If the mental patient behaves angrily

 Patients who are suffering from mental illness and are being treated by a psychiatrist can also sometimes behave excessively agitated and angry. 

It may be that he does not want to take any medicine at all, throws away the medicine or is not cooperating with the treatment. The family members have also given up trying to take medicine or are no longer able to cope with it.

Patients with serious mental illnesses (such as schizophrenia, bipolar disorder) and drug addicts usually become agitated. Screaming, smashing objects, and physically injuring people and family members in the neighbourhood can also occur.

Patients undergoing treatment tend to become agitated if they stop taking the medication without consultation. What to do in such a situation? How to calm him down?

The patient seems to be quite calm or seems to have improved but the medication can never be stopped without the advice of a doctor. 

Patients may suddenly become agitated if the medication is suddenly stopped or taken irregularly.

If the disease is detected early and treated properly,  doctors could prevent it from getting worse. Patients with schizophrenia or bipolar disorder are unable to be aware of their illness. 

So the role of relatives in their treatment is a lot. Take scientific treatment of these diseases at an early stage and stay in the follow-up. 

When treating an agitated mental patient, the main goal is to ensure that the patient does not cause harm to himself or the people around him. For this, the treatment of the patient has to be taken step by step.

At the initial stage, the patient is reassured by talking calmly. If it does not work, the patient is given oral medication. 

If the patient is so agitated that the medication is not going to be administered or the arousal does not subside even after the medication is given, injections are given intramuscularly or intravenously into the patient.

During treatment, the patient's body temperature, vein speed, blood pressure and respiratory rate should be checked regularly.

Excited mental patients should usually be hospitalized and treated. Once the patient's arousal is relieved by medication, he or she can stay in the general ward or cabin. 
However, no sharp or heavy objects should be placed near the patient's hand and the patient should be kept under close observation.

Even after medication and injections, it may take 24 to 72 hours or more for the patient's arousal to subside. At this time the patient should be confined (restraint and seclusion)  so that he can't hurt himself or people (relatives, other patients, doctors, ward boys, nurses) around him.

In the case of seclusion or keeping the patient alone, it is recommended to have such a room in the hospital where mental illness is treated.

 The walls of the seclusion room are covered with soft foam so that the agitated patient cannot injure himself by hitting the wall inside the specialized room. If the patient's arousal does not subside even after giving the maximum dose, the patient has to be tied temporarily. 

So that he cannot hurt himself or anyone else. In this case, a restrained jacket or restrained belt is made, which is made of cotton, so that the patient does not get pain.

Be careful

In the name of treating an agitated patient, he should not be beaten, punished or treated harshly at home or in the hospital.

Care should be taken not to neglect the treatment of mental illness as well as other physical ailments (such as high blood pressure, diabetes, etc.). Any other cause of abnormal behaviour, such as a metabolic problem, electrolyte imbalance, stroke, etc., should also be looked into.

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