Behavioral Emergencies -Accurately Assess & Manage Patients in Crisis – Valerie Vestal

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Behavioral Emergencies -Accurately Assess & Manage Patients in Crisis by Valerie Vestal,
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Valerie Vestal
6 Hours 17 Minutes
Audio and Video
Oct 26, 2020


You introduce yourself to a patient. Within a very short amount of time, you are charged to establish a therapeutic relationship, help rule out medical conditions, accurately assess presenting symptoms and evaluate for appropriate disposition. That’s not always the easiest task…

You must have astute judgement and clinical skills to pull together the pieces. As the situation begins to unfold, it may become clearer and clearer that there is a Behavioral Emergency taking place. And a behavioral health bed may not be immediately available. Perhaps you work in the emergency department, on a med/surg floor or in a nursing home. Regardless of the setting, department or exact role, patients may present with or begin to demonstrate what can feel like just plain frightening symptoms.

Advancing your skills to feel confident safely managing your patient’s combined medical and psychiatric needs is an absolute necessity. Watch clinician Valerie R. Vestal, MSN, PMHNP-BC, to take away new and essential approaches for crisis intervention, ETOH withdrawals, aggressive/violent behaviors, threats of serious harm, de-escalation techniques…and more!



The Psychosocial Assessment

  • Differential diagnosis
  • Assess level of consciousness
  • Quick identification of physical problems that can lead to psychiatric symptoms
  • Immediate safety concerns/danger to self
  • Panic/anxiety/agitation
  • Techniques to bring calm

Psychotic Emergencies

  • Schizophrenia
  • Psychosis related to medical conditions – delirium, endocrine disorders, cardiovascular disorders, pulmonary disorders
  • Dementia and Alzheimer’s disease


  • Intoxication
  • Withdrawal – delirium tremens
  • Acute stage – detoxification, medical interventions
  • Stabilization stage

Drug Related Emergencies

  • Cocaine
  • Amphetamine
  • PCP
  • Hallucinogens
  • LSD
  • Opioids
  • Acute management and stabilization

Violent and Aggressive Behaviors

  • Self-destructive behaviors
  • Self-mutilating behaviors
  • Suicidal risk
  • Predictors of suicide
  • Suspecting a drug overdose
  • Strategies for your own safety
  • De-escalation techniques

Mood Disorder Emergencies

  • Major depressive disorder
  • Bipolar disorders – manic episodes

Trauma Emergencies

  • Domestic violence survivor
  • Rape survivor
  • Acute stress reaction

Families in Crisis

  • Children/adolescent needs
  • Geriatric emergencies
  • Crisis intervention – for individuals, couples, an entire family


Valerie Vestal, MSN, PMHNP-BC Related seminars and products: 3

Platinum Performance by Valerie

Valerie R. Vestal, MSN, PMHNP-BC., is a Board-Certified Psychiatric Nurse Practitioner. She has worked both in a Partial Hospitalization Program (PHP) and in an outpatient private practice. In the PHP program, she has been responsible to identify patients at high risk for aggression and those who have histories of repeated violent behavior. Valerie is skilled at managing crisis intervention, minimizing physical and psychological harm for staff and patients.

Additionally, she serves in the United States Navy Reserve and was deployed to the Warrior Transition Program. Valerie was responsible to ease the reintegration process for sailors and families. She also continues to provide health assessments and psychological evaluations for military members.

Valerie is a highly sought-after speaker, typically focusing on challenging patient behaviors. She has shared her expertise with multidisciplinary audiences throughout the country and a sea on a cruise ship.

Speaker Disclosures:
Financial: Valerie Vestal is the director and founder of Platinum Performance by Valerie. She has an employment relationship with Mood Treatment Center. Ms. Vestal receives a speaking honorarium from PESI, Inc.
Non-financial: Valerie Vestal has no relevant non-financial relationship to disclose.

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