08/09/2026
You've formed a view before you've even knocked.
Most paramedics do. The call comes down as a mental health job, and by the time you're at the door you've already got an idea in your head for how this goes. It's not laziness, it's how anyone copes with a stack of calls and limited information.
The trouble is that the assumption is often wrong in ways that matter clinically.
Most people living with a mental illness are not in crisis. Plenty of people in crisis have no illness at all. They may have been served an eviction notice, or been recently bereaved. Altered behaviour describes what you are seeing, never why, and delirium, hypoglycaemia, hypoxia and a head injury all arrive looking similar. Someone quiet and compliant may be dissociating, or may have already decided something.
And then the one we'd most like to shift. If you walk in believing you're the transport, everything else follows from that. You're not. You see people at home, at their worst, at the moment they're most likely to say something true. Nobody else in the system gets that.
Five things not to assume are in the carousel, with what to do instead.
This comes from session one of the Student Paramedic Masterclass Series, co-hosted with PocketClinician, covering the difference between mental illness, mental health crisis and acute behavioural disturbance, and the position pre-hospital clinicians actually hold in the system.
8th September, 7 to 8pm. £7.99 for the first session, £9.99 thereafter, or £39.99 for all six.
Comment MASTERCLASS for the booking links.
What's the assumption you've caught yourself making before you've knocked?