Upside Down and Inside Out:
Supporting a Person in Crisis


This day-long workshop examines the strategies for supporting a person in crisis. The workshop focuses on specific physiological changes that overcome a person in distress, and strategies that make sense for the person and his or her caregivers.


At the conclusion of the workshop, participants will have developed knowledge in the following areas:

  • Understanding the reasons why a person may be in and out of crisis;
  • Developing  supports that assure the person's safety and the safety of others;
  • Developing supports for the person's supporters;
  • The physiology of aggression: What happens to the body in the presence of threat;
  • Building a support plan that focuses on quality of life issues.

Suggested Agenda

The following is a suggested agenda only.  Starting and ending times may vary.  Regular question and answer breaks are built into the day.

09:00   Introductions/housekeeping

09:10   Part One: The Importance of Relationships, Check Your Assumptions, Assure Safety/Minimize Threat, Get Organized About Health Care

10:30   Break

10:45   Part Two: 
Who Shows Up Matters, Support for the Person's Supporters

12:00   Lunch

01:00   Part Three:  Difficult Behaviors as Messages, 7 Questions to Guide The Development of A Support Plan

02:30   Break

02:45   Part Four:  Policy Issues

04:00   End


Upside Down and Inside Out and Jumping Into the Chaos of Things. Optional: Discovery Workbook and Support Plan Forms (abbreviated and extended). Supporting A Person Who Experiences Post Traumatic Stress Disorder, Loneliness is the Only Real Disability and  Who Holds Your Story?

Thumbnail Sketch and Photo

A thumbnail sketch of David and his work for conference brochures.  Includes information about audio-visual needs.  A photo for brochures can also be downloaded.

Audio Visual Needs

If available, an LCD projector (if not, an overhead projector), screen, , large pieces of paper, masking tape, felt pens (or a blackboard), and, if you are expecting over 50 people, a lavaliere microphone (a microphone that can be worn as a necklace or attached to a shirt or tie). 

Contact Information

David Pitonyak

540-552-5629 VOICE

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© David Pitonyak