Before you say anything, a distressed person has already read your body: how fast you approached, whether you are square-on or at an angle, how close you stand, whether your hands are visible, whether you are between them and the door. Approach slowly, stop outside arm’s reach, stand at a slight angle with your hands open and low, and leave the exit clear. If the person is seated, sit or crouch to their level if it is safe. If two staff are present, one speaks. The other manages the environment: the noise, the onlookers, the door.
Then use fewer words than feel natural. A person in overload or a trauma response can process a short sentence and a pause; they cannot process reasoning, policy or reassurance. Say what is happening, say what you can do, offer a choice, and wait. Silence is processing time. Do not fill it with more words, and do not repeat the same words louder.
Some habits feel helpful and are not. Telling someone to calm down tells them their feeling is the problem. Demanding eye contact is painful or impossible for many autistic people and threatening for people with trauma histories. Asking “why” in the moment demands a report from someone who cannot give one. Touching without permission, even a hand on the shoulder, can turn overload into a fight. Standing over a seated person, blocking the door, or bringing in more staff signals danger. Each of these raises the tension you are trying to lower.