I recommend a different approach to interacting with psychotic patients than the restraining “just as long as it doesn’t get worse” approach to interacting with psychotic patients.1. It is worth communicating with the patient respectfully and “as equals.” When you treat a patient with pity, are pretentiously friendly, condescending, and think “he’s mentally ill, what’s wrong with him,” in this way you show arrogance. The patient picks up arrogance on an emotional level, even if you don’t openly tell him about it. A condescending, pretentiously friendly attitude makes the patient infantile, lazy, helpless, and contributes to degradation. Treating the patient as an “ordinary person” returns responsibility to him.2. It is important to be sincere and honest with the patient. The patient immediately feels deceived. Don't make up excuses, tell it like it is. If you are wrong about something, then admit your mistake. The patient will more readily forgive your mistake than deception.3. The patient may bombard you with ridiculous questions or requests. If you answer these questions or fulfill requests, the patient will never get enough and will ask for more. Prepare to be eaten alive. Try to answer a question with a question or a request with a request. You will have to become mentally ill for a while. Imagine yourself in his place. For example, if a patient asks you to try on your glasses, then ask him for his pants. Ask even more ridiculous questions or requests. Do not try to explain to the patient the absurdity of his requests and questions, just mirror his behavior. He will understand.4. The patient can make statements that contain a request. For example, a patient says: “There is his jacket in the warehouse, and in the jacket are the phone numbers of his relatives.” He doesn't say anything else, he's silent. Under no circumstances should you ask him questions that continue his communication. For example: “What do you want from me?”, “How can I help you?”, “Do you want me to take a piece of paper with numbers from your jacket?” etc. If you formulate questions for him, the patient will not learn to do it on his own. In the case of such statements, we can remain silent until he formulates the question independently, or we also reflect the patient’s behavior. You can say: “I have all the important numbers written down in my phone. I don’t use leaves.”5. The patient may become angry. In case of aggression, you cannot calm the patient down and try to suppress his anger. Attempts to calm the patient will lead to more anxiety, which will lead to more anger. It is better to help the anger be released verbally (with words). Connect emotionally with the anger. Shift your focus to yourself or something in the environment. You can ask: “How did I upset you?”, “Who or what upset you?”, “What a horror! Tell me what happened,” “What can I do to help you?” Usually, after the patient speaks out, he calms down.6. The patient may hallucinate or delirium. If you dissuade the patient from his hallucinations, his anxiety will increase. Better accept his hallucinations and try to communicate with him within the framework of “his reality”. Example: a patient could not sleep on the bed because the “entity in the wall” would not let him. The employee moved the bed away from the wall and the patient was able to sleep. The patient will be grateful to you if you accept his psychosis, will feel understood and less lonely.7. The patient may be disorganized, impulsive, obsessive, and impatient. Set boundaries, rules. Rules help the patient feel more collected, less anxious, and educate him. Example: medical rounds, the patient must wait for the doctor in the ward, but goes out into the corridor and asks questions. The employee calmly reminds him that the patient will receive answers to his questions only in his room.8. The patient may be deceiving. It's worth paying attention to your feelings. If it seems to you that the patient is manipulating (sometimes, by the way, the patient himself may not be aware of the manipulation), try to join his manipulation and bring it to the point of absurdity. For example,.