From Suicidal Crisis to Calm: How people move through suicidal crisis with Johanna Mickelson

Psychotherapy and Applied Psychology: Conversations with research experts about mental health and psychotherapy for those interested in research, practice, and training

In this conversation, Dan talks with Johanna Mickelson about the Distress-Processing Model for people in suicidal crisis. In this conversation, Johanna shares her experiences working in a crisis center and discusses the challenges and insights gained from her time in crisis management.
Most of the conversation focuses on the Distress-Processing Model for people in suicidal crisis: Its development and application. The Distress processing model consists of the stages that people go through to move through their suicidal crisis. The stages consist of:

• Unengaged with distress: Minimal or no engagement with distress.
• Distress awareness: Recognizing distressing behaviors, emotions, or thoughts.
• Distress connection: Linking distress to specific stressors or experiences.
• Distress insight: Gaining an understanding of why the distress is personally relevant.
• Applying distress insight: Using new insights to identify ways forward.

Special Guest: Johanna Mickelson
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1. Introduction and Episode Overview (00:00:00)

2. The Therapist's Role in Suicidal Crises (00:02:20)

3. Reflections on Crisis Intervention Training (00:07:45)

4. Gaps in Existing Research (00:12:15)

5. Developing the Distress Processing Model (00:17:00)

6. Validating the Model (00:21:30)

7. The Five Stages of Distress Processing (00:25:00)

8. The Sequential Nature of Distress Processing (00:39:20)

9. Conclusion (00:44:50)