Then the patient gets more upset that I came to talk to him or that I can't calm his anger and starts yelling at me, I would compromise with him by telling him I would leave. alone if they can do an activity on their own to calm down. Usually this is reciprocated with choice four-letter words, in which case the patient has no choice but to do what I want them to do to calm down. This could range from going to his room to be alone until he is calm or being given medication to help alleviate the problem. When someone is in a psychotic state, it is difficult for them to make the decisions that are best for them, so staff will have to make the decision for them. The patient doesn't always like the decision made for him and that's when it becomes physical. Surprisingly, most patients, when the medications have worked and they feel better, will thank us for choosing to give them medications to help them.