I'm a psych nurse. All of my patients are involuntarily committed (they have been deemed by the courts to be a danger to themselves or others) and most have schizophrenia or bipolar disorder-manic episode. With these patients, you have to be especially careful with what you say; an innocent remark can make them aggressive, so TC is the best way to communicate with them until their medication begins to lessen the paranoia, hallucinations, delusions, manic behavior, etc... TC can help the pt to work through a problem or feeling to come to a solution or better understanding. If a practitioner were to give a solution to the pt, the pt wouldn't learn to resolve problems on their own.