For the purposes of this section a “crisis” can be usefully defined as a brief acute, non-illness impairment of functioning characterised by behavioural disorganisation and increased emotional dysregulation with escalating dysphoria. The specific clinical features of a crisis will vary according to the precipitating situation and the personality structure of the individual.

moved indicators of a crisis section here I've put these down below.... or maybe move to a separate page?

Indicators of a crisis

Affective changes may include:

• Increased emotional lability 
• Panic and anxiety

Escalating dysphoria: 

• Low mood 
• Anger

Behavioural changes may include:

• Parasuicidal behaviour (includes suicidal gestures and attempts, and non-suicidal selfinjury)
• Increased impulsivityCognitive / perceptual changes may include:

• • Dissociation or transient psychotic features
  • Reduced cognitive processing ability including reduced ability to cope and utilise
    resources, to think logically and to problem solve.
  • Reduced ability to retain awareness of the internal processes of oneself and others
    Presence of these features can lead to worsening of difficulties regarding self, others and
    society. Interpersonal stress is frequently a precipitating or perpetuating factor for crisis
    episodes.