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