Make an Appointment: [email protected] | (281) 888-8721

Crisis Plan

Having a plan before a crisis, when we may be overwhelmed, can help us with definite guidance when we need it the most.

 

Instructions

Step 1: Warning signs (thoughts, images, mood, situation, behavior) that a crisis may be developing:

  1. ________________________________________________________________________________________
  2. ________________________________________________________________________________________
  3. ________________________________________________________________________________________

 

Step 2: Internal coping strategies – Things I can do to take my mind off my problems without contacting another person (relaxation technique, physical activity, or validating to yourself):

  1. ________________________________________________________________________________________
  2. ________________________________________________________________________________________
  3. ________________________________________________________________________________________

 

Step 3: People and social settings that provide distraction:

  1. Name______________________________________________Contact_______________________________
  2. Name______________________________________________Contact_______________________________
  3. Place___________________________________________________________________________________
  4. Place___________________________________________________________________________________

 

Step 4: People whom I can ask for help:

  1. Name______________________________________________Contact_______________________________
  2. Name______________________________________________Contact_______________________________
  3. Name______________________________________________Contact_______________________________

 

Step 5: Professionals or agencies I can contact during a crisis

  1. Clinician Name__Cody Glover, LPC, LCDC______________Contact_281-888-8721 || [email protected]
  2. Clinician Name_____________________________________Contact_______________________________
  3. Local Urgent Care Services_________________________________________________________________

Local Urgent Care Address__________________________________________________________________

Local Urgent Care Contact__________________________________________________________________

Crisis Lines

Suicide and Crisis Lifeline 988 || Suicide Prevention Lifeline_1-800-273-TALK (8255) || Crisis Text Line_741 741

 

Step 6: Making the environment safe:

  1. ________________________________________________________________________________________
  2. ________________________________________________________________________________________

 

Step 7: The one thing that is most important to me and worth living for is:

________________________________________________________________________________________

________________________________________________________________________________________

 

Have any thoughts, questions, suggestions, or comments on this article? Broken link? Wondering how to this can be applied, modified, or adapted to your polyamorous, swinging, kink/ BDSM, or otherwise interesting relationship? Feel free to reach out to us here.