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Hacks for Extreme Non-Rational Agitation

Because participants experiencing psychosis aren’t in touch with consensual reality, they may be easily confused and frightened. For this reason, it is important to be as concrete and clear with the participant as possible.

Do not attempt to dissuade the person from their delusions or use logic to argue. Rhetoric will only confuse them and create the potential for further conflict. Likewise, humor is not the best tool to use with people experiencing psychosis because they may believe you are laughing at them, which will exacerbate negative feelings. Instead emphasize or “lean on” the ways in which the participant’s chaotic reality may intersect with consensual reality to keep the conversation focused, and use concrete suggestions to meet their needs.

Featured Hacks

These featured hacks highlight creative, practical solutions from harm reduction leaders on the ground. From DIY tools to clever workarounds, each one reflects the ingenuity, care, and real-world experience that keeps this movement alive. 

Generally, it’s important to use “person first language” when describing people who are marginalized due to some part of their identity being stigmatized, such as folks struggling with their substance use, people who do sex work, and folks living outside.
Though largely unsupported by scientific evidence, the dangers of needle stick injury loom large in the popular imagination. As a result, the emotional response to needle stick injury can be intense even if, statistically, the risks are quite low. For this reason, if no other, it’s essential that harm reduction organizations be prepared for how they might deal with such an eventuality.