If a patient is experiencing psychosis, what should a caregiver avoid doing?

Forcing compliance with demands is a crucial action to avoid when caring for a patient experiencing psychosis. During a psychotic episode, a patient may exhibit distorted thoughts, perceptions, and a disconnect from reality. In such a state, asserting control or demanding compliance can lead to increased agitation, rebellion, or potential violence, as it may be perceived as confrontational or threatening. Instead, a more supportive and flexible approach is beneficial, allowing the patient to feel safe and less pressured.

Engaging in dialogue can be helpful to some extent, as it maintains communication, although the approach should be gentle and validating. Reassuring the patient serves to create a sense of security, which is essential during acute episodes of psychosis. Providing choices also empowers the patient and fosters a sense of autonomy, which can be calming. Therefore, avoiding demanding behaviors is critical in promoting a therapeutic environment conducive to recovery.