Behavioral health, commonly known as mental health, is a crucial aspect of our overall well-being, influencing how we perceive and interact with the world. Just as physical health is vital for our bodies, mental health holds equal importance for our minds. The true significance of behavioral health becomes particularly evident during moments of crisis. Whether it’s a personal ordeal, a global crisis like a pandemic, or a traumatic event, these challenging situations can profoundly impact our mental and emotional state. Recognizing the value of behavioral health is not only a matter of personal growth and resilience but also a societal necessity. It is within this context we explore the critical role of behavioral health and how crises can manifest in our lives, often prompting us to seek the support and care needed to heal and thrive.
Signs and Symptoms
A behavioral health emergency can manifest in various ways, and it’s important to be able to recognize the signs. Some common indicators of a behavioral health emergency include:
- Suicidal or homicidal thoughts: Expressing thoughts of self-harm or harming others.
- Severe anxiety or panic attacks: Overwhelming feelings of fear or worry that can be accompanied by physical symptoms such as rapid heartbeat, sweating, and difficulty breathing.
- Psychosis: Losing touch with reality, which can include hallucinations, delusions, or disorganized thinking.
- Severe depression: Intense feelings of sadness, hopelessness, or worthlessness that can lead to social withdrawal and changes in sleep or appetite.
- Substance abuse: Using drugs or alcohol in a way that is dangerous or out of control.
Behavioral Health Factors
Behavioral health is not a measure of strength or weakness; rather, it is a reflection of our complex human experiences and the way our minds and emotions respond to various challenges and circumstances. Just as physical health can vary from person to person and can be influenced by genetics, environment, and lifestyle, behavioral health is similarly influenced by a multitude of factors, including age, genetics, biology, career, life experiences, and environmental influences. . Everyone is susceptible to a behavioral health crisis, and various factors can either heighten or lessen the chance of encountering one.
Behavioral Health Triggers
A behavioral health emergency can be triggered by many factors, including personal, environmental, and societal elements. These can range from underlying mental health conditions, such as depression or anxiety, to acute stressors like trauma or loss. Substance abuse, a lack of access to mental health care, social isolation, and stigma can also contribute to the development of behavioral health emergencies. It’s essential to recognize that these factors often intersect and amplify one another, highlighting the importance of early intervention, support, and a comprehensive approach to mental and emotional well-being.
Visiting an Emergency Room
Emergency rooms (ERs) often serve as a critical touchpoint for individuals with substance use disorders, behavioral health issues, and mental health conditions. Here’s why these issues are significant in the ER setting:
- Increasing Visits: One in every eight emergency department visits in the U.S. is related to a mental disorder and/or substance use issue1. ER visits related to mental health and substance-use issues increased more than 44% between 2006 and 20141.
- Psychiatric Crises: ERs often handle psychiatric crises, including suicide attempts, severe anxiety, and substance-induced psychosis. These situations require immediate intervention and can be life-threatening if not addressed promptly.
- Substance Use Disorders: ERs frequently encounter patients struggling with substance use disorders. These patients may present with overdose, withdrawal symptoms, or health complications related to long-term substance use.
- Integrated Care: ERs are increasingly integrating mental health professionals into their teams to improve care for patients with mental health and substance use issues. This integration helps to reduce the amount of time these patients spend in the ER and improves admission procedures allowing for expedited care.
- Post-Emergency Care: After stabilizing patients, ERs play a crucial role in referring them to appropriate mental health or substance use disorder treatment facilities for ongoing care.
In summary, the overlap of substance use, behavioral health, and mental health in the ER is a complex issue that requires integrated care approaches, prompt intervention, and effective post-emergency care strategies.
Conclusion
It’s important to remember that seeking help and support for behavioral health concerns is a sign of courage and self-awareness rather than a sign of weakness. Addressing these challenges can lead to personal growth, resilience, and improved overall well-being. Just as we seek medical care for physical illnesses, it is equally important to seek help and support when facing behavioral health issues, without judgment or stigma.
If you encounter someone who is experiencing a behavioral health emergency, it’s important to take their condition seriously and seek help immediately. You can call emergency services or take the person to the nearest emergency room for evaluation and treatment. It’s also important to approach the person with empathy and understanding. Avoid judgmental or confrontational language, and try to remain calm and supportive. If the person is in immediate danger, don’t leave them alone until help arrives.
Resources for Behavioral Health Emergencies:
- National Suicide Prevention Lifeline: Call 800-273-TALK (800-273-8255) for immediate help and support if you or someone you know is in crisis or experiencing suicidal thoughts.
- Crisis Text Line: Text “HELLO” to 741741 to connect with a trained crisis counselor via text message.
- 911 Emergency Services: If the situation is life-threatening or requires immediate medical attention, do not hesitate to call 911.
- National Alliance on Mental Illness (NAMI) Helpline: NAMI offers a helpline at 800-950-NAMI (800-950-6264) for information, referrals, and support related to mental health crises.
- Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline: SAMHSA’s helpline at 800-662-HELP (800-662-4357) provides confidential assistance and resources for substance use and mental health issues.
- Local Emergency Room
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References
- https://www.samhsa.gov/
- https://www.theharriscenter.org/blogs
- https://pubmed.ncbi.nlm.nih.gov/33351435/
- https://www.cdc.gov/tobacco/campaign/tips/diseases/depression-anxiety.html
- https://www.nimh.nih.gov/health/publications/understanding-psychosis#:~:text=Psychosis%20refers%20to%20a%20collection,real%20and%20what%20is%20not.
- https://www.cdc.gov/drugoverdose/featured-topics/substance-use-disorders/index.html#:~:text=Substance%20Use%20Disorders%20(SUDs)%20are,and%20control%20over%20substance%20use.
- https://www.apa.org/monitor/2018/06/mental-health-emergency
- https://www.aamc.org/news/treating-mental-illness-ed
- https://www.who.int/news-room/fact-sheets/detail/mental-health-in-emergencies
- https://www.hhs.gov/hipaa/for-professionals/special-topics/mental-health/index.html