A scenario-led deck for supportive stance, paranoid delusion response, differential safety checks, debriefing, and antipsychotic adverse-effect recognition.
Sources: Drug induced psychosis, EPS AIPU, EPS quiz
Alex scenario
Paranoid fear at the nursing station
Alex is pacing, clenching fists, muttering, and saying staff are part of a government experiment. Voices have warned him not to trust the hospital.
Approach branch
Supportive stance lowers threat
BestApproach slowly, angle body, keep two-arm distance, hands visible, calm low voice.RiskyFace him directly, enter personal space, command him to calm down.EscalatingThreaten seclusion or forced injection before immediate harm threshold is met.
Delusion response
Validate fear, not the delusion
Helpful
"That sounds terrifying. I am not here to hurt you. We can make more space and talk somewhere quieter."
Harmful
"There are no voices. That is psychosis. You need to stop this now."
Differential safety
Drug-induced does not mean simple
SubstanceWhat, route, amount, timing?WithdrawalCould symptoms be withdrawal or mixed intoxication?MedicalVitals, glucose, O2, head injury, infection, delirium?PsychiatricFirst episode, relapse, trauma activation, medication effect?LegalStatus, capacity, consent, observation requirements?SafetyCode White threshold or least-restrictive plan?
Source visual
Psychosis scenario asset
Use as an internal reconstruction reference. If rights are unclear, replace with a generated scenario card that preserves the same branch points.
