Which of the following is NOT a recommended de-escalation technique?

• A. Validate the delusions
• B. Defer issues of the delusions by focusing on how they feel
• C. Make eye contact
• D. Ask simple questions

Answer: (A)

In de-escalation, the goal is to reduce arousal and build cooperation without reinforcing false beliefs. Validating delusions means agreeing with or endorsing what isn’t true. That can reinforce the person’s distorted reality, make them feel understood on a belief that isn’t real, and hinder safety and progress toward a calm resolution. By avoiding validation of the delusion and instead focusing on the person’s feelings and safety, you help regulate their emotions and keep the conversation productive.

Focusing on how they feel helps connect with their emotional state without reinforcing the false beliefs, making it easier to guide the interaction toward safer, more constructive topics. Maintaining eye contact signals you are present, calm, and engaged, which reduces defensiveness. Asking simple questions lowers cognitive load, prevents misunderstandings, and keeps the path open to clear, practical communication.

So, validating the delusion is the one to avoid, while the other techniques support a safer, more effective de-escalation.