Preparing for a mental health emergency can make a world of difference when you’re facing a crisis.
The day after I had a mental health crisis, I found all the sharp objects removed from the house. I felt hungover, wrecked — and very much eager to never go through that again.
I didn’t go to an emergency room, but not because I shouldn’t have. It was because I didn’t know what to do.
The next day, I met with my therapist and my partner. My therapist listed numbers to call and resources I could use for next time. Next time? I almost panicked at the very idea.
But the truth is — like
Are you currently in crisis?
If you feel you’re having a mental health emergency, now isn’t the time to create a plan. If you need to speak with someone immediately, you can:
- Call the National Suicide Prevention Lifeline at 800-273-8255 for English and 888-628-9454 for Spanish
- Chat with professionals at Lifeline Chat
- Text “HOME” to the Crisis Text Line at 741741
- Check out Befrienders Worldwide or Suicide Stop, if you’re not in the United States and need to find your country’s crisis hotline
If you decide to call an emergency number like 911, ask the operator to send someone trained in mental health, like Crisis Intervention Training (CIT) officers.
A mental health crisis plan is a plan of action that’s made before a crisis occurs, so you and people in your support system know what to do when an emergency comes up.
Anyone can create a crisis plan by putting together a list of resources, information, and directions. This can make a big difference since decision making and logical thinking can go out the window when you’re under extreme stress.
The point of a crisis plan is to prepare for a mental health emergency.
You can create your crisis plan on your own, but you can also reach out to a mental health professional or any loved ones who might be involved in your support to help.
Your crisis plan can be for only you, or you can share it with your treatment team and loved ones. There are also legal documents you may find necessary for severe conditions.
Types of crisis plans:
Joint crisis plan
The three important things to include in a joint crisis plan are:
- crisis triggers — what might cause a crisis
- crisis manifestations — what your symptoms and behaviors are during a mental health crisis
- strategies to deal with the crisis
Psychiatric advance directives (PADs)
PADs are legal documents that allow someone to act on your behalf. Typically, you’ll write a PAD when you’re not in crisis, detailing everything you want for your treatment if you become unable to make these choices.
If you have a severe mental health condition or symptoms (like psychosis), you may want to create a PAD.
Want to learn more?
- The National Alliance on Mental Illness (NAMI) explains more details about PADs and has a webinar.
- The National Resource Center on Psychiatric Advance Directions has state-by-state information and links to forms.
Wellness recovery action plan
This plan helps you and your support team create a plan for your overall mental healthcare — in and out of crisis — and how to avoid future emergencies.
This plan may involve:
- a list of wellness tools
- a daily routine
- your stressors
- early warning signs of a crisis or your symptoms worsening
- a crisis plan
- a post-crisis plan
If you want a full outline, you can learn more here.
When drafting a crisis plan, you may want to take past emergencies into consideration. What happened? What support do you wish you had? What do you wish you knew then?
Your crisis plan — and whom you share it with — will be unique to you and your condition.
I’ve learned from my past crises that:
- I need to have numbers programmed in my phone at my fingertips
- my partner needs to know the plan
- if I show any signs of serious self-harm, a trip to the emergency room can provide immediate help
To create your crisis plan, we broke it into two pieces: medical information and the actual plan during a crisis.
While you may not need this information in a crisis, having this information can help anyone (like an ER doctor) who isn’t familiar with your health history.
Consider the outline below:
- Basic medical information
- emergency contacts
- names of your primary care doctor and mental health pros like a therapist and psychiatrist
- anything else that might be helpful, like insurance information
- Medical history
- any allergies or reactions to medications
- any history of severe side effects to psychiatric medications
- past conditions, illnesses, or medical procedures
- past psychiatric hospitalizations
- Current medical information
- current diagnoses
- current medications including the date prescribed, your prescriber, and the dosage
- to prevent interactions, anything else you’re taking (supplements or recreational drugs)
For your crisis plan, consider including:
- emergency resources (hotline numbers, your local mental health department or psychiatric care center, etc.)
- steps to follow if you need to seek help from professionals
- behaviors that mean you’ll go to a hospital
- behaviors that mean you’ll call 911
When creating your crisis plan, you don’t need to do it alone. A mental health professional may be able to help you find the best emergency resource numbers and figure out which behaviors to add to your list.
For my emergency resource, I put the main number as *Crisis*, so it’s the first contact in my phone book.
Be sure to have a few copies of your plan (and share them with your support team!), and update the medical information whenever your meds change.
The National Alliance on Mental Illness provides helpful printouts in their resource guide — Navigating a Mental Health Crisis — that can be added to a mental health crisis plan.
Mental health crisis warning signs
While your crisis and symptoms will vary, here are some common behaviors and symptoms that could indicate a crisis:
- rapid, sudden, and intense changes in mood
- an inability to function in most daily tasks
- signs of psychosis such as hallucinations or delusions
- an increase in agitation, anger, or any violence
- increased use of alcohol or drugs
- suicidal ideation such as thoughts or feelings about suicide
- signs of self-injury
Having a local resource for your crisis plan is helpful, but there are also several national resources for support:
- National Suicide Prevention Lifeline
- Crisis Text Line
- Trans Lifeline
- The Trevor Project
- Veterans Crisis Line
A note on calling 911
It’s completely OK if you don’t feel safe or comfortable calling 911 or an emergency number for a mental health emergency. According to the Treatment Advocacy Center, people with untreated mental health conditions are 16 times more likely to be fatally harmed by law enforcement.
Because of this, you may want to consider calling 911 only if there’s an immediate danger to you or someone else or if you know your county has a crisis intervention team.
Depending on where you live, there may not be professionals trained in handling mental health concerns. But if you do call, be sure to tell the operator that it’s a mental health crisis, so officers can know to come with de-escalation in mind.
Crisis plans are there as an act of prevention — it’s a lot easier to have information and directions written out before you need it, rather than relying on reacting at the moment.
I like to think about it like any other type of emergency preparedness plan. People have emergency packs for earthquakes, fires, and tornados so they don’t have to rush around, can act fast, and be safe as soon as possible.
Your mental health emergency deserves the same kind of prep. You deserve safety and peace of mind.
Crisis plans can also be helpful for:
reducingforced or involuntary hospital admissions
- preparing your loved ones and support team to know how to best help you
- learning what works and what doesn’t
- making recovery more streamlined
- comfort in the knowledge that you’ll be ready in a mental health emergency
I wish I’d been given the resources to create a crisis plan before I knew what a crisis looked like.
A mental health crisis plan is my safety net. It’s the difference between an unknown, out-of-control situation and knowing that I’ve done what I can to prevent worse outcomes and get to safety.
You can’t always control or prevent a crisis entirely — mental health emergencies can occur even when you’re following your treatment plans and doing your best. But you can still be prepared.
With the right tools, we can seek help sooner and take care of ourselves now for moments when we may not be able to. Remember, you’re not alone. You deserve support.
If you’re not in a crisis but don’t currently have a mental health team, Psych Central has some resources that can get you started: