Responding to Psychosis

There are ways that you can respond to a friend or hook-up in psychosis that are practical, non-judgemental and within most people’s ability to do.

Introduction to the Responding With Heart Psychosis Response

Psychosis can be deeply distressing—for the person experiencing it and for those around them.
It may stem from fear, confusion, or feeling unsafe, rather than aggression or danger.
Begin with self-awareness:

Check your own biases and assumptions.
Ask yourself: What fears or stereotypes do I hold about psychosis?
Ground yourself before engaging. If you feel unprepared, pause and assess what you need to feel ready.

The Framework: 4-Point Guide

Step	What to Do	Why It Matters
1. Self-Assessment	Know your triggers. Ground yourself.	You can’t support others if you’re dysregulated.
2. Assess the Environment	Identify exits, remove triggering objects, reduce stimuli (e.g. Music or porn).	Safety and calm surroundings help everyone.
3. Respond	Practice radical compassion. Build rapport. Offer autonomy and options.	Respect and patience foster trust and de-escalation.
4.DeEscalation	Clear the space. Remove onlookers.	Prevent further distress and maintain safety.

Skills to Use

Don’t try and rush the interaction; go at a pace that feels in tune with the individual.
Be steady and call, use a low tone of voice and avoid threatening body language.
Use affect matching and mirroring (if they are walking, walk with them).
Offer control back to the person with clear, concise options.
Be honest, patient, and person-centred.

Things to Avoid

Making assumptions about the risk of violent behaviour.
Maintaining eye contact (can be perceived as threatening).
Using phones or tech during the interaction (if you must, tell them what you are doing on your phone and why)
Crowding, arguing, or using “no” language.
Making promises you can’t keep.
Intervening if you don’t feel confident—pause and seek support. Are there others around you who can help?

Other Harm Reduction Tips

Use buddy systems for support.
Create quiet, low-stimulation spaces.
Offer water, snacks, or comfort items.
These small gestures can reduce distress and build trust.

When to Call 911 & Police Alternatives

Emergency services may be necessary if someone is at immediate risk of harm.
Consider alternatives first:

Mobile crisis teams
Peer support lines
Community mental health services

If Police Must Be Called:

1. Never threaten to call the police unless you intend to follow through.

2. Be transparent—this builds trust.

3. Notify the person if a call has been made.

4. If police arrive:

Identify yourself.
Stay present and advocate for compassionate treatment.
Document badge numbers and vehicle IDs.

Final Thoughts

Psychosis often reflects a person’s need for safety, understanding, and connection. Meeting people with compassion and non-judgement

This content has been adapted from the Responding With Heart postcard series, developed in collaboration with Steph Massey Manager, Community & Peer Programs at the 519 and from the PnP Field Guide. Watch Steph walk you through the framework and answer FAQ on psychosis here.