Episode 18: Challenging Clinical Scenarios

On today’s episode, we are working through six challenging clinical scenarios: everything from how to approach confrontational patients, to what to consider when deciding whether to answer personal questions from patients. I would love to hear what other tips and tricks you have for managing these clinical scenarios, so feel free to comment below!


1.Moore, Gregory MD JD, Pfaff, JA MD. “Assessment and emergency management of the acutely agitated or violent adult.” UpToDate.com. 2 October 2018. Web. 24 November 2018.

2.Richmond, Janet, et al. “Verbal De-Escalation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-Escalation Workgroup.” Western Journal of Emergency Medicine, vol. 13, no. 1, 2012, pp. 17–25., doi:10.5811/westjem.2011.9.6864.

3.Sadock, Benjamin J., et al. Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry. Wolter Kluwer/Lippincott Williams & Wilkins, 2015.

4.Sharrock, Julie RN, N Rickard RN. “Limit setting: a useful strategy in rehabilitation.” The Australian Journal of Advanced Nursing, vol. 19, no. 4. 2000, pp. 21-26.

  1. Skodol, Andrew MD, D Bender MD. “Establishing and maintaining a therapeutic relationship in psychiatric practice.” UpToDate.com. 19 June 2018. Web. 24 November 2018.