It is difficult to cope with violent patients. Several factors influence how well the therapeutic milieu will manage the problems. Frames, such as physical environment and staff are significant, but most important are the therapeutic milieus' effort and capability to take the problem seriously. All professional strategies must focus on what to do if the patient loses control, and not on the anxiety. To achieve that goal, the staff must have good theoretical knowledge about violent behavior and a clarified aim for what each person has to do when the patient acts out. It is most important that the staff are given opportunity to participate in regular practical exercises. The main issue of these exercises is how to handle difficult situations with violent or aggressive patients. The staff members must be given possibilities to discuss their experiences of anxiety and insecurity related to violent episodes, so that they can achieve a psychological understanding of what is going on.