How Do You Know When You're In Crisis?

I wanted to ask this at my therapy appointment on Friday. I didn t. I asked today, but I blabbled on so much that I don t even remember if he answered or what he said. What is a crisis? How do you know when you need to do something dramatic, like being hospitalized or changing everything about your life? I have three modes: "off" (autopilot); "on" (engaged and caretaking of various sorts to the point of exhaustion); and shutdown (in bed, uncommunicative). If I can keep going, I do, one... How Do You Know When You re In Crisis?
https://www.myptsd.com/c/threads/how-do-you-know-when-youre-in-crisis.52480/