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Hacks for Extreme Non-Rational Agitation

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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. 

Types of Mobile Service Harm Reduction Provision

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Mobile harm reduction services come in many forms—each shaped by local needs, available resources, and the creativity of the people providing care. From backpack outreach to vans, bikes, and home delivery, these models offer flexibility, build trust, and reach people who may never visit a fixed site. This section explores the unique strengths and limitations of different mobile approaches
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Hacks for Empathetic Active Listening

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Once you have grounded yourself during an escalated situation, next engage in active listening with the person who is agitated. This can seem counterintuitive or difficult when you are dealing with somebody who is, for example, screaming at you, and it may feel like you’re rewarding them for being completely irrational. But it is key to getting them more centered and grounded so they’re less agitated and less likely to become a danger to themselves or others.
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