Calling All Nurses

How to Deal With Irrational Patients and Family Members

When you’re in love, smoke gets in your eyes;

When you’re afraid, really afraid, hijack gets in your brain

This is not meant to be a put down to scared patients and their families. What happens to their brains on fear is that their amygdala, the mind’s sentinel in their middle emotional brain, hijacks them away from being able to hear and listen clearly, then assess what they hear to consider options. Instead they get hijacked to reacting to the present situation based on how they reacted to prior situations. Those reactions often do not fit the current reality they are facing and in many instances make what they are dealing with worse.

What do you do when you’re a nurse, doctor or health care provider and you run into this reaction in your patient or one of their family members?

And avoiding it is not an option.

Wanting to avoid it is so tempting, and the last thing you psychologically want to do is lean into that fear. However, that is actually the first thing you should do.

In my book Talking to Crazy: How to Deal with the Irrational and Impossible People in Your Life, I explain how the best strategy to use if a dog has bitten into your arm is to not try to pull…