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Defusing Hostile Interactions: One Day Course

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Lesson 10, Topic 1
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Communicating in Mental Health Settings

Kerry September 15, 2021

Communicating in Mental Health Settings

A person who is experiencing depression may be feeling very sad, hopeless and unmotivated. They may also be irritable or restless.

  • Use a warm and accepting manner
  • Be empathetic
  • Ask how you can help
  • Allow the person time to respond
  • Use open-ended questions
  • Be patient and understanding

A person who is depressed may be feeling very sad, hopeless and unmotivated. They may also be irritable or restless.

  • Use a warm and accepting manner
  • Be empathetic
  • Ask how you can help
  • Allow the person time to respond
  • Use open-ended questions
  • Be patient and understanding

A person who is anxious may be feeling tense, restless or agitated, and may be experiencing fear or panic.

  • Decrease environmental stimuli – move to a quiet area
  • Listen to the person
  • Answer questions directly
  • Respect their personal space
  • Use a calm manner
  • Offer acceptance and reassurance of safety

A person who is manic may be feeling very elated and may be irritable and having racing thoughts.

  • Remove to a quiet environment
  • Speak clearly and concisely
  • Be honest and direct – don’t patronize
  • Set constructive limits on negative behaviour
  • All choices, but be specific
  • Build on their strengths
  • Don’t confuse the behaviour with the person, focus on the behaviour
  • Focus on the present situation – not past or future
  • Don’t allow yourself to become angry, loud or argue

The person may be hearing, seeing or sensing something that is not actually present, or may have a false belief about themselves, someone else or a situation.

  • Approach person in a calm manner
  • Remove to a quiet, private area (if not hostile)
  • Decrease stimulation
  • Listen carefully
  • Avoid arguing
  • Avoid reinforcing delusions or hallucinations, but don’t challenge them – simply state that you are not experiencing the same stimuli
  • Make clear, concise statements
  • Limit choices as the individual has difficulty making decisions

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Responding to Mental Illness

  • Nonverbally indicate that you are not a threat
  • Increase distance, move slowly
  • Make brief and frequent eye contact
  • Explain physical actions before initiating them
  • Orientate more beside than across from them
  • Present as calm and in control
  • Use their name frequently
  • Remind them of where they are and their purpose if confusion is present
  • Confront problem behaviour in a calm, direct and brief manner
  • If delusional or fearful, neither play along nor actively challenge; reassure about safety, and refocus back to the task at hand.
  • Be prepared to repeat yourself; manage your frustration
  • Avoid talking down, but be briefer with comments
  • Take threats of violent seriously; disengage and seek support