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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. 

Hacks for Reaching Affirmation & Accord

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One of the main goals of active listening with an agitated person is reaching affirmation and accord. You are looking to try and find ways to agree with the person who is agitated. Even if you don’t entirely agree with the person, try to find at least a small way in which they may be right, or in which you can be on the same page, or team, with them.
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Universal Precautions: Gloves

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Medical gloves should be worn whenever handling exposed or used supplies, especially those that might be used to prepare or use injection drugs such as syringes, cottons, cookers, tourniquets, and ascorbic acid. Gloves should be changed often, especially between activities or participants.
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