Aggressive man yelling at nurse in clinic

Managing aggressive client

Violence and abuse should not simply be accepted as ‘part of the job’, so it is vital that staff are trained to be able to defuse aggression and possess the knowledge and skills to contain a difficult situation. These techniques are not limited to handling aggressive behaviour in the workplace; nonetheless, they are especially useful when applied to dealing with an aggressive client or an unhappy client

Aggressive man yelling at nurse in clinic
Aggressive man yelling at nurse in clinic


Passive aggressive client

Violence and aggression seldom come out of the blue. When working with others, it’s key that you are able to identify some giveaway signals that might suggest the mood has shifted. To predict when a person may become violent, make sure you are aware of the following signs:

  • A sudden change in body language or tone of voice
  • Pacing, fidgeting or overemphasised gesturing
  • Disruptive behaviours – for example, yelling, repeated interrupting or refusal to follow instructions
  • Clenched fists or tightening of the jaw
  • Appearance:  bloodstained, carrying anything that could be used as a weapon.
  • Physical activity: restless or agitated, pacing, standing up frequently, clenching of jaw or fists, hostile facial expressions with sustained eye contact, entering ‘off limit’ areas uninvited.
  • Mood: angry, irritable, anxious, tense, distressed, difficulty controlling emotions.
  • Speech: loud, swearing or threatening, slurred.

How to deal with aggressive client

If a client becomes aggressive, threatening or potentially violent, it is important for service providers to respond in accordance with the policies and procedures specific to their service. It is also important for service providers to have knowledge of how to respond to challenging behaviour, including physical threats or actual violence. 


Conflict Resolution Tips when dealing with an aggressive client

When it comes to resolving conflict there are four main outcomes that can be worked towards:

  1. collaborating to find a solution agreeable by all
  2. compromising on a solution that meets halfway
  3. withdrawing to avoid conflict
  4. smoothing the situation although both parties still disagree


  • Stay calm and keep your emotions in check.
  • Adopt a passive and non-threatening body posture (e.g. hands by your side with empty palms facing forward, body at a 45 degree angle to the aggressive client).
  • Let the client air his/her feelings and acknowledge them.
  • Ask open-ended questions to keep a dialogue going.
  • Be flexible, within reason.
  • Use the space for self-protection (position yourself close to the exit, don’t crowd the client).
  • Structure the work environment to ensure safety (e.g. have safety mechanisms in place such as alarms and remove items that can be used as potential weapons).
  • Make sure other clients are out of harm’s way.

If you find yourself in a situation where conflict is present, you should consider the potential outcomes and decide on which solution would be most appropriate given your current circumstance.

Once you have identified your goals, here are some steps that you can follow to neutralise problem situations and more likely bring them to a successful conclusion. If possible, it’s best to try and deal with conflict early on, to avoid it escalating and potentially becoming violent.

  • Start by explaining that you want to help resolve the issues.
  • If the other party is a stranger, make a personal connection by simply asking their name. This can often take the heat out of a situation and helps to develop a positive relationship.
  • Listen carefully to the person without making a judgement. Ask constructive questions to gain as much information as possible.
  • Identify the cause of the problem. Sometimes this may be quite different from what the other party perceives it to be.
  • Try to put yourself in the other person’s shoes. Empathising is important to maintain their self-esteem and show you know how they feel.
  • State the facts clearly to help clarify your understanding. Use statements like “I see…” and “I understand that…”
  • Find common ground if possible. It’s harder to be upset if someone is agreeing with what you’re saying.
  • Give the other person a choice and utilise breaks of silence. This encourages the other party to think, which can help to calm them down.
  • Look for solutions. If you can’t resolve everything immediately, try and find something you can do straight away, or put a clear plan of action in place for the next steps that need to happen.
  • Shift the conversation to the future. Say things like “we will…” to demonstrate that you are involving the other party in resolving the issue.

Key Things to remember when dealing with aggressive client behaviour


Be self-aware

Try to avoid any physical contact unless absolutely necessary as this may cause provocation. Developing a friendly and open line of communication will mean the individual is more likely to feel respected and will open up to you about their frustrations, preventing the situation from escalating to aggression.

When talking to the other person, your voice should remain calm and slow, while maintaining an assertive tone. This will affirm your position while talking calmly will encourage the other party to do so as well. 

Remain objective

It is important to remember that an aggressive situation is unlikely to be a deliberate personal attack. Workers can frequently come into the ‘firing line’ from a member of the public simply by entering an environment at the wrong time.

They may be frustrated due to a number of reasons, from personal stress to feeling intimidated, so it is important to remain calm and not take the situation personally. If possible, try to depersonalise the problem for the other person as well. This will help them to understand that they are frustrated at the issue itself, rather than towards you. For this reason, also remember that you shouldn’t react to any insults from the other party.

READ ASLSO: Soul Saving Self-Defense Techniques for Nurses

Non-verbal communication

A message is only partly told with words and the messages conveyed with body language and non-verbal cues can enhance or betray what you’re saying. Open body language such as an open chest and arms, facing the aggressive client and making respectful eye contact will encourage them to confide in you.

Avoid defensive body language such as crossed arms or clenched fists which could be interpreted as hostile. We can tell someone that we understand and sympathise with them, but if we appear bored or desperate to leave, these feelings can be demonstrated in our body language or voice. The other person may detect this and it could undermine everything we’re saying.

Body Language Comparrison 768x508 1
Body language when listening to an aggressive client

Active listening

One reason that someone might become aggressive, particularly in a workplace situation, is if they feel they’re not being listened to or taken seriously. Listening well is not a natural skill. People are often so intent on getting their own point across that they miss half of what is being said. Allowing someone to speak and listening to what they have to say often helps calm them down – in many cases, people simply need to vent their frustration. Therefore, an important skill to have when dealing with people – particularly when they’re behaving aggressively – is active listening.

This is not only about listening, but showing the other person that you’re listening and understanding what they’re saying by engaging with them. You could do this by nodding appropriately or taking notes. When you listen, try to remain empathetic, ask constructive questions to try and resolve the situation or seek clarification (if needed) on anything they’ve said. When they’ve finished speaking, reassure them by making sure they know you’re trying to help.  

Provide solutions

When someone has become aggressive it is likely a result of them feeling a lack of control towards the situation, they’re in. If possible, once understanding the issue, you should try to offer a choice of proactive solutionsAllowing the aggressor to choose between options will help them to regain a sense of control. For example, “I can take down your complaint in writing or would you rather write it out in your own words?”.

Protecting Yourself

Your overall goal is to respond to these situations effectively and safely. There is no “one size fits all” approach to managing aggressive and abusive behaviour, but being prepared is crucial to successfully defusing the situation.

The most important thing to remember is to always protect yourself, whether that means creating a physical barrier between yourself and the aggressor, getting support from a colleague or other members of the public or leaving the situation entirely.

In order to protect yourself, it’s important to be aware of your surroundings and have a plan if things escalate. When entering a new environment, you should be conscious of any nearby objects that could be used as weapons, such as chairs. It may also be useful to make a mental note of a clear path that could be used to escape if you have to – check where the exits are and identify any obstacles.

In certain circumstances, you may be more likely to encounter aggressive behaviour and are therefore able to prepare yourself. For example, if you’re a community nurse visiting a patient with a history of violence and abuse, additional precautionary measures should be put in place. This might be arranging the appointment in a clinical environment instead of their home or completing the visit with a colleague.

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