to 8 p.m. EST.
Sabrena "Bre" Suggs
Arman Siddiqui, MD
February, 20th 2019

11. Local Referral Options: - Adult & Child Mental Health (Access Center from 8 AM-5 PM, 24 Hour Crisis Line) - Aspire or (24 hours, 7 days a week Crisis Line) ( Access Center, from 8 AM-5 PM, M-F) - Community Health Network or (24 hours, 7 days a week) - Eskenazi Health Midtown Community Mental Health (24 hours, 7 days a week)
Sabrena "Bre" Suggs
Arman Siddiqui, MD
February, 20th 2019