Crisis Counseling
Dr. Marc A. Graham, Director
Biblical Counseling Center of Southeast Michigan

Introduction:

Much of the New Testament is crisis-oriented. A number of the epistles, especially, were written to meet crises in the lives of individuals and churches.

These crises involved all sorts of problems: heresy, apostasy, congregational division,
lawsuits, disorder, death, persecution, sexual immorality, divorce.

Each pastor during the course of his ministry will be frequently called upon to help others face many crises that unavoidably arise in a sinful world. As a leader and protector of the flock of God, it is crucial for the pastor to know how to care for the sheep in a crisis. Otherwise, in their hour of need, the pastor will become a part of the problem by giving wrong counsel or referring the needy member to seek the counsel of the ungodly.

Definition of a crisis: A crisis is any circumstance to which a person senses a need to
respond, in which he believes that his response will have life-shaking effects.

Examples of common crisis situations:

1. The husband/wife who has just been informed by their spouse that they want
a divorce.
2. The husband/wife who has discovered their spouse in an affair/pornography.
3. The husband/wife that has learned that their spouse/child is on drugs.
4. The family breadwinner who has suddenly lost their job.
5. The spouse/child who is threatening or has attempted suicide.
6. Sudden, unexpected, catastrophic death of a loved one or close friend.
7. The parent with a child who:
a. Is failing in school.
b. In a state of total uncooperation/rebellion.
c. Is cutting/mutilating themselves.
d. Is in a state of extreme depression.
e. Is pregnant.

Three elements to be considered:

1. The crisis situation (real or imagined).
2. The individual(s) who are involved in the crisis.
3. The response that he must make to the crisis issue.

Three things that must be done:

1. Make a preliminary analysis of the crisis situation.
2. Make an inventory of the counselee's mental and emotional state, attitude, behavior and resources.
3. Find and follow the biblical principles that address the issues in the crisis.

I. ANALYSIS OF THE CRISIS SITUATION. (Gathering Data)

A. Is it real or imagined .

1. Examples of potential imaginary crises:

a. Suspicions of a spousal affair.
b. Fears that a spouse is going to leave the marriage.
c. Panic attacks about imagined physical threats.
d. Depressed person who believes that no one cares.
e. Insecure person who thinks that no one likes them.

2. Biblical example of an "imagined crisis: King Saul's attitude
toward David after the victory over Goliath.

a. Saul's imagined crisis: 1 Samuel 18:6-9.
b. The reality: 1 Samuel 24:5-13.

3. It is important that the counselor model for the counselee that we must
formulate our thinking based only on hard data, not feelings,
suspicions, intuition or the experiences of others.

4. Good data gathering questions will focus on who, what, when, where.

a. Avoid asking a lot of questions that can be answered "yes" or
"no" as they provide little information.

B. Divide the crisis into parts, aspects, elements. Do not be overwhelmed by the
"whole" .

1. The counselee will tend to focus on the enormity of the crisis.

a. "This is too much."
b. "This is more than I can take."

2. The counselee may focus on the complexity of the crisis.

a. "I am totally confused."
b. "I just don't know where to begin."

C. Prioritize the parts of the crisis.

1. What demands immediate attention. What can wait for future
counseling sessions.

2. Which issues are simple and which are more complex .

D. Frame the identified problems and proposed solutions in biblical not
psychological terms. This will help the counselee begin to think biblically.

II. ANALYSIS OF THE COUNSELEE.

A. His emotional state.

1. Is he in a panic?

2. Is he in deep depression or bitterness?

3. Is he in full possession of his mental faculties?

4. Halo data.

B. His spiritual state.

1. Is he a Christian or a non-Christian?

2. Is his attitude biblical or non-biblical?

3. Does he respect God's Word, how it identifies the problem and the
solutions the Bible will propose?

C. Action the counselee has taken to solve the problem.

1. What are solutions he has proposed or attempted to solve the problem?

2. What was the original problem?

3. What specific actions has the counselee taken to attempt resolution?

D. What are the counselee's motives?

1. "I will do anything to achieve my end goal."

2. Justifying himself and proving others wrong or blaming them.

3. Gain relief from pain and/or pressure.

4. Pleasing God first.

E. What are the counselee's resources?

1. Personal resources.

2. Family resources.

3. Church resources.

III. HELPING THE COUNSELEE.

A. Give hope .

1. The counselee needs hope that progress can be made on this problem
or they will not return.

a. 1 Corinthians 10:13. ("Christ and Your Problems", Adams).
b. Romans 8:28---God is at work in all things and is up to
something good. ("How to Handle Trouble", Adams).

2. For those experiencing deep grief over the death of a loved one, you
can give hope by gently informing them that even though it hurts
very deeply now, it will not always be like this. The pain will
lessen in time.

B. Gain involvement .

1. Take their problem seriously.

2. Even if their situation is caused by the consequences of their sinful
choices the pain they are experiencing is still very real. (Prov. 13:15).

C. Build their understanding of the sovereignty of God.

1. Story of Joseph. (Gen. 37-50).

2. Jerry Bridges' excellent book "Trusting God."

D. Help them begin to find immediate emotional relief.

1. Explain to them that we are to learn to live by biblical principles, no
matter how we feel (Eph. 4:22-24).

a. Emotions exaggerate the severity of the problem. (Psalm 142:4).
b. Emotions are deceitful. (Ephesians 4:22).
c. Illustrate that we don't live by feelings in other areas of life and
experience success (rules of the road, our jobs, school,
the doctor, the airline pilot).


2. Help them see that biblical thinking and actions will help bring about
positive feelings. (John 13:17; James 1:25).

E. Look for some aspect of the problem that you can help them begin to work on
immediately. The sooner they experience forward movement in their lives,
even in some small area, the better.

Conclusion:

A. Your chief goal in a crisis counseling session is to give hope to the counselee
that answers are available and change is possible.

B. Help them see the relief that can come from climbing out of the confusing
quicksand of subjective circumstances and on to the rock of absolute,
unchanging biblical truth. This will bring emotional relief.

Resources:
Adams, Jay, Coping With Counseling Crises, Grand Rapids, Baker Books,
1976.

Adams, Jay, Critical Stages of Biblical Counseling, Stanley, N.C., Timeless
Texts, 2002.

Wright, H. Norman, Crisis Counseling, San Bernardino, Here's Life Publishers,
1985.