Abstract
Deescalation is the way of behavior and communication which leads to a decrease of tension in the patient as well as caregivers. The first important step is an assessment of the situation which consists of finding out patients anamnestic data.
In the initial phase of diagnostic process, it is not necessary to set the right psychiatric diagnosis, but to exclude the somatic comorbidities threatening patients life and identify the reasons, states and risk factors of the conflict. It is important to be aware of our own reactions,stay calm, don't give an impulsive answer and identify the reason of patients agitation.
The second step is a correct communication based on informing patient about what happens and will happen which enhances his trust. The consistency of verbal and nonverbal communication is of most importance.
In nonverbal communication, the emphasis is on proxemics, kinesis and adequate prosody. The third step is a negotiation, which primary aim is to change the confrontation to the discussion.
We have to reach a consensus with the patient. To facilitate communication, it is advisable to provide the patient with at least some degree of control, even if he behave violently; however we should always try to set limits.
The proper use of the deescalation of violence can prevent escalation of the conflict and avoid a patients traumatization.