• flagnami

Psychosis: Crisis Intervention Techniques

Source: CIT Conference Notes 2021


Psychosis is a symptom, not a diagnosis. The three most common diagnoses are: anxiety, depression and substance use. Psychosis is what people commonly call “crazy”. Neighbors and strangers call in more frequently than family members.


Medical conditions that show the symptom of psychosis (such as seeing shadows and hearing negative voices) are: Schizophrenia, Bi-Polar, Depression, and Drug use (like methamphetamine).


Other symptoms include: disorganized speech, flat affect, catatonia, work salad, laughing and/or talking to self, long pauses (while listening to inner voices), no eye contact, etc.


Stigma leads to denial and rejection of treatment and/or meds. Meds can have side effects, such as too much dopamine can cause psychosis, while too little dopamine can cause catatonia. Dopamine is controlled by ant-psychotic medications which can affect other parts of the brain. Family involvement in and support of treatment is helpful.


Hallucinations are very real and very scary to the person having them.

They can affect all five senses. Command hallucinations can lead to dangerous behaviors, so it’s okay to get right to the point:

  • Are you hearing voices?

  • Are the voices telling you to harm yourself or others?

  • Do you plan to obey the voices?

  • To determine if the hallucinations are due to substance withdrawal, ask: When is the last time you used or drank?


It is important to determine if the threat is imminent, if the person has an action plan, and is the person planning to act. Let the person talk (in order to gather information). Is the person escalating?


Do’s and Don’ts

  • Limit unnecessary bystanders as too many people can cause agitation and/or distraction.

  • Maintain your connection with the person while debriefing, by talking to the person, not your partner. (Your partner will pick up the important details).

  • Validate the person’s feelings rather than the hallucinations.

  • Don’t make false promises.

  • Don’t use force as long as it is safe.


1 view

Recent Posts

See All

Building Your Resilience

Source: apa.org/topic/resilience. Published: February 1, 2020 We all face trauma, adversity and other stresses. Here’s a roadmap for adapting to life-changing situations, and emerging even stronger th

Creating A Community Of Support On Campus

By Ashli Haggard | Oct. 16, 2015 NAMI on Campus at John Jay College members sport their #I Will Listen shirts to encourage dialogue around mental health conditions. College is a time full of changes.

Telling the difference between grief and depression

By Ginette G Ferszt RN, CS, CT, PHD Associate Professor and Mary Leveillee RN, CS, MS Assistant Clinical Professor GRIEF IS A NORMAL experience, often with intense emotional pain, that commonly follow